Cioffi Iacopo, Perrotta Stefania, Ammendola Lucia, Cimino Roberta, Vollaro Stefano, Paduano Sergio, Michelotti Ambrosina
Department of Neuroscience, University of Naples Federico II, Napoli 80131, Italy.
Prog Orthod. 2014 Apr 16;15(1):27. doi: 10.1186/s40510-014-0027-z.
The daily life of patients suffering from orofacial pain is considerably impaired as compared to healthy subjects. The aim of this study was to investigate the influence of different categories of orofacial pain on the habitual life of adult individuals.
Seven hundred eighty-one individuals with orofacial pain were recruited from an initial sample of 1,058 patients. All the individuals were allocated to groups according to their diagnosis: myofascial pain (group A, 676 subjects, 525 females and 151 males; mean age ± SD = 35.2 ± 12.6), migraine (group B, 39 subjects, 29 females and 10 males; mean age ± SD 36.0 ± 10.7), and both myofascial pain and migraine (group C, 66 subjects, 56 females and 10 males, mean age ± SD = 35.6 ± 10.8). Characteristic pain intensity (CPI), disability days (DD), disability score (DS), and graded chronic pain intensity (GCPS) were calculated according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) axis II. Depression and somatization (nonspecific physical symptoms) scores were also calculated.
A significant association between groups and GCPS categories was found (p < 0.0001). Post hoc tests showed a significant difference between groups A and B and between A and C, but not between B and C. In group A, the most frequent GCPS score was grade II. The most frequent GCPS score in groups B and C was grade III, indicating a moderate limiting impairment. This score was more frequent in group B (41%) than in the other groups (group A = 20.6%, group C = 34.8%). GCPS grade IV was more frequent in group C (19.7%) than in the other groups. Group C had significantly higher scores for nonspecific physical symptoms than group A (p < 0.05).
Myofascial pain and migraine sensibly affect the common daily life of adult individuals. The comorbidity of both conditions determines a major impairment.
与健康受试者相比，患有口面部疼痛的患者的日常生活受到显著影响。本研究的目的是调查不同类型的口面部疼痛对成年个体日常生活习惯的影响。
从1058名患者的初始样本中招募了781名患有口面部疼痛的个体。所有个体根据诊断分组：肌筋膜疼痛（A组，676名受试者，525名女性和151名男性；平均年龄±标准差=35.2±12.6）、偏头痛（B组，39名受试者，29名女性和10名男性；平均年龄±标准差36.0±10.7），以及同时患有肌筋膜疼痛和偏头痛（C组，66名受试者，56名女性和10名男性，平均年龄±标准差=35.6±10.8）。根据颞下颌关节紊乱病研究诊断标准（RDC/TMD）轴II计算特征性疼痛强度（CPI）、残疾天数（DD）、残疾评分（DS）和分级慢性疼痛强度（GCPS）。还计算了抑郁和躯体化（非特异性躯体症状）评分。
发现组与GCPS类别之间存在显著关联（p<0.0001）。事后检验显示A组和B组之间以及A组和C组之间存在显著差异，但B组和C组之间没有差异。在A组中，最常见的GCPS评分为II级。B组和C组中最常见的GCPS评分为III级，表明存在中度限制性功能障碍。该评分在B组（41%）中比在其他组中更常见（A组=20.6%，C组=34.8%）。GCPS IV级在C组（19.7%）中比在其他组中更常见。C组的非特异性躯体症状评分显著高于A组（p<0.05）。
肌筋膜疼痛和偏头痛明显影响成年个体的日常生活。两种情况的合并症会导致更严重的功能障碍。
