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创伤相关的颈痛与颞下颌关节紊乱之间是否存在因果关系?综述。

Are Whiplash-Associated Disorders and Temporomandibular Disorders in a Trauma Related Cause and Effect Relationship? A Review.

机构信息

Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana (AOUP), University of Pisa, 56100 Pisa, Italy.

Interdisciplinary Department of Medicine, "Aldo Moro" University of Bari, 70121 Bari, Italy.

出版信息

Medicina (Kaunas). 2023 Aug 17;59(8):1482. doi: 10.3390/medicina59081482.

DOI:10.3390/medicina59081482
PMID:37629772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10456620/
Abstract

: Whiplash is associated with a wide variety of clinical manifestations, including headache, neck pain, cervical rigidity, shoulder and back pain, paresthesia, vertigo, and temporomandibular disorders (TMDs). Previous studies reported that TMDs are more common in individuals with chronic whiplash-associated disorders (WAD) than in the general population; however, the pathophysiology and mechanism of this relationship are still not well understood. : A PubMed and Ovid EMBASE review was performed to identify all studies addressing the trauma related cause and effect relationship between WAD and TMDs from January 2003 to March 2023. : After screening for eligibility and inclusion criteria, a total of 16 articles met the selection criteria. The various included studies discussed different aspects of the association between WDA and TMDs, including changes in the coordination and amplitude of jaw opening, the severity of the associated symptoms/signs in cases of WAD, the degree of fatigue and psychological stress, difficulty in feeding, cervical and myofascial pain, changes in the MRI signal at various muscle points, muscle tenderness, and quality of life. : In this review, we summarized the clinical evidence of any trauma related cause and effect relationship between whiplash and TMDs. An accurate screening of the previous literature showed that, in conclusion, the relationship between whiplash and TMDs is still unclear.

摘要

颈鞭损伤与多种临床表现相关,包括头痛、颈痛、颈部僵硬、肩背痛、感觉异常、眩晕和颞下颌关节紊乱(TMD)。先前的研究报告称,慢性颈鞭损伤相关障碍(WAD)患者中 TMD 比一般人群更为常见;然而,这种关系的病理生理学和机制仍未得到很好的理解。

我们进行了 PubMed 和 Ovid EMBASE 综述,以确定所有研究从 2003 年 1 月至 2023 年 3 月探讨了 WAD 和 TMD 之间与创伤相关的因果关系。

经过筛选符合条件和纳入标准,共有 16 篇文章符合选择标准。各种纳入的研究讨论了 WDA 和 TMD 之间关联的不同方面,包括下颌开口协调和幅度的变化、WAD 相关症状/体征的严重程度、疲劳和心理压力程度、进食困难、颈肌和肌筋膜疼痛、各种肌肉点的 MRI 信号变化、肌肉压痛和生活质量。

在本次综述中,我们总结了颈鞭损伤与 TMD 之间任何与创伤相关的因果关系的临床证据。对先前文献的准确筛选表明,颈鞭损伤与 TMD 之间的关系仍不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2966/10456620/a43a4090c97b/medicina-59-01482-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2966/10456620/a43a4090c97b/medicina-59-01482-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2966/10456620/a43a4090c97b/medicina-59-01482-g001.jpg

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