Effect of treatment of temporomandibular disorders (TMD) in patients with cervicogenic headache
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Effect of treatment of temporomandibular disorders (TMD) in patients with cervicogenic headache : a single-blind, randomized controlled study. / von Piekartz, Harry; Lüdtke, Kerstin.
in: CRANIO, Jahrgang 29, Nr. 1, 01.01.2011, S. 43-56.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Effect of treatment of temporomandibular disorders (TMD) in patients with cervicogenic headache
T2 - a single-blind, randomized controlled study
AU - von Piekartz, Harry
AU - Lüdtke, Kerstin
PY - 2011/1/1
Y1 - 2011/1/1
N2 - The present study was comprised of 43 patients (16 men) with cervicogenic headaches for over three months, diagnosed according to the International Classification of Diagnostic Criteria of Headaches (ICDH-II). The patients were randomly assigned to receive either manual therapy for the cervical region (usual care group) or additional manual therapy techniques to the temporomandibular region to additionally influence temporomandibular disorders (TMD). All patients were assessed prior to treatment, after six sessions of treatment, and at a six-month follow-up. The outcome criteria were: intensity of headaches measured on a colored analog scale, the Neck Disability Index (Dutch version), the Conti Anamnestic Questionnaire, noise registration at the mandibular joint using a stethoscope, the Graded Chronic Pain Status (Dutch version), mandibular deviation, range of mouth opening, and pressure/pain threshold of the masticatory muscles. The results indicate in the studied sample of cervicogenic headache patients, 44.1% had TMD. The group that received additional temporomandibular manual therapy techniques showed significantly decreased headache intensities and increased neck function after the treatment period. These improvements persisted during the treatment-free period (follow-up) and were not observed in the usual care group. This trend was also reflected on the questionnaires and the clinical temporomandibular signs. Based on these observations, we strongly believe that treatment of the temporomandibular region has beneficial effects for patients with cervicogenic headaches, even in the long-term.
AB - The present study was comprised of 43 patients (16 men) with cervicogenic headaches for over three months, diagnosed according to the International Classification of Diagnostic Criteria of Headaches (ICDH-II). The patients were randomly assigned to receive either manual therapy for the cervical region (usual care group) or additional manual therapy techniques to the temporomandibular region to additionally influence temporomandibular disorders (TMD). All patients were assessed prior to treatment, after six sessions of treatment, and at a six-month follow-up. The outcome criteria were: intensity of headaches measured on a colored analog scale, the Neck Disability Index (Dutch version), the Conti Anamnestic Questionnaire, noise registration at the mandibular joint using a stethoscope, the Graded Chronic Pain Status (Dutch version), mandibular deviation, range of mouth opening, and pressure/pain threshold of the masticatory muscles. The results indicate in the studied sample of cervicogenic headache patients, 44.1% had TMD. The group that received additional temporomandibular manual therapy techniques showed significantly decreased headache intensities and increased neck function after the treatment period. These improvements persisted during the treatment-free period (follow-up) and were not observed in the usual care group. This trend was also reflected on the questionnaires and the clinical temporomandibular signs. Based on these observations, we strongly believe that treatment of the temporomandibular region has beneficial effects for patients with cervicogenic headaches, even in the long-term.
KW - Adolescent
KW - Adult
KW - Aged
KW - Facial Pain
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Male
KW - Masseter Muscle
KW - Middle Aged
KW - Neck
KW - Pain Measurement
KW - Pain Threshold
KW - Physical Therapy Modalities
KW - Post-Traumatic Headache
KW - Range of Motion, Articular
KW - Single-Blind Method
KW - Sound
KW - Temporal Muscle
KW - Temporomandibular Joint
KW - Temporomandibular Joint Disorders
KW - Time Factors
KW - Treatment Outcome
KW - Young Adult
U2 - 10.1179/crn.2011.008
DO - 10.1179/crn.2011.008
M3 - SCORING: Journal article
C2 - 21370769
VL - 29
SP - 43
EP - 56
JO - CRANIO
JF - CRANIO
SN - 0886-9634
IS - 1
ER -