Investigation of The Correlation Between Pain, Proprioception and Range of Motion in Patients With Temporomandibular Joint Dysfunction

Year 2024, , 402 - 412, 31.05.2024

Sercan Akdağ Gamze Aydın

https://doi.org/10.30621/jbachs.1357214

Abstract

Purpose: The aim of study was to investigate the relationship between pain, proprioception and range of motion in patients with temporomandibular joint dysfunction (TMD).
Material and Methods: The study was completed with 45 participants diagnosed with TMD and 45 healthy controls. Visual analog scale and graded chronic pain scale were used to assess pain intensity, dolorimeter was used for pain pressure threshold (PPT) assessment. Evaluation of cervical proprioception by cervical joint position error test (JPET), cervical joint range of motion assessment by digital goniometer, mouth opening measurements were made with a ruler.
Results: In the study, pain intensity was high and PPT was low in the TMD group. In the JPET, the right-left rotation and left lateral flexion values in the TMD group had higher mean values than the control group (p=0.028, p=0.003, p=0.004, respectively). There was a significant difference between the groups in digital goniometer measurement in right-left rotation, right-left lateral flexion movements(p=0.008, p=0.001, p=0.041, p=0.005, respectively). The TMD group had a lower mean than the control group in painless, maximum assisted and unassisted mouth opening measurements(p=0.001, p=0.001, p=0.001, respectively).
Conclusion: TMD patients presented a lower PPT, less accurate head repositioning, and some impairment in cervical range of motion.

Keywords

temporomandibular joint, pain, proprioception, range of motion

Ethical Statement

Social and Non-Interventional Health Sciences Research Ethics Committee of Istanbul Okan University (IRB study protocol: 24.11.2021-145)

Supporting Institution

None

Thanks

We thank to Enago – https://www.enago.com.tr/ceviri/ for their assistance in manuscript translation and editing.

Investigation of The Correlation Between Pain, Proprioception and Range of Motion in Patients With Temporomandibular Joint Dysfunction

Abstract

References

• Durham J, Newton-John, TR, Zakrzewska, JM. Temporomandibular Disorders. BMJ 2015;350(9):1-9.
• Fujita Y, Motegi E, Nomura M, Kawamura S, Yamaguchi D, Yamaguchi H. Oral habits of temporomandibular disorder patients with malocclusion. Bull Tokyo Dent Coll 2003;44(4):201-207.
• Bonjardim LR, Gavião MBD, Pereira LJ, Castelo PM, Garcia RCMR. Signs and symptoms of temporomandibular disorders in adolescents. Braz Oral Res 2005;19:93-98.
• Yadav S, Yang Y, Dutra EH, Robinson JL, Wadhwa S. Temporomandibular Joint Disorders in Older Adults. J Am Geriatr Soc. 2018;66(6):1213-1217.
• Silveira A, Gadotti IC, Armijo-Olivo S, Biasotto-Gonzalez DA, Magee D. Jaw dysfunction is associated with neck disability and muscle tenderness in subjects with and without chronic temporomandibular disorders. Biomed Res Int. 2015;2015:512792.
• von Piekartz H, Pudelko A, Danzeisen M, Hall T, Ballenberger N. Do subjects with acute/subacute temporomandibular disorder have associated cervical impairments: A cross-sectional study. Man Ther. 2016;26:208-215.
• Cuenca-Martínez F, Herranz-Gómez A, Madroñero-Miguel B, et al. Craniocervical and Cervical Spine Features of Patients with Temporomandibular Disorders: A Systematic Review and Meta-Analysis of Observational Studies. J Clin Med. 2020;9(9):2806.
• Yıldırım NK, Özkan M, Dıraçoğlu D, Saral İ, Karan A, Aksoy C, Özkan S. Psychopathological and Clinical Features in Patients With Temporomandibular Joint Dysfunction Syndrome. Turk J Phys Med Rehabil 2012;58(1):9-15.
• Myles PS. The pain visual analog scale: linear or nonlinear?. Anesthesiology. 2004;100(3):744-745.
• Von Korff M, DeBar LL, Krebs EE, Kerns RD, Deyo RA, Keefe FJ. Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain. Pain 2020;161(3):651-661.
• Mailloux C, Beaulieu LD, Wideman TH, Massé-Alarie H. Within-session test-retest reliability of pressure pain threshold and mechanical temporal summation in healthy subjects. PLoS One. 2021;16(1):e0245278.
• Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther. 2008;13(1):2-11.
• Palmgren PJ, Andreasson D, Eriksson M, Hägglund A. Cervicocephalic kinesthetic sensibility and postural balance in patients with nontraumatic chronic neck pain-a pilot study. Chiropr Osteopat 2009;17(1):1-10.
• Sukari AAA, Singh S, Bohari MH, Idris Z, Ghani ARI, Abdullah JM. Examining the Range of Motion of the Cervical Spine: Utilising Different Bedside Instruments. Malays J Med Sci 2021;28(2):100-105.
• Gomes CA, Dibai-Filho AV, Silva JR, Oliveira PM, Politti F, Biasotto-Gonzalez DA. Correlation between severity of temporomandibular disorder and mandibular range of motion. J Bodyw Mov Ther 2014;16:306-310.
• Alajbeg I, Giki M, Valentić PM. Mandibular range of movement and pain intensity in patients with anterior disc displacement without reduction. Acta Stomatol Croat 2015;49:119-127.
• Yekkalam N, Wänman A. Associations between craniomandibular disorders, sociodemographic factors and self-perceived general and oral health in an adult population. Acta Odontol Scand 2014;72(8):1054-1065.
• Kuttila M, Niemi PM, Kuttila S, Alanen P, Le Bell Y. TMD treatment need in relation to age, gender, stress, and diagnostic subgroup. J Orofac Pain 199;12(1):67-74.
• Eraslan R, Kilic K. Examining the relationship of temporomandibular joint internal derangement with gender, age, educational status, job status and marital status. Selcuk Dent J 2020;7(2):246-251.
• Arıkan H, Sertel M, Akkor BB. Investigation the Fatigue of Temporomandibular Joint, Functionality of Neck and Headache in Individuals With Temporomandibular Disorders. J Health Soc 2018;28(3):39-46.
• Şahin D, Kaya Mutlu E, Şakar O, Ateş G, İnan Ş, Taşkıran H. The effect of the ischaemic compression technique on pain and functionality in temporomandibular disorders: A randomised clinical trial. J Oral Rehabil 2021;48(5):531-541.
• Pihut M, Ferendiuk E, Szewczyk M, Kasprzyk K, Wieckiewicz M. The efficiency of botulinum toxin type A for the treatment of masseter muscle pain in patients with temporomandibular joint dysfunction and tension-type headache. J Headache Pain 2016;17(1):1-6.
• Wänman A, Marklund S. Treatment outcome of supervised exercise, home exercise and bite splint therapy, respectively, in patients with symptomatic disc displacement with reduction: A randomised clinical trial. J Oral Rehabil 2020;47(2):143-149.
• De Laat A, Meuleman H, Stevens A, Verbeke G. Correlation between cervical spine and temporomandibular disorders. Clin Oral Investig. 1998;2(2):54-57.
• Benli M, Gökçen-Röhlig B. Evaluation of pressure pain thresholds and limits of mandibular movements in selected neck and masticatory muscles in healthy and idiopathic scoliotic adolescents. Journal of Ege University Faculty of Dentistry, 2018;39(3):184-191.
• Bevilaqua-Grossi D, Chaves TC, Oliveira ASD. Cervical spine signs and symptoms: perpetuating rather than predisposing factors for temporomandibular disorders in women. J Appl Oral Sci 2007;15(4):259-264.
• Matheus RA, Ramos-Perez FMM, Menezes AV, Ambrosano GMB, Haiter-Neto F, Bóscolo FN, Almeida SM. The relationship between temporomandibular dysfunction and head and cervical posture. J Appl Oral Sci 2009;17(3):204-208.
• De Wijer A, Steenks MH, Bosman F, Helders PJM, Faber J. Symptoms of the stomatognathic system in temporomandibular and cervical spine disorders. J Oral Rehabil 1996;23(11):733-741.
• Lendraitiene E, Smilgiene L, Petruseviciene D, Savickas R. Changes and associations between cervical range of motion, pain, temporomandibular joint range of motion and quality of life in individuals with migraine applying physiotherapy: a pilot study, Medicina 2021;57(6):630.
• Strimpakos N, Sakellari V, Gioftsos G, Kapreli E, Oldham J. Cervical joint position sense: an intra-and inter-examiner reliability study. Gait Posture 2006;23(1):22-31.
• Treleaven J, Jull G, LowChoy N. The relationship of cervical joint position error to balance and eye movement disturbances in persistent whiplash. Man Ther 2006;11(2):99-106.
• Özgören Ç, Ciddi PK, Sahin M. Joint position sense and its relationship with pain, range of motion, muscle strength, fear of movement, functionality, and quality of life parameters in chronic neck pain. J Exerc Ther Rehabil 2022;9(1):48-58.
• Treleaven J, Jull G, Sterling M. Dizziness and unsteadiness following whiplash injury: characteristic features and relationship with cervical joint position error. J Rehabil Med 2003;35(1):36-43.
• Jull G, Falla D, Treleaven J, Hodges P, Vicenzino B. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res 2007;25(3):404-412.
• De Vries J, Ischebeck BK, Voogt LP, Van Der Geest JN, Janssen M, Frens MA, Kleinrensink GJ. Joint position sense error in people with neck pain: a systematic review. Man Ther 2015;20(6):736-744.
• Civelek FÖ, Nacir B, Erdem HR. Importance of Cervical Spine in Sensorimotor Control and Clinical Evaluation Methods of Sensorimotor Disturbances Due to Neck Disorders: Review. J Phys Med Rehabil Sci 2017;20(1):37-43.
• Resende, C. M., Alves, A. C., Coelho, L. T., Alchieri, J. C., Roncalli, A. G., & Barbosa, G. A. (2013). Quality of life and general health in patients with temporomandibular disorders. Brazilian oral research, 27(2), 116–121.
• Armijo-Olivo S, Pitance L, Singh V, Neto F, Thie N, Michelotti A. Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta-analysis. Phys Ther 2016;96(1):9-25.
• Shiozaki M, Terao Y, Taniguchi K. Evaluation of temporomandibular joint movement after mandibular reconstruction. J Craniofac Surg 2019;30(1):154-157.
• La Touche R, París-Alemany A, Von Piekartz H, Mannheimer JS, Fernández-Carnero J, Rocabado M. The influence of cranio-cervical posture on maximal mouth opening and pressure pain threshold in patients with myofascial temporomandibular pain disorders. Clin J Pain 2011;27(1):48-55.