Somatosensory and psychosocial profile of patients with painful temporomandibular joint clicking
Background Determining the somatosensory and psychosocial profile of patients with painful temporomandibular joint (TMJ) clicking can help to understand the pain mechanisms in cases of TMJ clicking. Objective To characterise the somatosensory and psychosocial profile of patients with painful TMJ cli...
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| Veröffentlicht in: | Journal of oral rehabilitation 2020-11, Vol.47 (11), p.1346-1357 |
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| container_title | Journal of oral rehabilitation |
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| creator | Poluha, Rodrigo Lorenzi De la Torre Canales, Giancarlo Bonjardim, Leonardo Rigoldi Conti, Paulo César Rodrigues |
| description | Background
Determining the somatosensory and psychosocial profile of patients with painful temporomandibular joint (TMJ) clicking can help to understand the pain mechanisms in cases of TMJ clicking.
Objective
To characterise the somatosensory and psychosocial profile of patients with painful TMJ clicking when compared to patients with painless TMJ clicking and healthy control group.
Methods
Somatosensory and psychosocial functions were assessed in 90 individuals: patients with painful TMJ clicking (n = 30); patients with painless TMJ clicking (n = 30); and healthy controls (n = 30). Somatosensory profile included: mechanical pain threshold (MPT); wind‐up ratio (WUR); pressure pain threshold (PPT); and conditioned pain modulation (CPM). Psychosocial profile included some questionnaires: Pittsburgh Sleep Quality Index (PSQI); Pain Vigilance‐Awareness Questionnaire (PVAQ); Pain Catastrophizing Scale (PCS); Tampa Scale for Kinesiophobia (TSK); Perceived Stress (PSS); and State‐Trait Anxiety Inventory (STAI). All variables were compared among all groups.
Results
Higher values of MPT and WUR; lower PPT; less efficient CPM; and higher scores of PSQI, PVAQ, PCS, and TSK were found in patients with painful TMJ clicking when compared to the other two groups (P |
| doi_str_mv | 10.1111/joor.13081 |
| format | Article |
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Determining the somatosensory and psychosocial profile of patients with painful temporomandibular joint (TMJ) clicking can help to understand the pain mechanisms in cases of TMJ clicking.
Objective
To characterise the somatosensory and psychosocial profile of patients with painful TMJ clicking when compared to patients with painless TMJ clicking and healthy control group.
Methods
Somatosensory and psychosocial functions were assessed in 90 individuals: patients with painful TMJ clicking (n = 30); patients with painless TMJ clicking (n = 30); and healthy controls (n = 30). Somatosensory profile included: mechanical pain threshold (MPT); wind‐up ratio (WUR); pressure pain threshold (PPT); and conditioned pain modulation (CPM). Psychosocial profile included some questionnaires: Pittsburgh Sleep Quality Index (PSQI); Pain Vigilance‐Awareness Questionnaire (PVAQ); Pain Catastrophizing Scale (PCS); Tampa Scale for Kinesiophobia (TSK); Perceived Stress (PSS); and State‐Trait Anxiety Inventory (STAI). All variables were compared among all groups.
Results
Higher values of MPT and WUR; lower PPT; less efficient CPM; and higher scores of PSQI, PVAQ, PCS, and TSK were found in patients with painful TMJ clicking when compared to the other two groups (P < .001). Patients with painless TMJ clicking showed lower PPT and higher scores of PVAQ and TKS than the healthy control group. PSS and STAI data had no differences.
Conclusion
Patients with painful TMJ clicking had abnormalities in the somatosensory profile, with a significant somatosensory gain of function (more sensitive) to mechanical pain tests and less efficient CPM. Poor sleep quality along with higher levels of hypervigilance, pain catastrophising, and kinesiophobia were features of psychosocial profile of these patients.</description><identifier>ISSN: 0305-182X</identifier><identifier>EISSN: 1365-2842</identifier><identifier>DOI: 10.1111/joor.13081</identifier><identifier>PMID: 32813889</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Humans ; Mechanical properties ; Pain ; Pain Measurement ; Perception ; psychosocial profiles ; quantitative sensory testing ; Sleep ; Somatoform Disorders - etiology ; somatosensory function ; Temporomandibular Joint ; temporomandibular joint disc ; Temporomandibular Joint Disorders - complications ; Temporomandibular Joint Disorders - psychology ; Vigilance</subject><ispartof>Journal of oral rehabilitation, 2020-11, Vol.47 (11), p.1346-1357</ispartof><rights>2020 John Wiley & Sons Ltd</rights><rights>2020 John Wiley & Sons Ltd.</rights><rights>Copyright © 2020 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3571-10f1887bfcdfd2c6efcec55ebcd4cb3d26173ccc25b8e90a81e974bfe206f76d3</citedby><cites>FETCH-LOGICAL-c3571-10f1887bfcdfd2c6efcec55ebcd4cb3d26173ccc25b8e90a81e974bfe206f76d3</cites><orcidid>0000-0001-7180-6448 ; 0000-0002-0921-342X ; 0000-0002-0080-7678 ; 0000-0003-0413-4658</orcidid></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.13081$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjoor.13081$$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/32813889$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Poluha, Rodrigo Lorenzi</creatorcontrib><creatorcontrib>De la Torre Canales, Giancarlo</creatorcontrib><creatorcontrib>Bonjardim, Leonardo Rigoldi</creatorcontrib><creatorcontrib>Conti, Paulo César Rodrigues</creatorcontrib><title>Somatosensory and psychosocial profile of patients with painful temporomandibular joint clicking</title><title>Journal of oral rehabilitation</title><addtitle>J Oral Rehabil</addtitle><description>Background
Determining the somatosensory and psychosocial profile of patients with painful temporomandibular joint (TMJ) clicking can help to understand the pain mechanisms in cases of TMJ clicking.
Objective
To characterise the somatosensory and psychosocial profile of patients with painful TMJ clicking when compared to patients with painless TMJ clicking and healthy control group.
Methods
Somatosensory and psychosocial functions were assessed in 90 individuals: patients with painful TMJ clicking (n = 30); patients with painless TMJ clicking (n = 30); and healthy controls (n = 30). Somatosensory profile included: mechanical pain threshold (MPT); wind‐up ratio (WUR); pressure pain threshold (PPT); and conditioned pain modulation (CPM). Psychosocial profile included some questionnaires: Pittsburgh Sleep Quality Index (PSQI); Pain Vigilance‐Awareness Questionnaire (PVAQ); Pain Catastrophizing Scale (PCS); Tampa Scale for Kinesiophobia (TSK); Perceived Stress (PSS); and State‐Trait Anxiety Inventory (STAI). All variables were compared among all groups.
Results
Higher values of MPT and WUR; lower PPT; less efficient CPM; and higher scores of PSQI, PVAQ, PCS, and TSK were found in patients with painful TMJ clicking when compared to the other two groups (P < .001). Patients with painless TMJ clicking showed lower PPT and higher scores of PVAQ and TKS than the healthy control group. PSS and STAI data had no differences.
Conclusion
Patients with painful TMJ clicking had abnormalities in the somatosensory profile, with a significant somatosensory gain of function (more sensitive) to mechanical pain tests and less efficient CPM. Poor sleep quality along with higher levels of hypervigilance, pain catastrophising, and kinesiophobia were features of psychosocial profile of these patients.</description><subject>Humans</subject><subject>Mechanical properties</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Perception</subject><subject>psychosocial profiles</subject><subject>quantitative sensory testing</subject><subject>Sleep</subject><subject>Somatoform Disorders - etiology</subject><subject>somatosensory function</subject><subject>Temporomandibular Joint</subject><subject>temporomandibular joint disc</subject><subject>Temporomandibular Joint Disorders - complications</subject><subject>Temporomandibular Joint Disorders - psychology</subject><subject>Vigilance</subject><issn>0305-182X</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LwzAAhoMobk4v_gAJeBGhmo-lTY8y_GQw8AO81TRNXGab1KRl7N-buenBg7mEwMOTlweAY4wucDyXC-f8BaaI4x0wxDRlCeFjsguGiCKWYE5eB-AghAVCiFOW7YMBJRxTzvMheHtyjehcUDY4v4LCVrANKzl3wUkjath6p02toNOwFZ1Rtgtwabp5fBmr-xp2qmmdjxJbmbKvhYcLZ2wHZW3kh7Hvh2BPizqoo-09Ai8318-Tu2Q6u72fXE0TGSfhBCONOc9KLStdEZkqLZVkTJWyGsuSViTFGZVSElZylSPBscqzcakVQanO0oqOwNnGGxd_9ip0RWOCVHUtrHJ9KMg4_sNYnrGInv5BF673Nq6LFGNpTjnhkTrfUNK7ELzSRetNI_yqwKhYdy_W3Yvv7hE-2Sr7slHVL_oTOgJ4AyxjzdU_quJhNnvcSL8AQAaQlg</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Poluha, Rodrigo Lorenzi</creator><creator>De la Torre Canales, Giancarlo</creator><creator>Bonjardim, Leonardo Rigoldi</creator><creator>Conti, Paulo César Rodrigues</creator><general>Wiley Subscription Services, Inc</general><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>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7180-6448</orcidid><orcidid>https://orcid.org/0000-0002-0921-342X</orcidid><orcidid>https://orcid.org/0000-0002-0080-7678</orcidid><orcidid>https://orcid.org/0000-0003-0413-4658</orcidid></search><sort><creationdate>202011</creationdate><title>Somatosensory and psychosocial profile of patients with painful temporomandibular joint clicking</title><author>Poluha, Rodrigo Lorenzi ; De la Torre Canales, Giancarlo ; Bonjardim, Leonardo Rigoldi ; Conti, Paulo César Rodrigues</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3571-10f1887bfcdfd2c6efcec55ebcd4cb3d26173ccc25b8e90a81e974bfe206f76d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Humans</topic><topic>Mechanical properties</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Perception</topic><topic>psychosocial profiles</topic><topic>quantitative sensory testing</topic><topic>Sleep</topic><topic>Somatoform Disorders - etiology</topic><topic>somatosensory function</topic><topic>Temporomandibular Joint</topic><topic>temporomandibular joint disc</topic><topic>Temporomandibular Joint Disorders - complications</topic><topic>Temporomandibular Joint Disorders - psychology</topic><topic>Vigilance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Poluha, Rodrigo Lorenzi</creatorcontrib><creatorcontrib>De la Torre Canales, Giancarlo</creatorcontrib><creatorcontrib>Bonjardim, Leonardo Rigoldi</creatorcontrib><creatorcontrib>Conti, Paulo César Rodrigues</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Poluha, Rodrigo Lorenzi</au><au>De la Torre Canales, Giancarlo</au><au>Bonjardim, Leonardo Rigoldi</au><au>Conti, Paulo César Rodrigues</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Somatosensory and psychosocial profile of patients with painful temporomandibular joint clicking</atitle><jtitle>Journal of oral rehabilitation</jtitle><addtitle>J Oral Rehabil</addtitle><date>2020-11</date><risdate>2020</risdate><volume>47</volume><issue>11</issue><spage>1346</spage><epage>1357</epage><pages>1346-1357</pages><issn>0305-182X</issn><eissn>1365-2842</eissn><abstract>Background
Determining the somatosensory and psychosocial profile of patients with painful temporomandibular joint (TMJ) clicking can help to understand the pain mechanisms in cases of TMJ clicking.
Objective
To characterise the somatosensory and psychosocial profile of patients with painful TMJ clicking when compared to patients with painless TMJ clicking and healthy control group.
Methods
Somatosensory and psychosocial functions were assessed in 90 individuals: patients with painful TMJ clicking (n = 30); patients with painless TMJ clicking (n = 30); and healthy controls (n = 30). Somatosensory profile included: mechanical pain threshold (MPT); wind‐up ratio (WUR); pressure pain threshold (PPT); and conditioned pain modulation (CPM). Psychosocial profile included some questionnaires: Pittsburgh Sleep Quality Index (PSQI); Pain Vigilance‐Awareness Questionnaire (PVAQ); Pain Catastrophizing Scale (PCS); Tampa Scale for Kinesiophobia (TSK); Perceived Stress (PSS); and State‐Trait Anxiety Inventory (STAI). All variables were compared among all groups.
Results
Higher values of MPT and WUR; lower PPT; less efficient CPM; and higher scores of PSQI, PVAQ, PCS, and TSK were found in patients with painful TMJ clicking when compared to the other two groups (P < .001). Patients with painless TMJ clicking showed lower PPT and higher scores of PVAQ and TKS than the healthy control group. PSS and STAI data had no differences.
Conclusion
Patients with painful TMJ clicking had abnormalities in the somatosensory profile, with a significant somatosensory gain of function (more sensitive) to mechanical pain tests and less efficient CPM. Poor sleep quality along with higher levels of hypervigilance, pain catastrophising, and kinesiophobia were features of psychosocial profile of these patients.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32813889</pmid><doi>10.1111/joor.13081</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7180-6448</orcidid><orcidid>https://orcid.org/0000-0002-0921-342X</orcidid><orcidid>https://orcid.org/0000-0002-0080-7678</orcidid><orcidid>https://orcid.org/0000-0003-0413-4658</orcidid></addata></record> |
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| ispartof | Journal of oral rehabilitation, 2020-11, Vol.47 (11), p.1346-1357 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Humans Mechanical properties Pain Pain Measurement Perception psychosocial profiles quantitative sensory testing Sleep Somatoform Disorders - etiology somatosensory function Temporomandibular Joint temporomandibular joint disc Temporomandibular Joint Disorders - complications Temporomandibular Joint Disorders - psychology Vigilance |
| title | Somatosensory and psychosocial profile of patients with painful temporomandibular joint clicking |
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