Headache attributed to masticatory myofascial pain: impact on facial pain and pressure pain threshold
Summary There is no clear evidence on how a headache attributed to temporomandibular disorder (TMD) can hinder the improvement of facial pain and masticatory muscle pain. The aim of this study was to measure the impact of a TMD‐attributed headache on masticatory myofascial (MMF) pain management. The...
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Veröffentlicht in: | Journal of oral rehabilitation 2016-03, Vol.43 (3), p.161-168 |
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creator | Costa, Y. M. Porporatti, A. L. Stuginski-Barbosa, J. Bonjardim, L. R. Speciali, J. G. Conti, P. C. R. |
description | Summary
There is no clear evidence on how a headache attributed to temporomandibular disorder (TMD) can hinder the improvement of facial pain and masticatory muscle pain. The aim of this study was to measure the impact of a TMD‐attributed headache on masticatory myofascial (MMF) pain management. The sample was comprised of adults with MMF pain measured according to the revised research diagnostic criteria for temporomandibular disorders (RDC/TMD) and additionally diagnosed with (Group 1, n = 17) or without (Group 2, n = 20) a TMD‐attributed headache. Both groups received instructions on how to implement behavioural changes and use a stabilisation appliance for 5 months. The reported facial pain intensity (visual analogue scale – VAS) and pressure pain threshold (PPT – kgf cm−2) of the anterior temporalis, masseter and right forearm were measured at three assessment time points. Two‐way anova was applied to the data, considering a 5% significance level. All groups had a reduction in their reported facial pain intensity (P < 0·001). Mean and standard deviation (SD) PPT values, from 1·33 (0·54) to 1·96 (1·06) kgf cm−2 for the anterior temporalis in Group 1 (P = 0·016), and from 1·27 (0·35) to 1·72 (0·60) kgf cm−2 for the masseter in Group 2 (P = 0·013), had significant improvement considering baseline versus the 5th‐month assessment. However, no differences between the groups were found (P > 0·100). A TMD‐attributed headache in patients with MMF pain does not negatively impact pain management, but does change the pattern for muscle pain improvement. |
doi_str_mv | 10.1111/joor.12357 |
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There is no clear evidence on how a headache attributed to temporomandibular disorder (TMD) can hinder the improvement of facial pain and masticatory muscle pain. The aim of this study was to measure the impact of a TMD‐attributed headache on masticatory myofascial (MMF) pain management. The sample was comprised of adults with MMF pain measured according to the revised research diagnostic criteria for temporomandibular disorders (RDC/TMD) and additionally diagnosed with (Group 1, n = 17) or without (Group 2, n = 20) a TMD‐attributed headache. Both groups received instructions on how to implement behavioural changes and use a stabilisation appliance for 5 months. The reported facial pain intensity (visual analogue scale – VAS) and pressure pain threshold (PPT – kgf cm−2) of the anterior temporalis, masseter and right forearm were measured at three assessment time points. Two‐way anova was applied to the data, considering a 5% significance level. All groups had a reduction in their reported facial pain intensity (P < 0·001). Mean and standard deviation (SD) PPT values, from 1·33 (0·54) to 1·96 (1·06) kgf cm−2 for the anterior temporalis in Group 1 (P = 0·016), and from 1·27 (0·35) to 1·72 (0·60) kgf cm−2 for the masseter in Group 2 (P = 0·013), had significant improvement considering baseline versus the 5th‐month assessment. However, no differences between the groups were found (P > 0·100). A TMD‐attributed headache in patients with MMF pain does not negatively impact pain management, but does change the pattern for muscle pain improvement.</description><identifier>ISSN: 0305-182X</identifier><identifier>EISSN: 1365-2842</identifier><identifier>DOI: 10.1111/joor.12357</identifier><identifier>PMID: 26440358</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Dentistry ; diagnosis ; Facial Pain - rehabilitation ; Female ; Headache - etiology ; Humans ; Male ; Masticatory Muscles - physiology ; myofascial pain ; occlusal splint ; Pain Management - methods ; Pain Measurement - methods ; Pain Threshold - physiology ; secondary headache ; temporomandibular joint disorders ; Temporomandibular Joint Dysfunction Syndrome - complications ; Young Adult</subject><ispartof>Journal of oral rehabilitation, 2016-03, Vol.43 (3), p.161-168</ispartof><rights>2015 John Wiley & Sons Ltd</rights><rights>2015 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4377-2fc7b7d54a85bad903b07bc5e6e44a11298947cb44a3bcd5e89c84704a7a13f3</citedby><cites>FETCH-LOGICAL-c4377-2fc7b7d54a85bad903b07bc5e6e44a11298947cb44a3bcd5e89c84704a7a13f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjoor.12357$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjoor.12357$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26440358$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Costa, Y. M.</creatorcontrib><creatorcontrib>Porporatti, A. L.</creatorcontrib><creatorcontrib>Stuginski-Barbosa, J.</creatorcontrib><creatorcontrib>Bonjardim, L. R.</creatorcontrib><creatorcontrib>Speciali, J. G.</creatorcontrib><creatorcontrib>Conti, P. C. R.</creatorcontrib><title>Headache attributed to masticatory myofascial pain: impact on facial pain and pressure pain threshold</title><title>Journal of oral rehabilitation</title><addtitle>J Oral Rehabil</addtitle><description>Summary
There is no clear evidence on how a headache attributed to temporomandibular disorder (TMD) can hinder the improvement of facial pain and masticatory muscle pain. The aim of this study was to measure the impact of a TMD‐attributed headache on masticatory myofascial (MMF) pain management. The sample was comprised of adults with MMF pain measured according to the revised research diagnostic criteria for temporomandibular disorders (RDC/TMD) and additionally diagnosed with (Group 1, n = 17) or without (Group 2, n = 20) a TMD‐attributed headache. Both groups received instructions on how to implement behavioural changes and use a stabilisation appliance for 5 months. The reported facial pain intensity (visual analogue scale – VAS) and pressure pain threshold (PPT – kgf cm−2) of the anterior temporalis, masseter and right forearm were measured at three assessment time points. Two‐way anova was applied to the data, considering a 5% significance level. All groups had a reduction in their reported facial pain intensity (P < 0·001). Mean and standard deviation (SD) PPT values, from 1·33 (0·54) to 1·96 (1·06) kgf cm−2 for the anterior temporalis in Group 1 (P = 0·016), and from 1·27 (0·35) to 1·72 (0·60) kgf cm−2 for the masseter in Group 2 (P = 0·013), had significant improvement considering baseline versus the 5th‐month assessment. However, no differences between the groups were found (P > 0·100). A TMD‐attributed headache in patients with MMF pain does not negatively impact pain management, but does change the pattern for muscle pain improvement.</description><subject>Adult</subject><subject>Dentistry</subject><subject>diagnosis</subject><subject>Facial Pain - rehabilitation</subject><subject>Female</subject><subject>Headache - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Masticatory Muscles - physiology</subject><subject>myofascial pain</subject><subject>occlusal splint</subject><subject>Pain Management - methods</subject><subject>Pain Measurement - methods</subject><subject>Pain Threshold - physiology</subject><subject>secondary headache</subject><subject>temporomandibular joint disorders</subject><subject>Temporomandibular Joint Dysfunction Syndrome - complications</subject><subject>Young Adult</subject><issn>0305-182X</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAQhi0EotvChR9Q-YiQstixHSfc0EI_UNUtVSV6sybOROs2WQfbUbv_vilp98hcRvPqmffwEPKJsyWf5uud92HJc6H0G7LgolBZXsr8LVkwwVTGy_z2gBzGeMcYKyfoPTnICymZUOWC4BlCA3aDFFIKrh4TNjR52kNMzkLyYUf7nW8hWgcdHcBtv1HXD2AT9Vvawj6msG3oEDDGMeCcpM10bnzXfCDvWugifnzZR-Tm5OfN6iy7WJ-er75fZFYKrbO8tbrWjZJQqhqaioma6doqLFBK4DyvykpqW0-HqG2jsKxsKTWToIGLVhyRz3PtEPzfEWMyvYsWuw626MdouC6U0tXkYUK_zKgNPsaArRmC6yHsDGfm2ap5tmr-WZ3g45fese6x2aOvGieAz8CD63D3nyrza72-fi3N5h8XEz7ufyDcm0ILrcyfy1PzQ12vfl_eXpkr8QR4-5Mh</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Costa, Y. M.</creator><creator>Porporatti, A. L.</creator><creator>Stuginski-Barbosa, J.</creator><creator>Bonjardim, L. R.</creator><creator>Speciali, J. G.</creator><creator>Conti, P. C. R.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201603</creationdate><title>Headache attributed to masticatory myofascial pain: impact on facial pain and pressure pain threshold</title><author>Costa, Y. M. ; Porporatti, A. L. ; Stuginski-Barbosa, J. ; Bonjardim, L. R. ; Speciali, J. G. ; Conti, P. C. R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4377-2fc7b7d54a85bad903b07bc5e6e44a11298947cb44a3bcd5e89c84704a7a13f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Dentistry</topic><topic>diagnosis</topic><topic>Facial Pain - rehabilitation</topic><topic>Female</topic><topic>Headache - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Masticatory Muscles - physiology</topic><topic>myofascial pain</topic><topic>occlusal splint</topic><topic>Pain Management - methods</topic><topic>Pain Measurement - methods</topic><topic>Pain Threshold - physiology</topic><topic>secondary headache</topic><topic>temporomandibular joint disorders</topic><topic>Temporomandibular Joint Dysfunction Syndrome - complications</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costa, Y. M.</creatorcontrib><creatorcontrib>Porporatti, A. L.</creatorcontrib><creatorcontrib>Stuginski-Barbosa, J.</creatorcontrib><creatorcontrib>Bonjardim, L. R.</creatorcontrib><creatorcontrib>Speciali, J. G.</creatorcontrib><creatorcontrib>Conti, P. C. R.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costa, Y. M.</au><au>Porporatti, A. L.</au><au>Stuginski-Barbosa, J.</au><au>Bonjardim, L. R.</au><au>Speciali, J. G.</au><au>Conti, P. C. R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Headache attributed to masticatory myofascial pain: impact on facial pain and pressure pain threshold</atitle><jtitle>Journal of oral rehabilitation</jtitle><addtitle>J Oral Rehabil</addtitle><date>2016-03</date><risdate>2016</risdate><volume>43</volume><issue>3</issue><spage>161</spage><epage>168</epage><pages>161-168</pages><issn>0305-182X</issn><eissn>1365-2842</eissn><abstract>Summary
There is no clear evidence on how a headache attributed to temporomandibular disorder (TMD) can hinder the improvement of facial pain and masticatory muscle pain. The aim of this study was to measure the impact of a TMD‐attributed headache on masticatory myofascial (MMF) pain management. The sample was comprised of adults with MMF pain measured according to the revised research diagnostic criteria for temporomandibular disorders (RDC/TMD) and additionally diagnosed with (Group 1, n = 17) or without (Group 2, n = 20) a TMD‐attributed headache. Both groups received instructions on how to implement behavioural changes and use a stabilisation appliance for 5 months. The reported facial pain intensity (visual analogue scale – VAS) and pressure pain threshold (PPT – kgf cm−2) of the anterior temporalis, masseter and right forearm were measured at three assessment time points. Two‐way anova was applied to the data, considering a 5% significance level. All groups had a reduction in their reported facial pain intensity (P < 0·001). Mean and standard deviation (SD) PPT values, from 1·33 (0·54) to 1·96 (1·06) kgf cm−2 for the anterior temporalis in Group 1 (P = 0·016), and from 1·27 (0·35) to 1·72 (0·60) kgf cm−2 for the masseter in Group 2 (P = 0·013), had significant improvement considering baseline versus the 5th‐month assessment. However, no differences between the groups were found (P > 0·100). A TMD‐attributed headache in patients with MMF pain does not negatively impact pain management, but does change the pattern for muscle pain improvement.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26440358</pmid><doi>10.1111/joor.12357</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Dentistry diagnosis Facial Pain - rehabilitation Female Headache - etiology Humans Male Masticatory Muscles - physiology myofascial pain occlusal splint Pain Management - methods Pain Measurement - methods Pain Threshold - physiology secondary headache temporomandibular joint disorders Temporomandibular Joint Dysfunction Syndrome - complications Young Adult |
title | Headache attributed to masticatory myofascial pain: impact on facial pain and pressure pain threshold |
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