Departamento de Fisioterapia.
Motion in Brains Research Group, Instituto de Neurociencias y Ciencias del Movimiento, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.
Pain Med. 2017 Nov 1;18(11):2214-2223. doi: 10.1093/pm/pnx127.
To compare patients with chronic migraine (CM) and chronic temporomandibular disorders (TMD) on disability, pain, and fear avoidance factors and to associate these variables within groups.
Descriptive, cross-sectional study.
A neurology department and a temporomandibular disorders consult in a tertiary care center.
A total of 50 patients with CM and 51 patients with chronic TMD, classified by international criteria classifications.
The variables evaluated included pain intensity (visual analog scale [VAS]), neck disability (NDI), craniofacial pain and disability (CF-PDI), headache impact (HIT-6), pain catastrophizing (PCS), and kinesiophobia (TSK-11).
Statistically significant differences were found between the CM group and the chronic TMD group in CF-PDI (P < 0.001), PCS (P = 0.03), and HIT-6 (P < 0.001); however, there were no differences between the CM group and the VAS, NDI, and TSK-11 groups (P > 0.05). For the chronic TMD group, the combination of NDI and TSK-11 was a significant covariate model of CF-PDI (adjusted R2 = 0.34). In the CM group, the regression model showed that NDI was a significant predictive factor for HIT-6 (adjusted R2 = 0.19).
Differences between the CM group and the chronic TMD group were found in craniofacial pain and disability, pain catastrophizing, and headache impact, but they were similar for pain intensity, neck disability, and kinesiophobia. Neck disability and kinesiophobia were covariates of craniofacial pain and disability (34% of variance) for chronic TMD. In the CM group, neck disability was a predictive factor for headache impact (19.3% of variance).
比较慢性偏头痛（CM）和慢性颞下颌关节紊乱（TMD）患者的残疾、疼痛和恐惧回避因素，并在组内关联这些变量。
描述性、横断面研究。
神经病学系和三级保健中心的颞下颌关节紊乱咨询处。
共纳入 50 例 CM 患者和 51 例慢性 TMD 患者，根据国际分类标准分类。
评估的变量包括疼痛强度（视觉模拟量表[VAS]）、颈部残疾（NDI）、颅面疼痛和残疾（CF-PDI）、头痛影响（HIT-6）、疼痛灾难化（PCS）和运动恐惧症（TSK-11）。
CM 组和慢性 TMD 组在 CF-PDI（P<0.001）、PCS（P=0.03）和 HIT-6（P<0.001）方面存在统计学显著差异；然而，CM 组与 VAS、NDI 和 TSK-11 组之间无差异（P>0.05）。对于慢性 TMD 组，NDI 和 TSK-11 的组合是 CF-PDI 的显著协变量模型（调整 R2=0.34）。在 CM 组中，回归模型显示 NDI 是 HIT-6 的显著预测因素（调整 R2=0.19）。
CM 组和慢性 TMD 组在颅面疼痛和残疾、疼痛灾难化和头痛影响方面存在差异，但在疼痛强度、颈部残疾和运动恐惧症方面相似。慢性 TMD 中，颈部残疾和运动恐惧症是颅面疼痛和残疾（34%的方差）的协变量。在 CM 组中，颈部残疾是头痛影响的预测因素（19.3%的方差）。
