Aims and Background: The aim of the present study was to evaluate the relationship between jaw function, neck disability, sleep quality, fatigue, and headache in patients with myofascial temporomandibular disorder (TMD) with sleep Bruxism (SB) and without it (non-SB). Subjects and Methods: This case-control study was conducted with a total of 200 myofascial TMD patients, comprising 91 identified as SB and 109 as non-SB. The Jaw Function Limitations Scale (JFLS), Neck Disability Index (NDI), Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), and Headache Impact Test-6 (HIT-6) scales and indexes were used. Results: In the group with SB compared to the non-SB group, JFLS, NDI, PUKI, and FSS scores were statistically significantly higher (P < 0.001). No statistically significant difference was found between the groups in terms of visual analog scale (VAS) (P = 0.127) and HIT-6 scores (P = 0.365). The probability of having JFLS in patients with SB compared to those without was folded 3.551 times (P = 0.002), and the probability of having NDI increased 3.473 times (P = 0.002). In addition, SB was observed to trigger poor sleep quality (P < 0.001). There was no statistically significant determinant of bruxism on FSS (P = 0.196), and on HIT-6 (P = 0.488). Conclusion: It can be concluded that SB causes limitation of the jaw's functional activities, neck problems, and decreased sleep quality in myofascial TMD. These findings emphasize the importance of considering SB when evaluating and treating patients with myofascial TMD problems.
Objective: The aim of this study was to compare the presence of temporomandibular joint dysfunction (TMD) in individuals with and without chronic neck pain (CBA). Methods: The study included 41 subjects with neck pain and 41 subjects without neck pain. All participants; Temporomandibular Disorders Research Diagnostic Criteria (TMR) The amount of mouth opening and the presence of sound in TMJ movements, pain intensity on palpation of chewing muscles Visual Analog Scale (VAS), active joint movement of the cervical region (goniometer) and neck pain related disability status ( Neck Disability Indicator/NDI) was evaluated. Interventions: The results of our study showed that the pain intensity of the temporomandibular joint (TMJ) was significantly higher than the control group. The severity of pain felt during rest, activity (active mouth opening) and chewing in the study group was significantly higher than the control group (p
ÖZET Amaç: Serebral palsili bireylerin motor gelişim ve fonksiyonel kapasiteleri sağlıklı yaşıtlarına göre daha yavaş gelişim göstermektedir. Bu durumun ortaya çıkmasında uykunun ne kadar etkili olduğu bilinmemektedir. Bu çalışma, uyku kalitesinin serebral palsili bireylerin motor gelişim ve fiziksel aktivite kapasiteleri üzerindeki etkisini araştırmayı amaçlamaktadır. Materyal ve Metod: Çocukların fonsiyonel kapasitelerini belirlemek için 6 Dakika Yürüme Testi, Kas Kuvveti Testleri (Sırt Ekstansör Kas Kuvveti ve Abdominal Kas Kuvveti), Kassal Endurans Testleri (Çömelme Testi, Mekik Testi, Ters Mekik Testi), Esneklik Testleri (Otur-Uzan Testi, Sırt Kasları Esneklik Testi) ve 20 Metre Hızlı Yürüme testlerini uyguladık. Uyku alışkanlıkları ve uykuyla ilişkili sorunlar, Çocuk Uyku Alışkanlıkları Anketi kullanılarak değerlendirildi. Bulgular: Çalışmaya 48 serebral palsili birey dahil edildi.( ortalama; yaş 10,5 (6-18), VKİ 17,86 (10.52-30)). Bunların 20’si kız, 28’i erkekti. Uyku alışkanlıkları anketi sonuçları ile yürüme ve esneklik testleri sonuçları arasında negatif yönde orta dereceli ilişki olduğu görülürken (p<0,05), kassal kuvvet ve endurans testleri ile ilişki olmadığı görüldü (p0,05). Yürüme ve endurans testleri puanları ile toplam uyku süresi arasında ilişki olmadığı görülürken; tüm egzersiz testleri puanları ile uyku kalitesi verileri arasında korelasyon olduğu tespit edildi. Sonuç: Serebral palsili bireylerde, uyku kalitesi; yürüme, kuvvet, endurans, esneklik gibi fiziksel aktivite düzeyini gösteren parametrelerle değişen seviyelerde ilişkilidir. Bu nedenle rehabilitasyonda hedeflenen başarının artırılabilmesi için uyku ile ilgili düzenlemeler gerekebilir.
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