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뉴로피드백 훈련이 측두하악장애 환자들의 통증 감소, 수면의 질 및 삶의 질에 미치는 효과
The Effects of Neurofeedback Training on Pain Reduction, Quality of Sleep, and Quality of Life in Patients with Temporomandibular Disorders
손정락 (전북대학교)
박순권 (전주대학교)
초록
뉴로피드백 훈련이 측두하악장애 환자들의 통증, 수면의 질 및 삶의 질에 미치는 효과를 알아보았다. 사전 조사에서 측두하악장애 질문지, 시각 아날로그 척도, Pittsburgh 수면의 질 지수 및 구강 건강 관련 삶의 질 척도를 실시하였다. 측두하악장애 진단을 받고, 턱 통증이 있고, 수면의 질과 구강 건강 관련 삶의 질 점수에서 상대적으로 높은 점수를 받은 사람들 가운데 14명을 뉴로피드백 훈련 집단과 대기 통제 집단에 각각 7명씩 무선 할당하였다. 그 후 훈련 집단에 대해 총 20회기에 걸쳐 뉴로피드백 훈련을 실시하였다. 프로그램 종료 후 사후 검사, 4주 후 추적 검사가 실시되었다. 그 결과, 뉴로피드백 훈련에 참여한 참가자들이 대기 통제 집단의 참가자들보다 턱 통증이 유의하게 더 감소되었고, 수면의 질 및 구강 건강 관련 삶의 질이 유의하게 더 개선되었으며, 그 수준이 추적 검사까지 유지되었다. 마지막으로, 본 연구의 의의와 제한점 및 추후 연구에 대한 시사점이 논의되었다.
- keywords
- 측두하악장애, 턱 통증, 수면의 질, 구강 건강 관련 삶의 질, 뉴로피드백, temporomandibular disorder(TMD), jaw pain, sleep quality, quality of life, neurofeedback.
Abstract
The purpose of this study was to explore the effects of Neurofeedback Training on pain reduction, quality of sleep, and quality of life in patients with Temporomandibular disorders. Temporomandibular Disorder Questionnaire, Visual Analog Scale(VAS), Pittsburgh Sleep Quality Index(PSQI), and Oral Health Impact Profile(OHIP) were used for selecting in pre-test. 14 people who took a Temporomandibular Disorder diagnosis and experienced a jaw pain participated in this study. They got a relatively high score in PSQI and OHIP. Then, 14 people were randomly assigned to a 10 weeks Neurofeedback Training group(n=7) or wait-list control group(n=7). The Neurofeedback training for 7 people was administered for 20 sessions. Jaw pain, quality of sleep, and quality of life were assessed at pre-test, post-test, and 1-month follow-up periods. The results of this study were that scores of jaw pain, quality of sleep and quality of life in the Neurofeedback Training group were significantly decreased more than those in the wait-list control group. Finally, the implications and limitations of this study as well as suggestions for further research were discussed.
- keywords
- 측두하악장애, 턱 통증, 수면의 질, 구강 건강 관련 삶의 질, 뉴로피드백, temporomandibular disorder(TMD), jaw pain, sleep quality, quality of life, neurofeedback.
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