Ruiz-Rodríguez Iván, Sosa-Reina María Dolores, Ruiz-Zaragoza David, Vargas-Sánchez Valentina, Fernández-Martínez Álvaro, López-Bueno Rubén, Romero-Morales Carlos, Villafañe Jorge Hugo
Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.
Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.
Healthcare (Basel). 2024 Oct 24;12(21):2118. doi: 10.3390/healthcare12212118.
This cross-sectional observational study examines the relationship between chronic cervico-cranio-mandibular pain, a significant health concern associated with temporomandibular disorders, and adverse childhood experiences (ACEs). Given the high prevalence of cervical pain and the gap in adequate treatment for temporomandibular disorders, this research highlights the interplay between psychological, social factors, and musculoskeletal health.
The study, conducted from January to June 2023, included 114 participants (mean age = 31 ± 12 years, 69.3% female) experiencing chronic cervico-cranio-mandibular pain. Pain severity and dysfunction were assessed, and exposure to ACEs was measured using validated questionnaires. Statistical analysis, performed using Jamovi (v 2.23.28) software.
Data revealed a significant correlation between the number of ACEs and both pain intensity (r = 0.254, = 0.006, η = 0.062) and disability (r = 0.262, = 0.005, η = 0.068). However, no significant association was found between ACEs and mandibular functional limitation ( = 0.222). These findings suggest that while early life stressors impact overall health, their specific influence on cervico-cranio-mandibular pain is limited.
The study emphasizes the importance of integrated early intervention strategies to mitigate the long-term musculoskeletal repercussions of adverse events, advocating for comprehensive mental health support and preventive measures. This research contributes valuable insights into the necessity of a multifaceted approach to understanding, diagnosing, and treating musculoskeletal disorders, highlighting the complexity of their causes and effects.
本横断面观察性研究探讨慢性颈颅下颌疼痛（一种与颞下颌关节紊乱相关的重大健康问题）与童年不良经历（ACEs）之间的关系。鉴于颈部疼痛的高患病率以及颞下颌关节紊乱治疗不足的差距，本研究突出了心理、社会因素与肌肉骨骼健康之间的相互作用。
该研究于2023年1月至6月进行，纳入了114名患有慢性颈颅下颌疼痛的参与者（平均年龄 = 31 ± 12岁，69.3%为女性）。评估了疼痛严重程度和功能障碍，并使用经过验证的问卷测量了ACEs暴露情况。使用Jamovi（v 2.23.28）软件进行统计分析。
数据显示，ACEs的数量与疼痛强度（r = 0.254，p = 0.006，η = 0.062）和残疾程度（r = 0.262，p = 0.005，η = 0.068）之间存在显著相关性。然而，未发现ACEs与下颌功能受限之间存在显著关联（p = 0.222）。这些发现表明，虽然早期生活压力源会影响整体健康，但它们对颈颅下颌疼痛的具体影响有限。
该研究强调了综合早期干预策略对于减轻不良事件长期肌肉骨骼影响的重要性，倡导全面的心理健康支持和预防措施。本研究为理解、诊断和治疗肌肉骨骼疾病的多方面方法的必要性提供了有价值的见解，突出了其因果关系的复杂性。
