生活在瑞典北部的萨米族妇女中,自我报告的与颞下颌紊乱、头痛和颈肩疼痛相关的日常生活活动的影响

Journal of orofacial pain Pub Date : 2012-01-01
Christina Storm Mienna, Anders Wanman
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引用次数: 0

摘要

目的:分析颞下颌疾患(TMD)、头痛和颈肩痛(NSP)的频率、强度和持续时间对萨米族妇女日常生活的影响。进一步的目的是分析这些症状与年龄之间的关系。方法:所有751名年龄在21至70岁之间的萨米族妇女,在瑞典萨米议会的选举登记册上登记,或在瑞典北极圈以北登记为驯鹿主人或牧民,都被发送了一份关于TMD症状、NSP和头痛的问卷。总共有487名女性(65%)参与。问卷的重点是症状的频率、持续时间和强度,以及这些症状是否影响日常生活活动。分别用数值评定量表(NRS)测量症状对日常生活活动的干扰程度。统计分析采用多元logistic回归分析和卡方检验。P值< 0.05认为有统计学意义。结果:17%的女性报告下颌-面部区域的症状在一定程度上干扰了她们的日常生活,6%的女性的干扰是显著的(NRS≥5)。下颌疼痛的持续时间、麻烦的下颌开口受损和颈部疼痛,以及低教育水平,影响了TMD症状是否影响日常生活的报告。几乎一半的研究对象报告说头痛对他们的生活有负面影响。NSP报告了类似的模式。随着年龄的增长,TMD和头痛的频繁和麻烦症状的患病率呈下降趋势,但不包括NSP。结论:TMD症状、头痛和NSP对许多萨米妇女的日常生活产生负面影响。当这些萨米妇女评估相关损伤时,与疼痛相关的因素影响最大。
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Self-reported impact on daily life activities related to temporomandibular disorders, headaches, and neck-shoulder pain among women in a Sami population living in Northern Sweden.

Aims: To analyze the influence of frequency, intensity, and duration of temporomandibular disorders (TMD), headaches, and neckshoulder pain (NSP) on Sami women's daily life. A further aim was to analyze the relationship between these symptoms and age.

Methods: All 751 Sami women 21 to 70 years old registered in either the Swedish Sami Parliament's electoral register or registered as reindeer owners or herders and living north of the Arctic Circle in Sweden were sent a questionnaire regarding TMD symptoms, NSP, and headaches. In total, 487 women (65%) participated. The questionnaire focused on symptom frequency, duration, and intensity and whether these symptoms influenced activities of daily life. The symptom's interference with daily life activities was measured, respectively, with a numerical rating scale (NRS). The statistical analyses included multiple logistic regression analysis and Chi-square test. A P value < .05 was considered statistically significant.

Results: Seventeen percent of the women reported that symptoms in the jaw-face region to some degree disturbed their daily life, and for 6%, the interference was significant (≥ 5 on NRS). Duration of jaw pain, troublesome impaired jaw opening, and neck pain, together with a low education level, affected reports of whether symptoms of TMD influenced daily life. Almost half of the study population reported that headaches had a negative impact on their life. A similar pattern was reported for NSP. The prevalence of frequent and troublesome symptoms of TMD and headaches, but not NSP, showed a declining trend with age.

Conclusion: TMD symptoms, headaches, and NSP negatively influence many Sami women's daily life. Factors related to pain had the greatest influence when these Sami women rated the related impairment.

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来源期刊
Journal of orofacial pain
Journal of orofacial pain 医学-牙科与口腔外科
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