Title Page
Abstract
Contents
1. Introduction 12
1.1. Background and Necessity 12
1.2. Purpose 16
1.3. Hypothesis 17
2. Theoretical Background 18
2.1. Anatomical Structure of TMJ 18
2.2. Anatomical Structure of cervical spine 22
2.3. Joint mobilization 26
3. Methods 27
3.1. Subjects 27
3.2. Process of Research 27
3.3. Intervention 29
3.3.1. TMJ mobilization 29
3.3.2. Upper cervical mobilization 31
3.3.3.conventional treatment 33
3.4. Clinical Measurements 34
3.4.1. Visual Analogue Scale(VAS) 34
3.4.2. Range Of Motion(ROM) 35
3.4.3. Cranio vertebral angle (CVA) 36
3.4.4. MFIQ, NDI 37
3.4.5. Quality of life 38
3.5. Statistical Analysis 38
4. Result 39
4.1. General characteristics of the subject 39
4.2. Variation of pain perception 40
4.3. Variation of TMJ range of motion 42
4.4. Variation of cranio vertebral angle 44
4.5. Variation of Mandibular Function Impairment Questionnaire(MFIQ) 46
4.6. Variation of Neck Disability Index (NDI) 49
4.7. Variation of WHOQOL- BREF(Quality of Life of Life-brief) 51
5. Discussion 52
6. Conclusion 56
II. Reference 58
III. List of Abbrevitions 66
VI. Appendix 69
국문요약 69
Mandibular Function Impairment Questionnaire (M.F.I.Q) 71
Neck Disability Index 73
WHOQOL-BREF 74
Agreement of Participation 75
Document for Offering Subjects 76
Information Provided to Participants 77
Table 1. General Characteristics of Subject 39
Table 2. Effects of TM and UCM, CT on pain 41
Table 3. Effects of TM and UCM, CT on Range of Motion 43
Table 4. Effects of TM and UCM, CT on Cranio vertebral Angle 45
Table 5. Effects of TM and UCM, CT on Mandibular Function Impairment Qustionair 47
Table 6. Effects of TM and UCM, CT on Neck DisabiIity Index 50
Table 7. Effects of TM and UCM, CT on WHOQOL-BREF 51
Figure 1. Flow Diagram of Total Experimental Procedure 28
Figure 2. TMJ mobilization 30
Figure 3. Upper cervical mobilization 32
Figure 4. conventional treatment 33
Figure 5. Visual Analog Scale 34
Figure 6. Double arm goniometer and measurement 35
Figure 7. CVA Measurement Method and Measurement 36
Figure 8. Effects of TM and UCM, CT on pain 41
Figure 9. Effects of TM and UCM, CT on Range of Motion 43
Figure 10. Effects of TM and UCM, CT on Cranio vertebral Angle 45
Figure 11. Effects of TM and UCM, CT on SUM(MFIQ) 48
Figure 12. Effects of TM and UCM, CT on FIRS(MFIQ) 48
Figure 13. Effects of TM and UCM, CT on QMFI 48
Figure 14. Effects of TM and UCM, CT on NDI 50
Figure 15. Effects of TM and UCM, CT on WHOQOL-BREF 51