Risk factors associated with symptoms of temporomandibular disorders in a population of 50‐ and 60‐year‐old subjects

Johansson, Anders; Unell, Lennart; Carlsson, Gunnar; Söderfeldt, Björn; Halling, Anders

doi:10.1111/j.1365-2842.2005.01574.x

Cited by 123 publications

(153 citation statements)

References 16 publications

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“…36 We believe that inattention to sex differences may contribute to the lack of consensus concerning the clinical usefulness of the pain drawing. Supporting our belief is that sex differences exist in the incidence of specific chronic pain conditions 12,17,19,21,43,56,58 and in the response to experimental pain stimuli. 10,16 Furthermore, pain studies have demonstrated sex differences in physiological response to pain, 59 central processing of pain, 15 as well as psychological factors like coping style, 10,20,39 anxiety, 14,34 and socialization.…”

supporting

confidence: 52%

Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

George

Bialosky²,

Wittmer³

2007

J Orthop Sports Phys Ther

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Diagnostic classification has been referred to as a prerequisite for physical therapy treatment. 40,42 The medical diagnosis for musculoskeletal complaints is frequently inadequate to guide physical therapy treatment. Subsequently, various classification systems have been proposed that are independent of pathoanatomical diagnosis. 9,23,57 Physical therapists may make use of findings such as pain location and pain response to movement ment-based classification systems for low back pain suggest that the location of peripheral pain may dictate appropriate treatment.9,54 Additionally, pain drawings demonstrating nonanatomic distribution have been suggested to int StuDy DeSiGn: Cross-sectional. t oBJectiveS: To (1) determine the association between pain severity and pain drawing area for men and women; (2) determine if sex differences exist in pain severity or pain drawing area; (3) determine the relative influence of pain severity, anatomical location of pain, personality, and psychological coping factors on pain drawing area for men and women.t BackGrounD: Pain drawings have been postulated to assist in clinical decision making regarding classification and treatment of musculoskeletal pain. Prior studies have been ambiguous on this topic, possibly because they have not considered if sex differences exist for pain drawing area. t methoDS anD meaSureS: One hundred twenty-six subjects referred to a multidisciplinary chronic pain clinic with chronic musculoskeletal pain were included in this study. Subjects completed a pain drawing, the Multidimensional Pain Inventory (MPI), the Coping Strategies Questionnaire (CSQ), and the Minnesota Multiphasic Personality Inventory (MMPI-2). Pearson correlations investigated the associations of pain severity and pain drawing area, independent t tests investigated sex differences in pain severity and pain drawing area, and multiple regression investigated factors that influenced pain drawing area.t reSultS: Pain severity was positively correlated with pain drawing area for men (r = 0.38, P = .003) and women (r = 0.23, P = .052), accounting for approximately 14% and 5% of the total variance, respectively. There was no significant sex difference in pain severity ratings, but women reported a significantly larger area of symptoms on the pain drawings (effect size, 0.61; P = .002). The sex difference in pain drawing area was consistent across different anatomical locations of pain. In women, the final regression model accounted for 39% (P,.001) of the variance in pain drawing area, with anatomical location of pain (b = .42, P,.001) and hypochondriasis (b = .31, P = .005) as the only unique predictors in the final model. In men, the regression model accounted for 27% (P = .003) of the variance in pain drawing area, with pain severity (b = .32, P = .021) and a coping style of ignoring pain (b = -.32, P = .018) as the only unique predictors in the final model. t concluSionS: Women had larger pain drawing area and this area was significantly associated with anatomical location of pain and hy...

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supporting

confidence: 52%

Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

George

Bialosky²,

Wittmer³

2007

J Orthop Sports Phys Ther

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“…The adjusted risk ratio for tinnitus among subjects with TMD diagnosis and headache was 4.52 (95% CI: 1.67, 12.19; p = .0002) higher than in subjects with only TMD diagnosis (RR=3.8) or only headaches (RR=1. 4) Similarly, the adjusted risk ratio for tinnitus among subjects with an MPD diagnosis and headaches was 3.59 (95%CI: 1.82, 7.06) higher than in subjects with only MPD diagnosis (RR=3.02) and only headaches (RR= 1.75) CONCLUSION: These findings suggest higher rate of tinnitus among subjects with MPD than other forms of TMD. Moreover, the risk for tinnitus is six times higher if subject has TMD diagnosis and headache and three times higher in myofascial group with headaches.…”

mentioning

confidence: 57%

Tinnitus and Temporomandibular Joint Disorder Subtypes

Ravuri

2017

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Oral Medicine OBJECTIVE: The purpose of this study was to assess the prevalence of tinnitus within a TMD population and to determine an association between the presence of tinnitus and type of TMD diagnoses.METHODS: A secondary data analysis was performed using data from 'Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) baseline (Validation project) study and follow up (Impact project) study. Self-reported questionnaires for reporting tinnitus and medical history and gold standard diagnoses after clinical examination were used. Log-binomial regression was used to compute risk ratios for tinnitus by TMD subtype and adjusted for patient characteristics. All statistical analysis was performed using SAS 9.3 software (SAS Institute), and a two-sided significance level of 0.05 to determined statistical significance (p<0.05).RESULTS: At baseline, 614 subjects met required criteria for TMD diagnosis. Prevalence of tinnitus within sample was 41% (253 of 614). Approximately 80% of TMD subjects received a MPD diagnosis. Tinnitus frequency in the MPD group was 48% (238/495) while subjects without MPD diagnosis the rate of tinnitus was 13% (15 of 119). Using log-binomial regression analysis, the risk ratio for tinnitus was calculated. The relative risk for tinnitus by number of sites 4 painful to palpation by TMD diagnosis for MPD, DD and DJD groups was 1.03 (95% CI: 0.97, 1.10; p=0.28), 1.24 (95% CI: 1.05, 1.46; p = .0086) and 1.20 (95% CI: 1.01, 1.43; p = .033), respectively, when adjusted for age, gender, study site and somatization. Among the population, 207 subjects received a TMD diagnosis also reported headaches. The adjusted risk ratio for tinnitus among subjects with TMD diagnosis and headache was 4.52 (95% CI: 1.67, 12.19; p = .0002) higher than in subjects with only TMD diagnosis (RR=3.8) or only headaches (RR=1.4) Similarly, the adjusted risk ratio for tinnitus among subjects with an MPD diagnosis and headaches was 3.59 (95%CI: 1.82, 7.06) higher than in subjects with only MPD diagnosis (RR=3.02) and only headaches (RR= 1.75) CONCLUSION: These findings suggest higher rate of tinnitus among subjects with MPD than other forms of TMD. Moreover, the risk for tinnitus is six times higher if subject has TMD diagnosis and headache and three times higher in myofascial group with headaches. Heaton for helping me with the research project and providing me a great source of support and inspiration.Thanks to

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“…In Japan, the National Survey of Dental Disease conducted in 2011 showed that the percentage of individuals (age, ≥15 years) with TMJ sounds was approximately 15% in men and 17% in women, while the percentage of those with TMJ pain was 2 and 4%, respectively (21). Several studies performed in various countries have found that women have more TMD problems than men (22)(23)(24). Although a significant difference for total percentage was not observed between the two genders in Japan, women aged 25-29 years exhibited the highest prevalence of TMJ sounds and pain as compared to the other age groups (21).…”

Section: Prevalence Of Tmd In General Populationmentioning

confidence: 99%

Association of temporomandibular disorder with occupational visual display terminal use

Shigeishi

2016

Biomedical Reports

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Abstract. Increased visual display terminal (VDT) use has raised the prevalence of VDT-related adverse conditions, such as dry eye disease, and musculoskeletal and psychopathological symptoms, in office workers, including temporomandibular disorder (TMD). Many factors contributing to TMD have been identified, such as parafunctional habit (bruxism and teeth clenching), trauma, mental disorders, lifestyle, poor health, and nutrition, as well as hormonal factors (i.e., estrogen). It is likely that various contributing factors overlap in TMD development in individuals who routinely use a VDT for work. However, the relationship between TMD and VDT use has not been fully elucidated. In this mini-review, findings of recent studies of TMD in relation to occupational VDT use in Japan are discussed, as well as characteristic features and prevention strategies. Contents1. Introduction 2. VDT use-related disease 3. Prevalence of TMD in general population 4. Prevalence and etiology of TMD in individuals using a VDT at work 5. Prevention of TMD in occupational VDT users 6. Conclusion IntroductionVisual display terminals (VDTs) are used for a wide variety of work tasks, such as programming, data input, monitoring, and image construction. Increased VDT use has raised the prevalence of VDT-related disease, such as dry eye disease, and musculoskeletal and psychopathological symptoms, in office workers (1-3), with temporomandibular disorder (TMD) also reported as a VDT-related disease occurring in women who work at home as well as in a workplace environment (4).TMD is a result of problems with the jaw, temporomandibular joint (TMJ), and surrounding facial muscles (5), while common signs and symptoms include restricted mouth opening, TMJ sounds, and muscle/TMJ pain. Such pain often leads to restricted jaw movements, resulting in difficulties with eating and speaking. Formerly, TMD was thought to occur as a result of malocclusion (5). However, though more recently several different influences, including parafunction (bruxism and teeth clenching), and traumatic, anatomical, psychological, hormonal (i.e., estrogen), and hereditary factors have been reported to be involved in its development (6-11). Among the risk factors for TMD, psychological aspects are thought to be important for understanding its etiology. It is considered that psychological conditions such as depression, anxiety, and stress may lead to the TMJ and masticatory muscles via sympathetic nerve activation, resulting in an increased risk of TMD onset and progression (4). Thus, it is expected that individuals with TMD-related symptoms are likely to be found in occupational fields. However, the relationship between TMD and occupational VDT use has not been fully elucidated. This review introduces recent studies of TMD in occupational settings in Japan to highlight its characteristics in association with VDT use. VDT use-related diseaseIndividuals who use a VDT in an office environment typically sit in the same position for a long period of time, have repetitive and persis...

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Risk factors associated with symptoms of temporomandibular disorders in a population of 50‐ and 60‐year‐old subjects

Cited by 123 publications

References 16 publications

Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

Tinnitus and Temporomandibular Joint Disorder Subtypes

Association of temporomandibular disorder with occupational visual display terminal use

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