Body posture changes in women with migraine with or without temporomandibular disorders

Abstract

BackgroundMigraine and temporomandibular disorders (TMDs) are reported to be associated. However, there are no reports on the association among migraines, TMDs and changes in body posture. ObjectivesTo assess changes in body posture in women suffering migraines with or without TMD compared with a control group. MethodSixty-six women with a mean age of 18 to 45 years participated in this study. The groups were composed of 22 volunteers with migraine and TMD (MTMD), 22 volunteers with migraines without TMD (MG) and 22 women in the control group (CG). Static posture was assessed by photogrammetry, and 19 angles were measured. ResultsPostural asymmetry was observed in the face for 4 angles measured on the frontal plane in the MG group and for 4 angles of the trunk in the MG and MTMD groups with respect to CG. However, for comparisons between MTMD and CG, clinical relevance was identified for two angles of the sagittal plane (Cervical and Lumbar Lordosis, Effect Size - ES - moderate: 0.53 and 0.60). For comparisons between the MG and CG, the clinical relevance/potential was verified for three angles with moderate ES (ES>0.42). The clinical relevance when comparing MTMD and CG was identified for four angles of facial symmetry head inclination (ES>0.54) and for two angles between MG and CG (ES>0.48). Conclusion The results demonstrated the presence of postural changes compared with a control group in women with migraines with or without TMD, and there were similar clinically relevant postural changes among the patients with migraines with and without TMD.

Systematic Review of the Correlation Between Temporomandibular Disorder and Body Posture

“…Their texts were analyzed to exclude protocols, articles with topics that deviated from our topic of interest (e.g., head and neck posture, TMJ surgery), single case studies, systematic literature reviews, and literature reviews. Finally, nine articles published after the year 2000 were selected to reflect recent research trends (Table 1 [4,[18][19][20][21][22][23][24][25]; Fig. 1).…”

“…Munhoz & Marques [20] additionally classified patients' symptoms into mild, moderate, and severe using a questionnaire and the Helkimo index [26]. The RDC/TMD was used in seven studies [4,19,[21][22][23][24][25], while Saito et al [21] also performed diagnoses based on an interview for clinical symptoms and supplemental X-ray data.…”

Influência Da Postura E Da Fisioterapia Sobre a Articulação Temporomandibular

“…Como mecanismo compensatório podem aparecer alterações da postura corporal [2]. Exige tratamento complexo e multifatorial [3].…”

Atuação fonoaudiológica em disfunção temporomandibular em dois casos: análise comparativa dos efeitos da terapia tradicional e o uso da bandagem terapêutica associada

“…As Disfunções Temporomandibulares (DTMs) são reconhecidas como um grupo de condições musculoesqueléticas e neuromusculares alteradas que envolvem as articulações temporomandibulares (ATMs), os músculos mastigatórios e todos os tecidos associados 1,2 . Fazem parte de um espectro de síndromes associadas ao estresse e são caracterizados por fatores ambientais e psicológicos 3 , incluindo fadiga, prejuízo das atividades do trabalho e escola, distúrbios do sono e do apetite/alimentação, ansiedade e depressão 4. A etiologia das disfunções da ATM é multifatorial 5 e os fatores que contribuem para o desenvolvimento das mesmas incluem má oclusão, fatores traumáticos, doenças sistêmicas, hábitos parafuncionais 6 , alterações posturais e stress e ansiedade 7 .…”