Cervical spine signs and symptoms: perpetuating rather than predisposing factors for temporomandibular disorders in women

Abstract

Aim:The purpose of this study was to assess in a sample of female community cases the relationship between the increase of percentage of cervical signs and symptoms and the severity of temporomandibular disorders (TMD) and vice-versa.Material and Methods:One hundred women (aged 18-26 years) clinically diagnosed with TMD signs and symptoms and cervical spine disorders were randomly selected from a sample of college students.Results:43% of the volunteers demonstrated the same severity for TMD and cervical spine disorders (CSD). The increase in TMD signs and symptoms was accompanied by increase in CSD severity, except for pain during palpation of posterior temporal muscle, more frequently observed in the severe CSD group. However, increase in pain during cervical extension, sounds during cervical lateral flexion, and tenderness to palpation of upper fibers of trapezius and suboccipital muscles were observed in association with the progression of TMD severity.Conclusion:The increase in cervical symptomatology seems to accompany TMD severity; nonetheless, the inverse was not verified. Such results suggest that cervical spine signs and symptoms could be better recognized as perpetuating rather than predisposing factors for TMD.

Craniocervical posture analysis in patients with temporomandibular disorder

“…Rather, the present data agree with the findings of Bevilaqua-Grossi, Chaves & Oliveira 33 , i.e. that such findings can be interpreted as an independent factor.…”

Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

“…In a recent study, the authors reported association between pain in the masticatory and trapezius and sternocleidomastoideus muscles in subjects with myogenic TMD (29) . Additionally, among the cervical signs and symptoms that accompany the TMD severity, the pain during palpation of cervical muscles was the most important in this association (1) .…”

“…of G1 and G2 subjects , respectively, presented noises during movements. The quality of cervical movements evaluated by means of CCDI was shown to be related to the presence and severity of TMD (1) .…”

“…It is represented by a group of signs and symptoms that involve pain and limitation of range of the physiological movements, tenderness and/or pain on cervical muscles at palpation, besides the presence of articular noises and important craniocervical posture changes (1)(2)(3)(4) . Due to the close anatomical and functional relation that involves the craniocervicomandibular system, several studies have reported a high prevalence of signs and symptoms of CCD in subjects with temporomandibular disorder (TMD) (1,(5)(6)(7)(8)(9)(10) .…”

Efeito da reeducação postural global no alinhamento corporal e nas condições clínicas de indivíduos com disfunção temporomandibular associada a desvios posturais

“…Considera-se que uma criteriosa avaliação postural possa determinar os desvios e uma abordagem terapêutica dirigida para sua correção; vários estudos analisaram a relação entre postura corporal e DTM 1,3,4,5,[8][9][10][11] . A combinação da fotografia digital a programas de informática permite medir ângulos e distâncias, como pelo software para avaliação postural SAPo 12 .…”