对于不同类型的颞下颌关节紊乱病，颈部疼痛、功能障碍和颈深屈肌表现是否相同？
Are neck pain, disability, and deep neck flexor performance the same for the different types of temporomandibular disorders?
作者信息
Tavares Luiz Felipe, Gadotti Inae Caroline, Carvalho Bruna Guimaraes, Fernandes Ana Paula Mendonça, Padilha Silva Jade, Barbosa Gustavo Augusto Seabra, Almeida Erika Oliveira, Ribeiro Karyna Figueiredo
机构信息
Department of Physical Therapy, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
Department of Physical Therapy, Florida International University, Miami, FL, United States.
出版信息
Cranio. 2024 Nov;42(6):770-778. doi: 10.1080/08869634.2022.2052582. Epub 2022 Mar 18.
OBJECTIVE
To evaluate neck pain, disability, and deep neck flexor (DNF) performance of individuals with temporomandibular disorders (TMD).
METHODS
Eighty individuals were divided into the following: arthrogenic TMD (n = 40), myogenic TMD (n = 12), and mixed TMD (n = 28). Neck pain intensity, neck disability, and DNF performance were evaluated.
RESULTS
Individuals with arthrogenic TMD reported lower intensity of neck pain when compared to mixed TMD ( = 0.01). Individuals with arthrogenic TMD had less neck disability than individuals with myogenic TMD ( = 0.037) and mixed TMD ( < 0.001). A moderate positive correlation was found between neck pain and neck disability ( < 0.001). No differences were found for DNF performance.
CONCLUSION
Neck pain and disability differs according to subtype of TMD, but performance of the deep neck flexors does not. Neck pain intensity and neck disability were correlated in patients with TMD.
目的
评估颞下颌关节紊乱病（TMD）患者的颈部疼痛、功能障碍以及颈深屈肌（DNF）的表现。
方法
80名个体被分为以下几组：关节源性TMD（n = 40）、肌源性TMD（n = 12）和混合型TMD（n = 28）。评估颈部疼痛强度、颈部功能障碍以及DNF表现。
结果
与混合型TMD相比，关节源性TMD患者报告的颈部疼痛强度更低（P = 0.01）。关节源性TMD患者的颈部功能障碍比肌源性TMD患者（P = 0.037）和混合型TMD患者（P < 0.001）更少。颈部疼痛与颈部功能障碍之间存在中度正相关（P < 0.001）。DNF表现未发现差异。
结论
颈部疼痛和功能障碍因TMD的亚型而异，但颈深屈肌的表现并无差异。TMD患者的颈部疼痛强度与颈部功能障碍相关。
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