Department of Biomechanics, Medicine, and Rehabilitation of Locomotor Apparatus, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil.
Braz J Phys Ther. 2013 Jan-Feb;17(1):64-8. doi: 10.1590/s1413-35552012005000054. Epub 2012 Nov 2.
The aim of this study was to assess the prevalence of Temporomandibular Disorders (TMD), using the Research Diagnostic Criteria for TMD (RDC/TMD) in women with episodic and chronic migraine (M and CM), as well as in asymptomatic women.
Sample consisted of 61 women, being 38 with M and 23 with CM, identified from a headache outpatient center; we also investigated 30 women without headaches for at least 3 months (women without headache group - WHG). Assessment of TMD was conducted by a physical therapist who was blind to the headache status.
The prevalence of TMD, assessed through the RDC, was 33.3% in the WHG, 86.8% in the M group and 91.3% of the CM group. Differences were significant when comparing M and CM groups with WHG (p<0.001), but not when comparing M and CM (p>0.05) as well as higher risk for TMD [odds ratio (OR)=3.15, 95% confidence interval (CI) 1.73-5.71 and OR=3.97, 95%CI 1.76-8.94].
Women with migraine are more likely to have muscular and articular TMD, suggesting that both disorders might be clinically associated, which demonstrate the importance of physical therapy assessment in the multidisciplinary team.
本研究旨在使用 TMD 研究诊断标准（RDC/TMD）评估发作性偏头痛和慢性偏头痛（M 和 CM）女性以及无症状女性的 TMD 患病率。
样本由来自头痛门诊中心的 61 名女性组成，其中 38 名患有 M，23 名患有 CM，我们还调查了至少 3 个月没有头痛的 30 名女性（无头痛女性组-WHG）。TMD 的评估由一名对头痛状况不知情的物理治疗师进行。
通过 RDC 评估，WHG 的 TMD 患病率为 33.3%，M 组为 86.8%，CM 组为 91.3%。与 WHG 相比，M 和 CM 组差异具有统计学意义（p<0.001），但 M 和 CM 组之间无差异（p>0.05），并且 TMD 的风险更高[比值比（OR）=3.15，95%置信区间（CI）1.73-5.71 和 OR=3.97，95%CI 1.76-8.94]。
偏头痛女性更有可能出现肌肉和关节 TMD，这表明这两种疾病可能在临床上相关，这表明多学科团队中物理治疗评估的重要性。
