Journal of oral rehabilitation最新文献_第6页

Impact of a mandibular advancement device on corticomotor plasticity in patients with obstructive sleep apnea 下颌前突矫正器对阻塞性睡眠呼吸暂停患者皮质运动可塑性的影响。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13846

Yuri M. Costa, Hidetoshi Hayakawa, Eduardo. E. Castrillon, Dyna Mara A. O. Ferreira, Takashi Iida, Mohit Kothari, Peter Svensson

Background

Neuroplasticity induced by mandibular advancement appliance (MAD) in patients with obstructive sleep apnoea (OSA) is poorly documented.

Objective

This randomised placebo-controlled crossover mechanistic study assessed the effects of short-term use of a MAD on corticomotor excitability of the masseter and tongue in patients with OSA.

Methods

Adults (n = 28) with mild or moderate OSA were randomly allocated to sleep with a MAD for 2-weeks with 40% of the maximal protrusion (MAD active position) and without any jaw protrusion (MAD placebo position). The outcomes were assessed at baseline, and after 2 and 6 weeks, with a 2-week washout period. The primary outcome was the amplitude of motor evoked potential (MEP) assessed on the right masseter, right side of tongue and right first dorsal interosseous with transcranial magnetic stimulation. Corticomotor map volume of the same muscles was also assessed. Repeated-measures ANOVAs followed by Tukey test were applied to the data (p < .050).

Results

There was a significant increase in the MEP amplitude of the masseter and tongue following the MAD active position compared with the baseline and MAD placebo (Tukey: p < .001). There were no significant MEP amplitude differences between the baseline and placebo positions (p > .050). Moreover, there was a significant increase in corticomotor map volume for the masseter and tongue muscles following the MAD active position compared with baseline and MAD placebo (Tukey: p < .003).

Conclusion

Excitability of the masseter and tongue motor pathways is, at least transiently, increased in patients with OSA following a short-term use of MAD. This novel finding of MAD-induced neuroplasticity in corticomotor pathways may contribute to a further understanding of the mechanisms of oral appliances for treating OSA.

背景：下颌前突矫正器（MAD）对阻塞性睡眠呼吸暂停（OSA）患者神经可塑性的影响鲜有文献报道：这项随机安慰剂对照交叉机制研究评估了短期使用下颌前突矫正器对 OSA 患者颌间肌和舌头皮质运动兴奋性的影响：方法：患有轻度或中度 OSA 的成人（n = 28）被随机分配到使用 MAD 睡眠 2 周，最大突出量为 40% 的位置（MAD 主动位置）和没有任何下颌突出的位置（MAD 安慰剂位置）。结果在基线、2 周和 6 周后进行评估，并有 2 周的冲洗期。主要结果是通过经颅磁刺激评估右侧颌间肌、舌右侧和右侧第一背侧骨间肌的运动诱发电位（MEP）振幅。同时还评估了相同肌肉的皮质运动图体积。对数据进行重复测量方差分析，然后进行 Tukey 检验（P 结果：与基线和 MAD 安慰剂相比，MAD 主动体位后咀嚼肌和舌头的 MEP 振幅明显增加（Tukey：P.050）。此外，与基线和 MAD 安慰剂相比，MAD 主动体位后咀嚼肌和舌肌的皮质运动图谱体积有明显增加（Tukey： p 结论：MAD 主动体位后咀嚼肌和舌肌的皮质运动图谱体积有明显增加：短期使用 MAD 后，OSA 患者的颌下肌和舌运动通路的兴奋性至少会短暂增加。MAD 在皮质运动通路中诱导神经可塑性的这一新发现可能有助于进一步了解口腔矫治器治疗 OSA 的机制。

{"title":"Impact of a mandibular advancement device on corticomotor plasticity in patients with obstructive sleep apnea","authors":"Yuri M. Costa, Hidetoshi Hayakawa, Eduardo. E. Castrillon, Dyna Mara A. O. Ferreira, Takashi Iida, Mohit Kothari, Peter Svensson","doi":"10.1111/joor.13846","DOIUrl":"10.1111/joor.13846","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Neuroplasticity induced by mandibular advancement appliance (MAD) in patients with obstructive sleep apnoea (OSA) is poorly documented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This randomised placebo-controlled crossover mechanistic study assessed the effects of short-term use of a MAD on corticomotor excitability of the masseter and tongue in patients with OSA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adults (<i>n</i> = 28) with mild or moderate OSA were randomly allocated to sleep with a MAD for 2-weeks with 40% of the maximal protrusion (MAD active position) and without any jaw protrusion (MAD placebo position). The outcomes were assessed at baseline, and after 2 and 6 weeks, with a 2-week washout period. The primary outcome was the amplitude of motor evoked potential (MEP) assessed on the right masseter, right side of tongue and right first dorsal interosseous with transcranial magnetic stimulation. Corticomotor map volume of the same muscles was also assessed. Repeated-measures ANOVAs followed by Tukey test were applied to the data (<i>p</i> < .050).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a significant increase in the MEP amplitude of the masseter and tongue following the MAD active position compared with the baseline and MAD placebo (Tukey: <i>p</i> < .001). There were no significant MEP amplitude differences between the baseline and placebo positions (<i>p</i> > .050). Moreover, there was a significant increase in corticomotor map volume for the masseter and tongue muscles following the MAD active position compared with baseline and MAD placebo (Tukey: <i>p</i> < .003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Excitability of the masseter and tongue motor pathways is, at least transiently, increased in patients with OSA following a short-term use of MAD. This novel finding of MAD-induced neuroplasticity in corticomotor pathways may contribute to a further understanding of the mechanisms of oral appliances for treating OSA.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2600-2610"},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Critical Appraisal of Clinical Trials Evaluating Physical Therapy Treatments for Temporomandibular Disorders: A Scoping Review 对评估颞下颌关节紊乱症物理疗法的临床试验进行严格评估：范围界定综述》。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13864

Jorge Ballesteros-Frutos, Ruben Fernandez-Matias, Pablo Gallardo-Zamora, Daniel Pecos-Martín

Background

Physical therapy seems the most promising treatment for temporomandibular disorders (TMD), although their effectiveness is controversial in general, due to high heterogeneity regarding study designs, applied treatments and outcomes measures.

Objectives

The aim of this scoping review is to analyse the methodological characteristics of clinical trials evaluating physical therapy treatments in subjects with TMD.

Methods

A systematic search was conducted in Medline/PubMed, SPORTDiscus, Scopus, Web of Science, SciELO, Cochrane, ScienceDirect and EMBASE databases on 31 October 2023. Clinical trials evaluating physical therapy interventions in patients older than 18 years with TMD, published in English or Spanish languages. Data regarding content reporting of study designs, sample characteristics, interventions and outcome measures was extracted. Descriptive summary statistics were reported.

Results

The search retrieved 15 322 records, and 136 were included. There were 107 randomised clinical trials, 5 non-randomised controlled trials and 24 non-controlled trials. Most studies had moderate to high risk of bias, small sample sizes (median, 44 subjects) and short follow-up periods (1–3 months). The most common diagnostic criteria used was the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) (48.9%). The most reported experimental interventions were manual therapy (40.4%), exercise (30.2%) and electrotherapy modalities (27.2%), and the most common outcome measure domains were pain (83.8%), range of movement (61.8%), disability (45.6%) and mechanosensitivity (29.4%). There was poor content reporting of experimental interventions.

Conclusions

Current literature of clinical trials of physical therapy interventions for TMD has moderate to high risk of bias, poor content reporting, small sample size and short-term follow-ups which limit internal and external validity, as well as applicability into clinical practice.

背景：物理疗法似乎是治疗颞下颌关节紊乱症（TMD）最有前途的方法，但由于研究设计、应用疗法和结果测量方面的高度异质性，其有效性总体上存在争议：本综述旨在分析对 TMD 患者的物理治疗进行评估的临床试验的方法特点：于 2023 年 10 月 31 日在 Medline/PubMed、SPORTDiscus、Scopus、Web of Science、SciELO、Cochrane、ScienceDirect 和 EMBASE 数据库中进行了系统检索。评估针对 18 岁以上 TMD 患者的物理治疗干预措施的临床试验，以英语或西班牙语发表。提取了有关研究设计、样本特征、干预措施和结果测量的内容报告数据。结果：搜索共检索到 15 322 条记录，其中 136 条被纳入。其中包括 107 项随机临床试验、5 项非随机对照试验和 24 项非对照试验。大多数研究存在中度至高度偏倚风险，样本量小（中位数为 44 例受试者），随访时间短（1-3 个月）。最常用的诊断标准是颞下颌关节紊乱研究诊断标准（RDC/TMD）（48.9%）。报告最多的实验干预措施是手法治疗（40.4%）、运动（30.2%）和电疗模式（27.2%），最常见的结果测量领域是疼痛（83.8%）、活动范围（61.8%）、残疾（45.6%）和机械敏感性（29.4%）。实验干预的内容报告较少：目前有关 TMD 物理治疗干预的临床试验文献存在中度到高度的偏倚风险、内容报告不完善、样本量小以及短期随访等问题，这些问题限制了试验的内部和外部有效性，也限制了试验在临床实践中的适用性。

{"title":"Critical Appraisal of Clinical Trials Evaluating Physical Therapy Treatments for Temporomandibular Disorders: A Scoping Review","authors":"Jorge Ballesteros-Frutos, Ruben Fernandez-Matias, Pablo Gallardo-Zamora, Daniel Pecos-Martín","doi":"10.1111/joor.13864","DOIUrl":"10.1111/joor.13864","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Physical therapy seems the most promising treatment for temporomandibular disorders (TMD), although their effectiveness is controversial in general, due to high heterogeneity regarding study designs, applied treatments and outcomes measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this scoping review is to analyse the methodological characteristics of clinical trials evaluating physical therapy treatments in subjects with TMD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search was conducted in Medline/PubMed, SPORTDiscus, Scopus, Web of Science, SciELO, Cochrane, ScienceDirect and EMBASE databases on 31 October 2023. Clinical trials evaluating physical therapy interventions in patients older than 18 years with TMD, published in English or Spanish languages. Data regarding content reporting of study designs, sample characteristics, interventions and outcome measures was extracted. Descriptive summary statistics were reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The search retrieved 15 322 records, and 136 were included. There were 107 randomised clinical trials, 5 non-randomised controlled trials and 24 non-controlled trials. Most studies had moderate to high risk of bias, small sample sizes (median, 44 subjects) and short follow-up periods (1–3 months). The most common diagnostic criteria used was the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) (48.9%). The most reported experimental interventions were manual therapy (40.4%), exercise (30.2%) and electrotherapy modalities (27.2%), and the most common outcome measure domains were pain (83.8%), range of movement (61.8%), disability (45.6%) and mechanosensitivity (29.4%). There was poor content reporting of experimental interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Current literature of clinical trials of physical therapy interventions for TMD has moderate to high risk of bias, poor content reporting, small sample size and short-term follow-ups which limit internal and external validity, as well as applicability into clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2683-2695"},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationships Between Test Results for Oral Hypofunction, Subjective Frailty Symptoms and Oral Health-Related Quality of Life of Japanese Dental Outpatients: A Multicentre, Cross-Sectional Study 日本牙科门诊患者口腔功能低下测试结果、主观虚弱症状与口腔健康相关生活质量之间的关系：一项多中心横断面研究。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13858

Daisaku Morinaga, Takatoshi Itoh, Yoshiki Soejima, Tadashi Horikawa, Shoji Nagai, Fumitaka Takeshita, Naruyoshi Abe, Toshio Kaku, Toshikazu Iijima, Daigo Soejima, Toshihiro Hara, Ryuta Sato, Mamoru Murakami, Takashi Sawase, Masahiro Nishimura

Background

Oral hypofunction is the stage before oral dysfunction. The subjective symptoms of poor oral function and the decline in oral health-related quality of life (OHRQoL) that occur in the oral hypofunction stage can be missed.

Objective

This multicentre cross-sectional study was performed to examine the relationships between the test results for oral hypofunction, subjective frailty symptoms and OHRQoL of outpatients in dental clinics.

Methods

The basic characteristics and oral function test results of 637 dental clinic outpatients were evaluated. The subjective symptoms of physical and oral frailty were investigated using a questionnaire. OHRQoL was assessed using the Japanese short version of the Oral Health Impact Profile (OHIP-JP16) and OHRQoL dimension score.

Results

The overall prevalence of oral hypofunction was 37.8%, with no significant difference between men and women. No significant differences in the presence or absence of subjective symptoms of frailty and a high OHIP score were observed based on sex. However, the prevalence of oral hypofunction was significantly different among the age groups and increased with age. The subjective symptoms of frailty score, OHIP score and OHRQoL dimension score were significantly higher in patients with versus without oral hypofunction. Age, number of underlying diseases, total score for subjective symptoms of frailty, total score for OHIP and OHRQoL dimension score were significantly associated with oral hypofunction.

Conclusion

Oral hypofunction may affect the subjective symptoms of frailty and OHRQoL in older adults.

背景：口腔功能低下是口腔功能障碍之前的阶段。口腔功能低下阶段出现的口腔功能不良的主观症状和口腔健康相关生活质量（OHRQoL）的下降可能会被遗漏：这项多中心横断面研究旨在探讨牙科门诊患者口腔功能低下测试结果、主观虚弱症状和口腔健康相关生活质量之间的关系：方法：评估了 637 名牙科诊所门诊患者的基本特征和口腔功能测试结果。使用问卷调查了身体和口腔虚弱的主观症状。使用日文简版口腔健康影响档案（OHIP-JP16）和 OHRQoL 维度评分对 OHRQoL 进行评估：结果：口腔功能低下的总患病率为 37.8%，男女之间无明显差异。在是否存在虚弱的主观症状以及是否有较高的 OHIP 分数方面，没有观察到性别上的明显差异。然而，口腔功能低下的发生率在不同年龄组之间存在明显差异，且随着年龄的增长而增加。口腔功能低下患者的主观虚弱症状评分、OHIP 评分和 OHRQoL 维度评分明显高于无口腔功能低下的患者。年龄、基础疾病数量、虚弱主观症状总分、OHIP 总分和 OHRQoL 维度得分与口腔功能低下有显著相关性：结论：口腔功能低下可能会影响老年人的主观虚弱症状和 OHRQoL。

{"title":"Relationships Between Test Results for Oral Hypofunction, Subjective Frailty Symptoms and Oral Health-Related Quality of Life of Japanese Dental Outpatients: A Multicentre, Cross-Sectional Study","authors":"Daisaku Morinaga, Takatoshi Itoh, Yoshiki Soejima, Tadashi Horikawa, Shoji Nagai, Fumitaka Takeshita, Naruyoshi Abe, Toshio Kaku, Toshikazu Iijima, Daigo Soejima, Toshihiro Hara, Ryuta Sato, Mamoru Murakami, Takashi Sawase, Masahiro Nishimura","doi":"10.1111/joor.13858","DOIUrl":"10.1111/joor.13858","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oral hypofunction is the stage before oral dysfunction. The subjective symptoms of poor oral function and the decline in oral health-related quality of life (OHRQoL) that occur in the oral hypofunction stage can be missed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This multicentre cross-sectional study was performed to examine the relationships between the test results for oral hypofunction, subjective frailty symptoms and OHRQoL of outpatients in dental clinics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The basic characteristics and oral function test results of 637 dental clinic outpatients were evaluated. The subjective symptoms of physical and oral frailty were investigated using a questionnaire. OHRQoL was assessed using the Japanese short version of the Oral Health Impact Profile (OHIP-JP16) and OHRQoL dimension score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall prevalence of oral hypofunction was 37.8%, with no significant difference between men and women. No significant differences in the presence or absence of subjective symptoms of frailty and a high OHIP score were observed based on sex. However, the prevalence of oral hypofunction was significantly different among the age groups and increased with age. The subjective symptoms of frailty score, OHIP score and OHRQoL dimension score were significantly higher in patients with versus without oral hypofunction. Age, number of underlying diseases, total score for subjective symptoms of frailty, total score for OHIP and OHRQoL dimension score were significantly associated with oral hypofunction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Oral hypofunction may affect the subjective symptoms of frailty and OHRQoL in older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2634-2642"},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.13858","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thermal Facial Profile and Orofacial Myofunctional Aspects in Movement Disorder Patients: Comparison Between Parkinson Disease and Spinocerebellar Ataxia Type 3 运动障碍患者的面部热轮廓和口面部肌功能方面：帕金森病与脊髓小脑共济失调 3 型的比较。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13850

Yineth Carolina Navarrette Cortés, Paula Midori Castelo, Luciana Cerqueira Feitosa, Giovana Lúcia Azevedo Diaféria, Angélica de Veiga Said, Carolina Ribeiro Neves, Orlando Barsottini, Silvana Bommarito

Objective

To evaluate the orofacial myofunctional characteristics, masticatory performance and facial thermal profile in individuals with Parkinson disease (PD) and spinocerebellar ataxia (SCA3), comparing with healthy control ones.

Method

Seventy-two participants aged between 30 and 85 years were evaluated and divided into PD, SCA3 and control groups. The assessments included clinical evaluation using the Orofacial Myofunctional Evaluation with Scores protocol (orofacial structures, mastication, swallowing and breathing aspects), masticatory performance assessed with a colour-changeable chewing gum and infrared thermography. The Kruskal–Wallis, one-way ANOVA and Wilcoxon tests were applied.

Results

With the exception of face and tongue, a difference was seen in the cheek, maxillomandibular relationship, lips, mentalis muscle and palate appearance and posture between patients and healthy control participants. Orofacial mobility, swallowing and masticatory function also scored higher in the control group. The SCA3 and PD groups required more time to eat the test-food and showed greater facial temperature asymmetries than the control one (p < 0.05). Masticatory performance measured by chewing gum did not differ.

Conclusion

Facial temperature asymmetries, swallowing and masticatory function scores and the time needed by the SCA3 and PD groups to eat the test-food were different from healthy participants, drawing attention to the impaired orofacial functions in patients with neurodegenerative disorders.

目的评估帕金森病（PD）和脊髓小脑共济失调症（SCA3）患者的口面部肌功能特征、咀嚼能力和面部热谱，并与健康对照组进行比较：对72名年龄在30至85岁之间的参与者进行评估，并将其分为帕金森病组、SCA3组和对照组。评估内容包括使用口面部肌肉功能评估计分方案进行临床评估（口面部结构、咀嚼、吞咽和呼吸方面）、使用可变色口香糖评估咀嚼性能以及红外热成像。结果显示，除脸部和舌头外，其他部位的咀嚼功能均正常：结果：除脸部和舌头外，患者与健康对照组之间在面颊、上下颌关系、嘴唇、心肌和上颚的外观和姿势方面存在差异。对照组的口面部活动度、吞咽和咀嚼功能得分也更高。与对照组相比，SCA3 组和 PD 组进食测试食物所需的时间更长，面部温度不对称程度更高（p 结论：SCA3 组和 PD 组在面部温度不对称程度、吞咽功能和咀嚼功能方面均优于对照组：SCA3组和帕金森病组的面部温度不对称性、吞咽和咀嚼功能得分以及进食测试食物所需的时间都与健康参与者不同，这引起了人们对神经退行性疾病患者口面部功能受损的关注。

{"title":"Thermal Facial Profile and Orofacial Myofunctional Aspects in Movement Disorder Patients: Comparison Between Parkinson Disease and Spinocerebellar Ataxia Type 3","authors":"Yineth Carolina Navarrette Cortés, Paula Midori Castelo, Luciana Cerqueira Feitosa, Giovana Lúcia Azevedo Diaféria, Angélica de Veiga Said, Carolina Ribeiro Neves, Orlando Barsottini, Silvana Bommarito","doi":"10.1111/joor.13850","DOIUrl":"10.1111/joor.13850","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the orofacial myofunctional characteristics, masticatory performance and facial thermal profile in individuals with Parkinson disease (PD) and spinocerebellar ataxia (SCA3), comparing with healthy control ones.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Seventy-two participants aged between 30 and 85 years were evaluated and divided into PD, SCA3 and control groups. The assessments included clinical evaluation using the Orofacial Myofunctional Evaluation with Scores protocol (orofacial structures, mastication, swallowing and breathing aspects), masticatory performance assessed with a colour-changeable chewing gum and infrared thermography. The Kruskal–Wallis, one-way ANOVA and Wilcoxon tests were applied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>With the exception of face and tongue, a difference was seen in the cheek, maxillomandibular relationship, lips, mentalis muscle and palate appearance and posture between patients and healthy control participants. Orofacial mobility, swallowing and masticatory function also scored higher in the control group. The SCA3 and PD groups required more time to eat the test-food and showed greater facial temperature asymmetries than the control one (<i>p</i> < 0.05). Masticatory performance measured by chewing gum did not differ.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Facial temperature asymmetries, swallowing and masticatory function scores and the time needed by the SCA3 and PD groups to eat the test-food were different from healthy participants, drawing attention to the impaired orofacial functions in patients with neurodegenerative disorders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2655-2663"},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Association Between the Central Sensitisation Inventory and Temporomandibular Disorders Is Confounded by Migraine, Depression, Widespread Pain and Parafunction. A Cross-Sectional Telehealth Study 中枢敏感性量表与颞下颌关节紊乱之间的关系受偏头痛、抑郁、广泛性疼痛和副功能的影响。一项跨部门远程保健研究

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-17 DOI: 10.1111/joor.13852

Letícia Bojikian Calixtre, Hedwig Aleida van der Meer, Corine Mirjam Visscher, Ana Beatriz de Oliveira, Daniela Aparecida de Godoi Gonçalves

Background

Temporomandibular disorders (TMDs) are conditions that involve the temporomandibular joints, masticatory muscles, and associated tissues, causing orofacial pain. Central sensitisation (CS) is a relevant part of the TMD pathophysiology. Migraine, psychological aspects, parafunctional oral habits and widespread pain are commonly associated with both TMD and CS and could confound the association between them.

Objectives

To investigate the association between painful TMD and the Central Sensitisation Inventory (CSI) score, and to assess the presence of confounders in this association.

Methods

Cross-sectional study that assessed women with and without orofacial pain complaints using telehealth. The TMD Pain Screener and an online physical examination determined the presence of painful TMD. The following questionnaires were applied: CSI, Headache Screening Questionnaire, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Oral Behavior Checklist, Jaw Functional Limitation Scale and the Nordic musculoskeletal questionnaire. A single regression investigated the association between the CSI score and TMD, and a multiple regression investigated the effect of the other outcomes as possible confounders. Confounding was considered present when the association between TMD and the CSI score changed more than 10% after adding a possible confounder to the regression model.

Results

Forty-two women with painful TMD and 53 without TMD were included. There was a significant association between the CSI score and the presence of painful TMD (R² = 0.639; p < 0.001). This association changed when the following outcomes were added to the model: presence of migraine, symptoms of depression, widespread pain and parafunctional oral habits.

Conclusion

The positive association between TMD and the CSI score was confounded by migraine, symptoms of depression, widespread pain and parafunctional oral habits.

背景颞下颌关节紊乱症（TMD）是一种涉及颞下颌关节、咀嚼肌和相关组织的疾病，会引起口面部疼痛。中枢敏化（CS）是 TMD 病理生理学的一个相关部分。偏头痛、心理问题、副功能性口腔习惯和广泛性疼痛通常与 TMD 和 CS 相关，可能会混淆两者之间的联系。方法横断面研究通过远程保健对有和无口面部疼痛主诉的女性进行评估。通过 TMD 疼痛筛查器和在线体检确定是否存在 TMD 疼痛。采用了以下调查问卷：CSI、头痛筛查问卷、广泛性焦虑症-7、患者健康问卷-9、口腔行为检查表、下颌功能限制量表和北欧肌肉骨骼问卷。单一回归研究了 CSI 评分与 TMD 之间的关联，多元回归研究了其他结果作为可能混杂因素的影响。如果在回归模型中加入可能的混杂因素后，TMD 与 CSI 评分之间的关系变化超过 10%，则认为存在混杂因素。CSI 评分与是否存在疼痛性 TMD 之间存在明显关联（R2 = 0.639; p < 0.001）。结论 TMD 与 CSI 评分之间的正相关受到偏头痛、抑郁症状、广泛性疼痛和辅助功能性口腔习惯的影响。

{"title":"The Association Between the Central Sensitisation Inventory and Temporomandibular Disorders Is Confounded by Migraine, Depression, Widespread Pain and Parafunction. A Cross-Sectional Telehealth Study","authors":"Letícia Bojikian Calixtre, Hedwig Aleida van der Meer, Corine Mirjam Visscher, Ana Beatriz de Oliveira, Daniela Aparecida de Godoi Gonçalves","doi":"10.1111/joor.13852","DOIUrl":"10.1111/joor.13852","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Temporomandibular disorders (TMDs) are conditions that involve the temporomandibular joints, masticatory muscles, and associated tissues, causing orofacial pain. Central sensitisation (CS) is a relevant part of the TMD pathophysiology. Migraine, psychological aspects, parafunctional oral habits and widespread pain are commonly associated with both TMD and CS and could confound the association between them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To investigate the association between painful TMD and the Central Sensitisation Inventory (CSI) score, and to assess the presence of confounders in this association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional study that assessed women with and without orofacial pain complaints using telehealth. The TMD Pain Screener and an online physical examination determined the presence of painful TMD. The following questionnaires were applied: CSI, Headache Screening Questionnaire, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Oral Behavior Checklist, Jaw Functional Limitation Scale and the Nordic musculoskeletal questionnaire. A single regression investigated the association between the CSI score and TMD, and a multiple regression investigated the effect of the other outcomes as possible confounders. Confounding was considered present when the association between TMD and the CSI score changed more than 10% after adding a possible confounder to the regression model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-two women with painful TMD and 53 without TMD were included. There was a significant association between the CSI score and the presence of painful TMD (<i>R</i><sup>2</sup> = 0.639; <i>p</i> < 0.001). This association changed when the following outcomes were added to the model: presence of migraine, symptoms of depression, widespread pain and parafunctional oral habits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The positive association between TMD and the CSI score was confounded by migraine, symptoms of depression, widespread pain and parafunctional oral habits.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2577-2587"},"PeriodicalIF":3.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142248803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Relationship Between Somatisation, Facial Pain and Psychological Distress in East Asian Temporomandibular Disorder Patients 探索东亚颞下颌关节紊乱病患者躯体化、面部疼痛和心理压力之间的关系

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-17 DOI: 10.1111/joor.13857

Adrian Ujin Yap, Sunghae Kim, Jung Hwan Jo, Byeong-min Lee, Ji Woon Park

Objectives

The relationship of somatisation with facial pain duration/intensity, pain-related interference/disability and psychological distress was investigated in East Asian temporomandibular disorder (TMD) patients. Correlations between somatisation, facial pain and psychological characteristics were also explored alongside the demographic/physical factors associated with moderate-to-severe depression and anxiety.

Methods

Anonymised data were acquired from records of consecutive ‘first-time’ patients seeking TMD care at a tertiary oral medicine clinic. Axis I physical TMD diagnoses were established utilising the diagnostic criteria for TMDs (DC/TMD) protocol and patients with TMD pain were stratified into those with pain-related (PT) and combined (CT) conditions. Axis II measures administered encompassed the Patient Health Questionnaire-15 (PHQ-15), Graded Chronic Pain Scale (GCPS), Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder Scale-7 (GAD-7). Individuals with PT and CT were further categorised into those without (Pain − Som/Comb − Som) and with somatisation (Pain + Som/Comb + Som). Statistical evaluations were performed with nonparametric and logistic regression analyses (α = 0.05).

Results

The final sample comprised 473 patients (mean age 36.2 ± 14.8 years; 68.9% women), of which 52.0% had concomitant somatisation. Significant differences in pain duration (Comb + Som > Pain − Som), pain-related interference/disability (Comb + Som > Comb − Som) and depression/anxiety (Pain + Som, Comb + Som > Pain − Som, Comb − Som) were discerned. Depression/anxiety was moderately correlated with somatisation (r_s = 0.64/0.52) but not facial pain characteristics. Multivariate modelling revealed that somatisation was significantly associated with the prospects of moderate-to-severe depression (OR 1.35) and anxiety (OR 1.24).

Conclusion

Somatisation exhibited a strong association with psychological distress when contrasted with facial pain in East Asian TMD patients.

目的研究东亚颞下颌关节紊乱症（TMD）患者的躯体化与面部疼痛持续时间/强度、疼痛相关干扰/残疾和心理困扰之间的关系。研究还探讨了躯体化、面部疼痛和心理特征之间的相关性，以及与中度至重度抑郁和焦虑相关的人口学/物理学因素。方法：研究人员从一家三级口腔医学诊所连续就诊的 "首次 "TMD 患者记录中获取了匿名数据。根据 TMDs 诊断标准（DC/TMD）协议确定了轴 I 物理 TMD 诊断，并将有 TMD 疼痛的患者分为疼痛相关（PT）和合并（CT）两种情况。进行的轴 II 测量包括患者健康问卷-15 (PHQ-15)、慢性疼痛分级量表 (GCPS)、患者健康问卷-9 (PHQ-9) 和一般焦虑症量表-7 (GAD-7)。有 PT 和 CT 的患者被进一步分为无躯体化（疼痛 - 躯体化/躯体化 - 躯体化）和有躯体化（疼痛 + 躯体化/躯体化 + 躯体化）两类。结果最终样本包括 473 名患者（平均年龄为 36.2 ± 14.8 岁；68.9% 为女性），其中 52.0% 伴有躯体化。在疼痛持续时间（Comb + Som > Pain - Som）、疼痛相关干扰/残疾（Comb + Som > Comb - Som）和抑郁/焦虑（Pain + Som, Comb + Som > Pain - Som, Comb - Som）方面存在显著差异。抑郁/焦虑与躯体化（rs = 0.64/0.52）呈中度相关，但与面部疼痛特征无关。多变量模型显示，躯体化与中度至重度抑郁（OR 1.35）和焦虑（OR 1.24）显著相关。

{"title":"Exploring the Relationship Between Somatisation, Facial Pain and Psychological Distress in East Asian Temporomandibular Disorder Patients","authors":"Adrian Ujin Yap, Sunghae Kim, Jung Hwan Jo, Byeong-min Lee, Ji Woon Park","doi":"10.1111/joor.13857","DOIUrl":"10.1111/joor.13857","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The relationship of somatisation with facial pain duration/intensity, pain-related interference/disability and psychological distress was investigated in East Asian temporomandibular disorder (TMD) patients. Correlations between somatisation, facial pain and psychological characteristics were also explored alongside the demographic/physical factors associated with moderate-to-severe depression and anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Anonymised data were acquired from records of consecutive ‘first-time’ patients seeking TMD care at a tertiary oral medicine clinic. Axis I physical TMD diagnoses were established utilising the diagnostic criteria for TMDs (DC/TMD) protocol and patients with TMD pain were stratified into those with pain-related (PT) and combined (CT) conditions. Axis II measures administered encompassed the Patient Health Questionnaire-15 (PHQ-15), Graded Chronic Pain Scale (GCPS), Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder Scale-7 (GAD-7). Individuals with PT and CT were further categorised into those without (Pain − Som/Comb − Som) and with somatisation (Pain + Som/Comb + Som). Statistical evaluations were performed with nonparametric and logistic regression analyses (<i>α</i> = 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final sample comprised 473 patients (mean age 36.2 ± 14.8 years; 68.9% women), of which 52.0% had concomitant somatisation. Significant differences in pain duration (Comb + Som > Pain − Som), pain-related interference/disability (Comb + Som > Comb − Som) and depression/anxiety (Pain + Som, Comb + Som > Pain − Som, Comb − Som) were discerned. Depression/anxiety was moderately correlated with somatisation (<i>r</i><sub>s</sub> = 0.64/0.52) but not facial pain characteristics. Multivariate modelling revealed that somatisation was significantly associated with the prospects of moderate-to-severe depression (OR 1.35) and anxiety (OR 1.24).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Somatisation exhibited a strong association with psychological distress when contrasted with facial pain in East Asian TMD patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2566-2576"},"PeriodicalIF":3.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tobacco smoking and its impact on pain intensity of temporomandibular disorders: A systematic review and metanalysis 吸烟及其对颞下颌关节紊乱疼痛强度的影响：系统回顾和荟萃分析

IF 2.9 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-10 DOI: 10.1111/joor.13845

Amarshree A. Shetty, Sultan Abdulrahman Almalki, AlBandary Hassan Al Jameel, Inderjit Murugendrappa Gowdar, Vincenzo Ronsivalle, Marco Cicciù, Giuseppe Minervini

BackgroundTemporomandibular disorders (TMDs) encompass a spectrum of orofacial conditions characterised by pain and dysfunction in the temporomandibular joint and surrounding structures. Tobacco smoking has been posited as a potential factor influencing the prevalence and intensity of TMD. However, the nature and extent of this relationship remain unclear due to variations in study outcomes. This systematic review aimed to consolidate existing research findings to elucidate the association between tobacco smoking and TMD pain intensity.MethodsA comprehensive search of electronic databases was conducted to identify relevant studies published up to June 2023. Studies investigating the relationship between tobacco smoking and TMD pain were included. Data extraction was conducted by two reviewers. Quality assessment was performed using the New Castle‐Ottawa scale. Review Manager 5.4 was used to quantitatively analyse the results.ResultsThe review included four studies employing similar TMD assessment techniques. All studies reported elevated TMD pain intensity among tobacco users, with non‐smokers exhibiting lower pain intensity. The quality of the included studies was good. Meta‐analytic results showed that TMD pain intensity was higher in the smokers group compared to the non‐smokers group, with a weighted mean difference (WMD) of 0.65 (BPM) (95% CI: [0.10, 1.19], p = .02).ConclusionThis systematic review provides a comprehensive synthesis of the existing literature on tobacco smoking and TMD symptoms. The findings underscore the multifaceted nature of the relationship between smoking and TMD pain, highlighting its clinical relevance and the need for tailored interventions. Further research is warranted to elucidate underlying mechanisms and potential moderating factors, contributing to a more nuanced understanding of this complex association.

背景颞下颌关节紊乱症（TMD）包括一系列以颞下颌关节及其周围结构的疼痛和功能障碍为特征的口腔疾病。吸烟被认为是影响 TMD 发病率和强度的潜在因素。然而，由于研究结果的差异，这种关系的性质和程度仍不明确。本系统综述旨在整合现有研究成果，阐明吸烟与 TMD 疼痛强度之间的关系。纳入了调查吸烟与 TMD 疼痛之间关系的研究。由两名审稿人进行数据提取。采用新堡-渥太华量表进行质量评估。采用 Review Manager 5.4 对结果进行定量分析。所有研究均显示烟草使用者的TMD疼痛强度升高，而非吸烟者的疼痛强度较低。所纳入研究的质量良好。元分析结果显示，吸烟者组的 TMD 疼痛强度高于非吸烟者组，加权平均差 (WMD) 为 0.65 (BPM) (95% CI: [0.10, 1.19], p = .02)。研究结果强调了吸烟与 TMD 疼痛之间关系的多面性，突出了其临床相关性以及采取针对性干预措施的必要性。有必要开展进一步的研究，以阐明潜在的机制和潜在的调节因素，从而加深对这一复杂关系的理解。

{"title":"Tobacco smoking and its impact on pain intensity of temporomandibular disorders: A systematic review and metanalysis","authors":"Amarshree A. Shetty, Sultan Abdulrahman Almalki, AlBandary Hassan Al Jameel, Inderjit Murugendrappa Gowdar, Vincenzo Ronsivalle, Marco Cicciù, Giuseppe Minervini","doi":"10.1111/joor.13845","DOIUrl":"https://doi.org/10.1111/joor.13845","url":null,"abstract":"BackgroundTemporomandibular disorders (TMDs) encompass a spectrum of orofacial conditions characterised by pain and dysfunction in the temporomandibular joint and surrounding structures. Tobacco smoking has been posited as a potential factor influencing the prevalence and intensity of TMD. However, the nature and extent of this relationship remain unclear due to variations in study outcomes. This systematic review aimed to consolidate existing research findings to elucidate the association between tobacco smoking and TMD pain intensity.MethodsA comprehensive search of electronic databases was conducted to identify relevant studies published up to June 2023. Studies investigating the relationship between tobacco smoking and TMD pain were included. Data extraction was conducted by two reviewers. Quality assessment was performed using the New Castle‐Ottawa scale. Review Manager 5.4 was used to quantitatively analyse the results.ResultsThe review included four studies employing similar TMD assessment techniques. All studies reported elevated TMD pain intensity among tobacco users, with non‐smokers exhibiting lower pain intensity. The quality of the included studies was good. Meta‐analytic results showed that TMD pain intensity was higher in the smokers group compared to the non‐smokers group, with a weighted mean difference (WMD) of 0.65 (BPM) (95% CI: [0.10, 1.19], p = .02).ConclusionThis systematic review provides a comprehensive synthesis of the existing literature on tobacco smoking and TMD symptoms. The findings underscore the multifaceted nature of the relationship between smoking and TMD pain, highlighting its clinical relevance and the need for tailored interventions. Further research is warranted to elucidate underlying mechanisms and potential moderating factors, contributing to a more nuanced understanding of this complex association.","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"19 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142204608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of sEMG activity of submental muscles between the head-lift exercise, tongue-press exercise and the head extension tongue-press exercise in healthy young adults 健康年轻人抬头运动、压舌板运动和伸头压舌板运动的下颌肌肉 sEMG 活动比较

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-09 DOI: 10.1111/joor.13819

Mahla Nejadmoghbeli, Mohammadreza Behboodi, Gitta Kalbassi, Marziyeh Poorjavad

Background

Swallowing is a complex function that requires precise coordination between different muscles. Weakness in submental muscles can lead to complications such as pharyngeal residue and aspiration. Therefore, exercise interventions targeting these muscles, such as the Head-Lift Exercise (HLE), are clinically important but pose challenges.

Objective(s)

This study aimed to compare the myoelectric activity of submental muscles during traditional Head-Lift Exercise (HLE), Tongue-Press Exercise (TPE) and Head Extension Tongue-Press Exercise (HETPE), providing potential alternatives to HLE.

Methods

Thirty healthy volunteers (22 females and 8 males, mean age 25.63 ± 5.27 years) participated in this cross-sectional study. Surface electromyography (sEMG) recorded activity of the submental muscles bilaterally during HLE, TPE and HETPE. Participants performed each manoeuvre for 14 s, repeated three times in a counterbalanced order. Statistical analyses assessed differences in mean, maximum and median frequency of the sEMG signals among manoeuvres using repeated-measures analysis of variance (RM-ANOVA). The experienced irritation levels by participants during manoeuvres were also compared by the Friedman test.

Results

HETPE exhibited significantly higher maximum sEMG activity compared to HLE and TPE (p < .05). Mean sEMG activity was significantly increased during HETPE compared to TPE. Median frequency was significantly lower during HETPE compared to the two other exercises, indicating greater muscle fatigue. Participants reported similar levels of irritation for HLE and HETPE, and significantly lower levels during TPE.

Conclusion

These results indicate that HETPE is effective in activating and strengthening submental muscles, potentially serving as a viable alternative to HLE without added difficulty. Further research is recommended to assess the long-term impacts on swallowing physiology in patients with dysphagia.

背景吞咽是一项复杂的功能，需要不同肌肉之间的精确协调。下颌肌肉薄弱可导致咽残留和误吸等并发症。本研究旨在比较传统抬头运动（HLE）、压舌板运动（TPE）和头部伸展压舌板运动（HETPE）期间下颌肌肉的肌电活动，为 HLE 提供潜在的替代方法。表面肌电图（sEMG）记录了 HLE、TPE 和 HETPE 过程中双侧下额肌的活动。每个动作持续 14 秒，按平衡顺序重复三次。统计分析采用重复测量方差分析（RM-ANOVA）评估了不同动作中 sEMG 信号的平均频率、最大频率和中位频率的差异。结果与 HLE 和 TPE 相比，HETPE 显示出明显更高的最大 sEMG 活动（p <.05）。与 TPE 相比，HETPE 期间的平均 sEMG 活动明显增加。与其他两种运动相比，HETPE 运动的中位频率明显较低，这表明肌肉疲劳程度更高。这些结果表明，HETPE 能有效激活和增强下颌肌肉，有可能成为 HLE 的一种可行替代方法，而不会增加难度。建议开展进一步研究，以评估对吞咽困难患者吞咽生理的长期影响。

{"title":"Comparison of sEMG activity of submental muscles between the head-lift exercise, tongue-press exercise and the head extension tongue-press exercise in healthy young adults","authors":"Mahla Nejadmoghbeli, Mohammadreza Behboodi, Gitta Kalbassi, Marziyeh Poorjavad","doi":"10.1111/joor.13819","DOIUrl":"10.1111/joor.13819","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Swallowing is a complex function that requires precise coordination between different muscles. Weakness in submental muscles can lead to complications such as pharyngeal residue and aspiration. Therefore, exercise interventions targeting these muscles, such as the Head-Lift Exercise (HLE), are clinically important but pose challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective(s)</h3>\u0000 \u0000 <p>This study aimed to compare the myoelectric activity of submental muscles during traditional Head-Lift Exercise (HLE), Tongue-Press Exercise (TPE) and Head Extension Tongue-Press Exercise (HETPE), providing potential alternatives to HLE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty healthy volunteers (22 females and 8 males, mean age 25.63 ± 5.27 years) participated in this cross-sectional study. Surface electromyography (sEMG) recorded activity of the submental muscles bilaterally during HLE, TPE and HETPE. Participants performed each manoeuvre for 14 s, repeated three times in a counterbalanced order. Statistical analyses assessed differences in mean, maximum and median frequency of the sEMG signals among manoeuvres using repeated-measures analysis of variance (RM-ANOVA). The experienced irritation levels by participants during manoeuvres were also compared by the Friedman test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>HETPE exhibited significantly higher maximum sEMG activity compared to HLE and TPE (<i>p</i> < .05). Mean sEMG activity was significantly increased during HETPE compared to TPE. Median frequency was significantly lower during HETPE compared to the two other exercises, indicating greater muscle fatigue. Participants reported similar levels of irritation for HLE and HETPE, and significantly lower levels during TPE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These results indicate that HETPE is effective in activating and strengthening submental muscles, potentially serving as a viable alternative to HLE without added difficulty. Further research is recommended to assess the long-term impacts on swallowing physiology in patients with dysphagia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2559-2565"},"PeriodicalIF":3.1,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142204607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Validation of the Epidemiological Diagnostic Instrument for Temporomandibular Disorders 颞下颌关节紊乱流行病学诊断工具的开发与验证。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-05 DOI: 10.1111/joor.13853

Raul Elton Araújo Borges, Luana da Rocha Alves Mendonça, Angelo Giuseppe Roncalli da Costa Oliveira, Patrícia dos Santos Calderon

Background

Temporomandibular disorders (TMD) are a highly misreported health problem. Its diagnosis is complex and requires the use of valid and reliable instruments.

Objective

To develop and validate the Epidemiological Diagnostic Instrument for TMD (EDI/TMD).

Methods

Content validity (CV), response process (RP), construct validity (EFA), reliability (inter and intraobserver consistency), and convergence validity of the EDI/TMD were assessed and compared to the Diagnostic Criteria for TMD (DC/TMD).

Results

An instrument composed of a 9-question questionnaire and a 12-step clinical protocol was developed. CV analysis reduced the instrument to a 5-question and 7-step clinical protocol (CVI = 0.93). Some instructions were included after the RP. The EFA found three factors: myogenous TMD, arthrogenous TMD, and differential diagnosis. The reliability scores ranged from substantial to excellent. When compared to the DC/TMD, the EDI/TMD total score indicated that this instrument is valid and provides satisfactory diagnostic criteria (Kappa = 0.906; p < 0.001), and can distinguish non-TMD and TMD individuals, with a cut-off point of 4.9 (Sensitivity = 1.0; Specificity = 1.0; AUC = 1.0). For individuals who had both myogenous and arthrogenous TMD, the cut-off point was 14 or higher (Sensitivity = 0.8; Specificity = 1.0; AUC = 0.987). For individuals who had either myogenous TMD (Sensitivity = 1.0; Specificity = 0.88; PPV = 0.89; NPV = 1.0) or arthrogenous TMD (Sensitivity = 0.95; Specificity = 0.87; PPV = 0.83; NPV = 0.96), the cut-off point was between 5 and 13.9, with the highest EFA score being the determinant factor for final diagnosis.

Conclusion

Based on its psychometric properties, the EDI/TMD is a valid and reliable assessment tool that is capable of diagnosing TMD and classifying its subtypes.

背景：颞下颌关节紊乱症（TMD）是一个极易被误报的健康问题。其诊断非常复杂，需要使用有效可靠的工具：开发并验证 TMD 流行病学诊断工具（EDI/TMD）：方法：评估 EDI/TMD 的内容效度（CV）、反应过程（RP）、结构效度（EFA）、可靠性（观察者之间和观察者内部的一致性）和趋同效度，并与 TMD 诊断标准（DC/TMD）进行比较：结果：开发出了一种由 9 个问题的问卷和 12 步临床方案组成的工具。CV分析将该工具简化为5个问题和7个步骤的临床方案（CVI = 0.93）。在 RP 后加入了一些说明。EFA 发现了三个因子：肌源性 TMD、关节源性 TMD 和鉴别诊断。可靠性评分从相当高到极好不等。与 DC/TMD 相比，EDI/TMD 的总分表明该工具是有效的，并提供了令人满意的诊断标准（Kappa = 0.906；p 结论：EDI/TMD 是一个有效的诊断工具：根据其心理测量特性，EDI/TMD 是一种有效、可靠的评估工具，能够诊断 TMD 并对其亚型进行分类。

{"title":"Development and Validation of the Epidemiological Diagnostic Instrument for Temporomandibular Disorders","authors":"Raul Elton Araújo Borges, Luana da Rocha Alves Mendonça, Angelo Giuseppe Roncalli da Costa Oliveira, Patrícia dos Santos Calderon","doi":"10.1111/joor.13853","DOIUrl":"10.1111/joor.13853","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Temporomandibular disorders (TMD) are a highly misreported health problem. Its diagnosis is complex and requires the use of valid and reliable instruments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To develop and validate the Epidemiological Diagnostic Instrument for TMD (EDI/TMD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Content validity (CV), response process (RP), construct validity (EFA), reliability (inter and intraobserver consistency), and convergence validity of the EDI/TMD were assessed and compared to the Diagnostic Criteria for TMD (DC/TMD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>An instrument composed of a 9-question questionnaire and a 12-step clinical protocol was developed. CV analysis reduced the instrument to a 5-question and 7-step clinical protocol (CVI = 0.93). Some instructions were included after the RP. The EFA found three factors: myogenous TMD, arthrogenous TMD, and differential diagnosis. The reliability scores ranged from substantial to excellent. When compared to the DC/TMD, the EDI/TMD total score indicated that this instrument is valid and provides satisfactory diagnostic criteria (Kappa = 0.906; <i>p</i> < 0.001), and can distinguish non-TMD and TMD individuals, with a cut-off point of 4.9 (Sensitivity = 1.0; Specificity = 1.0; AUC = 1.0). For individuals who had both myogenous and arthrogenous TMD, the cut-off point was 14 or higher (Sensitivity = 0.8; Specificity = 1.0; AUC = 0.987). For individuals who had either myogenous TMD (Sensitivity = 1.0; Specificity = 0.88; PPV = 0.89; NPV = 1.0) or arthrogenous TMD (Sensitivity = 0.95; Specificity = 0.87; PPV = 0.83; NPV = 0.96), the cut-off point was between 5 and 13.9, with the highest EFA score being the determinant factor for final diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Based on its psychometric properties, the EDI/TMD is a valid and reliable assessment tool that is capable of diagnosing TMD and classifying its subtypes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2548-2558"},"PeriodicalIF":3.1,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Counselling for patients with a temporomandibular disorder: A scoping review and concept analysis 为颞下颌关节紊乱患者提供咨询：范围综述和概念分析。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-03 DOI: 10.1111/joor.13827

Hedwig A. van der Meer, Annemarie C. van der Wal, Gerben van Hinte, Caroline M. Speksnijder

Background

An integral component of comprehensive temporomandibular disorder (TMD) treatment involves what is commonly referred to in literature as patient counselling or patient education. Despite its importance, a clear definition of the concept is lacking.

Objectives

To describe the concept of counselling (i.e. what is it, what should it consist of, and when should it be given) through a concept analysis of the literature.

Eligibility Criteria

All papers that include a description of counselling or education for TMD are included.

Sources of Evidence

Literature searches were performed in the electronic databases PubMed, Cinahl, and PsycInfo.

Charting Methods

A qualitative analysis was done using the principle-based concept analysis approach, where descriptions of counselling from the included papers were analysed by the researchers.

Results

A total of 71 articles were included. Based on the qualitative analysis of the included articles and descriptions of counselling, the following content themes were identified: (1) general information on TMD; (2) overuse of the masticatory system; (3) posture education; (4) lifestyle and psychosocial factors; (5) exercise- and thermotherapy; and (6) additional information and therapies.

Conclusions

A definition and framework of counselling for TMD has been provided, which can be used in the clinic, research, and educational programs.

背景：颞下颌关节紊乱症（TMD）综合治疗的一个组成部分是文献中通常所说的患者咨询或患者教育。尽管这一概念非常重要，但却缺乏明确的定义：通过对文献进行概念分析，描述咨询的概念（即什么是咨询、咨询应包括哪些内容、何时进行咨询）：所有包含对 TMD 咨询或教育的描述的论文均可纳入：在电子数据库 PubMed、Cinahl 和 PsycInfo 中进行文献检索：采用基于原则的概念分析方法进行了定性分析，研究人员对所收录论文中的咨询描述进行了分析：结果：共收录了 71 篇文章。根据对收录文章和咨询描述的定性分析，确定了以下内容主题：(1) TMD 的一般信息；(2) 过度使用咀嚼系统；(3) 姿势教育；(4) 生活方式和社会心理因素；(5) 运动和热疗；以及 (6) 其他信息和疗法：结论：本文提供了 TMD 咨询的定义和框架，可用于临床、研究和教育计划。

{"title":"Counselling for patients with a temporomandibular disorder: A scoping review and concept analysis","authors":"Hedwig A. van der Meer, Annemarie C. van der Wal, Gerben van Hinte, Caroline M. Speksnijder","doi":"10.1111/joor.13827","DOIUrl":"10.1111/joor.13827","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>An integral component of comprehensive temporomandibular disorder (TMD) treatment involves what is commonly referred to in literature as patient counselling or patient education. Despite its importance, a clear definition of the concept is lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To describe the concept of counselling (i.e. what is it, what should it consist of, and when should it be given) through a concept analysis of the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Eligibility Criteria</h3>\u0000 \u0000 <p>All papers that include a description of counselling or education for TMD are included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of Evidence</h3>\u0000 \u0000 <p>Literature searches were performed in the electronic databases PubMed, Cinahl, and PsycInfo.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Charting Methods</h3>\u0000 \u0000 <p>A qualitative analysis was done using the principle-based concept analysis approach, where descriptions of counselling from the included papers were analysed by the researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 71 articles were included. Based on the qualitative analysis of the included articles and descriptions of counselling, the following content themes were identified: (1) general information on TMD; (2) overuse of the masticatory system; (3) posture education; (4) lifestyle and psychosocial factors; (5) exercise- and thermotherapy; and (6) additional information and therapies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A definition and framework of counselling for TMD has been provided, which can be used in the clinic, research, and educational programs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 11","pages":"2484-2497"},"PeriodicalIF":3.1,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.13827","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0