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Erschienen in: The Journal of Headache and Pain 1/2014

Open Access 01.12.2014 | Meeting abstract

EHMTI-0078. Headache attributed to masticatory myofascial pain: clinical features and management outcomes

verfasst von: YM Costa, AL Porporatti, J Stuginski-Barbosa, LR Bonjardim, PCR Conti

Erschienen in: The Journal of Headache and Pain | Sonderheft 1/2014

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Introduction

To define better the association between headache and temporomandibular disorders it is important to identify if there is evidence of a headache attributed to temporomandibular disorders.

Aims

To describe the characteristics of headache attributed to temporomandibular disorders pain and to assess the effect of two management strategies in headache intensity and frequency.

Methods

The sample (n=60) of this randomized controlled trial was comprised of masticatory myofascial pain patients, according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and headache complaints and divided into two groups. The group 1 received only counseling for behavioral changes and the group 2, besides counseling, received occlusal splint. Follow-up was 5 months with three assessments moments. Outcomes were the temporomandibular disorders-related headache characteristics measured by a questionnaire, headache intensity (visual analogue scale - VAS) and frequency (questionnaire). Two-way ANOVA and Chi-Square test were used considering a 5% significance level.

Results

The clinical features of headache attributed to temporomandibular disorders were the long duration, fronto-temporal bilateral location and tightening/pressing quality. There was a general reduction in the headache intensity and frequency without differences between groups. The baseline headache intensity mean (SD) was 7.55 (2.24) for the group 1 and 6.52 (1.63) for group 2. Final values were, respectively, 3.13 (2.19) and 2.5 (2.33).

Conclusion

Long duration, fronto-temporal bilateral location and a tightening/pressure quality are the most distinguished characteristics in headaches secondary to masticatory myofascial pain. Besides, the management of masticatory myofascial pain could be effective in the improvement of headache attributed to temporomandibular disorders.
No conflict of interest.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://​creativecommons.​org/​licenses/​by/​4.​0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Metadaten
Titel
EHMTI-0078. Headache attributed to masticatory myofascial pain: clinical features and management outcomes
verfasst von
YM Costa
AL Porporatti
J Stuginski-Barbosa
LR Bonjardim
PCR Conti
Publikationsdatum
01.12.2014
Verlag
Springer Milan
Erschienen in
The Journal of Headache and Pain / Ausgabe Sonderheft 1/2014
Print ISSN: 1129-2369
Elektronische ISSN: 1129-2377
DOI
https://doi.org/10.1186/1129-2377-15-S1-D13

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