The Effectiveness of Physical Therapy in Patients with Generalized Joint Hypermobility and Concurrent Temporomandibular Disorders—A Cross-Sectional Study

Temporomandibular disorders (TMD) consist of a group of symptoms such as: pain of temporomandibular joints, masticatory muscles or surrounding tissues, dysfunctions of TMJs’ mobility, and crepitation. The Hypermobility Joint Syndrome (HJS) manifests in the flaccidity of joint structures, an increase in the range of joint motion, and occurs more often in the young and women. The aim of this study was to present the occurrence of HJS among patients with myogenic TMD and disc displacement with reduction. The secondary goal was to assess the effectiveness of physiotherapy directed to TMD with coexisting HJS. The study involved 322 patients with symptoms of TMD. HJS was diagnosed using the Beighton Scale, which confirmed its occurrence in 26 cases. 79 subjects (7 males and 72 females; mean age, 33.9 ± 10.4 years) were selected and divided into two groups: HJS + TMD (n = 26; 2 males and 24 females; mean age, 27.1 ± 9.4 years) and TMD (n = 53; 5 males and 48 females; mean age, 37.4 ± 9.2 years). These patients completed 3-week physiotherapy management. Before and after physiotherapy, the myofascial pain severity on Numeric Pain Rating Scale, linear measurement of maximum mouth opening, and opening pattern, were assessed. To demonstrate differences between the results, the level of significance for statistical analysis was set at α = 0.05. A statistically significant improvement was obtained in decreasing myofascial pain in both groups. Coordination of mandibular movements was achieved in both groups. Generalized joint hypermobility occurred among patients with TMD. Physiotherapy directed to TMD was effective in reducing myofascial pain and restoring TMJ’s coordination also in patients with HJS.

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Temporomandibular disorders in fibromyalgia patients: are there different pain onset?

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20160017 ◽

2016 ◽

Vol 74 (3) ◽

pp. 195-200 ◽

Cited By ~ 6

Author(s):

Fábio J. C. Fujarra ◽

Helena Hideko Seguchi Kaziyama ◽

Silvia Regina D. T. de Siqueira ◽

Lin Tchia Yeng ◽

Cinara M. Camparis ◽

...

Keyword(s):

Temporomandibular Disorders ◽

Myofascial Pain ◽

Mouth Opening ◽

Cross Sectional Study ◽

Disc Displacement ◽

Cross Sectional ◽

Muscle Disorders ◽

Group A ◽

Group B ◽

Disc Displacement With Reduction

ABSTRACT Objective To identify temporomandibular disorders (TMD) symptoms in two groups of fibromyalgia patients according to the temporal relation between the onset of facial pain (FP) and generalized body pain (GBP). Cross-sectional study design: Fifty-three consecutive women with fibromyalgia and FP were stratified according to the onset of orofacial pain: Group-A (mean age 47.30 ± 14.20 years old), onset of FP preceded GBP; Group-B (mean age 51.33 ± 11.03 years old), the FP started concomitant or after GBP. Clinical assessment Research Diagnostic Criteria for Temporomandibular Disorders and the Visual Analogue Scale. Results Myofascial pain with mouth opening limitation (p = 0.038); right disc displacement with reduction (p = 0.012) and jaw stiffness (p = 0.004) were predominant in Group A. Myofascial pain without mouth opening limitation (p = 0.038) and numbness/burning were more common in Group B. Conclusion All patients had temporomandibular joint symptoms, mainly muscle disorders. The prevalence of myofascial pain with limited mouth opening and right TMJ disc displacement with reduction were higher in Group A.

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Assessing the effectiveness of botulinum toxin injections into masticatory muscles in the treatment of temporomandibular disorders

Journal of Oral Medicine and Oral Surgery ◽

10.1051/mbcb/2018001 ◽

2018 ◽

Vol 24 (3) ◽

pp. 107-111 ◽

Cited By ~ 2

Author(s):

Alexis Kahn ◽

Helios Bertin ◽

Pierre Corre ◽

Morgan Praud ◽

Arnaud Paré ◽

...

Keyword(s):

Botulinum Toxin ◽

Temporomandibular Disorders ◽

Myofascial Pain ◽

Mouth Opening ◽

Masticatory Muscles ◽

University Hospital ◽

Duration Of Action ◽

Beneficial Effects ◽

Duration Of Effect ◽

The Mean

Introduction: Temporomandibular disorders (TMD) are a common and invalidating disease sometimes difficult to treat. Current international recommendations favour reversible and non-invasive treatments, including the injection of botulinum toxin (BTX) into masticatory muscles. There is no strong evidence of its effectiveness. Objective: The main goal of this study was to assess the effectiveness of BTX six months following injection, in terms of pain, mouth opening, improvement of symptoms and duration of effect. Materials and methods: A retrospective study carried out at Nantes University Hospital between 2014 and 2016. Results: Thirty-four patients were included. The mean age was 37 years (17–76) and seventy six percents were female. Eighty percent of patients reported a significant improvement, notably in cases of arthralgia, which decreased in 8/18 (44%) patients (p < 0.05). The mean duration of measured efficacy was 4.2 months. Discussion: Significant improvement in cases of arthralgia and a tendency for improvement in cases of myalgia, with a mean duration of action of 4.2 months. Although BTX injection do not guarantee complete resolution of myofascial pain, it have been shown to have beneficial effects on some symptoms have been shown. Conclusion: Botulinum toxin should be considered as an alternative treatment when other conservative methods fail to yield satisfactory results. A thorough multicentre assessment is necessary in the future to scientifically validate its use.

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Evaluation of pain threshold upon palpation of the masticatory muscles in women with temporomandibular disorder according to the Research Diagnostic Criteria of Temporomandibular Disorders

Revista CEFAC ◽

10.1590/1982-021620182028616 ◽

2018 ◽

Vol 20 (2) ◽

pp. 175-181 ◽

Cited By ~ 1

Author(s):

Carolina Marciela Herpich ◽

Fabiano Politti ◽

Cid Andre Fidelis de Paula Gomes ◽

Igor Phillip dos Santos Gloria ◽

Ana Paula Amaral ◽

...

Keyword(s):

Diagnostic Criteria ◽

Temporomandibular Disorders ◽

Pain Threshold ◽

Temporomandibular Disorder ◽

Cross Sectional Study ◽

Masticatory Muscles ◽

Cross Sectional ◽

Submandibular Region ◽

Mandibular Region ◽

Research Diagnostic Criteria

ABSTRACT Purpose: to evaluate the pain threshold upon palpation of the masticatory muscles in women with temporomandibular disorder (TMD) according to the Research Diagnostic Criteria of Temporomandibular Disorders (RDC/TMD). Methods: a cross-sectional study was conducted involving the evaluation of pain threshold upon palpation of the extraoral muscles (temporal, masseter, posterior mandibular region, submandibular region) and intraoral muscles (lateral pterygoid area and temporal tendon) in women using the RDC/TMD clinical examination. Results: 60 women were evaluated. Statistically significant differences were found among the muscles evaluated regarding the pain threshold. The lateral pterygoid area, bilaterally, had the lowest pain threshold, followed by the masseter and temporal muscles. Conclusion: this study suggests that the lateral pterygoid muscle, bilaterally, has the lowest pain threshold upon palpation among the masticatory muscles, followed by masseter and temporal muscles, in women with TMD, according to the RDC/TMD evaluation.

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Muscle strength differences in healthy young adults with and without generalized joint hypermobility: a cross-sectional study

BMC Sports Science Medicine and Rehabilitation ◽

10.1186/s13102-016-0037-x ◽

2016 ◽

Vol 8 (1) ◽

Cited By ~ 5

Author(s):

Pranay Jindal ◽

Amitesh Narayan ◽

Sailakshami Ganesan ◽

Joy C. MacDermid

Keyword(s):

Young Adults ◽

Muscle Strength ◽

Cross Sectional Study ◽

Joint Hypermobility ◽

Sectional Study ◽

Cross Sectional ◽

Generalized Joint Hypermobility

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Gait pattern in 9-11-year-old children with generalized joint hypermobility compared with controls; a cross-sectional study

BMC Musculoskeletal Disorders ◽

10.1186/1471-2474-14-341 ◽

2013 ◽

Vol 14 (1) ◽

Cited By ~ 7

Author(s):

Helene Nikolajsen ◽

Peter Kastmand Larsen ◽

Erik Bruun Simonsen ◽

Tine Alkjær ◽

Simon Falkerslev ◽

...

Keyword(s):

Gait Pattern ◽

Cross Sectional Study ◽

Joint Hypermobility ◽

Sectional Study ◽

Cross Sectional ◽

Generalized Joint Hypermobility

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The functional consequences of Generalized Joint Hypermobility: a cross-sectional study

BMC Musculoskeletal Disorders ◽

10.1186/1471-2474-15-243 ◽

2014 ◽

Vol 15 (1) ◽

Cited By ~ 23

Author(s):

Mark C Scheper ◽

Janneke E de Vries ◽

Birgit Juul-Kristensen ◽

Frans Nollet ◽

Raoul hh Engelbert

Keyword(s):

Cross Sectional Study ◽

Joint Hypermobility ◽

Sectional Study ◽

Cross Sectional ◽

Generalized Joint Hypermobility ◽

Functional Consequences

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The Association between Occlusal Features and Temporomandibular Disorders in Northern Jordan: A Cross-sectional Study

The Open Dentistry Journal ◽

10.2174/1874210602115010145 ◽

2021 ◽

Vol 15 (1) ◽

pp. 145-150

Author(s):

Mohammad S. Alrashdan ◽

Ashraf Shaweesh ◽

Abeer A. Khasawneh ◽

Mohamed H. Sannoh

Keyword(s):

Logistic Regression ◽

Temporomandibular Disorders ◽

Multinomial Logistic Regression ◽

Mouth Opening ◽

Cross Sectional Study ◽

Degenerative Joint Disease ◽

Joint Disease ◽

Dental Occlusion ◽

Cross Sectional ◽

Axis I

Objective: To evaluate the possible correlation between basic occlusal features and the outcomes of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) Axis I. Materials and Methods: A convenient sample of Northern Jordanians was used in the study. Participants were examined in accordance with DC/TMD protocol. Nine occlusal features represented the independent variables; overjet, overbite, midline deviation, pain-free opening, maximum assisted opening, maximum unassisted opening, lateral excursions and protrusion, in addition to the opening pattern (classified as straight, corrected deviation and uncorrected deviation). DC/TMD diagnostic outcomes and their associated features represented the dependent variables, namely, pain-related TMD, Intra-articular Disorders (IAD), Degenerative Joint Disease (DJD), joint sounds (clicking and crepitus), joint locking and headache attributed to TMD. Binary logistic regression, multinomial logistic regression and Chi-square tests were used for statistical analyses. Results: A total of 400 participants represented the study population (mean age = 32.3±12.4 years, males=48%, females=52%). 71 subjects (18%) were diagnosed with pain-related TMD, 52 (13%) with IAD, 6 (1.5%) with DJD and 38 (10%) with headache due to TMD. Gender had a significant correlation with pain-related TMD (p= 0.014, OR= 2.16). Maximum pain free opening had a significant inverse relationship with pain related TMD (p= 0.013, OR=0.94), while midline deviation and corrected deviation mouth opening pattern had a significant correlation with IAD (p= 0.04,0.02, OR= 1.30,2.74, respectively). Overbite, midline deviation and pain free opening were significantly associated with unilateral open/close clicking (p= 0.04,0.05,0.03, OR= 0.77, 1.31, 0.94, respectively). Conclusion: There is a minimal clinical significance of the correlation between dental occlusion and TMD.

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Prevalence of temporomandibular disorders in a sample of Ecuadorian elderly.

International Journal of Medical and Surgical Sciences ◽

10.32457/ijmss.2018.017 ◽

2018 ◽

Vol 5 (2) ◽

pp. 67-70

Author(s):

Mónica Tello ◽

Mirian Pizarro ◽

Doris Calderón ◽

Deniss Calderón

Keyword(s):

Older Adults ◽

Temporomandibular Disorders ◽

Muscle Pain ◽

Joint Pain ◽

Mouth Opening ◽

Signs And Symptoms ◽

Cross Sectional Study ◽

Evaluation Instrument ◽

Cross Sectional ◽

Movement Joint

Abstract: The aim of this study was to determine the prevalence of temporomandibular disorders (TMDs) in a sample of Ecuadorian older adults in 2018. This is a cross-sectional study, which was conducted with a sample of 143 older adults of both sexes of the “Senderito de Amor” Elderly Home. The evaluation instrument was the Helkimo index, with the following parameters: presence of muscle pain, difficulty in opening and closing movement, joint pain, joint noises, limitation of mouth opening, limitation of lateral movement, and propulsion and deviation of the jaw. Overall, 88.8% of the population had TMDs, with 85.7% in the group of 60–70 years, 81.8% in the group of 71–80 years, 96.7% in those over 80 years, and 81.0% men and 92.1% women. Statistically significant differences were found by age (p = 0.035), but not by sex (p = 0.055). The most frequent signs and symptoms were joint noise (82.5%), followed by deviation of the jaw during opening (60.1%), reduction of the mouth opening (41.3%), difficulty of opening movements and closure (35.0%), reduction in movements of laterality and propulsion (29.4%), joint and muscle pain (24.5%), muscle pain (18.9%), and joint pain (16.8%). In conclusion, there is a high prevalence of temporomandibular disorders in older adults, and the most frequent signs and symptoms were joint sounds and deviation of the jaw during the mouth opening.

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EARLY RECOGNIZATION OF THE CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER BY VANDERBILT ADHD RATING SCALE FOR TEACHERS AND PARENTS

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2019.4.12 ◽

2019 ◽

pp. 85-91

Author(s):

Dinh Duong Le ◽

Van Thang Vo ◽

Thi Mai Nguyen ◽

Thi Han Vo ◽

Huu Chau Duc Nguyen ◽

...

Keyword(s):

Attention Deficit Hyperactivity Disorder ◽

High Risk ◽

Attention Deficit ◽

Primary Schools ◽

Rating Scale ◽

Cross Sectional Study ◽

Cross Sectional ◽

Hyperactivity Disorder ◽

Teachers And Parents ◽

Key Words Adhd

Objectives: The study aims to explore the prevalence of attention deficit hyperactivity disorder and to examine the associated factors with ADHD among primary students by Vanderbilt ADHD rating scale for teacher and parents. Methods: A cross-sectional study design was conducted in 564 students who selected randomly in 4 primary schools in Hue city. Vanderbilt ADHD rating scale for parents and teachers were applied to evaluate the ADHD of children over 6 months ago. Results: The overall prevalence of children who had high risk with ADHD was 4.1% (95%CI: 2.44 - 5.72), including 4.6% and 4.8% in the rating of teachers and parents, respectively. Male was more likely to have ADHD than female (OR adj: 4.64 (95%CI: 1.53 - 14.05) and lack of closely friend (OR adj: 5.11 (95% CI: 2.13 - 12.24). Conclusion: Vanderbilt ADHD diagnosis rating scale for teachers and parents can be used to early recognization children with a high risk of ADHD. Key words: ADHD, Vanderbilt, ratings scale, teacher, parent, children

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