Association between headache and temporomandibular joint disorders in children and adolescents

Branco, Luciana Prats; Santis, Tatiana Oliveira de; Alfaya, Thays Almeida; Godoy, Camila Haddad Leal de; Fragoso, Yára Dadalti; Bussadori, Sandra Kalil

doi:10.2334/josnusd.55.39

Cited by 26 publications

(26 citation statements)

References 23 publications

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“…42 Additionally, some authors report that primary headache types such as migraines may present differently in children and adolescents than in adults. 9,14 However, she did not clearly fit the criteria for secondary headaches either. The presence of photophobia and phonophobia and visual changes she reported as part of her headache history are atypical of pure secondary TMD headaches.…”

Section: Discussionmentioning

confidence: 99%

“…9 In other studies, 59% of patients with myofascial TMD also fit the diagnostic criteria for episodic TTH, and 33% fit those for chronic TTH based on the International Classification of Headache Disorders, 2nd edition. 10 Conversely, of patients with TTH, about 40% will also have a myofascial TMD diagnosis using the research diagnostic criteria for TMD.…”

Section: Introductionmentioning

confidence: 99%

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Use of orthopedic manual physical therapy to manage chronic orofacial pain and tension-type headache in an adolescent

Stuhr

Earnshaw

Duncombe

2013

Journal of Manual & Manipulative Therapy

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Temporomandibular dysfunction (TMD) is frequently associated with multiple headache types. While the efficacy of orthopedic manual physical therapy (OMPT) intervention for TMD with/without headache symptoms has been investigated, it has received less attention than other musculoskeletal conditions. This case describes the OMPT treatment and outcome of a 14 year-old female with a 2-year history of facial pain surrounding the right temporomandibular joint (TMJ), and bilateral occipital and temporal tension-type headaches (TTHs). Intervention included manual mobilization of the TMJ and surrounding cervical/facial soft tissue structures, postural re-education, and patient/family education on prevention, self-treatment, and postural adaptations. Outcomes included pain free and maximal mouth opening (MMO), pressure pain threshold (PPT) over the masseter muscle belly, fear avoidance beliefs questionnaire-physical activity subscale (FABQ-PA), jaw pain and function questionnaire (JPFQ), visual analog pain scale (VAS) for facial pain, and headache frequency, duration, and intensity on a VAS. Results included increased pain free and MMO by 22 mm, improved PPT bilaterally by 403.05 kPa on the affected, and 360.88 kPa on the unaffected side, and decreased reported headache frequency, duration, and intensity. Score decreases of 5 points on VAS with MMO, 8 points on FABQ-PA, and 5 points on JPFQ were also noted. Further research is warranted to investigate the effects of OMPT on pain processing and functional outcomes in patients with TMD and headache.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of orthopedic manual physical therapy to manage chronic orofacial pain and tension-type headache in an adolescent

Stuhr

Earnshaw

Duncombe

2013

Journal of Manual & Manipulative Therapy

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“…A higher number of TMD signals and symptoms is found in children with headache 20 , with association between moderate and severe TMD and primary headaches in a population 21 of children and adolescents, but some findings in adult population cannot be easily compared due to a great number of nomenclatures and different analyses.…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular disorder is more prevalent among patients with primary headaches in a tertiary outpatient clinic

Tomaz-Morais

Lucena

Mota

et al. 2015

Arq. Neuro-Psiquiatr.

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Objective The aim of this study was to estimate the prevalence of signs and symptoms of temporomandibular disorders (TMD) in patients with primary headaches attended in a tertiary neurology ambulatory.Method Authorized by the Ethics Committee, the present cross-sectional study was conducted with a random sample of patients screened for orofacial pain and primary headaches at a tertiary hospital in Northeast of Brazil.Results The sample consisted in 42 patients with primary headache, 59.5% male. The prevalence of > 6 TMD signs and symptoms was 54.8%. In those patients with migraine TMD was present in 71.4% and in tension-type headache in 38.1% (p = 0.030; OR = 4.1). TMD was related to the clinical status of headache associated or attributed to medication overuse (p = 0.001).Conclusion TMD has a high prevalence in patients with primary headaches (54.8%). Special attention must be given to patients with migraine and headache associated or attributed to medication overuse.

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“…Apesar de crianças e adolescentes apresentarem sinais e sintomas da DTM (Tecco et al, 2011;Branco et al, 2013;Franco et al, 2013), estudos têm revelado que a maior parte dos pacientes diagnosticados com DTM encontram-se na população de 20 a 40 anos de idade (Von Korff et al, 1988;Dworkin et al, 1990;De Kanter et al, 1993;Manfredini et al, 2006). Com relação à distribuição da amostra desse estudo quanto à faixa etária, pode-se afirmar que a mesma concorda com a literatura, visto que a média encontrada foi de 37,2 ± 12,5 anos de idade, com idades variando de 18 a 80 anos de idade.…”

Section: Discussionunclassified

“…Crianças e adolescentes também apresentam sinais e sintomas da DTM, embora a prevalência seja menor do que nos adultos (Tecco et al, 2011;Branco et al, 2013;Franco et al, 2013 Greene;Marbach, 1982;Schiffman et al, 1990;Dworkin et al, 1990;De Kanter et al, 1992 O deslocamento de disco refere-se à situação onde o disco e a cabeça da mandíbula se articulam de maneira incorreta. Se o paciente pode movimentar a mandíbula de forma a reposicionar a cabeça da mandíbula sob a borda posterior do disco, diz-se que o disco está reduzido.…”

Section: Introductionunclassified

Estudo da correlação entre estalo articular e posição do disco da articulação temporomandibular pela ressonância magnética em pacientes diagnosticados com disfunção temporomandibular

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Association between headache and temporomandibular joint disorders in children and adolescents

Cited by 26 publications

References 23 publications

Use of orthopedic manual physical therapy to manage chronic orofacial pain and tension-type headache in an adolescent

Use of orthopedic manual physical therapy to manage chronic orofacial pain and tension-type headache in an adolescent

Temporomandibular disorder is more prevalent among patients with primary headaches in a tertiary outpatient clinic

Estudo da correlação entre estalo articular e posição do disco da articulação temporomandibular pela ressonância magnética em pacientes diagnosticados com disfunção temporomandibular

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