Comparison of the effects of temporomandibular joint and cervical vertebra treatment on pain and functional improvement in persons with tension-type headaches원문보기
Objective: The purpose of this study was to evaluate the effects of temporomandibular joint and cervical vertebra treatment in persons with tension-type headaches on pain, tenderness, and functional improvement. Design: Three-group pretest-posttest design. Methods: Subjects with tension-type headach...
Objective: The purpose of this study was to evaluate the effects of temporomandibular joint and cervical vertebra treatment in persons with tension-type headaches on pain, tenderness, and functional improvement. Design: Three-group pretest-posttest design. Methods: Subjects with tension-type headaches were divided into the temporomandibular joint and cervical vertebra treatment group (n=11), temporomandibular joint treatment group (n=11), and cervical vertebra treatment group (n=11), and pre- and post-evaluation was performed. The temporomandibular joint treatment group underwent compression massage and joint ply of the muscles around the temporomandibular joint. The cervical vertebra group received deep tendon massage and Myofascial Release of the cervical muscles. The temporomandibular joint and cervical vertebra treatment group performed both types of treatment. Treatment was performed for 50 minutes, three times a week for 4 weeks. Measurement tools included the Korean version of the short form-McGill Pain Questionnaire (SF-MPQ, K), Headache Impact test-6 (HIT-6), Neck Disability Index (NDI), and the Digital Algometer FPX25. Results: The groups showed significant differences in SF-MPQ, HIT-6 test, NDI, and Alogometer FPX25 test scores before and after intervention (p<0.05). The differences between the groups were most significant in the group that received treatment of the temporomandibular joint and cervical vertebra (p<0.05). Conclusions: In this study, the treatment of the temporomandibular joint and cervical vertebra was shown to be effective for improving pain, quality of life, and cervical vertebra in persons with tension-type headaches. This data may be helpful in identifying treatment techniques for tension-type headaches in the future.
Objective: The purpose of this study was to evaluate the effects of temporomandibular joint and cervical vertebra treatment in persons with tension-type headaches on pain, tenderness, and functional improvement. Design: Three-group pretest-posttest design. Methods: Subjects with tension-type headaches were divided into the temporomandibular joint and cervical vertebra treatment group (n=11), temporomandibular joint treatment group (n=11), and cervical vertebra treatment group (n=11), and pre- and post-evaluation was performed. The temporomandibular joint treatment group underwent compression massage and joint ply of the muscles around the temporomandibular joint. The cervical vertebra group received deep tendon massage and Myofascial Release of the cervical muscles. The temporomandibular joint and cervical vertebra treatment group performed both types of treatment. Treatment was performed for 50 minutes, three times a week for 4 weeks. Measurement tools included the Korean version of the short form-McGill Pain Questionnaire (SF-MPQ, K), Headache Impact test-6 (HIT-6), Neck Disability Index (NDI), and the Digital Algometer FPX25. Results: The groups showed significant differences in SF-MPQ, HIT-6 test, NDI, and Alogometer FPX25 test scores before and after intervention (p<0.05). The differences between the groups were most significant in the group that received treatment of the temporomandibular joint and cervical vertebra (p<0.05). Conclusions: In this study, the treatment of the temporomandibular joint and cervical vertebra was shown to be effective for improving pain, quality of life, and cervical vertebra in persons with tension-type headaches. This data may be helpful in identifying treatment techniques for tension-type headaches in the future.
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문제 정의
In the previous study, the treatment of tension-type headaches was considered a problem of the cervical vertebra and cervical muscles, and the effect of this study and the relationship between the temporomandibular joint and headache have been investigated but are insufficient. The purpose of the current study was to investigate the effects of temporomandibular joint treatment for tension-type headaches and its effect on pain and functional improvement.
The purpose of this study was to investigate the effects of temporomandibular joint and cervical vertebra treatment on pain, tenderness, and functional improvement in persons with tension-type headaches. In this study, the combined treatment of the temporomandibular joint and cervical vertebra was shown to be effective for improving pain, quality of life, and cervical vertebra in persons with tension-type headaches.
제안 방법
In a previous study, the effects of tension-type headaches on the cervical vertebra using joint mobility techniques were investigated [7]. In this study, high-frequency deep diathermy on the posterior head muscle was applied for tension- type headaches, impaired neck mobility and dysfunction[8]. In addition, the effects of cervical vertebra treatment on tension-type headache patients were investigated[9].
The questionnaire consists of a total of 10 questions, where later questions are given higher scores. It evaluates pain intensity, daily life activities, reading, lifting, headaches, concentration, driving, work, sleep, and leisure life. A score of 0-8 indicates no disability, 10-28 indicates a slight disability, 30-48 indicates a moderate disability, 50-68 indicates a severe disability, and more than 70 indicates a complete disability [17].
Patients who agreed to participate in the study were randomly selected and assigned to the temporomandibular joint and cervical vertebra treatment group, the temporomandibular joint and general physiotherapy group, or the cervical vertebra and general physiotherapy group, respectively. Eleven subjects were assigned to each group.
The limitations of this study were the small sample size and the short study period. In addition, it was not possible to fully control variables other than treatment time, particularly the study participants’ drug use.
Treatment of the temporomandibular joint was performed for 25 minutes. Treatment consisted of pain points of chewing muscles, relaxation and stretching of shortened muscles, and treatment of joint mobility limitations. The main targets were the frontalis and temporalis, pterygoid, and masseter muscles.
대상 데이터
Patients who agreed to participate in the study were randomly selected and assigned to the temporomandibular joint and cervical vertebra treatment group, the temporomandibular joint and general physiotherapy group, or the cervical vertebra and general physiotherapy group, respectively. Eleven subjects were assigned to each group. Treatment was performed for 50 minutes three times a week for four weeks.
The characteristics of the study subjects were as follows: Thirty-three subjects with tension-type headaches were included. The temporomandibular joint and cervical vertebra group (TCG) consisted of four males and seven females, and the temporomandibular joint group (TG) consisted of three males and eight females.
Treatment consisted of pain points of chewing muscles, relaxation and stretching of shortened muscles, and treatment of joint mobility limitations. The main targets were the frontalis and temporalis, pterygoid, and masseter muscles. Deep tendon massage, myofascial release, and direct omnidirectional mobilization of the temporomandibular joint were performed on the medial and lateral pain areas (Figure 2) [13].
This study included 33 persons diagnosed with tension- type headaches at the Yonsei Balance Clinic in Yangcheon-gu, Seoul from October 21, 2019, to November 9, 2019. The presence of two or more of the following four symptom groups are required to diagnose tension-type headaches according to the International Headache Society classification[9], which is shown in Table 1.
데이터처리
, Armonk, NY, USA). One-way ANOVA was used to compare the characteristics of the three groups, and the paired t-test was used to compare the groups before and after temporomandibular joint and cervical vertebra treatment. One-way ANOVA was used to test for differences in pain patterns, pain thresholds, headaches, and NDI, and the Bonferroni method was used for a post-hoc test.
One-way ANOVA was used to compare the characteristics of the three groups, and the paired t-test was used to compare the groups before and after temporomandibular joint and cervical vertebra treatment. One-way ANOVA was used to test for differences in pain patterns, pain thresholds, headaches, and NDI, and the Bonferroni method was used for a post-hoc test. The statistical significance level was set to a=0.
이론/모형
SF-MPQ, K: Korea version of the short form-McGill Pain Questionnaire, HIT-6: Headache Impact test-6, PrL: pressure pain left, PrR: pressure pain right, NDI: Neck Disability Index, TCG: temporomandibular joint and cervical vertebra group, TG: temporomandibular joint group, CG: cervical vertebra group.
Diagram of the study. TCG: temporomandibular joint and cervical vertebra group, TG: temporomandibular joint group, CG: cervical vertebra group, SF-MPQ, K: Korean version of the short form-McGill Pain Questionnaire, HIT-6: Headache Impact test-6, PrL: pressure pain left, PrR: pressure pain right, NDI: Neck Disability Index.
Diagram of the study. TCG: temporomandibular joint and cervical vertebra group, TG: temporomandibular joint group, CG: cervical vertebra group, SF-MPQ, K: Korean version of the short form-McGill Pain Questionnaire, HIT-6: Headache Impact test-6, PrL: pressure pain left, PrR: pressure pain right, NDI: Neck Disability Index.
성능/효과
3. In the TCG, TG, and CG, significant differences were found in the left and right values of the Digital Algometer FPX25 before and after intervention (p<0.05).
4. Significant differences in the left and right values of the Digital Algometer FPX25 scores and NDI after intervention were found between the three groups (p<0.05).
The purpose of this study was to investigate the effects of temporomandibular joint and cervical vertebra treatment on pain, tenderness, and functional improvement in persons with tension-type headaches. In this study, the combined treatment of the temporomandibular joint and cervical vertebra was shown to be effective for improving pain, quality of life, and cervical vertebra in persons with tension-type headaches. These results may serve to be helpful in identifying appropriate treatment for those with tension-type headaches in the future.
The results of this study showed that temporomandibular joint and cervical vertebra treatment were effective in reducing headaches, based on the SFMPQ, K, HIT-6, and NDI scores. It was also found that this treatment was effective in improving neck function, and that the sensitivity of the left and right tenderness threshold was reduced. In a previous study, applying the fascia massage technique resulted in a change in neck tension and pain as the irregular muscles and fascia were relaxed [26].
Significant differences in HIT-6 score before and after intervention were found in the TCG, TG, and CG (p<0.05).
Significant differences in SF-MPQ, K scores before and after intervention were found in the TCG, TG, and CG (p<0.05).
It is thought that pressure decreases as the state of shortened tissue and connective tissue improves as the rigid fascia relaxes. The results of this study showed that temporomandibular joint and cervical vertebra treatment were effective in reducing headaches, based on the SFMPQ, K, HIT-6, and NDI scores. It was also found that this treatment was effective in improving neck function, and that the sensitivity of the left and right tenderness threshold was reduced.
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