Effect of pain on cranio-cervico-mandibular function and postural stability in people with temporomandibular joint disorders
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Neck and jaw pain is common and is associated with jaw functional limitations, postural stability, muscular endurance, and proprioception. This study aimed to investigate the effect of jaw and neck pain on craniocervico- mandibular functions and postural stability in patients with temporomandibular joint disorders (TMJDs). Methods: Fifty-two patients with TMJDs were included and assessed using Fonseca's Questionnaire and the Helkimo Clinical Dysfunction Index. An isometric strength test was performed for the TMJ depressor and cervical muscles. The TMJ position sense (TMJPS) test and cervical joint position error test (CJPET) were employed for proprioception. Total sway degree was obtained for the assessment of postural stability. Deep neck flexor endurance (DNFE) was assessed using the craniocervical flexion test. The mandibular function impairment questionnaire (MFIQ) was employed to assess mandibular function, and the craniovertebral angle (CVA) was measured for forward head posture. Results: Jaw and neck pain negatively affected CVA (R2 = 0.130), TMJPS (R2 = 0.286), DNFE (R2 = 0.355), TMJ depressor (R2 = 0.145), cervical flexor (R2 = 0.144), and extensor (R2 = 0.148) muscle strength. Jaw and neck pain also positively affected CJPET for flexion (R2 = 0.116) and extension (R2 = 0.146), as well as total sway degree (R2 = 0.128) and MFIQ (R2 = 0.230). Conclusions: Patients with painful TMJDs, could have impaired muscle strength and proprioception of the TMJ and cervical region. The jaw and neck pain could also affect postural stability, and the endurance of deep neck flexors as well as mandibular functions in TMJDs.
Abstract
Background: Neck and jaw pain is common and is associated with jaw functional limitations, postural stability, muscular endurance, and proprioception. This study aimed to investigate the effect of jaw and neck pain on craniocervico- mandibular functions and postural stability in patients with temporomandibular joint disorders (TMJDs). Methods: Fifty-two patients with TMJDs were included and assessed using Fonseca's Questionnaire and the Helkimo Clinical Dysfunction Index. An isometric strength test was performed for the TMJ depressor and cervical muscles. The TMJ position sense (TMJPS) test and cervical joint position error test (CJPET) were employed for proprioception. Total sway degree was obtained for the assessment of postural stability. Deep neck flexor endurance (DNFE) was assessed using the craniocervical flexion test. The mandibular function impairment questionnaire (MFIQ) was employed to assess mandibular function, and the craniovertebral angle (CVA) was measured for forward head posture. Results: Jaw and neck pain negatively affected CVA (R2 = 0.130), TMJPS (R2 = 0.286), DNFE (R2 = 0.355), TMJ depressor (R2 = 0.145), cervical flexor (R2 = 0.144), and extensor (R2 = 0.148) muscle strength. Jaw and neck pain also positively affected CJPET for flexion (R2 = 0.116) and extension (R2 = 0.146), as well as total sway degree (R2 = 0.128) and MFIQ (R2 = 0.230). Conclusions: Patients with painful TMJDs, could have impaired muscle strength and proprioception of the TMJ and cervical region. The jaw and neck pain could also affect postural stability, and the endurance of deep neck flexors as well as mandibular functions in TMJDs.
참고문헌 (50)
- Tantawy SA, "The relationship between the development of musculoskeletal disorders, body mass index, and academic stress in Bahraini University students", Korean J Pain, 30, pp.126~133 (2017)
- Camparis CM, "Sleep bruxism and temporomandibular disorder : clinical and polysomnographic evaluation", Arch Oral Biol, 51, pp.721~728 (2006)
- Kazeminasab S, "Neck pain : global epidemiology, trends and risk factors", BMC Musculoskelet Disord, 23, pp.26~ (2022)
- Valesan LF, "Prevalence of temporomandibular joint disorders : a systematic review and meta-analysis", Clin Oral Investig, 25, pp.441~453 (2021)
- Isong U, "Temporomandibular joint and muscle disorder-type pain in U.S. adults:the National Health Interview Survey", J Orofac Pain, 22, pp.317~322 (2008)
- Dominick CH, "Unpacking the burden : understanding the relationships between chronic pain and comorbidity in the general population", Pain, 153, pp.293~304 (2012)
- Dinsdale A, "Are jaw range of motion, muscle function and proprioception impaired in adults with persistent temporomandibular disorders? A systematic review and meta-analysis", J Oral Rehabil, 47, pp.1448~1478 (2020)
- Madhan S, "Associations between temporomandibular disorders, pain, jaw and masticatory function in dentofacial deformity patients: a cross-sectional study", J Oral Rehabil, 50, pp.746~757 (2023)
- Knapstad MK, "Associations between pressure pain threshold in the neck and postural control in patients with dizziness or neck pain-a cross-sectional study", BMC Musculoskelet Disord, 20, pp.528~ (2019)
- Minervini G, "Correlation between temporomandibular disorders(TMD)and posture evaluated trough the diagnostic criteria for temporomandibular disorders(DC", TMD) : a systematic review with meta-analysis, 2023, pp.12, 2652~
- Ciancaglini R, "Association of neck pain with symptoms of temporomandibular dysfunction in the general adult population", Scand J Rehabil Med, 31, pp.17~22 (1999)
- Moustafa IM, "Is forward head posture relevant to autonomic nervous system function and cervical sensorimotor control? Cross sectional study", Gait Posture, 77, pp.29~35 (2020)
- Pérez Rojas AA, "Prevalence of craniocervical posture alterations in patients with class II skeletal relationship", pp.2015
- Mahmoud NF, "The relationship between forward head posture and neck pain : a systematic review and meta-analysis", Curr Rev Musculoskelet Med, 12, pp.562~577 (2019)
- Yoo WG, "Effect of different seat support characteristics on the neck and trunk muscles and forward head posture of visual display terminal workers", Work, 36, pp.3~8 (2010)
- Alghadir AH, "Effect of three different jaw positions on postural stability during standing", Funct Neurol, 30, pp.53~57 (2015)
- Zafar H, "Effect of different head-neck-jaw postures on cervicocephalic kinesthetic sense", J Musculoskelet Neuronal Interact, 17, pp.341~346 (2017)
- Zafar H, "Temporal coordination between mandibular and head-neck movements during jaw opening-closing tasks in man", Arch Oral Biol, 45, pp.675~682 (2000)
- Dahlström L, "Perception of jaw position during different conditions", J Craniomandib Disord, 3, pp.147~151 (1989)
- Monteiro AA, "Relationship between mandibular movement accuracy and masticatory dysfunction symptoms", J Craniomandib Disord, 1, pp.237~242 (1987)
- van den Berghe L, "On the perception of the preferred jaw position in patients with symptoms of temporomandibular disorders", Cranio, 5, pp.344~350 (1987)
- Guarda-Nardini L, "Age-related differences in temporomandibular disorder diagnoses", Cranio, 30, pp.103~109 (2012)
- Alonso-Royo R, "Validity and reliability of the Helkimo clinical dysfunction index for the diagnosis of temporomandibular disorders", Diagnostics(Basel), 11, pp.472~ (2021)
- Berni KC, "Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases", J Bodyw Mov Ther, 19, pp.404~409 (2015)
- Kaynak BA, "The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders", Cranio, 41, pp.78~83 (2023)
- Ara T, "Evaluation of neck pain by using a visual analog scale before and after laminoplasty in patients with cervical myelopathy : relationship with clinical results", J Neurosurg Spine, 12, pp.635~640 (2010)
- Suvarnnato T, "Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain : a randomized controlled trial", J Pain Res, 12, pp.915~925 (2019)
- Bucci R, "Delayed-onset muscle soreness does not influence occlusal sensitivity and position sense of the mandible", J Oral Rehabil, 44, pp.655~663 (2017)
- Clark GT, "Interdental thickness discrimination in myofascial pain dysfunction subjects", J Oral Rehabil, 11, pp.381~386 (1984)
- Koseoglu A, "Validity and reliability of a new method to measure cervical proprioception", Phys Med Rehab Kuror, 32, pp.306~313 (2022)
- Abdelkader NA, "Decreased neck proprioception and postural stability after induced cervical flexor muscles fatigue", J Musculoskelet Neuronal Interact, 20, pp.421~428 (2020)
- Iida T, "Aging decreases the strength of suprahyoid muscles involved in swallowing movements", Tohoku J Exp Med, 231, pp.223~228 (2013)
- Florencio LL, "Cervical muscle strength and muscle coactivation during isometric contractions in patients with migraine : a cross-sectional study", Headache, 55, pp.1312~1322 (2015)
- Eris F, "Comparison of some anthropometric features and balance ability of basketball and volleyball athletes", Eur J Mol Clin Med, 10, pp.1~8 (2023)
- James G, "The craniocervical flexion test : intra-tester reliability in asymptomatic subjects", Physiother Res Int, 15, pp.144~149 (2010)
- Yıldız NT, "Validity and reliability of the Turkish version of mandibular function impairment questionnaire", Cranio, 42, pp.160~170 (2024)
- Walczyńska-Dragon K, "Correlation between TMD and cervical spine pain and mobility : is the whole body balance TMJ related", Biomed Res Int, 2014, pp.582414~ (2014)
- Maini K, "Temporomandibular syndrome" (2024), StatPearls Publishing
- Ries LG, "Analysis of the postural stability in individuals with or without signs and symptoms of temporomandibular disorder", Braz Oral Res, 22, pp.378~383 (2008)
- Armijo-Olivo S, "Patients with temporomandibular disorders have increased fatigability of the cervical extensor muscles", Clin J Pain, 28, pp.55~64 (2012)
- Goiato MC, "Does pain in the masseter and anterior temporal muscles influence maximal bite force", Arch Oral Biol, 83, pp.1~6 (2017)
- Armijo-Olivo S, "Reduced endurance of the cervical flexor muscles in patients with concurrent temporomandibular disorders and neck disability", Man Ther, 15, pp.586~592 (2010)
- Manfredini D, "Dental occlusion, body posture and temporomandibular disorders : where we are now and where we are heading for", J Oral Rehabil, 39, pp.463~471 (2012)
- Treleaven J, "Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control", Man Ther, 13, pp.2~11 (2008)
- Kim JY, "Change of balance ability in subjects with pain-related temporomandibular disorders", J Kor Phys Ther, 34, pp.321~325 (2022)
- Sforza C, "Occlusion, sternocleidomastoid muscle activity, and body sway : a pilot study in male astronauts", Cranio, 24, pp.43~49 (2006)
- Ishii H, "A study on the relationships between imbalance of stomatognathic function and asymmetry of craniofacial morphology, and the center of gravity of the upright posture", Osaka Daigaku Shigaku Zasshi, 35, pp.517~556 (1990)
- Wang H, "Correlation among proprioception, muscle strength, and balance", J Phys Ther Sci, 28, pp.3468~3472 (2016)
- Pedroni CR, "Pain characteristics of temporomandibular disorder : a pilot study in patients with cervical spine dysfunction", J Appl Oral Sci, 14, pp.388~392 (2006)
- Walczyńska-Dragon K, "The biomechanical and functional relationship between temporomandibular dysfunction and cervical spine pain", Acta Bioeng Biomech, 13, pp.93~98 (2011)