Clinical Observation Of Acupuncture At “Temporomandibular Five Points” Combined With Exercise Training In The Treatment Of Acute Anterior Disk Displacement Without Reduction

Objective:The clinical efficacy of acupuncture combined with exercise training on the irreducible anterior displacement of acute temporomandibular joint disc and the reduction rate of joint disc after treatment were observed.Methods:In this project,a total of 66 cases of irreducible anterior displacement of acute temporomandibular joint disc were included in this project,which were divided into observation group with 33 cases and control group with 33 cases according to simple randomization methods,after basic treatment,the control group used exercise training,and the observation group used acupuncture "temporomandibular five points" + exercise training.Both groups were treated once every other day,3 times/week,3 weeks for 1 course of treatment,a total of 1 course of treatment.Before treatment,visual analogue scale VAS,Fricton temporomandibular joint disorder index(temporomandibular joint dysfunction index DI,muscle tenderness index PI,temporomandibular joint disorder index CMI)were evaluated.After the course of treatment,the clinical efficacy was judged by the efficacy evaluation standard,the temporomandibular joint ultrasound examination was used to determine the reduction of the joint disc,and the disc reduction rate was calculated as the main observation index,and the visual analogue scale VAS and Fricton temporomandibular joint disorder index were used as the secondary observation indicators.Results:1.Clinical efficacy: the total effective rate of the observation group was 93.75%,and the total effective rate of the control group was 84.48%,and the efficacy of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).2.Disc reduction rate: the reduction rate of the observation group reached 62.5%,the reduction rate of the control group reached 40.63%,and the reduction rate of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).3.VAS score: After treatment,the VAS score of both groups was lower than that before(P<0.05),and the score reduction of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).4.Fricton index: the scores of Fricton index(DI,PI,CMI)were lower than those in the two groups(P<0.05),and the Fricton index of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:1.Exercise training and acupuncture "temporomandibular five points" combined with exercise training have clinical efficacy on acute ADDWo R,but acupuncture "temporomandibular five points" combined with exercise training has better efficacy.2.Sports training,acupuncture "temporomandibular five points" combined with sports training can promote acute ADDWo R disc reduction and improve the joint disc reduction rate,but acupuncture "temporomandibular five points" combined with sports training has a better reduction rate.3.Acupuncture of the "five points of temporomandibular area" can reduce VAS and Fricton index scores,thereby reducing pain and improving the overall function of the temporomandibular joint.