The Relationship Between Temporomandibular Joint Disorder Level and Clinical Parameters in Patients with Fibromyalgia Syndrome
Abstract views: 253
/ 
PDF downloads: 80
DOI:
https://doi.org/10.62482/pmj.4Keywords:
Anxiety, fibromyalgia, kinesiophobia, pain, temporomandibular disorderAbstract
Introduction: The aim of this study was to investigate the relationship between fibromyalgia disease activity and temporomandibular joint disorder (TMD) level in patients with fibromyalgia, as well as TMD-related symptoms of cervical muscle endurance, cervical pain, anxiety and kinesiophobia.
Method: The study comprised 50 participants, consisting of 3 males and 47 females, all diagnosed with TMD and fibromyalgia. The severity of TMD was gauged through the Fonseca Amnestic Questionnaire (FAQ), while the functional status of the subjects was evaluated using the Fibromyalgia Impact Questionnaire (FIQ). Cervical muscle endurance was measured via the Cervical Flexor Muscle Endurance Test (CFMET). Additionally, cervical pain, kinesiophobia, and anxiety levels were assessed utilizing the Visual Analog Scale (VAS), Tampa Scale for Kinesiophobia (TSK), and Beck Anxiety Scale (BAS), respectively.Formun Üstü
Results: A statistically significant positive correlation was observed between the level of TMD and the functional status of the patients (p < 0.05). Conversely, no statistically significant correlation was discerned between TMD and the variables of VAS, CFMET, TSK, and BAQ (p > 0.05). Notably, a significant correlation was detected between TMD and the disease activity among fibromyalgia patients exhibiting TMD. However, no statistically significant correlation was identified between head and neck complications, kinesiophobia, and anxiety within the fibromyalgia patient cohort.
Conclusion: Although it is recognized that these clinical parameters in the context of fibromyalgia do not depend solely on the level of TMD, it is imperative that they be evaluated collectively when evaluating the patient.
References
Häuser W, Fitzcharles M.A. Facts and myths pertaining to fibromyalgia. Dialogues İn Clinical Neuroscience. 2018. 20(1); 53–62. doi: 10.31887/DCNS.2018.20.1/whauser
Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. Arthritis And Rheumatism.1995; 38(1); 19–28. doi: 10.1002/art.1780380104
Clauw D. J. Fibromyalgia: An overview. The American Journal Of Medicine.2009 122(12 Suppl);3–S13. doi: 10.1016/j.amjmed.2009.09.006
Leblebici B,Pektaş ZÖ, Ortancil Ö, Et A. Coexistence of fibromyalgia, temporomandibular disorder, and masticatory myofascial pain syndromes. Rheumatol Int. 2007.27;541–544. doi: 10.1007/s00296-006-0251-z
Gremillion H.A, The prevalence and etiology of temporomandibular disorders and orofacial pain. Texas Dental Journal.2000. 117(7);30–39.
Bevilaqua-Grossi, D, Chaves TC, De Oliveira A S, Monteiro-Pedro V. Anamnestic index severity and signs and symptoms of TMB. CRANIO®, 2006.24(2);112-118. doi: 10.1179/crn.2006.018
Perinetti G. Correlations Between The stomatognathic system and body posture: biological or clinical implications. Clinics (Sao Paulo, Brazil), 2009. 64(2); 77–78. doi: 10.1590/S1807-59322009000200002
Wiesinger B, Malker H, Englund E, Wänman A. Does a dose-response relation exist between spinal pain and temporomandibular disorders. BMC Musculoskeletal Disorders.2009. 10, 28. doi: 10.1186/1471-2474-10-28
Häggman-Henrikson B, Jawad N, Acuña X M, Visscher CM, SchifFMSan E, List, T. Fear of movement and catastrophizing in participants with temporomandibular disorders. Journal Of Oral & Facial Pain And Headache, 2022. 36(1); 59–66. doi: 10.11607/ofph.3060
Lira MR, Lemes Da Silva RR, Bataglion C, Aguiar A, Greghi SM, Chaves TC. Multiple diagnoses, increased kinesiophobia? - patients with high kinesiophobia levels showed a greater number of temporomandibular disorder diagnoses. Musculoskeletal Science & Practice.2019. 44(7); 102054. doi: 10.1016/j.msksp.2019.102054
Mcneely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Physical Therapy. 2006. 86(5); 710–725.
Ayouni I, Chebbi R, Hela Z, Dhidah M.Comorbidity between fibromyalgia and temporomandibular disorders: a systematic review. oral surgery, oral medicine, Oral Pathology And Oral Radiology, 2019. 128(1); 33–42. doi: 10.1016/j.oooo.2019.02.023
Hilgenberg-Sydney PB, Kowacs PA, Conti PC. Somatosensory evaluation in dysfunctional syndrome patients. Journal Of Oral Rehabilitation. 2016. 43(2); 89–95. doi: 10.1111/joor.12344
Gui MS, Pimentel M.J, Rizzatti-Barbosa CM. Temporomandibular disorders in fibromyalgia syndrome: A Short-Communication. Revista Brasileira De Reumatologia, 2015. 55(2);189–19. doi: 10.1016/j.rbr.2014.07.004
15. Rodrigues-Bigaton D,, M de Castro E, Pires PF. Factor and Rasch analysis of the fonseca anamnestic index for the diagnosis of myogenous temporomandibular disorder Braz J Phys Ther. 2017.21(2);120-126. doi: 10.1016/j.bjpt.2017.03.007.
16.Fraga B.P, Santos EB, Farias Neto JP, Macieira JC, Quintans LJ, Jr Onofre AS, De Santana JM, Martins-Filho PR, Bonjardim LR. Signs and symptoms of temporomandibular dysfunction in fibromyalgic patients. The Journal Of Craniofacial Surgery, 2012. 23(2);615–618. doi: 10.1097/SCS.0b013e31824cd81a
17.Fonseca, DMD, Bonfante G, Valle ALD, Freitas SFTD. diagnóstico pela anamnese da disfunção craniomandibular. RGO (Porto Alegre), 1994. 23-8.
18.Kaynak BA, Taş S, Salkın Y. The accuracy and reliability of the turkish version of the fonseca anamnestic index in temporomandibular disorders. Cranio®, 2020. 1-6. doi: 10.1080/08869634.2020.1812808
19.Burckhardt CS, Clark SR Ve Bennett RM.; Fibromyalgia impact questionnaire: development and validation. J Rheumatol . 1991. 18 (5); 728-33.
20.Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the turkish version of the fibromyalgia ımpact questionnaire. Rheumatology İnternational, 2000. 20(1); 9-12. doi:10.1080/030097400446607
21.Harris KD, Heer DM, Roy TC, Santos DM, Whitman JM, Wainner RS. reliability of a measurement of neck flexor muscle endurance. physical Therapy, 2005. 85(12);1349-1355.
22.Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short‐form mcgill pain questionnaire (sf‐mpq), chronic pain grade scale (cpgs), short form‐36 bodily pain scale (sf‐36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthritis Care & Research,2011. 63(S11); 240-S252. doi: 10.1002/acr.20543
23.Vlaeyen JW, Kole-Snijders AM, Boeren RG, Van Eek H. Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance .Pain, 1995.62(3);363-372. doi: 10.1016/0304-3959(94)00279-N
24.Yilmaz, ÖT, Yakut Y, Uygur F, Uluğ N. English version and test-retest reliability of the tampa kinesiophobia scale.Physiotherapy Rehabilitation,2011. 22(1); 44-9.
25.Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. Journal Of Consulting And Clinical Psychology, 1988. 56(6); 893. doi: 10.1037//0022-006x.56.6.893
26.Ulusoy M, Sahin NH, Erkmen H. turkish version of the beck anxiety ınventory: psychometric properties. Journal Of Cognitive Psychotherapy,1998. 12(2); 163.
27.Branco JC, Bannwarth B, Failde I, Carbonell JA., Blotman F, Spaeth M. Matucci-Cerinic M. prevalence of fibromyalgia: a survey in five european countries. In Seminars İn Arthritis And Rheumatism, 2010 June. 39 (6);448-453. doi: 10.1016/j.semarthrit.2008.12.003
28.Ayouni I, Chebbi R, Hela Z, Dhidah M. Comorbidity between fibromyalgia and temporomandibular disorders: a systematic review. oral surgery, oral medicine,Oral Pathology And Oral Radiology,2019.128(1); 33-42. doi: 10.1016/j.oooo.2019.02.023
29.Damas PR, Marin BF, Sánchez MF, Larrea VP. Fibromyalgia syndrome and fear. Atencion Primaria, 2021. 53(9);102137. doi: 10.1016/j.aprim.2021.102137
30.Baykara, RA. Kinesiophobia in Fibromyalgia Syndrome: Relationship between obesity, pain intensity, and high disease activity. Kırıkkale University Faculty of Medicine Journal, 2022. 24(1); 128-135. doi:10.24938/kutfd.1025242.
31.Koçyiğit BF, Akaltun MS. kinesiophobia levels in fibromyalgia syndrome and the relationship between pain, disease activity, Depression. Arch Rheumatol. 2020.35(2);214-9. doi: 10.46497/ArchRheumatol.2020.7432
32.Russek L, Gardner S, Maguire K, Stevens C, Brown EZ, Jayawardana V. A cross-sectional survey assessing sources of movement-related fear among people with fibromyalgia syndrome. Clin Rheumatol. 2015.34(6);1109-19. doi: 10.1007/s10067-014-2494-5.
33.Vısscher Cm, Ohrbach R, Van Wıjk Aj, Wılkosz M, Naeıje M. the tampa scale for kinesiophobia for temporomandibular disorders (tsk-tmb). Pain, 2010. 150; 492-500. doi: 10.1016/j.pain.2010.06.002.
34.Amiri Arimi S, Ghamkhar L, Kahlaee AHJPM. The relevance of proprioception to chronic neck pain: a correlational analysis of flexor muscle size and 97 endurance.Clinical Neck Pain Characteristics, And Proprioception. 2018.19(10);2077-88. doi: 10.1093/pm/pnx331.
35.Karagöz B. examination of balance, functional status, head posture, quality of life and mental status in patients with temporomandibular joint disorder (Master's Thesis, Pamukkale University Institute of Health Sciences), 2020.
36.WB Saunders Ayouni I, Chebb R, Hela Z, Dhidah M. Comorbidity between fibromyalgia and temporomandibular disorders: a systematic review. oral surgery, oral medicine.Oral Pathology And Oral Radiology, 2019.128(1);33-42. doi: 10.1016/j.oooo.2019.02.023
37.Murphy MK, Macbarb RF, Wong ME, Athanasiou KA.temporomandibular joint disorders: a review of etiology, clinical management, and tissue engineering strategies. The International Journal Of Oral & Maxillofacial İmplants.2013.28(6); E393. doi: 10.11607/jomi.te20
38.Erbaşar GNH, Ural FG. frequency of fibromyalgia syndrome in patients with temporomandibular joint disorder. Scientific Journal of Complementary Medicine Regulation and Neural Therapy.2019. 13(1);5-7.
40.Gezer İA, Küçük A, Ergün MÇ. assessment of temporomandibular joint dysfunction, presence of bruxism, depression and anxiety level in women with fibromyalgia syndrome. Journal of Physical Medicine and Rehabilitation Sciences, 2022. 25(2); 181-188.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pharmedicine Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
