Heiberg A N, Helöe B, Krogstad B S
Psychother Psychosom. 1978;30(2):81-97. doi: 10.1159/000287287.
Patients with myofascial pain dysfunction (MPD) are traditionally seen by dentists. No organic lesions are found, and there is accumulating evidence that psychological factors influence both the onset and the development of the disorder, thus calling for a multiprofessional investigation approach. This report presents a preliminary study by a team consisting of a psychiatrist, a dentist and a physiotherapist. 25 patients with MPD diagnosis were examined. Almost all of the patients had tense muscles in neck and back, indicating that muscular tension is not a local phenomenon in the masticatory muscles. It was possible to distinguish two main categories of MPD patients, the 'typical MPD patients' and the 'multiproblem patients'. Problems that need further investigation are pointed out.
传统上，患有肌筋膜疼痛功能障碍（MPD）的患者由牙医诊治。未发现器质性病变，且越来越多的证据表明心理因素会影响该疾病的发作和发展，因此需要采用多专业的调查方法。本报告展示了一个由精神科医生、牙医和物理治疗师组成的团队进行的初步研究。对25名被诊断为MPD的患者进行了检查。几乎所有患者的颈部和背部肌肉都处于紧张状态，这表明肌肉紧张并非咀嚼肌的局部现象。可以区分出两类主要的MPD患者，即“典型MPD患者”和“多问题患者”。文中指出了需要进一步调查的问题。
