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Headache attributed to masticatory myofascial pain: impact on facial pain and pressure pain threshold

Costa, Y. M. ; Porporatti, A. L. ; Stuginski-Barbosa, J. ; Bonjardim, L. R. ; Speciali, J. G. ; Conti, P. C. R.

Journal of oral rehabilitation, 2016-03, Vol.43 (3), p.161-168 [Periódico revisado por pares]

England: Blackwell Publishing Ltd

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  • Título:
    Headache attributed to masticatory myofascial pain: impact on facial pain and pressure pain threshold
  • Autor: Costa, Y. M. ; Porporatti, A. L. ; Stuginski-Barbosa, J. ; Bonjardim, L. R. ; Speciali, J. G. ; Conti, P. C. R.
  • Assuntos: 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
  • É parte de: Journal of oral rehabilitation, 2016-03, Vol.43 (3), p.161-168
  • Notas: istex:5C97C641DD7E39DE7114B8FCD2CDB743FC63DEB1
    São Paulo Research Foundation (FAPESP) - No. 2011/04441-6
    ArticleID:JOOR12357
    ark:/67375/WNG-D5RCQNXP-P
    ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: 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.
  • Editor: England: Blackwell Publishing Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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