University Clinic of Oral and Maxillofacial Surgery, Medical University of Innsbruck, Innsbruck, Austria.
Bachelor Program Speech and Language Therapy, University of Applied Sciences for Health Professions Upper Austria, Linz, Austria.
J Appl Oral Sci. 2024 Mar 25;32:e20230296. doi: 10.1590/1678-7757-2023-0296. eCollection 2024.
Research would be important for obtaining a better understanding of voice complaints among patients with temporomandibular disorders (TMD).
The identification of predictors of voice disorders associated with TMD pain was made according to Diagnostic Criteria for TMD (DC/TMD) Axis I.
Functional limitations were measured using the Jaw Functional Limitation Scales for mastication (JFLS-M), jaw mobility (JFLS-JM), and verbal and emotional expression (JFLS-VEE). Patients also completed the Hospital Anxiety and Depression Scale (HADS). The primary outcome was social-emotional and physical functioning as indicated by scores on the Voice-Related Quality of Life (V-RQOL) questionnaire. Multiple linear regression was used to model the relationship between the domains on the V-RQOL questionnaire and scores on the HADS and JFLS after adjusting for age, gender, DC/TMD diagnosis, pain intensity, and time since pain onset.
The HADS-D (B=-1.15; 95% CI, -1.718 to -0.587; p<.001) and JFLS-VEE (B=-0.22; 95% CI, -0.40 to -0.06; p=.008) were significant predictors of scores on the V-RQOL questionnaire.
Higher scores on depression measures and limitations in verbal and emotional expression could exacerbate voice problems among TMD pain patients. Future research should promote multidisciplinary treatments for TMD pain-related voice disorders.
研究对于更好地了解颞下颌关节紊乱症（TMD）患者的嗓音投诉非常重要。
根据 TMD 诊断标准（DC/TMD）轴 I，确定与 TMD 疼痛相关的嗓音障碍的预测因素。
使用咀嚼功能限制量表（JFLS-M）、下颌活动度限制量表（JFLS-JM）和言语及情感表达限制量表（JFLS-VEE）测量功能限制。患者还完成了医院焦虑和抑郁量表（HADS）。主要结果是通过嗓音相关生活质量问卷（V-RQOL）的评分，来评估社会情感和身体功能。采用多元线性回归模型，对 V-RQOL 问卷各领域与 HADS 和 JFLS 评分之间的关系进行建模，调整年龄、性别、DC/TMD 诊断、疼痛强度和疼痛出现时间等因素。
HADS-D（B=-1.15；95%置信区间，-1.718 至-0.587；p<.001）和 JFLS-VEE（B=-0.22；95%置信区间，-0.40 至-0.06；p=.008）是 V-RQOL 问卷评分的显著预测因素。
抑郁测量评分较高和言语及情感表达受限，可能会使 TMD 疼痛患者的嗓音问题恶化。未来的研究应促进 TMD 疼痛相关嗓音障碍的多学科治疗。
