Cervical pain in individuals with and without temporomandibular disorders
AbstractThe objective of this study was to evaluate the association of the Temporomandibular Disorder (TMD) with the presence of pain in the cervical region, as well as to evaluate the involvement of Sternocleidomastoid (SCM) muscle during the activity of the temporal and masseter muscles during dental clenching. 40 female volunteers aged between 18 and 41 years, distributed into a control group and TMD group were enrolled in this study. Clinical examinations of the craniomandibular system and of the neck were performed. Myoelectric activity of the temporalis, masseter and SCM muscle was registered during the mandibular rest position and during the contraction in maximal intercuspal position. The results show to the existence of association between the groups and the presence of cervical pain. It was registered bigger myoelectric activity in SCM muscle during the contraction in maximal intercuspal position than mandibular rest position. The results of this study indicate that individuals with TMD present more pain in the cervical region. The presence of compensatory strategies represents a mechanism necessary to find stability for the mandibular and cervical region during the mandibular movements.
Zarb GA, Carlsson GE, Sessle B, Mohl ND. Disfunções da articulação temporomandibular e dos músculos da mastigação. 2a ed. São Paulo: Santos; 2000. 624 p.
Schroeder H, Siegmund H, Santibánez-H G, Kluge A. Causes and signs of temporomandibular joint pain and dysfuntion: an electromyographical investigation. J Oral Rehabil. 1991; 18: 301-10.
Browne PA, Clark GT, Yang Q, Nakano M. Sternocleidomastoid muscle inhibition induced by trigeminal stimulation. J Dent Res. 1993; 72: 1503-8.
Clark GT, Browne PA, Nakano M, Yang Q. Co-activation of sternocleidomastoid muscles during maximum clenching. J Dent Res. 1993; 72: 1499-1502.
Igarashi N, Yamamura K, Yamada Y, Kohno S. Head movements and neck muscle activities associated with the jaw movement during mastication in the rabbit authors. Brain Res. 2000; 871: 151-5.
Bérzin, F. Surface eletromiography in the diagnosis of syndromes of the cranio-cervical pain. Braz J Oral Sci. 2004; 3: 484-91.
Kandell ER, Schwartz JH, Jessell TM. Principles of neural science. 3. ed. Connecticut: Appleton & Lange; 1991, 1135 p.
Buisseret-Delmas C, Compoint C, Delfini C, Buisseret P. Organisation of reciprocal connections between trigeminal and vestibular nuclei in the rat. J Comp Neurol. 1999; 409: 153-68.
Browne PA, Clark GT, Kuboki T, Adachi NY. Concurrent cervical and craniofacial pain. A review of empiric and basic science evidence, Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 86: 633-40.
Zuniga C, Miralles R, Mena B, Montt R, Moran D, Santander H, Moya H. Influence of variation in jaw posture on sternocleidomastoid and trapezius electromyographic activity. Cranio. 1995; 13: 157.
Ciancaglini R, Testa M, Radaelli G. Association of Neck Pain with Symptoms of Temporomandibular Dysfunction in the General Adult Population. Scandinavian J Rehabil Med. 1999; 31: 17-22.
Goldstein DF, Kraus SL, Willams WB, Glasheen-Wray M. Influence of cervical posture on mandibular movement. J Prosthet Dent. 1984; 52: 421-6.
Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992; 6: 301-55.
Visscher CM, Lobezoo F, De Boer W, Van Der Zaag J, Verheij JGC, Naeije M. Clinical tests in distinguishing between persons with or without craniomandibular or cervical spinal pain complaints. Eur J Oral Sci. 2000; 108: 475-83.
Sommerich CM, Joines SMB, Hermans V, Moon SD. Use of surface electromyography to estimate neck muscle activity. J Electromyogr Kinesiol. 2000; 10: 377-98.
Falla D, Rainoldi A, Merletti R, Jull G. Spatio-temporal evaluation of neck muscle activation during postural perturbations in healthy subjects. J Electromyogr Kinesiol. 2004; 14: 463-74.
Visscher CM, Lobbezoo F, De Boer W, Van Der Zaag J, Naeije M. Prevalence of cervical spinal pain in craniomandibular pain patients. Eur J Oral Sci. 2001; 109: 76-80.
Stiesch-Scholz M, Fink M, Tschernitschek H. Comorbidity of internal derangement of the temporomandibular joint and silent dysfunction of the cervical spine. J Oral Rehabil. 2003; 30: 386-91.
Ciuffolo F, Manzoli L, Ferritto AL, Tecco S, D’Attilio M, Festa F. Surface electromyographic response of the neck muscles to maximal voluntary clenching of the teeth. J Oral Rehabil. 2005; 32: 79-84.
Chandu A, Suvinen TI, Reade PC, Borromeo GL. Electromyographic activity of frontalis and sternocleidomastoid muscles in patients with temporomandibular disorders. J Oral Rehabil. 2005; 32: 571-6.
So K, Komiyama O, Arai M, Kawara M, Kobayashi K. Influence of occlusal contact on cervical muscle activity during submaximal clenching, J Oral Rehabil. 2004; 31: 417-22.
Miralles R, Dodds C, Manns A, Palazzi C, Jaramill C, Quezada V, Cavada G. Vertical Dimension. Part 2: The Changes in Eletric Activity of the Cervical Muscles Upon Varying the Vertical Dimension. Cranio. 2002; 20: 39-47.
Jull G. Management of cervical headache. Manual Therapy. 1997; 2(4): 182-190.
Bienfait M. Fáscias e pompagens. São Paulo: Summus; 1999.
Visscher CM, Huddleston Slater JJR, Lobbezoo F, Naeije M. Kinematics of the human mandible for different head postures. J Oral Rehabil. 2000; 27: 299-305.
Moya H, Miralles R, Zuniga C, Carvajal R, Rocabado M, Santander H. Influence of stabilization occlusal splint on craniocervical relationships. Part I: Cephalometric analysis. Cranio. 1994; 12: 47-51.
Zafar H, Eriksson P-O, Nordh E, Häggman-Henrikson B. Wireless optoelectronic recordings of mandibular and associated head-neck movements in man: a methodological study. J Oral Rehabil. 2000; 27: 227-38.
Ciancaglini R, Radaelli G. The relationship between headache and symptoms of temporomandibular disorder in the general population. J Dent. 2001; 29: 93-8.
Sonnesen L, Bakke M, Solow B. Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. Eur J Orthod. 2001; 23: 179-92.
Pedroni CR, De Oliveira AS, Guaratini MI. Prevalence study of signs and symptoms of temporomandibular disorders in university students. J Oral Rehabil. 2003; 30: 283-9.
Visscher CM, De Boer W, Lobbezoo F, Habets LLMH, Naeije M. Is there a relationship between head posture and craniomandibular pain? J Oral Rehabil. 2002; 29: 1030-6.
Hanten WP, Olson SL, Russel JL, Lucio RM, Campbell AH. Total head excursion and resting head posture: normal and patient comparisons. Arch Phys Med Rehabil. 2000; 81: 62-6.
De Wijer A, Steenks MH, De Leeuw JRJ, Bosman F, Helders PJM. Symptoms of the cervical spine in temporomandibular and cervical spine disorders. J Oral Rehabil. 1996; 23: 742-50.
Copyright (c) 2016 Brazilian Journal of Oral Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.