TY - JOUR
T1 - The association between specific temporomandibular disorders and cervicogenic headache
AU - Greenbaum, Tzvika
AU - Dvir, Zeevi
AU - Emodi-Perlman, Alona
AU - Reiter, Shoshana
AU - Rubin, Pessia
AU - Winocur, Ephraim
N1 - Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/4/1
Y1 - 2021/4/1
N2 - Background and aims: Upper neck signs, symptoms and hypomobility have been shown to present with a higher prevalence in patients with temporomandibular disorders (TMDs). However, there is currently no evidence of an association between specific TMDs and cervicogenic headache (CGH). Therefore, the aim of this study was to evaluate the odds ratio and the relative risk of CGH in patients with specific TMDs. Method: 116 participants, including 74 patients with TMD (pain-related/intraarticular/mixed TMD) and 42 healthy controls took part in this study. The TMD diagnosis was made by senior faculty members of the Dental School according to the Diagnostic Criteria for TMD, while the cervical diagnosis was made by a qualified senior physical therapist. The analysis comprised the evaluation of the odds ratio of CGH among patients with TMD and the relative risk (RR) for CGH during 14–24 months of follow-up. Results: Significantly higher odds ratios of cervicogenic headache were found among pain-related and mixed TMD (12.17 and 10.76, respectively) versus healthy controls. During the 14–24 months of follow-up, there was no significant difference of relative risk for CGH among patients with TMD versus healthy controls. Summary and conclusions: The results support a clear clinical association between painful TMD (pain-related and mixed TMD) and cervicogenic headache.
AB - Background and aims: Upper neck signs, symptoms and hypomobility have been shown to present with a higher prevalence in patients with temporomandibular disorders (TMDs). However, there is currently no evidence of an association between specific TMDs and cervicogenic headache (CGH). Therefore, the aim of this study was to evaluate the odds ratio and the relative risk of CGH in patients with specific TMDs. Method: 116 participants, including 74 patients with TMD (pain-related/intraarticular/mixed TMD) and 42 healthy controls took part in this study. The TMD diagnosis was made by senior faculty members of the Dental School according to the Diagnostic Criteria for TMD, while the cervical diagnosis was made by a qualified senior physical therapist. The analysis comprised the evaluation of the odds ratio of CGH among patients with TMD and the relative risk (RR) for CGH during 14–24 months of follow-up. Results: Significantly higher odds ratios of cervicogenic headache were found among pain-related and mixed TMD (12.17 and 10.76, respectively) versus healthy controls. During the 14–24 months of follow-up, there was no significant difference of relative risk for CGH among patients with TMD versus healthy controls. Summary and conclusions: The results support a clear clinical association between painful TMD (pain-related and mixed TMD) and cervicogenic headache.
KW - Cervical pain
KW - Cervicogenic headache
KW - Neck pain
KW - Orofacial pain
KW - Temporomandibular joint
UR - http://www.scopus.com/inward/record.url?scp=85099618157&partnerID=8YFLogxK
U2 - 10.1016/j.msksp.2021.102321
DO - 10.1016/j.msksp.2021.102321
M3 - Article
C2 - 33482538
AN - SCOPUS:85099618157
SN - 2468-8630
VL - 52
JO - Musculoskeletal Science and Practice
JF - Musculoskeletal Science and Practice
M1 - 102321
ER -