Research Information System
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