González-González Ada M, Herrero Azael J
Department of Health Sciences, Miguel de Cervantes European University, Valladolid, Spain.
J Chiropr Med. 2024 Mar-Jun;23(1-2):37-46. doi: 10.1016/j.jcm.2024.02.003. Epub 2024 Mar 19.
The aim of this study was to design and use a headache diary in patients with frequent tension-type headaches (TTH). Another aim was to assess the relationship among oral behaviors, range of motion, and tenderness to palpation of the craniomandibular muscles.
Thirty-four patients participated in this prospective observational study for a 3-month period at the Adavall Clinic for Physiotherapy and Rehabilitation (Valladolid, Spain) in 2019. Oral behaviors were collected through the Oral Behavior Checklist in the Adavall-TTH diary. Range of motion was measured in the cervical region and in the temporomandibular joint. Tenderness to palpation was measured on 38 myofascial trigger points of the craniomandibular region.
Oral behaviors were directly related to the pain intensity of TTH, the number of days, and the headache diagnostic criteria. Cervical range of motion was indirectly related to the intensity of TTH and the number of days of TTH (from = -0.341 to = -0.418, < .05). Tenderness to palpation was associated with intensity and different diagnostic criteria of TTH in different craniomandibular muscles (from = 0.342 to = 0.400, < .05).
We found associations between examination findings and TTH diagnostic criteria. The headache diary may be a useful tool in the diagnosis and management of TTH and for analyzing the relationship between oral activities and temporomandibular joint tenderness in TTH. Future research should test the validity and reliability of this diary.
本研究的目的是为频繁发作的紧张型头痛（TTH）患者设计并使用头痛日记。另一个目的是评估口腔行为、活动范围以及颅下颌肌肉触诊压痛之间的关系。
2019年，34名患者在西班牙巴利亚多利德市阿达瓦尔物理治疗与康复诊所参加了为期3个月的前瞻性观察研究。通过阿达瓦尔-TTH日记中的口腔行为清单收集口腔行为。测量颈部和颞下颌关节的活动范围。在颅下颌区域的38个肌筋膜触发点测量触诊压痛。
口腔行为与TTH的疼痛强度、天数以及头痛诊断标准直接相关。颈部活动范围与TTH的强度和天数间接相关（相关系数从=-0.341至=-0.418，P<.05）。不同颅下颌肌肉的触诊压痛与TTH的强度和不同诊断标准相关（相关系数从=0.342至=0.400，P<.05）。
我们发现检查结果与TTH诊断标准之间存在关联。头痛日记可能是TTH诊断和管理以及分析TTH中口腔活动与颞下颌关节压痛之间关系的有用工具。未来的研究应测试该日记的有效性和可靠性。
