COMPARISON OF CLINICAL CHARACTERISTICS IN MYOGENIC, TMJ INTERNAL DERANGEMENT AND ATYPICAL FACIAL-PAIN PATIENTS
COMPARISON OF CLINICAL CHARACTERISTICS IN MYOGENIC, TMJ INTERNAL DERANGEMENT AND ATYPICAL FACIAL-PAIN PATIENTS
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DOI：
10.1097/00002508-199003000-00003
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发表时间：
1990-01-01
影响因子：
2.9
通讯作者：
EVERSOLE, LR
中科院分区：
文献类型：
--
作者：
HARNESS, DM;DONLON, WC;EVERSOLE, LR
颞下颌关节（TMJ）疾病已被统称为肌筋膜疼痛功能障碍综合征（MPDS）或颞下颌关节功能障碍综合征（TMJDS）。在过去，这些术语被同义地用于描述一组临床体征和症状，包括TMJ和咀嚼肌疼痛、下颌骨开口受限或异常和/或关节音。本研究分离了两个主要的亚组，并将其归入肌源性面部疼痛（MFP）组和颞下颌关节内紊乱（TMJID）组。以前的研究可能将这两种疾病都包括在MPDS/TMJDS中。虽然一些体征和症状相似，但主要区别是基于TMJID患者存在的半月板移位和两组之间的疼痛分布模式。虽然MFP/TMJID患者构成了面部疼痛人群的大多数，但遇到了第三大组患者，其被归类为非典型面部疼痛（AFP）的诊断名称。AFP患者通常主诉上颌骨或下颌骨的模糊和游走性疼痛;然而，无法发现可识别的感染源或器质性疾病。150名寻求面部疼痛咨询和护理的患者符合纳入三个临床组之一的标准。比较各组的年龄、性别、症状持续时间、磨牙和/或紧咬习惯以及睡眠模式紊乱。还检查了面部和颈部肌肉表面肌电水平的差异。明尼苏达多相人格调查表（MMPI）从95名受试者的分数与抑郁和焦虑的自我报告措施进行了比较。得出的结论是，肌筋膜疼痛功能障碍患者的MFP和TMJID组的亚分类是合理的心理测量差异的基础上，紧握习惯，咬肌肌电图水平，和男性：女性raio。此外，精神病理因素在MFP和AFP受试者中比TMJID患者更显著
Temporomandibular joint (TMJ) disorders have been collectively grouped as myofascial pain-dysfunction syndrome (MPDS) or temporomandibular joint dysfunction syndrome (TMJDS). In the past, these terms have been used synonomously to describe a set of clinical signs and symptoms that include pain in the TMJ and muscles of mastication, limited or deviant opening of the mandible, and/or joint sounds. The present study segregated two major subgroups subsumed within this diagnostic classification and assigned them to a myogenic facial pain (MFP) group and a TMJ internal derangement (TMJID) group. Previous studies may have included both of these disorders as MPDS/TMJDS. While some signs and symptoms are similar, the primary differentiation is based on meniscus displacement present with TMJID patients and pain distribution patterns between the two groups. While MFP/TMJID patients comprise the majority of the facial pain population, a third major group of patients is encountered, being classified under the diagnostic appellation of atypical facial pain (AFP). Patients with AFP usually complain of vague and wandering pain in the maxilla or mandible; however, no identifiable source of infection or organic disease can be uncovered. One hundred fifty patients seeking consultation and care for facial pain met the criteria for inclusion into one of three clinical groups. The groups were compared for age, sex, duration of symptoms, bruxism and/or clenching habits, and disturbed sleep patterns. Differences in surface electromyographic levels from the facial and cervical muscles were also examined. Minnesota Multiphasic Personality Inventory (MMPI) scores from 95 subjects were compared with self-report measures of depression and anxiety. It was concluded that subcategorization of myofascial pain dysfunction patients into a MFP and TMJID group is justified on the basis of psychometric differences, clenching habits, masseter EMG levels, and male: female raio. Furthermore, psychopathological factors are more significant among MFP and AFP subjects than TMJID patients