Odzimek Martyna, Brola Waldemar
Doctoral School, The Jan Kochanowski University, Żeromskiego 5, 25-369 Kielce, Poland.
Institute of Health Sciences, Collegium Medicum, The Jan Kochanowski University, Al. IX Wieków Kielc 19A, 25-516 Kielce, Poland.
J Clin Med. 2024 Mar 27;13(7):1941. doi: 10.3390/jcm13071941.
: The main aim of this cross-sectional study was to compare the occurrence and severity of cervical spine pain in young adults diagnosed with TMDs with a healthy control group (without TMDs). : The study was conducted from June to July 2023. Inclusion criteria were age (18-30 years), cervical spine pain (for at least 1 month), and consent to participate in the study. The study was conducted based on RDC/TMD protocol, an original questionnaire, and a physiotherapeutic examination focused on detecting TMDs. The cervical pain level was assessed using the Visual Analogue Scale (VAS). Thus, a total of 95 subjects were registered for the trials, 51 people (53.7%) constituted the control group (without TMDs), while 44 (46.3%) people constituted the study group (with TMDs). : The mean age of people participating in the study was 22.2 ± 2.2 years in the study group and 22.5 ± 3.1 years in the control group. The largest group was people aged 21-25 ( = 51 people, 53.7%). Patients from the study group more often experienced pain in the stomatognathic system during palpation (both in the muscle, joint, and musculoskeletal groups) and had reduced mobility of the temporomandibular joints in every movement ( < 0.001). People from the study group were also characterized by less mobility of the cervical spine ( < 0.05), apart from extension movement ( > 0.05). The analysis showed that of the 95 people participating in the study, 85.4% reported problems in the cervical spine area ( = 81), of which almost all people in the study group struggled with this problem ( = 43, 97.7%). It was found that cervical spine pain was significantly more common in people with TMDs ( < 0.05, chi = 10.118, df = 1, r = 0.31). The level of pain was significantly higher in people from the study group ( < 0.001, chi = 45.765, df = 4, r = 0.57). : Our research has shown that the occurrence of cervical spine pain is more common in the group of young people with temporomandibular disorders (TMDs). In young people, this problem is rarely recognized and properly treated.
本横断面研究的主要目的是比较被诊断为颞下颌关节紊乱病(TMDs)的年轻成年人与健康对照组(无TMDs)颈椎疼痛的发生率和严重程度。本研究于2023年6月至7月进行。纳入标准为年龄(18 - 30岁)、颈椎疼痛(至少1个月)以及同意参与本研究。本研究基于RDC/TMD方案、一份原始问卷以及一项专注于检测TMDs的物理治疗检查开展。使用视觉模拟量表(VAS)评估颈椎疼痛程度。因此,共有95名受试者登记参与试验,51人(53.7%)构成对照组(无TMDs),而44人(46.3%)构成研究组(有TMDs)。研究组参与研究的人员平均年龄为22.2 ± 2.2岁,对照组为22.5 ± 3.1岁。最大的年龄组是21 - 25岁的人群( = 51人,53.7%)。研究组患者在触诊时更常出现口颌系统疼痛(包括肌肉、关节和肌肉骨骼组),并且颞下颌关节在各个运动中的活动度均降低( < 0.001)。研究组人员的颈椎活动度也较小( < 0.05),但伸展运动除外( > 0.05)。分析表明,参与研究的95人中,85.4%报告有颈椎区域问题( = 81),其中研究组几乎所有人都有此问题( = 43,97.7%)。研究发现,TMDs患者中颈椎疼痛明显更常见( < 0.05,卡方 = 10.118,自由度 = 1,相关系数 = 0.31)。研究组人员的疼痛程度明显更高( < 0.001,卡方 = 45.765,自由度 = 4,相关系数 = 0.57)。我们的研究表明,颈椎疼痛在患有颞下颌关节紊乱病(TMDs)的年轻人群中更常见。在年轻人中,这个问题很少被认识到并得到妥善治疗。