TEMPOROMANDİBULAR DİSFONKSİYONLU BİREYLERDE AĞRIYI FELAKETLEŞTİRME VE AĞRI YOĞUNLUĞUNUN ISIRMA KUVVETİ VE ÇENE KAS KUVVETİ İLE İLİŞKİSİ

Öz

Bu çalışma temporomandibular eklem rahatsızlığı (TMER) bulunan bireylerde ağrıyı felaketleştirme ve aktivite ağrısı ile ısırma kuvveti ve çene kas kuvveti arasındaki ilişkiyi göstermek amacıyla yapıldı. Çalışmaya TMER tanılı 43 birey (ortalama yaş 29.79±8.34 yıl) dâhil edildi. Bireylerin ağrıyı felaketleştirme düzeyleri Ağrı Felaketleştirme Skalası (AFS), aktivite ağrısı Görsel Analog Skala (GAS), ısırma kuvvetleri pinç metre ve çene kas kuvvetleri Lafayette manuel kas testi cihazı ile ölçüldü. Değişkenler arası ilişki Pearson Korelasyon testi ile incelendi. AFS ile ısırma kuvvetleri (merkezi: -0.519; sağ: -0.518; sol: -0.515) ve çene kas kuvvetleri (açma: -0.688; kapatma: -0.635; sağ ekskürsiyon: -0.609, sol ekskürsiyon: -0.645; protrüzyon: -0.621) arasında; aktivite ağrısı ile ısırma kuvvetleri (merkezi: -0.429; sağ: -0.453; sol: -0.451) ve çene kas kuvvetleri (açma: -0.511; kapatma: -0.420; sağ ekskürsiyon: -0.343, sol ekskürsiyon: -0.463; protrüzyon: -0.471) arasında negatif yönde anlamlı ilişki bulundu (p<0,05). TMER'li bireylerde ağrı ve ağrı algısı ısırma ve çene kas kuvvetini azaltmaktadır. Bu bireylerin aktivite ağrısı şiddetine kıyasla ağrı algıları ısırma ve çene kas kuvvetleri ile daha yüksek derecede ilişkilidir. Bu sonuçlara dayanarak TMER’li bireylerde daha iyi ısırma ve çene kas kuvveti için biyodavranışsal model ile ağrıya yaklaşımın daha yararlı olabileceğini söyleyebiliriz.

Anahtar Kelimeler

• Temporomandibular disfonksiyon
• biyodavranışsal model
• ağrıyı felaketleştirme
• ısırma kuvveti
• kas kuvveti

THE RELATIONSHIP OF PAIN CATASTROPHIZING AND ACTIVITY PAIN SEVERITY WITH BITING FORCE AND JAW MUSCLE STRENGTH IN INDIVIDUALS WITH TEMPOROMANDIBULAR DYSFUNCTION

Abstract

This study was conducted to show the relationship between pain catastrophizing and activity pain severity with bite force and jaw muscle strength in individuals with temporomandibular disorders (TMD). Forty-three individuals (mean age 29.79±8.34 years) with a diagnosis of TMER were included in the study. Pain catastrophizing levels of individuals with the Pain Catastrophizing Scale (PCS), activity pain with the Visual Analog Scale (VAS), bite force with a pinch meter, and jaw muscle strength with Lafayette manual muscle testing device were measured. The relationship between the variables was examined with the Pearson Correlation test. Statistically significant negative correlations were found PCS between bite forces (central: -0.519; right: -0.518; left: -0.515) and jaw muscle strengths (opening: -0.688; closing: -0.635; right excursion: -0.609, left excursion: -0.645; protrusion: -0.621); activity pain intensity between bite forces (central: -0.429; right: -0.453; left: -0.451) and jaw muscle strengths (opening: -0.511; closing: -0.420; right excursion: -0.343, left excursion: -0.463; protrusion: -0.471) (p<0,05). Pain and pain perception decrease bite and jaw muscle strength in individuals with TMD. Pain perceptions of these individuals are more highly correlated with bite and jaw muscle strength compared to activity pain severity. Based on these results, we can say that a biobehavioral model and an approach to pain may be more beneficial for better bite and jaw muscle strength in individuals with TMD.

Keywords

• Temporomandibular dysfunction
• biobehavioral model
• pain catastrophizing
• bite force
• muscle strength

Kaynakça

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