Glaros A G, Urban D, Locke J
Kansas City University of Medicine and Biosciences, Kansas City, MO 64106, USA.
Cephalalgia. 2007 Jun;27(6):542-9. doi: 10.1111/j.1468-2982.2007.01325.x. Epub 2007 Apr 18.
To assess the diagnostic and behavioural overlap of headache patients with temporomandibular disorders (TMD), individuals recruited from the general population with self-described headaches were compared with non-headache controls. The examination and diagnostic procedures in the Research Diagnostic Criteria (RDC) for TMD were applied to both sets of subjects by a blinded examiner. Following their examination, subjects used experience sampling methods to obtain data on pain, tooth contact, masticatory muscle tension, emotional states and stress. Results showed that a significantly higher proportion of the headache patients received an RDC/TMD diagnosis of myofascial pain than non-headache controls. Headache patients also reported significantly more frequent and intense tooth contact, more masticatory muscle tension, more stress and more pain in the face/head and other parts of the body than non-headache controls. These results are similar to those reported for TMD patients and they suggest that headache patients and TMD patients overlap considerably in diagnosis and oral parafunctional behaviours.
为评估头痛患者与颞下颌关节紊乱症（TMD）之间的诊断及行为重叠情况，将从普通人群中招募的自述有头痛症状的个体与无头痛症状的对照组进行比较。由一名不知情的检查者对两组受试者均采用颞下颌关节紊乱症研究诊断标准（RDC）中的检查和诊断程序。检查后，受试者使用经验抽样方法获取有关疼痛、牙齿接触、咀嚼肌紧张度、情绪状态和压力的数据。结果显示，与无头痛症状的对照组相比，头痛患者中接受RDC/TMD肌筋膜疼痛诊断的比例显著更高。头痛患者还报告称，与无头痛症状的对照组相比，牙齿接触更频繁、更强烈，咀嚼肌紧张度更高，压力更大，面部/头部及身体其他部位疼痛更多。这些结果与TMD患者的报告结果相似，表明头痛患者与TMD患者在诊断及口腔副功能行为方面有相当大的重叠。
