患有和未患有耳科疾病的颞下颌关节紊乱症患者的疼痛、颈深屈肌功能、功能障碍及头部姿势
Pain, deep neck flexors performance, disability, and head posture in individuals with temporomandibular disorder with and without otological complaints.
作者信息
Tavares Luiz Felipe, Gadotti Inae Caroline, Ferreira Lidiane Macedo, Maciel Alvaro Campos Cavalcanti, Carvalho Bruna Guimaraes, Barbosa Gustavo Seabra, Almeida Erika Oliveira, Ribeiro Karyna Figueiredo
机构信息
Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
Department of Physical Therapy, Florida International University, Miami, FL, USA.
出版信息
J Back Musculoskelet Rehabil. 2023;36(2):465-475. doi: 10.3233/BMR-220079.
BACKGROUND
Otological complaints (OC) are highly prevalent in subjects with temporomandibular disorders (TMD) and so is the risk of neck dysfunctions.
OBJECTIVE
To evaluate pain, deep neck flexor (DNF) performance, disability, and head and neck posture of individuals with TMD with and without OC.
METHODS
In this cross-sectional study, 57 individuals were divided into a group with TMD and OC (n= 31) and a group with TMD without OC (n= 26). Self-reported pain intensity, masticatory and neck muscles pressure pain thresholds, DNF performance, neck disability, and head and neck posture were evaluated. Data were compared between groups using the independent t test and Mann-Whitney test with Bonferroni correction for multiple comparisons. Effect sizes were evaluated using Cohen's index.
RESULTS
The TMD with OC group presented less muscle activation [26 (24-28) vs. 24 (24-26) mmHg; p< 0.05], less endurance [105 (46-140) vs. 44 (28-78) points; p< 0.05], and greater neck disability (8.15 ± 5.89 vs. 13.32 ± 6.36 points; p< 0.05). No significant difference was observed in self-reported pain, head and neck posture, or pressure pain thresholds.
CONCLUSION
Individuals with TMD with OC presented decreased DNF performance and increased neck disability compared to individuals with TMD without OC.
背景
耳部疾病主诉（OC）在颞下颌关节紊乱病（TMD）患者中极为常见，颈部功能障碍风险同样如此。
目的
评估伴或不伴耳部疾病主诉（OC）的颞下颌关节紊乱病（TMD）患者的疼痛、颈部深层屈肌（DNF）功能、功能障碍以及头颈部姿势。
方法
在这项横断面研究中，57名个体被分为TMD伴OC组（n = 31）和TMD不伴OC组（n = 26）。评估了自我报告的疼痛强度、咀嚼肌和颈部肌肉的压痛阈值、DNF功能、颈部功能障碍以及头颈部姿势。使用独立t检验和经Bonferroni校正用于多重比较的Mann-Whitney检验对两组数据进行比较。使用Cohen指数评估效应大小。
结果
TMD伴OC组肌肉激活较少[26（24 - 28）与24（24 - 26）mmHg；p < 0.05]，耐力较低[105（46 - 140）与44（28 - 78）分；p < 0.05]，且颈部功能障碍更严重（8.15±5.89与13.32±6.36分；p < 0.05）。在自我报告的疼痛、头颈部姿势或压痛阈值方面未观察到显著差异。
结论
与不伴OC的TMD患者相比，伴OC的TMD患者DNF功能下降，颈部功能障碍增加。
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