Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

PURPOSE: To study the frequency of cervical spine dysfunction (CCD) signs and symptoms in subjects with and without temporomandibular disorder (TMD) and to assess the craniocervical posture influence on TMD and CCD coexistence. METHODS: Participants were 71 women (19 to 35 years), assessed about TMD presence; 34 constituted the TMD group (G1) and 37 comprised the group without TMD (G2). The CCD was evaluated through the Craniocervical Dysfunction Index and the Cervical Mobility Index. Subjects were also questioned about cervical pain. Craniocervical posture was assessed by cephalometric analysis. RESULTS: There was no difference in the craniocervical posture between groups. G2 presented more mild CCD frequency and less moderate and severe CCD frequency (p=0.01). G1 presented higher percentage of pain during movements (p=0.03) and pain during cervical muscles palpation (p=0.01) compared to G2. Most of the TMD patients (88.24%) related cervical pain with significant difference when compared to G2 (p=0.00). CONCLUSION: Craniocervical posture assessment showed no difference between groups, suggesting that postural alterations could be more related to the CCD. Presence of TMD resulted in higher frequency of cervical pain symptom. Thus the coexistence of CCD and TMD signs and symptoms appear to be more related to the common innervations of the trigeminocervical complex and hyperalgesia of the TMD patients than to craniocervical posture deviations.

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EOSINOPHILIC GRANULOMA OF THE CERVICAL SPINE IN CHILDREN

PEDIATRICS ◽

10.1542/peds.45.5.746 ◽

1970 ◽

Vol 45 (5) ◽

pp. 746-752

Author(s):

Robin I. Davidson ◽

John Shillito

Keyword(s):

Cervical Spine ◽

Pyramidal Tract ◽

Eosinophilic Granuloma ◽

Cervical Vertebra ◽

Signs And Symptoms ◽

Neurological Deficits ◽

Restricted Range ◽

Cervical Pain ◽

Range Of Movement

Eosinophilic granuloma of the cervical spine is recorded in six children, two of whom had neurological deficits. A flaccid monoparesis occurred in one child with a C5 arch lesion. Pyramidal tract signs were present in a patient with a defect at the atlanto-occipital joint. Cervical pain, restricted range of movement, torticollis, and tenderness were other presenting signs and symptoms and occurred in all except one patient. A lytic defect in the arch or centrum of a cervical vertebra was associated with this presentation. Treatment following biopsy consisted of immobilization and radiotherapy in a range of 450 to 750 rads. Cure was effected in all instances.

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A Study to find the effectiveness of Scapular Strengthening Exercise in patients with Cervical Dysfunction

Research Journal of Pharmacy and Technology ◽

10.52711/0974-360x.2021.00621 ◽

2021 ◽

pp. 3591-3594

Author(s):

Kotteeswaran. K ◽

Chiranjibi Kumar Nayak

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Neck Disability Index ◽

T Test ◽

Strengthening Exercise ◽

Significant Difference ◽

Group A ◽

Group B ◽

Neck Disability ◽

Cervical Spine Dysfunction

Background: Cervical spine dysfunction is a cause of neck pain. The cause for it is believed to be a disorder (most likely malalignment) of the pain-sensitive facet joints (which may also be due to disc disruption). Dysfunction can also cause secondary muscle spasm, which can may lead to more pain and stiffness. Objective: To find the effectiveness of SNAGs and scapular strengthening exercises in the patients with chronic cervical dysfunction. To find the Neck disability index (NDI) score difference between the functional activities of experimental group and conventional treatment group. Methodology: According to inclusion and exclusion criteria a prior to the study, the principal researcher explained the procedures to all the subjects and inform consent obtained, 30 subjects taken through Random block design and numbering was done for all the subjects. All the odd numbers in one group and all the even numbers in another group are allocated by random table where each group had 15 subjects. The collected data was tabulated and analyzed using descriptive and inferential statistics. To all parameters mean and standard deviation (SD) were used. Paired t-test was used to analyze significant changes between pre-test and post-test measurements. Unpaired t-test was used to analyze significant changes between two groups. Result: rom statistical analysis made with the quantitative data revealed statistically significant difference between the Group A and Group B, and also within the group. The Posttest mean value of Neck Disability Index (NDI) in group A is 12.00 and in group B is 13.80. This shows that Neck Disability Index (NDI) in Group B disability value were comparatively more than Group A disability value, P<0.0001. Conclusion: This study shows better improvement in reducing cervical spine dysfunction (neck pain) by scapular strengthening exercise than resisted neck isometrics. Both the techniques can be used in clinical practice.

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Influence of craniomandibular and cervical pain on the activity of masticatory muscles in individuals with Temporomandibular Disorder

CoDAS ◽

10.1590/2317-1782/20142014040 ◽

2014 ◽

Vol 26 (5) ◽

pp. 389-394 ◽

Cited By ~ 7

Author(s):

Lilian Gerdi Kittel Ries ◽

Maylli Daiani Graciosa ◽

Daiane Lazzeri De Medeiros ◽

Sheila Cristina Da Silva Pacheco ◽

Carlos Eduardo Fassicolo ◽

...

Keyword(s):

Cervical Spine ◽

Diagnostic Criteria ◽

Muscle Activity ◽

Temporomandibular Disorders ◽

Temporomandibular Disorder ◽

Masticatory Muscles ◽

Cervical Region ◽

Cervical Pain ◽

Spine Pain ◽

Prevalence Of Pain

Purpose:This study aimed to establish the prevalence of pain in the craniomandibular and cervical spine region in individuals with Temporomandibular Disorders (TMD) and to analyze the effects of these disorders on the bilateral activation of anterior temporalis (AT) and masseter (MA) muscles during the masticatory cycle.Methods:The participants were 55 female volunteers aged 18–30 years. The presence of TMD and craniomandibular and cervical spine pain was evaluated by applying the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire and using a combination of tests for the cervical region. The muscle activity of AT and MA during the masticatory cycle was assessed using the symmetry and antero-posterior coefficient indices.Results:The AT activity during the masticatory cycle is more asymmetric in individuals with TMD. The craniomandibular pain, more prevalent in these individuals, influenced these results.Conclusion:Individuals with TMD showed changes in the pattern activity of AT. The craniomandibular nociceptive inputs can influence the increase in asymmetry of the activation of this muscle.

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Temporomandibular Joint Disorders and its Relationship with Parafunctional Habits among Undergraduate Medical and Dental Students

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v14i3.20289 ◽

2018 ◽

Vol 14 (3) ◽

pp. 154-159

Author(s):

Sudeep Acharya ◽

Amita Pradhan ◽

Rajib Chaulagain ◽

Ankur Shah

Keyword(s):

Temporomandibular Joint ◽

Undergraduate Students ◽

Temporomandibular Disorder ◽

Signs And Symptoms ◽

Simple Random Sampling ◽

Dental Students ◽

Temporomandibular Joint Disorders ◽

Cross Sectional ◽

Chewing Gums ◽

Significant Difference

Background: Temporomandibular disorder is a term used to describe problems involving temporomandibular joint, muscles of mastication, occlusion characterized by symptoms such as pain, restricted movements and intermittent joint sound. The present study was conducted to determine prevalence of TMD and to describe its association with parafunctional habits. Materials and Methods: A cross-sectional study was carried out among 345 undergraduate students of KIST Medical College and Hospital. Study population was selected by simple random sampling and the Fonseca Anamnestic Questionnaires were distributed. Data analysis was done in SPSS version 16 . Results: The prevalence of TMD was 47.4% with mild and moderate type of TMD present. The most common habit was chewing gums followed by biting of lips and biting of objects. Statistically significant difference in TMD groups was observed in clenching and grinding of teeth, biting of lips and biting of objects (p<0.001). There was statistically significant association between TMD and the signs and symptoms such as headaches, difficult to open mouth, muscular pain while chewing (p<0.001). Conclusions: A statistically significant association was found between biting of lips, grinding of teeth and mouth breathing with TMD.Keywords: parafunctional habits; prevalence; TMD .

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Signs and symptoms of temporomandibular disorder and patients’ satisfaction before and after orthognathic surgery

Brazilian Journal of Oral Sciences ◽

10.20396/bjos.v15i2.8648765 ◽

2017 ◽

Vol 15 (2) ◽

pp. 137

Author(s):

Edmar Ricardo Pozzobon Christovam ◽

Eloisa Marcantonio Boeck ◽

Silvia Amélia Scudeler Vedovello ◽

Heloisa Cristina Valdrighi ◽

Viviane Veroni Degan ◽

...

Keyword(s):

Orthognathic Surgery ◽

Temporomandibular Disorder ◽

Mouth Opening ◽

Signs And Symptoms ◽

Chi Square ◽

Muscular Pain ◽

Patients Satisfaction ◽

Significant Difference ◽

Before And After ◽

Joint Disorder

Aim: To evaluate signs and symptoms of temporomandibular joint disorder and satisfaction in patients before and after orthognathic surgery. Methods: The sample consisted of 15 patients aged between 19 and 47 years old, indicated for orthodontic-surgical treatment. All patients answered na anamnesis questionnaire based on Helkimo Anamnestic Index to evaluate subjective symptoms and underwent a clinical evaluation based on Helkimo Disfunction Index, applied at three time points: before (T0), three (T1) and six months (T2) after surgery. Statistical models used were χ2 test (Chi-square), Tukey test, confidence interval and analysis of variance (ANOVA). Results: Statistical analysis revealed no significant difference in the incidence of joint sounds, maximum mouth opening, deviation of mouth opening and pain in the TMJ region (p>0.05). No patient presented worsening of the symptomatology. As regards muscular pain, there was a statistically significant improvement with time (p<0.05) and 86.7% of patients reported that they were satisfied with the obtained results. Conclusions: Improvement of TMD after orthognathic surgery may not be the result of correcting malocclusion and satisfaction with the results can be a factor of TMD improvement.

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EPIDEMOLOGICAL STUDY OF FOREIGN BODIES IN UPPER AERODIGESTIVE TRACT

10.36106/ijsr/6706469 ◽

2020 ◽

pp. 1-4

Author(s):

Alokendu Bose ◽

Indranil Khatua ◽

Badal Kumar Sahu ◽

Debarshi Jana

Keyword(s):

Socioeconomic Status ◽

Foreign Bodies ◽

Signs And Symptoms ◽

P Value ◽

Upper Aerodigestive Tract ◽

Significant Difference ◽

High Incidence ◽

Risk Patients ◽

The Common ◽

Written Informed Consent

Background: Foreign body aspiration may occur at any age, however most of these accidents occur in the children below age three years. The high incidence in young children reflects their tendency to explore their world using their mouths. Furthermore, these children have not yet developed a full posterior dentition, and neuromuscular mechanisms for swallowing and airway protection may not be fully mature. Aim: To describe the common presenting signs and symptoms of foreign bodies among patients attending ENT department at TMH. Material and methods: The present study was carried out in the Department of Otorhinolaryngology, R. G. Kar Hospital, Kolkata, West Bengal. Approval by the ethics committee of Hospital, Jamshedpur is taken and written informed consent of patients is obtained to conduct the study. The study was conducted from August 2014 to December 2015 for a period of 1 and half years. Result: In our study, there was equal incidence of FB among the various socioeconomic statuses. We have clustered 1 and 2 socioeconomic status as upper status, and 3,4 and 5 as lower status. There were statistically no significant difference in the incidence of FB was seen according to their SES, with p – value = 0.7721 { p > 0.05 }. Conclusion: Proper history and examination are the key components to diagnose foreign bodies. Otolaryngologists should categorise high risk patients on the basis of parity of mother, socioeconomic status and education of care giver, and they should be examined thoroughly.

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CLINICAL STUDY OF THE EFFECT OF NASYA KARMA IN THE MANAGEMENT OF CERVICAL SPONDYLOSIS WITH SPECIAL REFERENCE TO MANYASTAMBHA

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj02p5022021 ◽

2021 ◽

Vol p5 (02) ◽

pp. 2658-2662

Author(s):

Paresh R. Deshmukh ◽

Kavita K. Fadnavis

Keyword(s):

Cervical Spine ◽

Clinical Study ◽

Cervical Spondylosis ◽

Sedentary Lifestyle ◽

Human Life ◽

Signs And Symptoms ◽

Large Role ◽

Before And After ◽

The Common ◽

Degenerative Disorder

Human life has become more stressful these days. Sedentary lifestyle, occupational factors are playing a large role in increased prevalence of the common degenerative disorder of Cervical Spine i.e. Cervical Spondylosis. In Ayurvedic view, it can be correlated with Manyastambha which is a Vataja Nanatmaka Vikara. Degeneration means Apatarpana in Ayurveda. It needs to be treated with Brimhana Therapy. And Urdhvajatrugata Vyadhis are best treated with Nasya according to Ayurveda. So, taking all these factors into consideration, Brimhana Nasya Karma with Ksheerabala Taila was tried to alleviate the signs and symptoms of patients having Cervical Spondylosis. Assessment was done with regard to pain in neck and shoulder, tingling and numbness in hands and headache alongwith various angles of rotation of neck. The data was collected before and after administration of Nasya karma. The 15 days trial was proved to be significantly efficacious in reducing signs and symptoms of cervical spondylosis.

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Pain characteristics of temporomandibular disorder: a pilot study in patients with cervical spine dysfunction

Journal of Applied Oral Science ◽

10.1590/s1678-77572006000500016 ◽

2006 ◽

Vol 14 (5) ◽

pp. 388-392 ◽

Cited By ~ 10

Author(s):

Cristiane Rodrigues Pedroni ◽

Anamaria Siriani de Oliveira ◽

Fausto Bérzin

Keyword(s):

Cervical Spine ◽

Pilot Study ◽

Pain Perception ◽

Temporomandibular Disorder ◽

Cervical Vertebrae ◽

Radiographic Examination ◽

Mcgill Pain Questionnaire ◽

Number Of Patients ◽

Pain Characteristics ◽

Cervical Spine Dysfunction

OBJECTIVE: The purpose of the present pilot study was to describe pain complaints of TMD patients and cervical spine dysfunction. METHODS: Fourteen women with myogenous TMD, cervical motion limitation and rotation of at least one of the three first cervical vertebrae evidenced by radiographic examination participated in this study. The multidimensional pain evaluation was accomplished by a Brazilian version of the McGill Pain Questionnaire. RESULTS: The results showed that the most painful body site mentioned was cervical spine, followed by scapular region and temporomandibular joint. More than half of the volunteers reported temporal pain pattern as rhythmic, periodic and, or still, intermittent. The majority of the patients classified the pain intensity assessed at the moment of the evaluation as mild to discomforting. Absolute agreement was not observed among volunteers regarding word dimensions used to describe their pain, although a great number of patients chose the descriptor related to tension as the better expression to describe their painful complaint. CONCLUSION: Pain characteristics of TMD patients with cervical spine dysfunction showed cervical spine as a common painful region reported and words related to affective and emotional dimensions of pain perception can be used by these patients to qualify their pain complain.

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Prevalence of temporomandibular disorder and its association with stress and anxiety among university students

Brazilian Dental Science ◽

10.14295/bds.2020.v23i1.1810 ◽

2020 ◽

Vol 23 (1) ◽

Cited By ~ 1

Author(s):

Larissa Aparecida Benincá Ton ◽

Iago Gomes Mota ◽

Janice Sympson De Paula ◽

Ana Paula Varela Brown Martins

Keyword(s):

University Students ◽

Temporomandibular Disorder ◽

Signs And Symptoms ◽

Female Gender ◽

Chi Square ◽

Mean Values ◽

Significance Level ◽

Exact Test ◽

Significant Difference ◽

Student’S T

Objective: The objective was to evaluate the prevalence of Temporomandibular Disorders (TMD) and the association with stress and anxiety among university students. Material and Methods: The Fonseca Anamnestic Index, Trait-State Anxiety Inventory (IDATE) and LIPP Stress Symptom Inventory (LIPP) were applied for 714 voluntaries. Descriptive and inferential statistical analyzes were performed using the chi-square or Fisher's exact test and the Student's t-test or ANOVA, significance level of 5%. Results: The prevalence of TMD was 68.63%, 46.9% had mild TMD. There was a statistically significant difference between the means of age and the severity of the TMD, higher mean values for severe TMD (22.5 ± 3.3 years). There was a statistically significant association between the female and TMD, higher prevalence of mild TMD. Among the volunteers diagnosed with TMD, a significant number were diagnosed without stress, but there was a statistically significant association between those diagnosed with stress and mild TMD, anxiety and TMD, (state: moderate anxiety and DTM - 50%; trait: moderate and severe anxiety and mild DTM - 49.3% and 49.87%, respectively). Conclusion: There was a high prevalence of TMD signs and symptoms, with higher prevalence in the female gender, mild TMD was more significant, and anxiety and stress were significantly present among university students with TMD signs and symptoms.KeywordsTemporomandibular disorder; Anxiety; Psychological stress.

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Primary Hypothyroidism in Adults Based on Jorjani's View Point of the Book “Zakhire Kharazmshahi”

Current Traditional Medicine ◽

10.2174/2215083806666191226165922 ◽

2019 ◽

Vol 06 ◽

Author(s):

Haleh Tajadini ◽

Naser Ebrahimpour ◽

Mahdieyh Khazaneha

Keyword(s):

Eating Habits ◽

Signs And Symptoms ◽

Primary Hypothyroidism ◽

View Point ◽

Drug Usage ◽

Daily Diet ◽

Persian Medicine ◽

The Common ◽

Symptoms And Signs ◽

Stomach Emptying

: The prevalence of primary hypothyroidism is increasing in adults (PHTA), and the reduction in the threshold for treatment and also the requirement to increase drug usage are major problems in approaching this disorder. Persian Medicine (PM) looks from a different view on etiology of diseases. Therefore, we tried to present the etiologies of PHTA according to an important book of PM i.e. “Zakhire Kharazmshahi”. Method: At first, the common symptoms and signs of PHTA were identified by investigating the Medline, Scopus, and Cochrane databases and their Persian equivalents were extracted from PM sources. These synonyms were searched as keywords in the book and the primary causes that were mentioned in association with the signs and symptoms were extracted. Then, we explained the total etiologies that were discussed for the occurrence of the causes, with respect to the principles of health care in PM. Results: "Cold distemperament", an increase in "Phlegmatic Humor ", an increase in "Melancholic Humor" and "Emtela" (repletion) were recognized as four main causes of PHTA. According to the book, the most important etiologies of these conditions are insufficient exercise, overeating, food intake before total stomach emptying and excessive amounts of cold temperament substances (foods, herbs, seeds, spices, etc.) in daily diet. Conclusion: From the viewpoint of PM, lifestyle spatially eating habits and physical activity play important causative roles in occurring and prognosis of PHTA. Hence, it is recommended to assess these results by more observations and clinical studies.

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