Myofascial temporomandibular disorder pain, parafunctions and psychological stress

Journal of Oral Rehabilitation
M K A van SelmsM Naeije

Abstract

Associations of evening and morning masticatory muscle pain and nocturnal electromyography (EMG) activity with psycho-behavioural factors and occlusal splint therapy were studied during a 20-week study-protocol. Over a period of almost 2 years, only eight of the 120 eligible patients were willing to enroll the study protocol. Further, four of the eight participants dropped out during the study, and approximately 20-30% of the nocturnal EMG recordings failed. Because of the impractical and unworkable nature of the protocol, the study was prematurely terminated and the results of the four remaining individuals are reported here as single-patient clinical trials. Univariate and multiple regression analyses revealed that in three of the four patients, changes in nocturnal EMG activity were associated with the period of splint therapy. However, no associations were found between the changes in nocturnal EMG activity and the observed changes in muscle pain. In two patients, the changes in muscle pain were associated with the period of splint therapy and with the changes in psychological stress. Within the limitations of single-patient clinical trials, it can be concluded that changes in chronic masticatory muscle pain seem to be more...Continue Reading

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Citations

Apr 3, 2010·L' Orthodontie française·Sarah Gebeile-ChautyJean-Jacques Aknin
Aug 8, 2014·BioMed Research International·Mieszko WieckiewiczWlodzimierz Wieckiewicz
Sep 18, 2012·Journal of Psychosomatic Research·Meike Shedden MoraWinfried Rief
Apr 3, 2012·Journal of Bodywork and Movement Therapies·Cesar Ferreira AmorimFabiano Politti
May 11, 2010·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Daniele Manfredini, Frank Lobbezoo
Dec 9, 2015·The Journal of Headache and Pain·Mieszko WieckiewiczAnna Paradowska-Stolarz
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Jan 19, 2012·Journal of Oral Rehabilitation·D ManfrediniF Lobbezoo
Nov 6, 2012·Community Dentistry and Oral Epidemiology·Maurits K A van SelmsFrank Lobbezoo
Sep 27, 2014·Journal of Oral Rehabilitation·M SatoM Fujisawa
Apr 23, 2014·Journal of Oral Rehabilitation·A Blanco AguileraA Blanco Hungría
Jun 26, 2013·Cranio : the Journal of Craniomandibular Practice·Pablo VillalónRodolfo Miralles
Dec 2, 2011·Cranio : the Journal of Craniomandibular Practice·Daniele ManfrediniFrank Lobbezoo
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