Dibai-Filho Almir Vieira, Costa Ana Cláudia de Souza, Packer Amanda Carine, Rodrigues-Bigaton Delaine
Laboratory of Therapeutic Resources, Postgraduate Program in Physiotherapy, Methodist University of Piracicaba, Piracicaba, São Paulo, Brazil.
J Back Musculoskelet Rehabil. 2013;26(3):323-8. doi: 10.3233/BMR-130387.
Pain is a common clinical manifestation in individuals with temporomandibular disorder (TMD). The literature report changes in microcirculation in this condition. The aim of the present study was to correlate skin surface temperature at the central point of the masticatory muscles with pain intensity in women with myogenous TMD.
The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and the visual analogue scale (VAS) were used to divide 40 female university students into four groups: control group (n=10), mild pain group (n=10), moderate pain group (n=10) and severe pain group (n=10). Infrared thermography was used to assess the masticatory muscles.
No significant correlations were found between pain intensity and skin surface temperature over the left masseter (p=0.368), right masseter (p=0.618), left anterior temporalis (p=0.293) and right anterior temporalis (p=0.922) muscles. No correlations were found between pain intensity and asymmetry of the masseter (p=0.375) and anterior temporalis (p=0.090) muscles. Moreover, no significant difference in skin surface temperature (p> 0.05) was found among the different groups.
Pain intensity in women with myogenous TMD was not associated with skin surface temperature at the central point of the masseter and anterior temporalis muscles.
疼痛是颞下颌关节紊乱病(TMD)患者常见的临床表现。文献报道了该疾病状态下微循环的变化。本研究旨在探讨肌源性TMD女性患者咀嚼肌中心点的皮肤表面温度与疼痛强度之间的相关性。
采用颞下颌关节紊乱病研究诊断标准(RDC/TMD)和视觉模拟量表(VAS)将40名女大学生分为四组:对照组(n = 10)、轻度疼痛组(n = 10)、中度疼痛组(n = 10)和重度疼痛组(n = 10)。采用红外热成像技术评估咀嚼肌。
在左侧咬肌(p = 0.368)、右侧咬肌(p = 0.618)、左侧颞肌前束(p = 0.293)和右侧颞肌前束(p = 0.922)上,未发现疼痛强度与皮肤表面温度之间存在显著相关性。在咬肌(p = 0.375)和颞肌前束(p = 0.090)的不对称性与疼痛强度之间未发现相关性。此外,不同组之间的皮肤表面温度无显著差异(p > 0.05)。
肌源性TMD女性患者的疼痛强度与咬肌和颞肌前束中心点的皮肤表面温度无关。