Advanced search
Start date
Betweenand
(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Headache Attributed to Masticatory Myofascial Pain: Clinical Features and Management Outcomes

Full text
Author(s):
Costa, Yuri Martins [1] ; Porporatti, Andre Luis [1] ; Stuginski-Barbosa, Juliana [1] ; Bonjardim, Leonardo Rigoldi [2] ; Specie, Jose Geraldo [3] ; Rodrigues Conti, Paulo Cesar [1]
Total Authors: 6
Affiliation:
[1] Univ Sao Paulo, Bauru Sch Dent, Dept Prosthodont, BR-17012901 Bauru, SP - Brazil
[2] Univ Sao Paulo, Bauru Sch Dent, Dept Biol Sci, BR-17012901 Bauru, SP - Brazil
[3] Univ Sao Paulo, Sch Med Ribeirao Preto, Dept Neurol, BR-14049 Ribeirao Preto - Brazil
Total Affiliations: 3
Document type: Journal article
Source: JOURNAL OF ORAL & FACIAL PAIN AND HEADACHE; v. 29, n. 4, p. 323-330, 2015.
Web of Science Citations: 7
Abstract

Aims: To describe the characteristics of headaches attributed to temporomandibular disorders (TMD) and assess the effects of two management strategies used for the management of TMD on headache intensity and frequency. Methods: The initial sample (n = 60) of this randomized controlled trial comprised patients with masticatory myofascial pain according to the Research Diagnostic Criteria for TMD (RDC/TMD), and headache. The patients were divided into two groups: group 1 received only counseling for behavioral changes, and group 2 received counseling and an occlusal appliance. A 5-month follow-up period included three assessments. TMD-related headache characteristics, eg, headache intensity (scored on a visual analog scale {[}VAS]) and frequency were measured by a questionnaire. Two-way analysis of variance, chi-square, Friedman, and Mann-Whitney tests were used to test for differences considering a 5% significance level. Results: The main clinical features of headache attributed to masticatory myofascial pain were the long duration (>= 4 hours), frontotemporal bilateral location, and a pressing/tightening quality. Forty-one subjects (group 1, 17 subjects; group 2, 24 subjects) were included in the final analysis. There was a reduction in headache intensity and frequency, with no significant differences between groups (P >.05). The mean (+/-SD) baseline VAS was 7.6 (+/-2.2) for group 1 and 6.5 (+/-1.6) for group 2; final values were 3.1 (+/-2.2) (P <.001) and 2.5 (+/-2.3) (P <.001), respectively. Conclusion: Headache attributed to masticatory myofascial pain was mainly characterized by long duration, frontotemporal bilateral location, and a pressing/tightening quality. Also, counseling and behavioral management of masticatory myofascial pain improved headache, regardless of the use of an occlusal appliance. (AU)

FAPESP's process: 11/04441-6 - Diagnostic characterization of secondary headaches to temporomandibular disorders in masticatory muscles: a controlled study
Grantee:Yuri Martins Costa
Support type: Scholarships in Brazil - Master