DI Paolo C, DI Nunno A, Panti F, Bruti G
Associate Professor of Clinical Gnathology - Centre for care of TMD and Orofacial pain.
Oral Implantol (Rome). 2010 Apr;3(2):2-9. Epub 2010 Nov 29.
Aims of the study were to assess the stabilometric pattern in a TMD population with migraine and to evaluate the role of static stabilometry as an important tool in the clinical practice to quantify postural analysis in TMD and migraine patients.
We recruited 3 samples. The first one with TMD and headache symptom; the second one consisted in a migraneurs population and the third one was a healthy group. All subjects submitted to a stomathognatic visit for diagnosis of TMD in according to international RDC/TMD criteria, a neurological visit to make diagnosis of primary headache (IHS criteria, 2004) and stabilometric tests (1.open eyes, 2.closed eyes, 3. hyperextended head, 4.with cotton rolls).
We found that TMD patients showed an high percentage of migraine diagnosis (90%) and that TMD patients with migraine presented a muscular involvement in the neck district, more than healthy controls.
We showed that there is a strong association between TMD and migraine and an increase of myogenous tension in the neck area is frequent in TMDs, particularly when they are associated with migraine. We suggest that stabilometry could represent a valid tool in the postural approach of TMD and migraine patients.
本研究旨在评估患有偏头痛的颞下颌关节紊乱病（TMD）人群的姿势稳定模式，并评估静态姿势稳定分析作为一种重要工具在临床实践中对TMD和偏头痛患者进行姿势分析量化的作用。
我们招募了3组样本。第一组为有TMD和头痛症状的人群；第二组为偏头痛患者群体；第三组为健康组。所有受试者均接受口腔颌面检查以根据国际RDC/TMD标准诊断TMD，接受神经科检查以诊断原发性头痛（国际头痛协会标准，2004年），并进行姿势稳定测试（1.睁眼；2.闭眼；3.头部过伸；4.使用棉卷）。
我们发现TMD患者中偏头痛诊断的比例很高（90%），并且患有偏头痛的TMD患者颈部肌肉受累情况比健康对照组更多。
我们表明TMD与偏头痛之间存在密切关联，并且在TMD患者中，尤其是与偏头痛相关时，颈部区域的肌源性张力增加很常见。我们建议姿势稳定分析可作为TMD和偏头痛患者姿势评估的有效工具。
