Department of Rehabilitation, Medical Academy, Lithuanian University of Health Sciences, Eiveniu str. 2, LT-50161 Kaunas, Lithuania.
Medicina (Kaunas). 2021 Jun 17;57(6):630. doi: 10.3390/medicina57060630.
: The aim of this study was to assess the effects of physiotherapy with aerobic exercise together with temporomandibular joint range of motion exercises (supervised) and physiotherapy with aerobic exercise only (unsupervised), also to review the correlations between neck movements, pain, temporomandibular joint range of motion movements and quality of life in individuals with migraine. : The flexion, extension and lateral flexion of the cervical spine were measured in degrees with a mechanical goniometer and pressure pain thresholds with algometer. Quality of life was assessed with the SF-36 questionnaire and temporomandibular joint range of motion with a centimeter. : The study showed statistically significant cervical flexion results in both groups ( < 0.05), masticatory muscle results and temporomandibular joint range of motion between the groups ( < 0.05). A correlation between left upper trapezius muscle pain and cervical lateral flexion was observed in the intervention group. Physical activity correlated with cervical extension, activity limitation due to physical ailments and general health. A correlation between temporomandibular joint and right-side masticatory muscles pain was found. A correlation between upper trapezius muscle pain and left- as well as right-side temporalis muscles were found in the control group. Strong correlations were found between pain and activity limitation due to physical ailments and emotional state. The temporomandibular joint range of motion strongly correlated with activity limitation due to physical ailments. Physiotherapy based on aerobic exercises together with temporomandibular joint exercises was more effective than physiotherapy based on aerobic exercise for decreasing pain, increasing pressure pain thresholds and cervical range of motion.
本研究旨在评估物理治疗联合有氧运动与仅接受物理治疗联合有氧运动(监督与非监督)对偏头痛患者颈部运动、疼痛、颞下颌关节活动度和生活质量之间相关性的影响。通过机械量角器测量颈椎的屈伸和侧屈角度,并使用压痛计测量压痛阈值。采用 SF-36 问卷评估生活质量,采用厘米测量颞下颌关节活动度。研究显示,两组的颈椎前屈结果均有统计学意义(<0.05),咀嚼肌和颞下颌关节活动度也有统计学意义(<0.05)。干预组观察到左侧上斜方肌疼痛与颈椎侧屈之间存在相关性。身体活动与颈椎伸展、因身体疾病导致的活动受限和一般健康状况相关。颞下颌关节与右侧咀嚼肌疼痛之间存在相关性。对照组中,上斜方肌疼痛与左侧和右侧颞肌之间存在相关性。疼痛与因身体疾病导致的活动受限和情绪状态之间存在强相关性。颞下颌关节活动度与因身体疾病导致的活动受限之间存在强相关性。基于有氧运动和颞下颌关节运动的物理治疗比仅基于有氧运动的物理治疗更有效,可减轻疼痛、增加压痛阈值和颈椎活动度。