Evaluatıon Of The Relatıonshıp Between Breast Cancer And Temporomandıbular Joınt Dysfunctıon


Thesis Type: Postgraduate

Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, FİZYOTERAPİ VE REHABİLİTASYON ANABİLİM DALI, Turkey

Approval Date: 2020

Thesis Language: Turkish

Student: ARİFE AKBULUT

Supervisor: İlke Keser

Abstract:

This study is the first study to examine temporomandibular joint dysfunction (TMD) in

patients with breast cancer. The aim of the study was to investigate the relationship

between lymphedema (LÖ) and TMD in patients with breast cancer. Socio-demographic

characteristics of 38 individuals included in the study were recorded. Patients were divided

into stage 0, 1 and 2 groups according to their LÖ stage and mild, moderate and advanced

groups according to their TMD levels. In the evaluation of severity of lymphedema,

Symptoms and Signs of TMD, pain threshold and tolerance assessment and normal range

of motion, anxiety and depression, posture analysis environmental measurement,

Craniomandibular Dysfunction Index for Clinical, Visual Analogue Scale (VAS) and

algometer, goniometer and inclinometer, Turkish version of the Hospital Anxiety and

Depression Scale (HAD), photogrammetric assessment method and inclinometer were

used. A significant difference was found between the groups cathegorized by lymphedema

stages in terms of TMD levels (p: 0,020). Age value was significantly different between

groups (p: 0,001). There was a negative correlation was determined between neck

extension, range of motion, and TMJ movement (p: 0,020). There was also a significant

relationship between TMD dysfunction degrees and kyphosis angle (p: 0,006). No

relationship was found between HAD and any parameterswith. According to the results

obtained from this study, it was thought that TMD at variable levels can be seen in patients

diagnosed with breast cancer, and the factors that cause TMJ and TMD needed be added to

the evaluation methods in this patient group. It was concluded that TMD severity increased

paralel to the increment in lymphedema stages.

Key Words : Pain, Posture, Anxiety, Depression, Range of motion