20.500.12556/RUL-181400 Vloga logopeda pri motnjah temporomandibularnega sklepa The Role of Speech-Language Pathologists in Temporomandibular Joint Disorders Motnje temporomandibularnega sklepa (TMS) predstavljajo kompleksno klinično stanje, ki prizadene funkcionalnost čeljustnega sklepa in pripadajočih mišic, ob tem pa vpliva na funkcije, kot so govor, žvečenje in požiranje, dihanje in glas. Te motnje so rezultat več dejavnikov; anatomske strukture čeljusti, mišične disfunkcije, vedenjskih vzorcev, psiholoških in socialnih dejavnikov idr., zaradi česar se uvršča med motnje z biopsihosocialno etiologijo. Posledica tega je potreba po interdisciplinarnem in individualiziranem pristopu k diagnostiki in terapiji. V magistrskem delu je predstavljena anatomija s fiziologijo, etiologija, klasifikacije motenj, prevalenca z incidenco in komorbidnostjo motenj TMS, klinična ocena, diagnostika in terapevtski pristopi. Podrobneje je predstavljena vloga logopeda pri obravnavi motenj TMS s poudarkom na nujnosti vključitve logopeda v interdisciplinarni tim ter prispevku logopedske obravnave pri motnjah TMS, ki imajo za posledico ali vzrok težave z govorom, žvečenjem in požiranjem, dihanjem in glasom. Zaradi potrebe po vpogledu v stanje v slovenskem prostoru smo izvedli raziskavo s štirimi centri po Sloveniji, kjer so zaposleni strokovnjaki, ki se ukvarjajo z motnjami TMS. Analizirana je predvsem novejša tuja literatura, pri pregledu literature so uporabljene analitično-pregledna, kompilacijska in deskriptivna metoda, kar nam je omogočilo sistematičen vpogled v trenutno stanje na tem področju. Glavne ugotovitve kažejo, da je vloga logopeda pri obravnavi motenj TMS nepogrešljiva, saj logopedska terapija z z dokazi podprtimi pristopi prispeva k izboljšanju na področju mišičnega ravnovesja orofacialnega področja, optimizaciji funkcij govora, žvečenja in požiranja, dihanja in glasu, zmanjšanju simptomov bolečine in napetosti ter podpori interdisciplinarnega zdravljenja in preventivnega preprečevanja ponavljajočih se težav. Delo izpostavlja, da je potreba po sodelovanju med strokami in izvajanju biopsihosocialnega pristopa ključnega pomena za uspešno obravnavo, pri tem pa mora biti načrt terapije individualiziran. Prav tako se z rezultati raziskave ugotavlja, da si tudi stroka, kot sta fizioterapija in zobozdravstvo, na slovenskem v večini želi sodelovanja z logopedom, vendar se to trenutno zaradi finančnih in kadrovskih stisk še ne izvaja. Magistrsko delo skuša izpostaviti pomembnost vloge in doprinosa logopeda k obravnavi motenj TMS in umestiti logopeda v tim. Izpostavlja se potreba po nadaljnjem raziskovanju na tem področju ter pomen prihodnjih spoznanj, da bi se pacientom zagotovila celostna obravnava glede na naravo njihovih težav. Delo želi doprinesti uvid naši in drugim strokam v pomembnost sodelovanja, optimizacije terapevtskih strategij ter medsebojnega deljenja znanja ter spodbuja predvsem domače, pa tudi tuje logopede k raziskovanju in težnji po vključevanju na različna področja dela, kjer ima lahko logopedski poklic ključno vlogo pri zagotavljanju funkcioniranja in kakovosti življenja posameznika. Temporomandibular joint disorder (TMD) is a complex clinical condition that affects the functionality of the jaw joint and associated muscles, while affecting functions such as speech, chewing and swallowing, breathing and voice. These disorders are the result of several factors; the anatomical structure of the jaw, muscle dysfunction, behavioral patterns, psychological and social factors, etc., which classifies them as disorders with a biopsychosocial etiology. Therefore, a need arises for an interdisciplinary and individualized approach to diagnostics and therapy. The master's thesis presents an overview of anatomy with physiology, etiology, classifications of disorders, prevalence with incidence and comorbidity of TMDs, clinical assessment, diagnostics and therapeutic approaches. The role of the speech-language pathologist in the course treatment of TMD is explained in more detail, with an emphasis on the necessity of including the speech-language pathologist in the interdisciplinary team as well as the contribution of speech therapy in TMD that result in or cause problems with speech, chewing and swallowing, breathing and voice. In order to gain insight into the situation in the Slovenian context, we conducted a study involving four centers across Slovenia that employ professionals working with TMD. The theoretical analysis was mainly of recent foreign literature, and the analytical-review, compilation and descriptive methods were used in the literature review, which allowed us to gain a systematic insight into the current state of the art in this field. The main findings show that the role of a speech-language pathologist in the treatment of TMDs is indispensable, as speech therapy with evidence-based practice approaches contributes to the improvement of the muscle balance of the orofacial area, the optimization of speech, chewing and swallowing, breathing and voice functions, the reduction of pain and tension symptoms, and the support of interdisciplinary treatment and prevention of recurring problems. The work establishes that the need for cooperation between professions in the implementation of a biopsychosocial approach is of key importance for successful treatment, and that the therapy plan must be individualized. The research results have also established that a need between other professionals, such as physiotherapists and dentists in Slovenia, exists for cooperation with speech-language pathologists, but this is currently not being implemented due to the financial and personnel constraints. The master's thesis seeks to highlight the importance of the role and contribution of speech-language pathologists to the treatment of TMD as well as provide grounds for the need to place them in the interdisciplinary team. The need for further research in this area and the importance of future findings are highlighted in order to provide patients with a comprehensive treatment depending on the nature of their problems. The thesis aims to contribute to our and other professions' insight into the importance of cooperation, optimization of therapeutic strategies and mutual sharing of knowledge, and encourages primarily domestic, but also international speech-language pathologists to research and strive to be involved in various fields of work, where this profession can play a key role in supporting individuals’ functioning and quality of life. temporomandibularni sklep motnje temporomandibularnega sklepa vloga logopeda orofacialna miofunkcionalna terapija multidisciplinarni tim interdisciplinarni tim temporomandibular joint temporomandibular joint disorder role of speech-language pathologist orofacial myofunctional therapy multidisciplinary team interdisciplinary team true false false Slovenski jezik Angleški jezik Magistrsko delo/naloga 2026-04-04 08:30:07 2026-04-04 08:30:30 2026-04-05 04:32:53 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 204150 49603.pdf 49603.pdf 1 BC0DBB8F31F9CF5FFEAEC7B7A2A5698D e8c612f1fe1da5c4fc807b8b539befea2c7b21ea1dd93608c1e809974255d972 9b3a6934-2fef-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=231829 Pedagoška fakulteta 0 0 0