Abstract：
BACKGROUND: Temporomandibular disorders (TMDs) and cervical spine problems are a growing public health issue, as they increase the risk of disability in people with hypermobility joint syndrome (HJS).
OBJECTIVE: The present study aimed to assess the prevalence of TMD symptoms, and cervical spine and TMJ disability in HJS patients.
METHODS: A survey was conducted among physical therapy students (mean age: 21 years). The study comprised 2 stages. The 1st one was HJS assessment (the Beighton scale and the Brighton criteria). Based on the assessment, 56 HJS subjects were enrolled for the study. The control group (CG) consisted of 60 HJS-free subjects, according to the aforementioned criteria. The 2nd stage of the study involved conducting a self-administered questionnaire on the prevalence of TMD symptoms. Both the TMD disability questionnaire (TMD-Q) and the neck disability index (NDI) scores were recorded. Pain intensity was assessed using the numeric rating scale (NRS).
RESULTS: The HJS group showed higher NRS scores (p < 0.001). Headache, neck and shoulder girdle pain, and temporomandibular joint (TMJ) pain were found to be more severe in almost each patient from the HJS group as compared to CG. Those individuals had a greater degree of disability on the TMD-Q and the NDI scales (p < 0.001). The HJS group showed significant positive correlations between the TMD-Q and NDI scores (p = 0.0035), and between the TMD-Q and TMJ symptom questionnaire scores (p = 0.0047). A significant positive correlation between the NDI and TMJ symptom questionnaire scores was found both in the HJS group (p < 0.001) and CG (p < 0.001).
CONCLUSIONS: The HJS bearers tended to obtain higher TMJ and cervical spine disability scores, at the same time reporting increased headache, neck and shoulder girdle pain, and TMJ pain intensity. Therefore TMJs should be carefully examined for possible signs of dysfunction in HJS subjects prior to dental or prosthetic treatment. According to our data, TMJ and cervical spine disability assessment should be included as a routine practice in the case of HJS patients, who should remain under the long-term care of a multidisciplinary team of doctors and therapists.
OBJECTIVE: The present study aimed to assess the prevalence of TMD symptoms, and cervical spine and TMJ disability in HJS patients.
METHODS: A survey was conducted among physical therapy students (mean age: 21 years). The study comprised 2 stages. The 1st one was HJS assessment (the Beighton scale and the Brighton criteria). Based on the assessment, 56 HJS subjects were enrolled for the study. The control group (CG) consisted of 60 HJS-free subjects, according to the aforementioned criteria. The 2nd stage of the study involved conducting a self-administered questionnaire on the prevalence of TMD symptoms. Both the TMD disability questionnaire (TMD-Q) and the neck disability index (NDI) scores were recorded. Pain intensity was assessed using the numeric rating scale (NRS).
RESULTS: The HJS group showed higher NRS scores (p < 0.001). Headache, neck and shoulder girdle pain, and temporomandibular joint (TMJ) pain were found to be more severe in almost each patient from the HJS group as compared to CG. Those individuals had a greater degree of disability on the TMD-Q and the NDI scales (p < 0.001). The HJS group showed significant positive correlations between the TMD-Q and NDI scores (p = 0.0035), and between the TMD-Q and TMJ symptom questionnaire scores (p = 0.0047). A significant positive correlation between the NDI and TMJ symptom questionnaire scores was found both in the HJS group (p < 0.001) and CG (p < 0.001).
CONCLUSIONS: The HJS bearers tended to obtain higher TMJ and cervical spine disability scores, at the same time reporting increased headache, neck and shoulder girdle pain, and TMJ pain intensity. Therefore TMJs should be carefully examined for possible signs of dysfunction in HJS subjects prior to dental or prosthetic treatment. According to our data, TMJ and cervical spine disability assessment should be included as a routine practice in the case of HJS patients, who should remain under the long-term care of a multidisciplinary team of doctors and therapists.
摘要：
背景：颞下颌关节紊乱病（TMD）和颈椎问题是一个日益严重的公共卫生问题，因为它们增加了过度活动关节综合征（HJS）患者的残疾风险。
目的：本研究旨在评估TMD症状的患病率，HJS患者的颈椎和TMJ残疾。
方法：对物理治疗学生（平均年龄：21岁）进行了调查。该研究包括2个阶段。第一个是HJS评估（Beighton量表和Brighton标准）。根据评估,56名HJS受试者被登记用于该研究。对照组（CG）由60名无HJS受试者组成，根据上述标准。研究的第二阶段涉及对TMD症状的患病率进行自我管理问卷。记录TMD残疾问卷（TMD-Q）和颈部残疾指数（NDI）评分。使用数字评定量表(NRS)评估疼痛强度。
结果：HJS组显示更高的NRS评分（p<0.001）。头痛,颈部和肩部腰带疼痛，与CG相比，HJS组的几乎每位患者的颞下颌关节（TMJ）疼痛更为严重。这些个体在TMD-Q和NDI量表上的残疾程度更高(p<0.001)。HJS组TMD-Q与NDI评分呈显著正相关(p=0.0035),TMD-Q和TMJ症状问卷得分之间（p=0.0047）。在HJS组（p<0.001）和CG组（p<0.001）中，NDI和TMJ症状问卷得分之间均呈显着正相关。
结论：HJS患者倾向于获得更高的TMJ和颈椎残疾评分，同时报告头痛增加，颈部和肩部腰带疼痛，和TMJ疼痛强度。因此，在牙科或修复治疗之前，应仔细检查TMJ是否可能出现HJS受试者功能障碍的迹象。根据我们的数据,在HJS患者的情况下，TMJ和颈椎残疾评估应作为常规实践。他们应该继续接受由医生和治疗师组成的多学科团队的长期护理。
目的：本研究旨在评估TMD症状的患病率，HJS患者的颈椎和TMJ残疾。
方法：对物理治疗学生（平均年龄：21岁）进行了调查。该研究包括2个阶段。第一个是HJS评估（Beighton量表和Brighton标准）。根据评估,56名HJS受试者被登记用于该研究。对照组（CG）由60名无HJS受试者组成，根据上述标准。研究的第二阶段涉及对TMD症状的患病率进行自我管理问卷。记录TMD残疾问卷（TMD-Q）和颈部残疾指数（NDI）评分。使用数字评定量表(NRS)评估疼痛强度。
结果：HJS组显示更高的NRS评分（p<0.001）。头痛,颈部和肩部腰带疼痛，与CG相比，HJS组的几乎每位患者的颞下颌关节（TMJ）疼痛更为严重。这些个体在TMD-Q和NDI量表上的残疾程度更高(p<0.001)。HJS组TMD-Q与NDI评分呈显著正相关(p=0.0035),TMD-Q和TMJ症状问卷得分之间（p=0.0047）。在HJS组（p<0.001）和CG组（p<0.001）中，NDI和TMJ症状问卷得分之间均呈显着正相关。
结论：HJS患者倾向于获得更高的TMJ和颈椎残疾评分，同时报告头痛增加，颈部和肩部腰带疼痛，和TMJ疼痛强度。因此，在牙科或修复治疗之前，应仔细检查TMJ是否可能出现HJS受试者功能障碍的迹象。根据我们的数据,在HJS患者的情况下，TMJ和颈椎残疾评估应作为常规实践。他们应该继续接受由医生和治疗师组成的多学科团队的长期护理。
