青年人紧张性头痛、肌筋膜疼痛和咬合障碍的临床相关性横断面研究

Sejal Samson, Mandavi Waghmare, Akshay Katara, S. Pagare
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摘要

背景:紧张性头痛(TTH)在当今时代变得相当普遍。这些已成为推测偏头痛的原因,并被视为相同的治疗,症状得到有限的缓解。这种类型的头痛需要评估颅周压痛和与肌筋膜疼痛的关系。根据最近的研究,越来越清楚的是,颅周压痛或头颈部肌肉压痛可能表现为偏头痛和紧张性头痛。目的:探讨紧张性头痛与肌筋膜疼痛和咬合差异的关系。设计:横断面研究。材料与方法:选取46例TTH患者,检查与咬合障碍相关的肌筋膜和颅周压痛。然后使用卡方检验对获得的数据进行统计评估。结果:我们的研究发现紧张性头痛与肌肉压痛及各项参数有显著的相关关系,这也可能与错牙合和咬合差异有关。结论:TTH与肌筋膜疼痛、错牙合有一定的临床相关性。错牙合患者可能出现肌筋膜疼痛和相关的紧张性头痛。关键信息:紧张性头痛或偏头痛并不是头痛的唯一原因,正如人们经常假设的那样,可能还有其他原因导致头痛。颅周压痛是头痛的病因之一,需要进行评估和治疗。©这是一篇根据知识共享署名许可(https://creativecommons.org/licenses/by/4.0/)发布的开放获取文章,该许可允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。
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Clinical correlation between tension headache, myofascial pain and occlusal disturbance in young adults a cross sectional study
Context: Tension type headaches (TTH) are become quite common in the current times. These have become the cause of speculated migraine and get treated as the same with limited relief in the symptoms. This type of headache needs to be evaluated for Pericranial tenderness and association with myofascial pain. As per recent studies it is becoming increasingly clear that pericranial tenderness or tenderness in muscles of head and neck may manifest as migraine and tension type headaches. Aims: To co-relate tension type headache with myofascial pain and occlusal discrepancies. Design: Cross sectional study. Materials and Methods: Forty six patients suffering from TTH were enrolled in the study and were examined for myofascial and pericranial tenderness and the same was correlated with occlusal disturbances. The data obtained was then statistically evaluated using the chi square test. Results: A significant co relation between Tension type headache and muscle tenderness and various parameters included was seen in our study which may also be related to malocclusion and occlusal discrepancies. Conclusions: Clinical co-relation can be established between TTH, myofascial pain and malocclusion. Patients with malocclusion are likely to develop myofascial pain and associated tension type headache. Key Messages: Tension Headache or migraine is not the only cause of headache, as postulated frequently, there may be other reasons too for the same. Pericranial tenderness needs to be evaluated and considered as one of the etiology for headache and needs to be treated accordingly. © This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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