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

目前，面部、头部和颈部疼痛的投诉不能通过单独使用躯体方法的医疗护理来解决。为了测试心理和身体方法的结合，我们研究了心理压力和肌肉紧张之间的关系，以及这种关系在面部，头部和颈部疼痛中所起的作用，这些疼痛被认为是由于肌肉压力引起的。关于压力引起的肌肉紧张和这种紧张的物理表达机制，我们评估了自主神经功能，并检查了由于压力和肌肉紧张引起的头部和颈部疼痛。我们还研究了身体其他部位如何受到影响，进行心率变异性的频率分析，以评估自主神经功能，并测试与口腔、面部和头颈部区域投诉的相关性。根据厚生劳动省的调查，口、脸、头颈部等部位的身体不适现象非常多，其中颈部和肩部的肌肉紧张症占多数。我们使用Kraepelin测试、颈部和肩部张力调查和生物反馈进行的实验观察表明，由日常慢性压力引起的肌肉紧张在身体上表现为颈部和肩部区域的紧张，这表明压力和肌肉紧张在颈部和肩部区域表达。我们发现，压力引起的肌肉紧张和由于紧握而引起的口腔阶段吞咽解释了以前不理解的压力和吞气机制，根据我们对头部、颈部和肩部因压力和肌肉紧张而产生的各种疾病的实验和临床研究，我们总结了对牙齿区域进行心身医学治疗所需的知识，并将这些信息发表在心身医学手册中。

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.