Neck disability is associated with masticatory myofascial pain and regional muscle sensitivity

Costa, Dayse Regina Alves da; Ferreira, Ana Paula de Lima; Pereira, Thaís Alves Barreto; Porporatti, André Luís; Conti, Paulo César Rodrigues; Costa, Yuri Martins; Bonjardim, Leonardo Rigoldi

doi:10.1016/j.archoralbio.2015.02.009

Cited by 61 publications

(68 citation statements)

References 43 publications

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“…The increased activity of peripheral nociceptors can then lead to the development of central sensitisation and expansion of the receptive fields of second order nociceptive neurons, amplifying the nociceptive signals and evoking pain even outside the area of clinical pain . This process plays a remarkable role in the presence and persistence of other chronic pain conditions such as migraine, tension‐type headache , fibromyalgia and neck pain .…”

Section: Discussionmentioning

confidence: 99%

“…According to the Research Criteria for temporomandibular disorders, TMDs can be divided into three general groups according of the aetiology of the pain: arthrogenic, myogenic and mixed . These disorders are frequently associated with other chronic conditions such as fibromyalgia , headache , sleep disorders , myofascial syndrome and neck pain .…”

Section: Introductionmentioning

confidence: 99%

“…Neck pain is a condition with a strict and well‐known relationship to TMDs. It has been previously demonstrated that patients with TMDs have a lower pressure pain threshold , frequent reports of pain, disability and hypersensitivity in the neck area . Also, patients with TMD exhibit movement limitations of high cervical segments and more trigger points in the neck muscles compared to controls .…”

Section: Introductionmentioning

confidence: 99%

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Reduced thermal threshold in patients with Temporomandibular Disorders

Carvalho

Chaves

Dach

et al. 2016

J of Oral Rehabilitation

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reduced thermal threshold in patients with Temporomandibular Disorders

Carvalho

Chaves

Dach

et al. 2016

J of Oral Rehabilitation

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“…The average of two trials was considered the PPT. There was a two-minute interval between the first and second measurements at the same muscle site, and a five-second interval between the measurements of one muscle site and the other 7 .…”

Section: Methodsmentioning

confidence: 99%

Short-term transcutaneous electrical nerve stimulation reduces pain and improves the masticatory muscle activity in temporomandibular disorder patients: a randomized controlled trial

et al. 2017

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Studies to assess the effects of therapies on pain and masticatory muscle function are scarce. Objective To investigate the short-term effect of transcutaneous electrical nerve stimulation (TENS) by examining pain intensity, pressure pain threshold (PPT) and electromyography (EMG) activity in patients with temporomandibular disorder (TMD).Material and Methods Forty patients with myofascial TMD were enrolled in this randomized placebo-controlled trial and were divided into two groups: active (n=20) and placebo (n=20) TENS. Outcome variables assessed at baseline (T0), immediately after (T2) and 48 hours after treatment (T1) were: pain intensity with the aid of a visual analogue scale (VAS); PPT of masticatory and cervical structures; EMG activity during mandibular rest position (MR), maximal voluntary contraction (MVC) and habitual chewing (HC). Two-way ANOVA for repeated measures was applied to the data and the significance level was set at 5%.Results There was a decrease in the VAS values at T1 and T2 when compared with T0 values in the active TENS group (p<0.050). The PPT between-group differences were significant at T1 assessment of the anterior temporalis and sternocleidomastoid (SCM) and T2 for the masseter and the SCM (p<0.050). A significant EMG activity reduction of the masseter and anterior temporalis was presented in the active TENS during MR at T1 assessment when compared with T0 (p<0.050). The EMG activity of the anterior temporalis was significantly higher in the active TENS during MVC at T1 and T2 when compared with placebo (p<0.050). The EMG activity of the masseter and anterior temporalis muscle was significantly higher in the active TENS during HC at T1 when compared with placebo (p<0.050).Conclusions The short-term therapeutic effects of TENS are superior to those of the placebo, because of reported facial pain, deep pain sensitivity and masticatory muscle EMG activity improvement.

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“…In relation to men, women have significantly higher probability of being diagnosed with TMD 1,5 . In addition to that, TMD is frequently associated to headache and muscular pain in the neck 6,7 . The neurofunctional and anatomic relation that exists among the TMA, the cervical spine, and the skull can justify the occurrence of those associations.…”

Section: Introductionmentioning

confidence: 99%

Disfunção temporomandibular e dor craniocervical em profissionais da área da enfermagem sob estresse no trabalho

et al. 2016

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Purpose: to investigate the presence of Temporomandibular Disorder, headache and neck pain and muscle pain threshold of cervical muscles in nursing professionals exposed to occupational stress. Methods: 43 women were evaluated for the presence and severity of Temporomandibular Disorder using the Diagnostic Criteria for Temporomandibular Disorder instrument and Temporomandibular Dysfunction Index, respectively. Furthermore, they were evaluated for the pain threshold to pressure on the cervical muscles by algometry and for the presence of headache and neck pain.

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Neck disability is associated with masticatory myofascial pain and regional muscle sensitivity

Abstract: Our results reinforced the clinical interconnection between masticatory and cervical structures, insofar as subjects with masticatory myofascial pain reported greater neck disability, which, in turn, was correlated with regional muscle sensitivity.

Cited by 61 publications

References 43 publications

Reduced thermal threshold in patients with Temporomandibular Disorders

Reduced thermal threshold in patients with Temporomandibular Disorders

Short-term transcutaneous electrical nerve stimulation reduces pain and improves the masticatory muscle activity in temporomandibular disorder patients: a randomized controlled trial

Disfunção temporomandibular e dor craniocervical em profissionais da área da enfermagem sob estresse no trabalho

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