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首页> 外文期刊>Pain. >Influence of headache frequency on clinical signs and symptoms of TMD in subjects with temple headache and TMD pain.
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Influence of headache frequency on clinical signs and symptoms of TMD in subjects with temple headache and TMD pain.

机译：头痛频率对庙宇头痛和TMD疼痛患者的TMD临床症状和体征的影响。

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摘要

The relationship of the frequency of temple headache to signs and symptoms of temporomandibular joint (TMJ) disorders (TMD) was investigated in a subset of a larger convenience sample of community TMD cases. The study sample included 86 painful TMD, nonheadache subjects; 309 painful TMD subjects with varied frequency of temple headaches; and 149 subjects without painful TMD or headache for descriptive comparison. Painful TMD included Research Diagnostic Criteria for Temporomandibular Disorders diagnoses of myofascial pain, TMJ arthralgia, and TMJ osteoarthritis. Mild to moderate-intensity temple headaches were classified by frequency using criteria based on the International Classification of Headache Disorder, 2nd edition, classification of tension-type headache. Outcomes included TMD signs and symptoms (pain duration, pain intensity, number of painful masticatory sites on palpation, mandibular range of motion), pressure pain thresholds, and temple headache resulting from masticatory provocation tests. Trend analyses across the painful TMD groups showed a substantial trend for aggravation of all of the TMD signs and symptoms associated with increased frequency of the temple headaches. In addition, increased headache frequency showed significant trends associated with reduced PPTs and reported temple headache with masticatory provocation tests. In conclusion, these findings suggest that these headaches may be TMD related, as well as suggesting a possible role for peripheral and central sensitization in TMD patients.
机译：在较大的社区TMD病例便利样本中，研究了庙宇头痛发作频率与颞下颌关节（TMJ）疾病（TMD）的体征和症状之间的关系。研究样本包括86名痛苦的TMD，非头痛受试者; 309名痛苦的TMD受试者，庙宇头痛的发生频率各不相同; 149名没有痛苦的TMD或头痛的受试者进行描述性比较。痛苦的TMD包括用于诊断肌筋膜疼痛，TMJ关节痛和TMJ骨关节炎的颞下颌疾病的诊断标准。根据国际头痛分类法第二版（紧张型头痛的分类），根据频率对轻至中度太阳穴头痛进行分类。结果包括TMD体征和症状（疼痛持续时间，疼痛强度，触诊时疼痛的咀嚼部位的数量，下颌的运动范围），压力疼痛阈值和咀嚼刺激试验导致的太阳穴头痛。痛苦的TMD组的趋势分析显示，与庙宇头痛次数增加相关的所有TMD征兆和症状都有明显的恶化趋势。此外，头痛频率增加显示与PPT降低相关的明显趋势，并通过咀嚼刺激试验报告了太阳穴头痛。总之，这些发现表明这些头痛可能与TMD有关，也暗示了TMD患者外周和中枢敏化的可能作用。

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