Department of Physical Therapy, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.
Departament of Physical Therapy, Federal University of Pernambuco, Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, CEP: 50670-901, Brazil.
Oral Maxillofac Surg. 2021 Dec;25(4):471-476. doi: 10.1007/s10006-021-00943-1. Epub 2021 Feb 1.
Healthcare professionals need to know the degree of disability and severity of their patients to determine actions and therapy needed to minimize potential harm, improve their patient condition, and maximize clinical outcomes.
To evaluate the occurrence and severity of neck disability in individuals with muscular, joint, and mixed temporomandibular disorder (TMD).
Cross-sectional study with individuals divided into four groups: muscular TMD (n=20), joint TMD (n=20), mixed TMD (n=20) and control (n=20). For diagnosis and classification of TMD, it was used the Research Diagnostic Criteria (RDC) and to assess the severity of neck dysfunction the Neck Disability Index (NDI).
Moderate neck disability was frequent in all individuals with TMD; high scores of neck disability index were evidenced in the mixed and joint TMD groups; there was a moderate positive correlation between the severity of neck disability and TMD severity (r=0.7; CI=0.32-0.78; p<0.03).
The gravity of neck disability and the severity of TMD are directly proportional in the group of individuals with mixed TMD.
医疗保健专业人员需要了解患者的残疾程度和严重程度，以确定需要采取的行动和治疗方法，以最大限度地减少潜在伤害，改善患者病情，并最大限度地提高临床结果。
评估患有肌肉、关节和混合颞下颌关节紊乱（TMD）的个体的颈部残疾发生和严重程度。
横断面研究，将个体分为四组：肌肉 TMD（n=20）、关节 TMD（n=20）、混合 TMD（n=20）和对照组（n=20）。使用研究诊断标准（RDC）进行 TMD 的诊断和分类，使用颈部残疾指数（NDI）评估颈部功能障碍的严重程度。
所有 TMD 患者均存在中度颈部残疾；混合和关节 TMD 组的颈部残疾指数得分较高；颈部残疾严重程度与 TMD 严重程度之间存在中度正相关（r=0.7；CI=0.32-0.78；p<0.03）。
在混合 TMD 组中，颈部残疾的严重程度与 TMD 的严重程度成正比。
