Sleep-associated aspects of myofascial pain in the orofacial area among Temporomandibular Disorder patients and controls
Sleep-associated aspects of myofascial pain in the orofacial area among Temporomandibular Disorder patients and controls
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DOI：
10.1016/j.sleep.2015.03.022
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发表时间：
2015-09-01
期刊：
影响因子：
4.8
通讯作者：
Schindler, Hans-Juergen
中科院分区：
文献类型：
--
作者：
Schmitter, Marc;Kares-Vrincianu, Alexandra;Schindler, Hans-Juergen
研究目的：为了评估睡眠相关方面的颞下颌关节紊乱病（TMD）与肌筋膜疼痛（MP）在orofacial面积的patients and controls.Measurements：305名女性患者进行了筛选，找到44名参与者符合纳入标准，22患有MP和22在对照组。使用匹兹堡睡眠质量指数（PSQI）和经验证的德国睡眠问卷（SF-AR）评估睡眠质量。牙齿磨损进行了评估，前颞肌活动进行了测量，在家里几个晚上使用便携式肌电图（EMG）device.Results：22例患者（45.0 +/- 13.6岁）和22名对照组（45.2 +/- 9.0岁）被招募。患者的PSQI总分为7.5 ± 3.7，对照组为4.4 ± 3.0（p = 0.006）。SF-AR显示，23%的对照组和14%的患者是“长睡眠者”。两组的总发作次数无显著差异（每小时4.10 +/- 2.65 vs 4.57 +/- 1.99次发作）。然而，更多的患者颞肌活动可能与SB在所有四个连续的夜晚（p = 0.04）。根据国际睡眠障碍分类-第三版（ICSD-3）标准，13.6%的对照组和71.4%的患者（p < 0.001）显示SB。结论：睡眠相关障碍，包括睡眠质量下降和SB和面部疼痛的患病率更高，在TMD患者中发生率更高。此外，SB在夜间波动，尤其是在对照组中。当使用EMG评估SB的患病率时，应考虑到这一点。(C)2015 Elsevier B. V.版权所有。
Study Objectives: To assess sleep-associated aspects of temporomandibular disorder (TMD) with myofascial pain (MP) in the orofacial area of patients and controls.Measurements: Three hundred five female patients were screened to find 44 participants fulfilling the inclusion criteria, 22 suffering from MP and 22 in a control group. Sleep quality was assessed by use of the Pittsburgh Sleep-Quality-Index (PSQI) and a validated German sleep questionnaire (SF-AR). Tooth wear was assessed and anterior temporalis muscle activity was measured at home for several nights by use of a portable electromyography (EMG) device.Results: 22 patients (45.0 +/- 13.6 years) and 22 controls (45.2 +/- 9.0 years) were recruited. The PSQI sum-score was 7.5 +/- 3.7 for patients and 4.4 +/- 3.0 for controls (p = 0.006). The SF-AR showed that 23% of the controls and 14% of the patients were "long sleepers". The overall number of episodes in the two groups was not significantly different (4.10 +/- 2.65 versus 4.57 +/- 1.99 episodes per hour). However, more patients had temporalis muscle activity possibly related to SB during all four consecutive nights (p = 0.04). According to the International Classification of Sleep Disorders - Third Edition (ICSD-3) criteria, 13.6% of the controls and 71.4% of the patients (p < 0.001) showed SB.Conclusions: Sleep-associated disturbances, including reduction of sleep quality and greater prevalence of SB and facial pain in the morning, occurred significantly more often among TMD patients. Additionally, SB fluctuated over the nights especially in controls. This should be taken into consideration when the prevalence of SB is assessed by use of EMG. (C) 2015 Elsevier B.V. All rights reserved.