Abstract：
BACKGROUND: Headaches (HAs) and temporomandibular joint dysfunction (TMD) are common comorbidities, and the presence of one of them in a patient increases the incidence of the other. The relationship between these 2 conditions may involve common pathophysiological processes. Considering the topicality of the problem, it is justified to conduct research in this field. In this study, we assessed HA type and severity in people with TMD.
OBJECTIVE: The aim of the study was to conduct qualitative and quantitative assessments of HAs in people with temporomandibular joint (TMJ) disorders.
METHODS: The study group consisted of 51 subjects of both sexes with a TMD diagnosed using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) test. A self-report questionnaire was utilized to self-assess the presence of TMD symptoms, while the standardized Short-Form of the McGill Pain Questionnaire was used to qualitatively and quantitatively assess HAs.
RESULTS: People with TMD were significantly more likely to report HA occurrences (p < 0.001). Pain intensity was statistically significantly higher among individuals with TMD compared to those without TMD symptoms (p < 0.001). Most often, the HA was associated with a pressing pain (r = 0.82) and least often, it was described as cutting (r = 0.30). Neck and shoulder girdle pain (p = 0.059; 82.9%) and clenching and/or grinding of teeth (p = 0.021; 92.7%) were significantly more common among patients who declared HAs than among those without HAs. The results obtained so far may indicate a significant relationship between HA and TMD.
CONCLUSIONS: We have described the relationship between the occurrence of HAs and TMD. Headaches are more frequent and more severe in people with TMD.
OBJECTIVE: The aim of the study was to conduct qualitative and quantitative assessments of HAs in people with temporomandibular joint (TMJ) disorders.
METHODS: The study group consisted of 51 subjects of both sexes with a TMD diagnosed using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) test. A self-report questionnaire was utilized to self-assess the presence of TMD symptoms, while the standardized Short-Form of the McGill Pain Questionnaire was used to qualitatively and quantitatively assess HAs.
RESULTS: People with TMD were significantly more likely to report HA occurrences (p < 0.001). Pain intensity was statistically significantly higher among individuals with TMD compared to those without TMD symptoms (p < 0.001). Most often, the HA was associated with a pressing pain (r = 0.82) and least often, it was described as cutting (r = 0.30). Neck and shoulder girdle pain (p = 0.059; 82.9%) and clenching and/or grinding of teeth (p = 0.021; 92.7%) were significantly more common among patients who declared HAs than among those without HAs. The results obtained so far may indicate a significant relationship between HA and TMD.
CONCLUSIONS: We have described the relationship between the occurrence of HAs and TMD. Headaches are more frequent and more severe in people with TMD.
摘要：
背景：头痛（HA）和颞下颌关节功能障碍（TMD）是常见的合并症，其中一种在患者体内的存在会增加另一种的发病率。这两种情况之间的关系可能涉及共同的病理生理过程。考虑到问题的话题性,在这个领域进行研究是合理的。在这项研究中,我们评估了TMD患者的HA类型和严重程度。
目的：本研究的目的是对颞下颌关节（TMJ）疾病患者的HAs进行定性和定量评估。
方法：研究组由51名男女受试者组成，使用颞下颌关节紊乱病研究诊断标准（RDC/TMD）测试诊断为TMD。使用自我报告问卷来自我评估TMD症状的存在，而麦吉尔疼痛问卷的标准化简表用于定性和定量评估HAs。
结果：TMD患者更有可能报告HA发生（p<0.001）。与没有TMD症状的患者相比，TMD患者的疼痛强度在统计学上明显更高（p<0.001）。大多数情况下,HA与压迫性疼痛相关（r=0.82），最不常见，它被描述为切割（r=0.30）。在宣布HA的患者中，颈部和肩带痛（p=0.059；82.9％）和咬紧和/或磨牙（p=0.021；92.7％）明显比没有HA的患者更常见。到目前为止获得的结果可能表明HA和TMD之间存在显着关系。
结论：我们已经描述了HAs的发生与TMD之间的关系。在患有TMD的人中头痛更频繁和更严重。
目的：本研究的目的是对颞下颌关节（TMJ）疾病患者的HAs进行定性和定量评估。
方法：研究组由51名男女受试者组成，使用颞下颌关节紊乱病研究诊断标准（RDC/TMD）测试诊断为TMD。使用自我报告问卷来自我评估TMD症状的存在，而麦吉尔疼痛问卷的标准化简表用于定性和定量评估HAs。
结果：TMD患者更有可能报告HA发生（p<0.001）。与没有TMD症状的患者相比，TMD患者的疼痛强度在统计学上明显更高（p<0.001）。大多数情况下,HA与压迫性疼痛相关（r=0.82），最不常见，它被描述为切割（r=0.30）。在宣布HA的患者中，颈部和肩带痛（p=0.059；82.9％）和咬紧和/或磨牙（p=0.021；92.7％）明显比没有HA的患者更常见。到目前为止获得的结果可能表明HA和TMD之间存在显着关系。
结论：我们已经描述了HAs的发生与TMD之间的关系。在患有TMD的人中头痛更频繁和更严重。
