School of Medicine of Ribeirao Preto, Universidade de Sao Paulo, Ribeirao Preto, SP, Brazil.
Department of Biomechanics, Medicine and Rehabilitation of Locomotor, FMRP, USP, Ribeirao Preto, SP, Brazil.
Braz J Phys Ther. 2014 Jan-Feb;18(1):19-29. doi: 10.1590/s1413-35552012005000137. Epub 2014 Feb 11.
Migraine and temporomandibular disorders (TMDs) are reported to be associated. However, there are no reports on the association among migraines, TMDs and changes in body posture.
To assess changes in body posture in women suffering migraines with or without TMD compared with a control group.
Sixty-six women with a mean age of 18 to 45 years participated in this study. The groups were composed of 22 volunteers with migraine and TMD (MTMD), 22 volunteers with migraines without TMD (MG) and 22 women in the control group (CG). Static posture was assessed by photogrammetry, and 19 angles were measured.
Postural asymmetry was observed in the face for 4 angles measured on the frontal plane in the MG group and for 4 angles of the trunk in the MG and MTMD groups with respect to CG. However, for comparisons between MTMD and CG, clinical relevance was identified for two angles of the sagittal plane (Cervical and Lumbar Lordosis, Effect Size - ES - moderate: 0.53 and 0.60). For comparisons between the MG and CG, the clinical relevance/potential was verified for three angles with moderate ES (ES>0.42). The clinical relevance when comparing MTMD and CG was identified for four angles of facial symmetry head inclination (ES>0.54) and for two angles between MG and CG (ES>0.48).
The results demonstrated the presence of postural changes compared with a control group in women with migraines with or without TMD, and there were similar clinically relevant postural changes among the patients with migraines with and without TMD.
偏头痛和颞下颌关节紊乱(TMD)据报道存在关联。然而,目前尚无偏头痛、TMD 与身体姿势变化之间关联的报告。
评估偏头痛伴或不伴 TMD 的女性与对照组相比身体姿势的变化。
本研究纳入了 66 名年龄在 18 至 45 岁之间的女性。研究组由 22 名偏头痛伴 TMD(MTMD)志愿者、22 名偏头痛不伴 TMD(MG)志愿者和 22 名对照组(CG)女性组成。采用摄影测量法评估静态姿势,测量了 19 个角度。
MG 组 4 个额状面角度和 MG 组和 MTMD 组 4 个躯干角度出现面部不对称,与 CG 相比。然而,对于 MTMD 和 CG 之间的比较,两个矢状面角度(颈椎和腰椎前凸,效应量 - ES - 中度:0.53 和 0.60)具有临床相关性。对于 MG 和 CG 之间的比较,三个角度具有中度 ES(ES>0.42)具有临床相关性/潜在性。当比较 MTMD 和 CG 时,头倾斜的面部对称性的四个角度(ES>0.54)和 MG 和 CG 之间的两个角度(ES>0.48)具有临床相关性。
与对照组相比,偏头痛伴或不伴 TMD 的女性存在姿势变化,且偏头痛伴和不伴 TMD 的患者之间存在类似的具有临床相关性的姿势变化。