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RESEARCH ON COMPLAINTS OF ORAL, FACE, HEAD AND NECK REGION

口腔、面部、头颈区域的投诉研究

基本信息

批准号：
14207089
负责人：
ONO Shigeru
金额：
$ 21.88万
依托单位：
TOKYO MEDICAL AND DENTAL UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (A)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2005
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14207089/
关键词：
COMPLAINT OF HEAD AND NECK CHRONIC STRESS PSYCHOSOMATIC CORRELATION AUTONOMIC NERVOUS SYSTEM MUSCLE STRESS TIGHTNESS PSYCHOLOGICAL TEST GLOSSODYNIA AEROPHAGIA 頭頸部愁訴心理社会的背景身体表現性障害器官選択自律神経系応答不定愁訴

项目摘要

At present, complaints of pain in the face, head, and neck regions cannot be solved through medical care using somatic approaches alone. To test a combination of mental and physical approaches together, we have investigated the relationship between mental stress and muscle tension and the role this relationship plays in face, head, and neck pain that is believed to be due to muscular stress.Regarding stress-induced muscle tension and the mechanisms of physical expression of this tension, we evaluated autonomic nervous function and examined pain in the head and neck areas that is due to stress and muscle tension. We also studied how other parts of the body are affected.Frequency analysis of heart rate variability was conducted to assess autonomic nervous function and test for correlation to complaints in the mouth, face, and head and neck regions. An investigation by the Ministry of Health, Labor, and Welfare reports a large number of physical complaints in the mouth, face, and head and neck regions, and many of the people with these complaints have muscular tension in the neck and shoulder areas. Our experimental observations using Kraepelin tests, neck and shoulder tension surveys, and biofeedback showed that muscular tension caused by daily chronic stress appears physically as tension in the neck and shoulder areas, suggesting that stress and muscle tension is expressed in the neck and shoulder regions.Furthermore, we found that stress-induced muscle tension and oral stage swallowing due to clenching account for stress and aerophagic mechanisms that were not understood previously, and contribute to an explanation for aerophagia.Based on our experimental and clinical studies on the various conditions which develop out of stress and muscle tension in the head, neck, and shoulder regions, we have summarized the knowledge necessary for a psychosomatic approach to medical treatment of the dental region and published this information in a psychosomatic medical handbook.

目前，面部、头部和颈部疼痛的主诉不能通过仅使用躯体方法的医疗护理来解决。为了同时测试心理和身体方法的组合，我们调查了精神压力和肌肉紧张之间的关系，以及这种关系在据信是由肌肉压力引起的面部、头部和颈部疼痛中所起的作用。关于压力诱导的肌肉紧张和这种紧张的身体表达机制，我们评估了自主神经功能，并检查了由于压力和肌肉紧张而导致的头部和颈部疼痛。我们还研究了身体的其他部位是如何受到影响的。心率变异性的频率分析被用来评估自主神经功能，并测试与口腔、面部和头颈部主诉的相关性。厚生劳动省的一项调查报告说，口腔、面部和头颈部有大量的身体不适，其中许多人的颈部和肩部有肌肉紧张。我们通过Kraepelin测试、颈部和肩部张力测量和生物反馈的实验观察表明，日常慢性应激引起的肌肉紧张在物理上表现为颈部和肩部区域的紧张，这表明应激和肌肉张力在颈部和肩部区域表现出来。此外，我们发现应激性肌肉紧张和咬合导致的口腔阶段吞咽可以解释以前不了解的应激和吞气机制，并有助于解释吞气症。基于我们对头、颈和肩部应激和肌肉紧张所产生的各种情况的实验和临床研究，我们已经总结了心身方法治疗牙科区域的必要知识，并将这些信息出版在心身医学手册中。