Clinical Research
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TEMPOROMANDİBULAR EKLEM DİSFONKSİYONU OLAN KADINLARDA ÇİĞNEME KASLARI İLE BOYUN KASLARININ BASINÇ-AĞRI EŞİĞİ ARASINDAKİ İLİŞKİNİN İNCELENMESİ

Year 2024, Volume: 4 Issue: 2, 203 - 210, 31.05.2024
https://doi.org/10.52369/togusagbilderg.1419965

Abstract

Amaç: Çalışmamızın amacı temporomandibular eklem bozukluğu (TMB) olan kadınlarda çiğneme ve boyun kaslarının basınç ağrı eşiği (BAE) arasındaki ilişkinin belirlenmesidir.
Yöntem: Çalışmamıza, Ağustos 2019- Kasım 2019 tarihleri arasında İstanbul Üniversitesi, Çapa Diş Hekimliği Fakültesi, Total-Parsiyel Protez Ana Bilim Dalı’nda miyofasiyal TMD tanısı almış ve takibi gerçekleştirilen 20 kadın dahil edilerek, olguların veri analizleri retrospektif olarak gerçekleştirilmiştir. Çiğneme kasları olarak anterior temporal ve masseter kaslarının, boyun kasları olarak ise üst trapez ve sternokleidomastoid (SKM) kaslarının BAE değerleri çalışmaya dahil edilmiştir. İstatistiksel olarak, verilerin ilişkilendirilmesi amacıyla Pearson korelasyon katsayısı kullanılmıştır.
Bulgular: Olguların çiğneme ve boyun kaslarının bazı BAE değerleri arasında istatistiksel olarak anlamlı ve pozitif bir korelasyon bulunmuştur (p<0,05). Karşılaştırmalar için korelasyonlar “düşük” ve “orta” düzeydedir (r: 0,461- 0,645).
Sonuç: Çalışmamızda TMD’li kadınlarda bazı çiğneme ve boyun kaslarının BAE'si arasında bulunan pozitif ilişki, klinikte her iki bölgenin muayenesinde ve bozukluklarında oluşturulan tedavi programlarında diğer bölgenin de göz önünde bulundurulması gerekliliğini vurgulamaktadır.

Ethical Statement

Haliç Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu (2023/234)

Supporting Institution

Yok

Project Number

-

Thanks

Yok

References

  • 1. Stechman-Neto J, Porporatti A, Porto de Toledo I, Costa YM, Conti PCR, De Luca Canto G, et al. Effect of temporomandibular disorder therapy on otologic signs and symptoms: a systematic rewiev. J Oral Rehabil. 2016;43(6):468-79.
  • 2. Sahin D, Kaya Mutlu E, Taskiran H. Physiotherapy Interventions in Temporomandibular Disorders. J Health Pro Res. 2021;3(3):162-170.
  • 3. Rezaie K, Amiri A, Takamjani EE, Shirani G, Salehi S, Alizadeh L. The Efficacy of Neck and Temporomandibular Joint (TMJ) Manual Therapy in Comparison With a Multimodal Approach in the Patients with TMJ Dysfunction: A Blinded Randomized Controlled Trial. Med J Islam Repub Iran. 2022;36:45.
  • 4. Szarejko KD, Golebiewska M, Lokumsa-Szymanska M, Kuc J. Stress Experience, Depression and Neck Disability in Patients with Temporomandibular Disorder-Myofascial Pain with Referral. J Clin Med. 2023;12(5):1988.
  • 5. Matheus RA, Ramos-Peres FMdeM, Menezes AV, Ambrosano GMB, Haiter-Neto F, Boscolo FN, et al. The relationship between temporomandibular dysfunction and head and cervical posture. J Appl Oral Sci. 2009;17(3):204-8.
  • 6. Da Costa DRA, de Lima Ferreira AP, Pereira TAB, Porporatti AL, Conti PCR, Costa YM, et al. Neck disability is associated with masticatory myofascial pain and regional muscle sensitivity. Arch Oral Biol. 2015;60(5):745-52.
  • 7. Silveira A, Gadotti IC, Armijo-Olivo S, Biasotto-Gonzalez DA, Magee D. Jaw dysfunction is associated with neck disability and muscle tenderness in subjects with and without chronic temporomandibular disorders. Biomed Res Int. 2015;512792.
  • 8. Bush FM, Harkins SW, Harrington WG, Price DD. Analysis of gender effects on pain perception and symptom presentation in temporomandibular pain. Pain. 1993;53(1):73-80.
  • 9. National Institutes of Health (2015) National Institute of Dental and Craniofacial Research. Jan 23. (NIH Publication No. 17-3487)
  • 10. Ortner DJ. Identification of Pathological Conditions in Human Skeletal Remains. 2nd ed. Cambride: Academic Press; 2003.
  • 11. Cigarán-Méndez M, Jiménez-Antona C, Parás-Bravo P, Fuensalida-Novo S, Rodríguez-Jiménez J, Fernández-de-Las-Peñas C. Active Trigger Points Are Associated With Anxiety and Widespread Pressure Pain Sensitivity in Women, but not Men, With Tension Type Headache. Pain Pract. 2019;19(5):522-9.
  • 12. Munro BH. Statistical Methods for Health Care Research. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2005.
  • 13. Darnell MW. A proposed chronology of events for forward head posture. J Craniomandibular Pract. 1983;1(4):49-54.
  • 14. Armijo–Olivo S, Magee DJ. Electromyographic activity of the masticatory and cervical muscles during resisted jaw opening movement. J Oral Rehabil. 2007;34(3):184–94.
  • 15. Ceneviz C, Mehta NR, Forgione A, Sands MJ, Abdallah EF, Lobo Lobo S, et al. The immediate effect of changing mandibular position on the EMG activity of the masseter, temporalis, sternocleidomastoid, and trapezius muscles. Cranio. 2006;24(4):237–44.
  • 16. Sforze C, Rosati R, de Menezes M, Musto F, Toma M. EMG analysis of trapezius and masticatory muscles: experimental protocol and data reproducibility. J Oral Rehabil. 2011;38(9):648-54.
  • 17. Strini PJSA, Strini PJSA, Barbosa TS, Gaviao MBD. Assessment of thickness and function of masticatory and cervical muscles in adults with and without temporomandibular disorders. Arch Oral Biol. 2013;58(9):1100-8.
  • 18. Alam S. Neck impairment is connected with temporomandibular joint myofascial pain and segmental muscle flexibility. Acta Rheumatologica. 2023;2(10):1-3.

INVESTIGATION OF THE RELATIONSHIP BETWEEN THE PRESSURE-PAIN THRESHOLD OF MASTICATORY MUSCLES AND NECK MUSCLES IN WOMEN WITH TEMPOROMANDIBULAR DISORDERS

Year 2024, Volume: 4 Issue: 2, 203 - 210, 31.05.2024
https://doi.org/10.52369/togusagbilderg.1419965

Abstract

Purpose: The aim of our study is to determine the relationship between the pain pressure threshold (PPT) of masticatory and the neck muscles in women with temporomandibular disorders (TMD).
Methods: Twenty women diagnosed with myofascial TMD who were followed up at Istanbul University, Capa Faculty of Dentistry, Department of Total-Partial Prosthesis, between August 2019- November 2019, were included and data analysis of the cases was performed retrospectively. PPT values of the anterior temporal and masseter muscles as masticatory muscles, and the upper trapezius and sternocleidomastoid (SCM) muscles as neck muscles were included in the study. Pearson correlation coefficient was used to provide statistical analysis of the data.
Results: A statistically significant and positive correlation was found between the some PPT values of the masticatory and neck muscles (p<0.05). Correlations were “low” and “moderate” for all comparisons (r: 0.461- 0.645).
Conclusion: The positive relationship between the PPT of the some masticatory and neck muscles in women with TMD in our study highlights the necessity of considering the other region in the clinical examination of both regions and in the treatment programs created for their disorders.

Ethical Statement

Halic University Institutional Review Board (2023/234)

Supporting Institution

None

Project Number

-

Thanks

None

References

  • 1. Stechman-Neto J, Porporatti A, Porto de Toledo I, Costa YM, Conti PCR, De Luca Canto G, et al. Effect of temporomandibular disorder therapy on otologic signs and symptoms: a systematic rewiev. J Oral Rehabil. 2016;43(6):468-79.
  • 2. Sahin D, Kaya Mutlu E, Taskiran H. Physiotherapy Interventions in Temporomandibular Disorders. J Health Pro Res. 2021;3(3):162-170.
  • 3. Rezaie K, Amiri A, Takamjani EE, Shirani G, Salehi S, Alizadeh L. The Efficacy of Neck and Temporomandibular Joint (TMJ) Manual Therapy in Comparison With a Multimodal Approach in the Patients with TMJ Dysfunction: A Blinded Randomized Controlled Trial. Med J Islam Repub Iran. 2022;36:45.
  • 4. Szarejko KD, Golebiewska M, Lokumsa-Szymanska M, Kuc J. Stress Experience, Depression and Neck Disability in Patients with Temporomandibular Disorder-Myofascial Pain with Referral. J Clin Med. 2023;12(5):1988.
  • 5. Matheus RA, Ramos-Peres FMdeM, Menezes AV, Ambrosano GMB, Haiter-Neto F, Boscolo FN, et al. The relationship between temporomandibular dysfunction and head and cervical posture. J Appl Oral Sci. 2009;17(3):204-8.
  • 6. Da Costa DRA, de Lima Ferreira AP, Pereira TAB, Porporatti AL, Conti PCR, Costa YM, et al. Neck disability is associated with masticatory myofascial pain and regional muscle sensitivity. Arch Oral Biol. 2015;60(5):745-52.
  • 7. Silveira A, Gadotti IC, Armijo-Olivo S, Biasotto-Gonzalez DA, Magee D. Jaw dysfunction is associated with neck disability and muscle tenderness in subjects with and without chronic temporomandibular disorders. Biomed Res Int. 2015;512792.
  • 8. Bush FM, Harkins SW, Harrington WG, Price DD. Analysis of gender effects on pain perception and symptom presentation in temporomandibular pain. Pain. 1993;53(1):73-80.
  • 9. National Institutes of Health (2015) National Institute of Dental and Craniofacial Research. Jan 23. (NIH Publication No. 17-3487)
  • 10. Ortner DJ. Identification of Pathological Conditions in Human Skeletal Remains. 2nd ed. Cambride: Academic Press; 2003.
  • 11. Cigarán-Méndez M, Jiménez-Antona C, Parás-Bravo P, Fuensalida-Novo S, Rodríguez-Jiménez J, Fernández-de-Las-Peñas C. Active Trigger Points Are Associated With Anxiety and Widespread Pressure Pain Sensitivity in Women, but not Men, With Tension Type Headache. Pain Pract. 2019;19(5):522-9.
  • 12. Munro BH. Statistical Methods for Health Care Research. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2005.
  • 13. Darnell MW. A proposed chronology of events for forward head posture. J Craniomandibular Pract. 1983;1(4):49-54.
  • 14. Armijo–Olivo S, Magee DJ. Electromyographic activity of the masticatory and cervical muscles during resisted jaw opening movement. J Oral Rehabil. 2007;34(3):184–94.
  • 15. Ceneviz C, Mehta NR, Forgione A, Sands MJ, Abdallah EF, Lobo Lobo S, et al. The immediate effect of changing mandibular position on the EMG activity of the masseter, temporalis, sternocleidomastoid, and trapezius muscles. Cranio. 2006;24(4):237–44.
  • 16. Sforze C, Rosati R, de Menezes M, Musto F, Toma M. EMG analysis of trapezius and masticatory muscles: experimental protocol and data reproducibility. J Oral Rehabil. 2011;38(9):648-54.
  • 17. Strini PJSA, Strini PJSA, Barbosa TS, Gaviao MBD. Assessment of thickness and function of masticatory and cervical muscles in adults with and without temporomandibular disorders. Arch Oral Biol. 2013;58(9):1100-8.
  • 18. Alam S. Neck impairment is connected with temporomandibular joint myofascial pain and segmental muscle flexibility. Acta Rheumatologica. 2023;2(10):1-3.
There are 18 citations in total.

Details

Primary Language English
Subjects Physical Medicine and Rehabilitation
Journal Section Araştırma Makaleleri
Authors

Duygu Şahin Altaç 0000-0002-2914-7976

Ebru Kaya Mutlu 0000-0002-8595-5513

Olcay Şakar 0000-0003-1513-4186

Hanifegül Taşkıran 0000-0002-9428-5347

Project Number -
Publication Date May 31, 2024
Submission Date January 15, 2024
Acceptance Date May 14, 2024
Published in Issue Year 2024 Volume: 4 Issue: 2

Cite

Vancouver Şahin Altaç D, Kaya Mutlu E, Şakar O, Taşkıran H. INVESTIGATION OF THE RELATIONSHIP BETWEEN THE PRESSURE-PAIN THRESHOLD OF MASTICATORY MUSCLES AND NECK MUSCLES IN WOMEN WITH TEMPOROMANDIBULAR DISORDERS. TOGÜ Sağlık Bilimleri Dergisi. 2024;4(2):203-10.