Department of Rehabilitation Musculoskeletal System, Pomeranian Medical University, Szczecin, Poland.
Student Science Club at the Department of Rehabilitation of Musculoskeletal System, Pomeranian Medical University, Szczecin, Poland.
Adv Clin Exp Med. 2023 Oct;32(10):1193-1199. doi: 10.17219/acem/171821.
Headaches (HAs) and temporomandibular joint dysfunction (TMD) are common comorbidities, and the presence of one of them in a patient increases the incidence of the other. The relationship between these 2 conditions may involve common pathophysiological processes. Considering the topicality of the problem, it is justified to conduct research in this field. In this study, we assessed HA type and severity in people with TMD.
The aim of the study was to conduct qualitative and quantitative assessments of HAs in people with temporomandibular joint (TMJ) disorders.
The study group consisted of 51 subjects of both sexes with a TMD diagnosed using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) test. A self-report questionnaire was utilized to self-assess the presence of TMD symptoms, while the standardized Short-Form of the McGill Pain Questionnaire was used to qualitatively and quantitatively assess HAs.
People with TMD were significantly more likely to report HA occurrences (p < 0.001). Pain intensity was statistically significantly higher among individuals with TMD compared to those without TMD symptoms (p < 0.001). Most often, the HA was associated with a pressing pain (r = 0.82) and least often, it was described as cutting (r = 0.30). Neck and shoulder girdle pain (p = 0.059; 82.9%) and clenching and/or grinding of teeth (p = 0.021; 92.7%) were significantly more common among patients who declared HAs than among those without HAs. The results obtained so far may indicate a significant relationship between HA and TMD.
We have described the relationship between the occurrence of HAs and TMD. Headaches are more frequent and more severe in people with TMD.
头痛（HAs）和颞下颌关节功能紊乱（TMD）是常见的共病，患者中出现其中一种疾病会增加另一种疾病的发生率。这两种疾病之间的关系可能涉及共同的病理生理过程。考虑到这个问题的时效性，在这个领域进行研究是合理的。在这项研究中，我们评估了 TMD 患者的 HA 类型和严重程度。
本研究旨在对颞下颌关节（TMJ）紊乱患者的 HA 进行定性和定量评估。
研究组由 51 名男女患者组成，他们患有经颞下颌关节紊乱研究诊断标准（RDC/TMD）测试诊断的 TMD。使用自我报告问卷评估 TMD 症状的存在，同时使用麦吉尔疼痛问卷简化版对 HA 进行定性和定量评估。
患有 TMD 的人更有可能报告 HA 发作（p < 0.001）。患有 TMD 的人的疼痛强度明显高于没有 TMD 症状的人（p < 0.001）。最常见的是，HA 与压迫性疼痛相关（r = 0.82），最不常见的是与切割性疼痛相关（r = 0.30）。颈部和肩部疼痛（p = 0.059；82.9%）和咬牙或磨牙（p = 0.021；92.7%）在报告 HA 的患者中比在没有 HA 的患者中更为常见。到目前为止获得的结果可能表明 HA 和 TMD 之间存在显著的关系。
我们描述了 HA 发生与 TMD 之间的关系。TMD 患者的头痛更频繁且更严重。
