Clinical and quality-of-life assessment among women with temporomandibular disorder

Objectives: The aim of this study was to evaluate pain symptoms, teeth clenching, quality of sleep, sensitivity to pain in the main masticatory and stabilizer muscles, and quality of life among women with temporomandibular disorder (TMD). Methods: Forty-five women were evaluated and divided into two...

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Published in:Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)) Brazil)), 2009-06, Vol.13 (3), p.210-214
Main Authors: Moreno, BGD, Maluf, SA, Marques, AP, Crivello-Junior, O
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Maluf, SA
Marques, AP
Crivello-Junior, O
description Objectives: The aim of this study was to evaluate pain symptoms, teeth clenching, quality of sleep, sensitivity to pain in the main masticatory and stabilizer muscles, and quality of life among women with temporomandibular disorder (TMD). Methods: Forty-five women were evaluated and divided into two groups. Group I included 27 women (mean age 30.1 plus or minus 5.8 years) with a diagnosis of TMD and Group II (control) included 18 healthy women (mean age 23.4 plus or minus 2.3 years). The intensity of pain symptoms (headache, neck pain), teeth clenching and trouble sleeping was evaluated using a visual analog scale (VAS). The pain thresholds of the masseter, anterior temporalis, upper trapezius and sternocleidomastoid muscles were evaluated using a dolorimeter. Quality of life was evaluated using SF-36. Statistical analysis was performed and the significance level was alpha less than or equal to 0.05. Results: The results showed that the women with TMD presented more intense headache (p
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Methods: Forty-five women were evaluated and divided into two groups. Group I included 27 women (mean age 30.1 plus or minus 5.8 years) with a diagnosis of TMD and Group II (control) included 18 healthy women (mean age 23.4 plus or minus 2.3 years). The intensity of pain symptoms (headache, neck pain), teeth clenching and trouble sleeping was evaluated using a visual analog scale (VAS). The pain thresholds of the masseter, anterior temporalis, upper trapezius and sternocleidomastoid muscles were evaluated using a dolorimeter. Quality of life was evaluated using SF-36. Statistical analysis was performed and the significance level was alpha less than or equal to 0.05. Results: The results showed that the women with TMD presented more intense headache (p<0.001), neck pain (p<0.001), teeth clenching (p<0.001) and trouble sleeping (p<0.001). They also presented lower pain threshold in the masseter (p<0.001), anterior temporalis (p<0.001), upper trapezius (p<0.001) and sternocleidomastoid (p<0.001) muscles and lower quality of life in all evaluated domains (p<0.05) when compared with the control group. Conclusions: Women with TMD had greater intensity of pain symptoms, teeth clenching, trouble sleeping, sensitivity to pain in the masticatory and neck muscles and lower quality of life, compared with women without TMD.Original Abstract: Objetivos: Este estudo teve como objetivo avaliar sintomas de dor, apertamento dos dentes, qualidade do sono e sensibilidade dolorosa nos principais musculos mastigatorios e estabilizadores cervicais e qualidade de vida de mulheres com Disfuncao Temporomandibular (DTM). Metodos: Foram avaliadas 45 mulheres, divididas em dois grupos. O grupo I, composto por 27 mulheres (30,1 plus or minus 5,8 anos) com diagnostico de DTM e o grupo II, controle, composto por 18 mulheres saudaveis (23,4 plus or minus 2,3 anos). A intensidade dos sintomas de dor, cefaleia, cervicalgia, de apertamento dos dentes e dificuldade de dormir foram avaliados por escala visual analogica (EVA), o limiar de dor dos musculos masseter, temporal anterior, trapezio superior e esternocleidomastoideo, com dolorimetro e a qualidade de vida, pelo SF-36. Foi realizada analise estatistica e o nivel de significancia foi alpha =0,05. Resultados: Os resultados mostram que mulheres com DTM tem sintomas mais intensos de cefaleia (p<0,001), cervicalgia (p<0,001), intensidade de apertamento dos dentes (p<0,001) e dificuldade de dormir (p<0,001). Tambem apresentam limiar de dor mais baixo nos musculos masseter (p<0,001), temporal anterior (p<0,001), trapezio superior (p<0,001), esternocleidomastoideo (p<0,001) e pior qualidade de vida em todos os dominios avaliados (p<0,05), quando comparados com o grupo controle. Conclusoes: Mulheres com DTM tem maior intensidade dos sintomas de dor, apertamento dos dentes, dificuldade de dormir, maior sensibilidade dolorosa em musculos mastigatorios e cervicais e pior qualidade de vida quando comparadas com mulheres sem DTM.]]></description><identifier>ISSN: 1413-3555</identifier><language>por</language><ispartof>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)), 2009-06, Vol.13 (3), p.210-214</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>Moreno, BGD</creatorcontrib><creatorcontrib>Maluf, SA</creatorcontrib><creatorcontrib>Marques, AP</creatorcontrib><creatorcontrib>Crivello-Junior, O</creatorcontrib><title>Clinical and quality-of-life assessment among women with temporomandibular disorder</title><title>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))</title><description><![CDATA[Objectives: The aim of this study was to evaluate pain symptoms, teeth clenching, quality of sleep, sensitivity to pain in the main masticatory and stabilizer muscles, and quality of life among women with temporomandibular disorder (TMD). Methods: Forty-five women were evaluated and divided into two groups. Group I included 27 women (mean age 30.1 plus or minus 5.8 years) with a diagnosis of TMD and Group II (control) included 18 healthy women (mean age 23.4 plus or minus 2.3 years). The intensity of pain symptoms (headache, neck pain), teeth clenching and trouble sleeping was evaluated using a visual analog scale (VAS). The pain thresholds of the masseter, anterior temporalis, upper trapezius and sternocleidomastoid muscles were evaluated using a dolorimeter. Quality of life was evaluated using SF-36. Statistical analysis was performed and the significance level was alpha less than or equal to 0.05. Results: The results showed that the women with TMD presented more intense headache (p<0.001), neck pain (p<0.001), teeth clenching (p<0.001) and trouble sleeping (p<0.001). They also presented lower pain threshold in the masseter (p<0.001), anterior temporalis (p<0.001), upper trapezius (p<0.001) and sternocleidomastoid (p<0.001) muscles and lower quality of life in all evaluated domains (p<0.05) when compared with the control group. Conclusions: Women with TMD had greater intensity of pain symptoms, teeth clenching, trouble sleeping, sensitivity to pain in the masticatory and neck muscles and lower quality of life, compared with women without TMD.Original Abstract: Objetivos: Este estudo teve como objetivo avaliar sintomas de dor, apertamento dos dentes, qualidade do sono e sensibilidade dolorosa nos principais musculos mastigatorios e estabilizadores cervicais e qualidade de vida de mulheres com Disfuncao Temporomandibular (DTM). Metodos: Foram avaliadas 45 mulheres, divididas em dois grupos. O grupo I, composto por 27 mulheres (30,1 plus or minus 5,8 anos) com diagnostico de DTM e o grupo II, controle, composto por 18 mulheres saudaveis (23,4 plus or minus 2,3 anos). A intensidade dos sintomas de dor, cefaleia, cervicalgia, de apertamento dos dentes e dificuldade de dormir foram avaliados por escala visual analogica (EVA), o limiar de dor dos musculos masseter, temporal anterior, trapezio superior e esternocleidomastoideo, com dolorimetro e a qualidade de vida, pelo SF-36. Foi realizada analise estatistica e o nivel de significancia foi alpha =0,05. Resultados: Os resultados mostram que mulheres com DTM tem sintomas mais intensos de cefaleia (p<0,001), cervicalgia (p<0,001), intensidade de apertamento dos dentes (p<0,001) e dificuldade de dormir (p<0,001). Tambem apresentam limiar de dor mais baixo nos musculos masseter (p<0,001), temporal anterior (p<0,001), trapezio superior (p<0,001), esternocleidomastoideo (p<0,001) e pior qualidade de vida em todos os dominios avaliados (p<0,05), quando comparados com o grupo controle. Conclusoes: Mulheres com DTM tem maior intensidade dos sintomas de dor, apertamento dos dentes, dificuldade de dormir, maior sensibilidade dolorosa em musculos mastigatorios e cervicais e pior qualidade de vida quando comparadas com mulheres sem DTM.]]></description><issn>1413-3555</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNqNi7sOgjAUQDtoIj7-oZsTCa8KzETjrjupcNGa2xZ62xD_XgY_wOnkJOesWJQWaR7nQogN2xK9k0RUaZZE7NagMqqTyKXp-RQkKv-J7RCjGoBLIiDSYDyX2ponn-0ifFb-xT3o0Tqrl089AkrHe0XW9eD2bD1IJDj8uGPHy_neXOPR2SkA-VYr6gBRGrCB2qqsi7I-lVn-f_kFbGZESg</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Moreno, BGD</creator><creator>Maluf, SA</creator><creator>Marques, AP</creator><creator>Crivello-Junior, O</creator><scope>7TS</scope></search><sort><creationdate>20090601</creationdate><title>Clinical and quality-of-life assessment among women with temporomandibular disorder</title><author>Moreno, BGD ; Maluf, SA ; Marques, AP ; Crivello-Junior, O</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_miscellaneous_8794796723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>por</language><creationdate>2009</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreno, BGD</creatorcontrib><creatorcontrib>Maluf, SA</creatorcontrib><creatorcontrib>Marques, AP</creatorcontrib><creatorcontrib>Crivello-Junior, O</creatorcontrib><collection>Physical Education Index</collection><jtitle>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreno, BGD</au><au>Maluf, SA</au><au>Marques, AP</au><au>Crivello-Junior, O</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical and quality-of-life assessment among women with temporomandibular disorder</atitle><jtitle>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))</jtitle><date>2009-06-01</date><risdate>2009</risdate><volume>13</volume><issue>3</issue><spage>210</spage><epage>214</epage><pages>210-214</pages><issn>1413-3555</issn><abstract><![CDATA[Objectives: The aim of this study was to evaluate pain symptoms, teeth clenching, quality of sleep, sensitivity to pain in the main masticatory and stabilizer muscles, and quality of life among women with temporomandibular disorder (TMD). Methods: Forty-five women were evaluated and divided into two groups. Group I included 27 women (mean age 30.1 plus or minus 5.8 years) with a diagnosis of TMD and Group II (control) included 18 healthy women (mean age 23.4 plus or minus 2.3 years). The intensity of pain symptoms (headache, neck pain), teeth clenching and trouble sleeping was evaluated using a visual analog scale (VAS). The pain thresholds of the masseter, anterior temporalis, upper trapezius and sternocleidomastoid muscles were evaluated using a dolorimeter. Quality of life was evaluated using SF-36. Statistical analysis was performed and the significance level was alpha less than or equal to 0.05. Results: The results showed that the women with TMD presented more intense headache (p<0.001), neck pain (p<0.001), teeth clenching (p<0.001) and trouble sleeping (p<0.001). They also presented lower pain threshold in the masseter (p<0.001), anterior temporalis (p<0.001), upper trapezius (p<0.001) and sternocleidomastoid (p<0.001) muscles and lower quality of life in all evaluated domains (p<0.05) when compared with the control group. Conclusions: Women with TMD had greater intensity of pain symptoms, teeth clenching, trouble sleeping, sensitivity to pain in the masticatory and neck muscles and lower quality of life, compared with women without TMD.Original Abstract: Objetivos: Este estudo teve como objetivo avaliar sintomas de dor, apertamento dos dentes, qualidade do sono e sensibilidade dolorosa nos principais musculos mastigatorios e estabilizadores cervicais e qualidade de vida de mulheres com Disfuncao Temporomandibular (DTM). Metodos: Foram avaliadas 45 mulheres, divididas em dois grupos. O grupo I, composto por 27 mulheres (30,1 plus or minus 5,8 anos) com diagnostico de DTM e o grupo II, controle, composto por 18 mulheres saudaveis (23,4 plus or minus 2,3 anos). A intensidade dos sintomas de dor, cefaleia, cervicalgia, de apertamento dos dentes e dificuldade de dormir foram avaliados por escala visual analogica (EVA), o limiar de dor dos musculos masseter, temporal anterior, trapezio superior e esternocleidomastoideo, com dolorimetro e a qualidade de vida, pelo SF-36. Foi realizada analise estatistica e o nivel de significancia foi alpha =0,05. Resultados: Os resultados mostram que mulheres com DTM tem sintomas mais intensos de cefaleia (p<0,001), cervicalgia (p<0,001), intensidade de apertamento dos dentes (p<0,001) e dificuldade de dormir (p<0,001). Tambem apresentam limiar de dor mais baixo nos musculos masseter (p<0,001), temporal anterior (p<0,001), trapezio superior (p<0,001), esternocleidomastoideo (p<0,001) e pior qualidade de vida em todos os dominios avaliados (p<0,05), quando comparados com o grupo controle. Conclusoes: Mulheres com DTM tem maior intensidade dos sintomas de dor, apertamento dos dentes, dificuldade de dormir, maior sensibilidade dolorosa em musculos mastigatorios e cervicais e pior qualidade de vida quando comparadas com mulheres sem DTM.]]></abstract></addata></record>
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title Clinical and quality-of-life assessment among women with temporomandibular disorder
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