Masticatory muscle disorders diagnostic criteria: the American Academy of Orofacial Pain versus the research diagnostic criteria/temporomandibular disorders (RDC/TMD)
Masticatory muscle disorders diagnostic criteria: the American Academy of Orofacial Pain versus the research diagnostic criteria/temporomandibular disorders (RDC/TMD)
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DOI：
10.1111/j.1365-2842.2012.02337.x
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发表时间：
2012-12-01
影响因子：
2.9
通讯作者：
Winocur, E.
中科院分区：
文献类型：
--
作者：
Reiter, S.;Goldsmith, C.;Winocur, E.
本研究通过回顾性分析相关病例，确定仅根据研究诊断标准/颞下颌关节紊乱病（RDC/TMD）标准诊断为肌筋膜疼痛的患者，以检查他们是否符合美国口面疼痛学会（AAOP）对TMD相关咀嚼肌紊乱病的诊断标准。根据RDC/TMD标准诊断为肌筋膜疼痛伴或不伴下颌开口受限的127例患者，根据他们对RDC/TMD“下颌残疾检查表”的回答分为两组。比较两组的RDC/TMD问卷中轴I和轴II数据。38名患者（29.9%）的症状与下颌功能（例如咀嚼和打哈欠）无关。该组的特征是活动度（ROM）增加和平均年龄较大。TMD的AAOP诊断标准要求所有TMD相关肌肉疾病亚型的功能疼痛。疼痛和下颌功能之间的联系很常见，需要进行研究以确定是否应将其与与下颌功能无关的肌肉疼痛进行不同的分类。很可能有不同的病理生理机制，因此不同的管理策略，这两种疼痛条件。
In this study, relevant cases were retrospectively reviewed to identify patients who were diagnosed as suffering from myofascial pain only according to the research diagnostic criteria/temporomandibular disorders (RDC/TMD) criteria, in order to examine whether or not they could fulfil the American Academy of Orofacial Pain (AAOP) diagnostic criteria for TMD-related masticatory muscle disorders. One hundred and twenty-seven patients, diagnosed according to the RDC/TMD criteria as having myofascial pain with or without limited jaw opening only, were allocated to two groups according to their answers to the RDC/TMD 'jaw disability checklist'. The two groups were compared for Axis I and II data taken from the RDC/TMD questionnaire. Thirty-eight of the patients (29.9%) did not associate their symptoms with jaw functions (e.g. chewing and yawning). This group was characterised by increased range of motion (ROM) and older average age. The AAOP diagnostic criteria for TMD require pain on function in all subtypes of TMD-related muscle disorders. An association between pain and jaw function is common and research is needed to determine whether this should be categorised differently to muscle pain unrelated to jaw function. There may well be different pathophysiological mechanisms and consequently different management strategies for these two pain conditions.