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Erschienen in: Der Schmerz 2/2007

01.04.2007 | Übersichten

Therapie bei Schmerzen der Kaumuskulatur

Empfehlungen zum klinischen Management

verfasst von: Dr. H. J. Schindler, J. C. Türp, C. Sommer, H. Kares, P. Nilges, A. Hugger

Erschienen in: Der Schmerz | Ausgabe 2/2007

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Zusammenfassung

Myalgien der Kiefermuskulatur sind die häufigsten nichtinfektiösen Beschwerden in der Kiefer-Gesichts-Region. Nach Zusammenfassung des aktuellen Kenntnisstands zur Physiologie, Ätiologie, Pathophysiologie, Diagnostik und Differenzialdiagnostik wird anhand einer Literaturrecherche der aktuelle Stand der therapeutischen Möglichkeiten dargestellt. Die Ergebnisse zeigen, dass bei der Mehrzahl der Patienten mit nichtinvasiven reversiblen Maßnahmen Schmerzlinderung bzw. -freiheit erreicht werden kann. Im Kurz- und Langzeitvergleich ergeben verschiedene Behandlungsverfahren vergleichbar gute Resultate. Bei chronischen Verläufen mit ausgeprägter psychosozialer Beeinträchtigung ist neben der Standardtherapie die Betreuung durch einen Psychotherapeuten conditio sine qua non.
Literatur
1.
Zurück zum Zitat Aoki T, Naito H, Ota Y, Shiiki K (2002) Myositis ossificans traumatica of the masticatory muscles: review of the literature and report of a case. J Oral Maxillofac Surg 60: 1083–1088CrossRefPubMed Aoki T, Naito H, Ota Y, Shiiki K (2002) Myositis ossificans traumatica of the masticatory muscles: review of the literature and report of a case. J Oral Maxillofac Surg 60: 1083–1088CrossRefPubMed
2.
Zurück zum Zitat Armstrong TJ, Buckle P, Fine LJ et al. (1993) A conceptual model for work-related neck and upper-limb musculoskeletal disorders. Scand J Work Environ Health 19: 73–84PubMed Armstrong TJ, Buckle P, Fine LJ et al. (1993) A conceptual model for work-related neck and upper-limb musculoskeletal disorders. Scand J Work Environ Health 19: 73–84PubMed
3.
Zurück zum Zitat Assendelft WJ, Morton SC, Yu EI et al. (2004) Spinal manipulative therapy for low back pain. Cochrane Database Syst Rev CD000447 Assendelft WJ, Morton SC, Yu EI et al. (2004) Spinal manipulative therapy for low back pain. Cochrane Database Syst Rev CD000447
4.
Zurück zum Zitat Bender R (2001) Calculating confidence intervals for the number needed to treat. Control Clin Trials 22: 102–110CrossRefPubMed Bender R (2001) Calculating confidence intervals for the number needed to treat. Control Clin Trials 22: 102–110CrossRefPubMed
5.
Zurück zum Zitat Blanksma NG, van Eijden TM (1995) Electromyographic heterogeneity in the human temporalis and masseter muscles during static biting, open/close excursions, and chewing. J Dent Res 74: 1318–1327PubMed Blanksma NG, van Eijden TM (1995) Electromyographic heterogeneity in the human temporalis and masseter muscles during static biting, open/close excursions, and chewing. J Dent Res 74: 1318–1327PubMed
6.
Zurück zum Zitat Blanksma NG, van Eijden TM, van Ruijven LJ, Weijs WA (1997) Electromyographic heterogeneity in the human temporalis and masseter muscles during dynamic tasks guided by visual feedback. J Dent Res 76: 542–551PubMed Blanksma NG, van Eijden TM, van Ruijven LJ, Weijs WA (1997) Electromyographic heterogeneity in the human temporalis and masseter muscles during dynamic tasks guided by visual feedback. J Dent Res 76: 542–551PubMed
7.
Zurück zum Zitat Browning R, Jackson JL, O’Malley PG, Tofferi JK (2001) Cyclobenzaprine and back pain: a meta-analysis. Arch Intern Med 161: 1613–1620CrossRefPubMed Browning R, Jackson JL, O’Malley PG, Tofferi JK (2001) Cyclobenzaprine and back pain: a meta-analysis. Arch Intern Med 161: 1613–1620CrossRefPubMed
8.
Zurück zum Zitat Carlson CR, Bertrand PM, Ehrlich AD et al. (2001) Physical self-regulation training for the management of temporomandibular disorders. J Orofac Pain 15: 47–55PubMed Carlson CR, Bertrand PM, Ehrlich AD et al. (2001) Physical self-regulation training for the management of temporomandibular disorders. J Orofac Pain 15: 47–55PubMed
9.
Zurück zum Zitat Casimiro L, Barnsley L, Brosseau L et al. (2005) Acupuncture and electroacupuncture for the treatment of rheumatoid arthritis. Cochrane Database Syst Rev CD003788 Casimiro L, Barnsley L, Brosseau L et al. (2005) Acupuncture and electroacupuncture for the treatment of rheumatoid arthritis. Cochrane Database Syst Rev CD003788
10.
Zurück zum Zitat Chabal C, Fishbain DA, Weaver M, Heine LW (1998) Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs. Clin J Pain 14: 66–73CrossRefPubMed Chabal C, Fishbain DA, Weaver M, Heine LW (1998) Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs. Clin J Pain 14: 66–73CrossRefPubMed
11.
Zurück zum Zitat Ciancaglini R, Gherlone EF, Radaelli G (1999) Association between loss of occlusal support and symptoms of functional disturbances of the masticatory system. J Oral Rehabil 26: 248–253CrossRefPubMed Ciancaglini R, Gherlone EF, Radaelli G (1999) Association between loss of occlusal support and symptoms of functional disturbances of the masticatory system. J Oral Rehabil 26: 248–253CrossRefPubMed
12.
Zurück zum Zitat Ciancaglini R, Gherlone EF, Radaelli G (2003) Unilateral temporomandibular disorder and asymmetry of occlusal contacts. J Prosthet Dent 89: 180–185CrossRefPubMed Ciancaglini R, Gherlone EF, Radaelli G (2003) Unilateral temporomandibular disorder and asymmetry of occlusal contacts. J Prosthet Dent 89: 180–185CrossRefPubMed
13.
Zurück zum Zitat Crider AB, Glaros AG (1999) A meta-analysis of EMG biofeedback treatment of temporomandibular disorders. J Orofac Pain 13: 29–37PubMed Crider AB, Glaros AG (1999) A meta-analysis of EMG biofeedback treatment of temporomandibular disorders. J Orofac Pain 13: 29–37PubMed
14.
Zurück zum Zitat Cummings TM, White AR (2001) Needling therapies in the management of myofascial trigger point pain: a systematic review. Arch Phys Med Rehabil 82: 986–992CrossRefPubMed Cummings TM, White AR (2001) Needling therapies in the management of myofascial trigger point pain: a systematic review. Arch Phys Med Rehabil 82: 986–992CrossRefPubMed
15.
Zurück zum Zitat Dahlstrom L, Widmark G, Carlsson SG (1997) Cognitive-behavioral profiles among different categories of orofacial pain patients: diagnostic and treatment implications. Eur J Oral Sci 105: 377–383PubMed Dahlstrom L, Widmark G, Carlsson SG (1997) Cognitive-behavioral profiles among different categories of orofacial pain patients: diagnostic and treatment implications. Eur J Oral Sci 105: 377–383PubMed
16.
Zurück zum Zitat Dao TT, Lavigne GJ, Charbonneau A et al. (1994) The efficacy of oral splints in the treatment of myofascial pain of the jaw muscles: a controlled clinical trial. Pain 56: 85–94CrossRefPubMed Dao TT, Lavigne GJ, Charbonneau A et al. (1994) The efficacy of oral splints in the treatment of myofascial pain of the jaw muscles: a controlled clinical trial. Pain 56: 85–94CrossRefPubMed
17.
Zurück zum Zitat Dao TT, Lund JP, Remillard G, Lavigne GJ (1995) Is myofascial pain of the temporal muscles relieved by oral sumatriptan? A cross-over pilot study. Pain 62: 241–244CrossRefPubMed Dao TT, Lund JP, Remillard G, Lavigne GJ (1995) Is myofascial pain of the temporal muscles relieved by oral sumatriptan? A cross-over pilot study. Pain 62: 241–244CrossRefPubMed
18.
Zurück zum Zitat Dao TT, Reynolds WJ, Tenenbaum HC (1997) Comorbidity between myofascial pain of the masticatory muscles and fibromyalgia. J Orofac Pain 11: 232–241PubMed Dao TT, Reynolds WJ, Tenenbaum HC (1997) Comorbidity between myofascial pain of the masticatory muscles and fibromyalgia. J Orofac Pain 11: 232–241PubMed
19.
Zurück zum Zitat De Laat A, Stappaerts K, Papy S (2003) Counseling and physical therapy as treatment for myofascial pain of the masticatory system. J Orofac Pain 17: 42–49PubMed De Laat A, Stappaerts K, Papy S (2003) Counseling and physical therapy as treatment for myofascial pain of the masticatory system. J Orofac Pain 17: 42–49PubMed
20.
Zurück zum Zitat DeBoever JA, Carlson GE (1994) Etiology and differential diagnosis. In: Zarb GA, Carlsson GE, Sessle BJ, Mohl ND (eds) Temporomandibular joint and masticatory muscle disorders. Munksgaard, Copenhagen, pp 171–187 DeBoever JA, Carlson GE (1994) Etiology and differential diagnosis. In: Zarb GA, Carlsson GE, Sessle BJ, Mohl ND (eds) Temporomandibular joint and masticatory muscle disorders. Munksgaard, Copenhagen, pp 171–187
21.
Zurück zum Zitat Dworkin S, LeResche L (1992) Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord Facial Oral Pain 6: 301–355 Dworkin S, LeResche L (1992) Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord Facial Oral Pain 6: 301–355
22.
Zurück zum Zitat Dworkin SF (1995) Behavioral characteristics of chronic temporomandibular disorders: diagnosis and assessment. In: Sessle BJ, Bryant PS, Dionne RA (eds) Temporomandibular disorders and related pain conditions. IASP, Seattle, pp 175–180 Dworkin SF (1995) Behavioral characteristics of chronic temporomandibular disorders: diagnosis and assessment. In: Sessle BJ, Bryant PS, Dionne RA (eds) Temporomandibular disorders and related pain conditions. IASP, Seattle, pp 175–180
23.
Zurück zum Zitat Dworkin SF, Huggins KH, Wilson L et al. (2002) A randomized clinical trial using research diagnostic criteria for temporomandibular disorders-axis II to target clinic cases for a tailored self-care TMD treatment program. J Orofac Pain 16: 48–63PubMed Dworkin SF, Huggins KH, Wilson L et al. (2002) A randomized clinical trial using research diagnostic criteria for temporomandibular disorders-axis II to target clinic cases for a tailored self-care TMD treatment program. J Orofac Pain 16: 48–63PubMed
24.
Zurück zum Zitat Dworkin SF, Turner JA, Mancl L et al. (2002) A randomized clinical trial of a tailored comprehensive care treatment program for temporomandibular disorders. J Orofac Pain 16: 259–276PubMed Dworkin SF, Turner JA, Mancl L et al. (2002) A randomized clinical trial of a tailored comprehensive care treatment program for temporomandibular disorders. J Orofac Pain 16: 259–276PubMed
25.
Zurück zum Zitat Edwards RH (1988) Hypotheses of peripheral and central mechanisms underlying occupational muscle pain and injury. Eur J Appl Physiol 57: 275–281CrossRef Edwards RH (1988) Hypotheses of peripheral and central mechanisms underlying occupational muscle pain and injury. Eur J Appl Physiol 57: 275–281CrossRef
26.
Zurück zum Zitat Ekberg E, Vallon D, Nilner M (2003) The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial. J Orofac Pain 17: 133–139PubMed Ekberg E, Vallon D, Nilner M (2003) The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial. J Orofac Pain 17: 133–139PubMed
27.
Zurück zum Zitat Feine JS, Lund JP (1997) An assessment of the efficacy of physical therapy and physical modalities for the control of chronic musculoskeletal pain. Pain 71: 5–23CrossRefPubMed Feine JS, Lund JP (1997) An assessment of the efficacy of physical therapy and physical modalities for the control of chronic musculoskeletal pain. Pain 71: 5–23CrossRefPubMed
28.
Zurück zum Zitat Forssell H, Kalso E (2004) Application of principles of evidence-based medicine to occlusal treatment for temporomandibular disorders: are there lessons to be learned? J Orofac Pain 18: 9–22; discussion 23–32PubMed Forssell H, Kalso E (2004) Application of principles of evidence-based medicine to occlusal treatment for temporomandibular disorders: are there lessons to be learned? J Orofac Pain 18: 9–22; discussion 23–32PubMed
29.
Zurück zum Zitat Friden J, Seger J, Sjostrom M, Ekblom B (1983) Adaptive response in human skeletal muscle subjected to prolonged eccentric training. Int J Sports Med 4: 177–183PubMed Friden J, Seger J, Sjostrom M, Ekblom B (1983) Adaptive response in human skeletal muscle subjected to prolonged eccentric training. Int J Sports Med 4: 177–183PubMed
30.
Zurück zum Zitat Furlan AD, Brosseau L, Imamura M, Irvin E (2005) Massage for low-back pain (Cochrane Review). The Cochrane Library Furlan AD, Brosseau L, Imamura M, Irvin E (2005) Massage for low-back pain (Cochrane Review). The Cochrane Library
31.
Zurück zum Zitat Gerstner GE, Clark GT, Goulet JP (1994) Validity of a brief questionnaire in screening asymptomatic subjects from subjects with tension-type headaches or temporomandibular disorders. Community Dent Oral Epidemiol 22: 235–242CrossRefPubMed Gerstner GE, Clark GT, Goulet JP (1994) Validity of a brief questionnaire in screening asymptomatic subjects from subjects with tension-type headaches or temporomandibular disorders. Community Dent Oral Epidemiol 22: 235–242CrossRefPubMed
32.
Zurück zum Zitat Goddard G, Karibe H, McNeill C, Villafuerte E (2002) Acupuncture and sham acupuncture reduce muscle pain in myofascial pain patients. J Orofac Pain 16: 71–76PubMed Goddard G, Karibe H, McNeill C, Villafuerte E (2002) Acupuncture and sham acupuncture reduce muscle pain in myofascial pain patients. J Orofac Pain 16: 71–76PubMed
33.
Zurück zum Zitat Guidelines E (2000) Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. Part I: introcuction to the international guidelines 2000 for CPR and ECC. Circulation 102 [Suppl 1]: 1–11 Guidelines E (2000) Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. Part I: introcuction to the international guidelines 2000 for CPR and ECC. Circulation 102 [Suppl 1]: 1–11
34.
Zurück zum Zitat Hasenbrink M (1999) Prozesse der Chronifizierung von Schmerzen. In: Basler H-D, Franz C, Kröner-Herwig B, Rehfisch H-P, Seemann H (Hrsg) Psychologische Schmerztherapie. Springer, Berlin Heidelberg New York, S 161–176 Hasenbrink M (1999) Prozesse der Chronifizierung von Schmerzen. In: Basler H-D, Franz C, Kröner-Herwig B, Rehfisch H-P, Seemann H (Hrsg) Psychologische Schmerztherapie. Springer, Berlin Heidelberg New York, S 161–176
35.
Zurück zum Zitat Henneman E, Somjen G, Carpenter DO (1965) Functional significance of cell size in spinal motoneurons. J Neurophysiol 28: 560–580PubMed Henneman E, Somjen G, Carpenter DO (1965) Functional significance of cell size in spinal motoneurons. J Neurophysiol 28: 560–580PubMed
36.
Zurück zum Zitat Herman CR, Schiffman EL, Look JO, Rindal DB (2002) The effectiveness of adding pharmacologic treatment with clonazepam or cyclobenzaprine to patient education and self-care for the treatment of jaw pain upon awakening: a randomized clinical trial. J Orofac Pain 16: 64–70PubMed Herman CR, Schiffman EL, Look JO, Rindal DB (2002) The effectiveness of adding pharmacologic treatment with clonazepam or cyclobenzaprine to patient education and self-care for the treatment of jaw pain upon awakening: a randomized clinical trial. J Orofac Pain 16: 64–70PubMed
37.
Zurück zum Zitat Hoheisel U, Reinöhl J, Unger T, Mense S (2004) Acidic pH and capsaicin activate mechanosensitive group IV muscle receptors in the rat. Pain 110: 149–157CrossRefPubMed Hoheisel U, Reinöhl J, Unger T, Mense S (2004) Acidic pH and capsaicin activate mechanosensitive group IV muscle receptors in the rat. Pain 110: 149–157CrossRefPubMed
38.
Zurück zum Zitat Howard JA (1991) Temporomandibular joint disorders, facial pain, and dental problems in performing artists. In: Sataloff RT BA, Lederman RJ (eds) Textbook of performing arts medicine. Raven Press, New York, pp 111–169 Howard JA (1991) Temporomandibular joint disorders, facial pain, and dental problems in performing artists. In: Sataloff RT BA, Lederman RJ (eds) Textbook of performing arts medicine. Raven Press, New York, pp 111–169
39.
Zurück zum Zitat Huggins KH, Dworkin SF, LeResche L, Truelove E (1996) Five-year course for temporomandibular disorders using RDC/TMD. J Dent Res (spec issue) 75: 352, abstr. 2678 Huggins KH, Dworkin SF, LeResche L, Truelove E (1996) Five-year course for temporomandibular disorders using RDC/TMD. J Dent Res (spec issue) 75: 352, abstr. 2678
40.
Zurück zum Zitat Jadad AR, Moore RA, Carroll D et al. (1996) Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 17: 1–12CrossRefPubMed Jadad AR, Moore RA, Carroll D et al. (1996) Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 17: 1–12CrossRefPubMed
41.
Zurück zum Zitat Johansson A, Wenneberg B, Wagersten C, Haraldson T (1991) Acupuncture in treatment of facial muscular pain. Acta Odontol Scand 49: 153–158PubMed Johansson A, Wenneberg B, Wagersten C, Haraldson T (1991) Acupuncture in treatment of facial muscular pain. Acta Odontol Scand 49: 153–158PubMed
42.
Zurück zum Zitat Khadilkar A, Milne S, Brosseau L et al. (2005) Transcutaneous electrical nerve stimulation (TENS) for chronic low-back pain. Cochrane Database Syst Rev CD003008 Khadilkar A, Milne S, Brosseau L et al. (2005) Transcutaneous electrical nerve stimulation (TENS) for chronic low-back pain. Cochrane Database Syst Rev CD003008
43.
Zurück zum Zitat Koh H, Robinson PG (2003) Occlusal adjustment for treating and preventing temporomandibular joint disorders. Cochrane Database Syst Rev CD003812 Koh H, Robinson PG (2003) Occlusal adjustment for treating and preventing temporomandibular joint disorders. Cochrane Database Syst Rev CD003812
44.
Zurück zum Zitat Kreiner M, Betancor E, Clark GT (2001) Occlusal stabilization appliances. Evidence of their efficacy. J Am Dent Assoc 132: 770–777PubMed Kreiner M, Betancor E, Clark GT (2001) Occlusal stabilization appliances. Evidence of their efficacy. J Am Dent Assoc 132: 770–777PubMed
45.
Zurück zum Zitat Lam DK, Sessle BJ, Cairns BE, Hu JW (2005) Neural mechanisms of temporomandibular joint and masticatory muscle pain: a possible role for peripheral glutamate receptor mechanisms. Pain Res Manag 10: 145–152PubMed Lam DK, Sessle BJ, Cairns BE, Hu JW (2005) Neural mechanisms of temporomandibular joint and masticatory muscle pain: a possible role for peripheral glutamate receptor mechanisms. Pain Res Manag 10: 145–152PubMed
46.
Zurück zum Zitat Le Bars D (2002) The whole body receptive field of dorsal horn multireceptive neurones. Brain Res Brain Res Rev 40: 29–44PubMed Le Bars D (2002) The whole body receptive field of dorsal horn multireceptive neurones. Brain Res Brain Res Rev 40: 29–44PubMed
47.
Zurück zum Zitat LeResche L (1995) Research diagnostic criteria for temporomandibular disorders. In: Fricton JR, Dubner R (eds) Orofacial pain and temporomandibular disorders. Raven Press, New York, pp 189–195 LeResche L (1995) Research diagnostic criteria for temporomandibular disorders. In: Fricton JR, Dubner R (eds) Orofacial pain and temporomandibular disorders. Raven Press, New York, pp 189–195
48.
Zurück zum Zitat LeResche L, Saunders K, Von Korff MR, Dworkin SF (1997) Use of exogenous hormones and risk of temporomandibular disorder pain. Pain 69: 153–160CrossRefPubMed LeResche L, Saunders K, Von Korff MR, Dworkin SF (1997) Use of exogenous hormones and risk of temporomandibular disorder pain. Pain 69: 153–160CrossRefPubMed
49.
Zurück zum Zitat Lipton JA, Ship JA, Larach-Robinson D (1993) Estimated prevalence and distribution of reported orofacial pain in the United States. J Am Dent Assoc 124: 115–121 Lipton JA, Ship JA, Larach-Robinson D (1993) Estimated prevalence and distribution of reported orofacial pain in the United States. J Am Dent Assoc 124: 115–121
50.
Zurück zum Zitat List T, Dworkin SF (1996) Comparing TMD diagnoses and clinical findings at Swedish and US TMD centers using research diagnostic criteria for temporomandibular disorders. J Orofac Pain 10: 240–253PubMed List T, Dworkin SF (1996) Comparing TMD diagnoses and clinical findings at Swedish and US TMD centers using research diagnostic criteria for temporomandibular disorders. J Orofac Pain 10: 240–253PubMed
51.
Zurück zum Zitat List T, Wahlund K, Wenneberg B, Dworkin SF (1999) TMD in children and adolescents: prevalence of pain, gender differences, and perceived treatment need. J Orofac Pain 13: 9–20PubMed List T, Wahlund K, Wenneberg B, Dworkin SF (1999) TMD in children and adolescents: prevalence of pain, gender differences, and perceived treatment need. J Orofac Pain 13: 9–20PubMed
52.
Zurück zum Zitat Lund J, Donga R, Widmer C, Stohler C (1991) The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity. Can J Physiol Pharmacol 69: 683–694PubMed Lund J, Donga R, Widmer C, Stohler C (1991) The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity. Can J Physiol Pharmacol 69: 683–694PubMed
53.
Zurück zum Zitat Lund JP, Lavigne GJ, Dubner R (2001) Orofacial pain. From basic science to clinical management. Quintessence, Chicago Lund JP, Lavigne GJ, Dubner R (2001) Orofacial pain. From basic science to clinical management. Quintessence, Chicago
55.
Zurück zum Zitat Michelotti A, Steenks MH, Farella M et al. (2004) The additional value of a home physical therapy regimen versus patient education only for the treatment of myofascial pain of the jaw muscles: short-term results of a randomized clinical trial. J Orofac Pain 18: 114–125PubMed Michelotti A, Steenks MH, Farella M et al. (2004) The additional value of a home physical therapy regimen versus patient education only for the treatment of myofascial pain of the jaw muscles: short-term results of a randomized clinical trial. J Orofac Pain 18: 114–125PubMed
56.
Zurück zum Zitat Nixdorf DR, Heo G, Major PW (2002) Randomized controlled trial of botulinum toxin A for chronic myogenous orofacial pain. Pain 99: 465–473CrossRefPubMed Nixdorf DR, Heo G, Major PW (2002) Randomized controlled trial of botulinum toxin A for chronic myogenous orofacial pain. Pain 99: 465–473CrossRefPubMed
57.
Zurück zum Zitat Obrez A, Türp JC (1998) The effect of musculoskeletal facial pain on registration of maxillomandibular relationships and treatment planning: a synthesis of the literature. J Prosthet Dent 79: 439–445CrossRefPubMed Obrez A, Türp JC (1998) The effect of musculoskeletal facial pain on registration of maxillomandibular relationships and treatment planning: a synthesis of the literature. J Prosthet Dent 79: 439–445CrossRefPubMed
58.
Zurück zum Zitat Okeson JP (1996) Orofacial pain. Guidelines for assessment, diagnosis, and management. Quintessence, Chicago Okeson JP (1996) Orofacial pain. Guidelines for assessment, diagnosis, and management. Quintessence, Chicago
59.
Zurück zum Zitat Okeson JP (2003) Management of temporomandibular disorders and occlusion. Mosby, St. Louis Okeson JP (2003) Management of temporomandibular disorders and occlusion. Mosby, St. Louis
60.
Zurück zum Zitat Okeson JP (2005) Bell’s orofacial pain. Quintessence, Chicago Okeson JP (2005) Bell’s orofacial pain. Quintessence, Chicago
61.
Zurück zum Zitat Ostelo RW, van Tulder MW, Vlaeyen JW et al. (2005) Behavioural treatment for chronic low-back pain. Cochrane Database Syst Rev CD002014 Ostelo RW, van Tulder MW, Vlaeyen JW et al. (2005) Behavioural treatment for chronic low-back pain. Cochrane Database Syst Rev CD002014
62.
Zurück zum Zitat Palla S (1998) Myoarthropathien des Kausystems. In: Palla S (Hrsg) Myoarthropathien des Kausystems und orofaziale Schmerzen. Klinik für Kaufunktionsstörungen und Totalprothetik, Zentrum für Zahn-, Mund- und Kieferheilkunde der Universität Zürich, Zürich, pp 3–16 Palla S (1998) Myoarthropathien des Kausystems. In: Palla S (Hrsg) Myoarthropathien des Kausystems und orofaziale Schmerzen. Klinik für Kaufunktionsstörungen und Totalprothetik, Zentrum für Zahn-, Mund- und Kieferheilkunde der Universität Zürich, Zürich, pp 3–16
63.
Zurück zum Zitat Palla S (2002) Grundsätze zur Therapie des myoarthropathischen Schmerzes. Schmerz 16: 373–380CrossRefPubMed Palla S (2002) Grundsätze zur Therapie des myoarthropathischen Schmerzes. Schmerz 16: 373–380CrossRefPubMed
64.
Zurück zum Zitat Plesh O, Wolfe F, Lane N (1996) The relationship between fibromyalgia and temporomandibular disorders: prevalence and symptom severity. J Rheumatol 23: 1948–1952PubMed Plesh O, Wolfe F, Lane N (1996) The relationship between fibromyalgia and temporomandibular disorders: prevalence and symptom severity. J Rheumatol 23: 1948–1952PubMed
65.
Zurück zum Zitat Pullinger AG, Seligman DA, Gornbein JA (1993) A multiple logistic regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res 72: 968–979PubMed Pullinger AG, Seligman DA, Gornbein JA (1993) A multiple logistic regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res 72: 968–979PubMed
66.
Zurück zum Zitat Raphael KG, Marbach JJ (2001) Widespread pain and the effectiveness of oral splints in myofascial face pain. J Am Dent Assoc 132: 305–316PubMed Raphael KG, Marbach JJ (2001) Widespread pain and the effectiveness of oral splints in myofascial face pain. J Am Dent Assoc 132: 305–316PubMed
67.
Zurück zum Zitat Ren K, Dubner R (1999) Central nervous system plasticity and persistent pain. J Orofac Pain 13: 155–163PubMed Ren K, Dubner R (1999) Central nervous system plasticity and persistent pain. J Orofac Pain 13: 155–163PubMed
68.
Zurück zum Zitat Rizzatti-Barbosa CM, Nogueira MT, de Andrade ED et al. (2003) Clinical evaluation of amitriptyline for the control of chronic pain caused by temporomandibular joint disorders. Cranio 21: 221–225PubMed Rizzatti-Barbosa CM, Nogueira MT, de Andrade ED et al. (2003) Clinical evaluation of amitriptyline for the control of chronic pain caused by temporomandibular joint disorders. Cranio 21: 221–225PubMed
69.
Zurück zum Zitat Sackett DL (1998) Was ist Evidenz-basierte Medizin? In: Perleth M, Antes G (Hrsg) Evidenz-basierte Medizin. MMV Medizin Verlag, München, S 9–12 Sackett DL (1998) Was ist Evidenz-basierte Medizin? In: Perleth M, Antes G (Hrsg) Evidenz-basierte Medizin. MMV Medizin Verlag, München, S 9–12
70.
Zurück zum Zitat Sarita PT, Kreulen CM, Witter D, Creugers NH (2003) Signs and symptoms associated with TMD in adults with shortened dental arches. Int J Prosthodont 16: 265–270PubMed Sarita PT, Kreulen CM, Witter D, Creugers NH (2003) Signs and symptoms associated with TMD in adults with shortened dental arches. Int J Prosthodont 16: 265–270PubMed
71.
Zurück zum Zitat Schindler HJ, Stengel E, Spieß WEL (1999) Die neuromuskuläre Wirkung von Aufbissschienen. Dtsch Zahnärztl Z 54: 332–338 Schindler HJ, Stengel E, Spieß WEL (1999) Die neuromuskuläre Wirkung von Aufbissschienen. Dtsch Zahnärztl Z 54: 332–338
72.
Zurück zum Zitat Schindler HJ, Türp JC, Blaser R, Lenz J (2005) Differential activity patterns in the masseter muscle under simulated clenching and grinding forces. J Oral Rehabil, in press Schindler HJ, Türp JC, Blaser R, Lenz J (2005) Differential activity patterns in the masseter muscle under simulated clenching and grinding forces. J Oral Rehabil, in press
73.
Zurück zum Zitat Schindler HJ, Rues S, Türp JC, Lenz J (2006) Heterogeneous activation of the medial pterygoid muscle during simulated clenching. Arch Oral Biol 51: 498–504CrossRefPubMed Schindler HJ, Rues S, Türp JC, Lenz J (2006) Heterogeneous activation of the medial pterygoid muscle during simulated clenching. Arch Oral Biol 51: 498–504CrossRefPubMed
74.
Zurück zum Zitat Schindler HJ, Rong Q, Spieß WEL (2000) Der Einfluss von Aufbissschienen auf das Rekrutierungsmuster des M. temporalis. Dtsch Zahnärztl Z 55: 575–581 Schindler HJ, Rong Q, Spieß WEL (2000) Der Einfluss von Aufbissschienen auf das Rekrutierungsmuster des M. temporalis. Dtsch Zahnärztl Z 55: 575–581
75.
Zurück zum Zitat Schokker RP, Hansson TL, Ansink BJ (1990) Craniomandibular disorders in patients with different types of headache. J Craniomandib Disord 4: 47–51PubMed Schokker RP, Hansson TL, Ansink BJ (1990) Craniomandibular disorders in patients with different types of headache. J Craniomandib Disord 4: 47–51PubMed
76.
Zurück zum Zitat Schokker RP, Hansson TL, Ansink BJ (1990) The result of treatment of the masticatory system of chronic headache patients. J Craniomandib Disord 4: 126–130PubMed Schokker RP, Hansson TL, Ansink BJ (1990) The result of treatment of the masticatory system of chronic headache patients. J Craniomandib Disord 4: 126–130PubMed
77.
Zurück zum Zitat Seedorf H, Seetzen F, Scholz A et al. (2004) Impact of posterior occlusal support on the condylar position. J Oral Rehabil 31: 759–763CrossRefPubMed Seedorf H, Seetzen F, Scholz A et al. (2004) Impact of posterior occlusal support on the condylar position. J Oral Rehabil 31: 759–763CrossRefPubMed
78.
Zurück zum Zitat Sessle BJ (1999) The neural basis of temporomandibular joint and masticatory muscle pain. J Orofac Pain 13: 238–245PubMed Sessle BJ (1999) The neural basis of temporomandibular joint and masticatory muscle pain. J Orofac Pain 13: 238–245PubMed
79.
Zurück zum Zitat Simons DG (1996) Clinical and etiological update of myofascial pain from trigger points. J Musculoscelet Pain 4: 93–121CrossRef Simons DG (1996) Clinical and etiological update of myofascial pain from trigger points. J Musculoscelet Pain 4: 93–121CrossRef
80.
Zurück zum Zitat Singer E, Dionne R (1997) A controlled evaluation of ibuprofen and diazepam for chronic orofacial muscle pain. J Orofac Pain 11: 139–146PubMed Singer E, Dionne R (1997) A controlled evaluation of ibuprofen and diazepam for chronic orofacial muscle pain. J Orofac Pain 11: 139–146PubMed
81.
Zurück zum Zitat Sluka KA, Walsh D (2003) Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain 4: 109–121CrossRefPubMed Sluka KA, Walsh D (2003) Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain 4: 109–121CrossRefPubMed
82.
83.
Zurück zum Zitat Stohler CS (1997) Masticatory myalgias. Emphasis on the nerve growth factor-estrogen link. Pain Forum 6: 176–180 Stohler CS (1997) Masticatory myalgias. Emphasis on the nerve growth factor-estrogen link. Pain Forum 6: 176–180
84.
Zurück zum Zitat Tofferi JK, Jackson JL, O’Malley PG (2004) Treatment of fibromyalgia with cyclobenzaprine: a meta-analysis. Arthritis Rheum 51: 9–13CrossRefPubMed Tofferi JK, Jackson JL, O’Malley PG (2004) Treatment of fibromyalgia with cyclobenzaprine: a meta-analysis. Arthritis Rheum 51: 9–13CrossRefPubMed
85.
Zurück zum Zitat Türp JC, Kowalski CJ, Stohler CS (1997) Temporomandibular disorders – pain outside the head and face is rarely acknowledged in the chief complaint. J Prosthet Dent 78: 592–595 Türp JC, Kowalski CJ, Stohler CS (1997) Temporomandibular disorders – pain outside the head and face is rarely acknowledged in the chief complaint. J Prosthet Dent 78: 592–595
86.
Zurück zum Zitat Türp JC, Kowalski CJ, O’Leary N, Stohler CS (1998) Pain maps from facial pain patients indicate a broad pain geography. J Dent Res 77: 1465–1472PubMed Türp JC, Kowalski CJ, O’Leary N, Stohler CS (1998) Pain maps from facial pain patients indicate a broad pain geography. J Dent Res 77: 1465–1472PubMed
87.
Zurück zum Zitat Türp JC (2000) Temporomandibular Pain. Clinical Presentation and Impact. Quintessenz, Berlin Türp JC (2000) Temporomandibular Pain. Clinical Presentation and Impact. Quintessenz, Berlin
88.
Zurück zum Zitat Türp JC, John M, Nilges P et al. (2000) Schmerzen im Bereich der Kaumuskulatur und Kiefergelenke. Empfehlungen zur standardisierten Diagnostik und Klassifikation von Patienten. Schmerz 14: 416–428CrossRefPubMed Türp JC, John M, Nilges P et al. (2000) Schmerzen im Bereich der Kaumuskulatur und Kiefergelenke. Empfehlungen zur standardisierten Diagnostik und Klassifikation von Patienten. Schmerz 14: 416–428CrossRefPubMed
89.
Zurück zum Zitat Türp JC, Marinello CP (2002) Schmerzfragebogen für Patienten mit persistierenden orofazialen Schmerzen. Quintessenz 53: 1333–1340 Türp JC, Marinello CP (2002) Schmerzfragebogen für Patienten mit persistierenden orofazialen Schmerzen. Quintessenz 53: 1333–1340
90.
Zurück zum Zitat Türp JC, Schindler HJ (2003) Zum Zusammenhang zwischen Okklusion und Myoarthropathien: Einführung eines integrierenden neurobiologischen Modells. Schweiz Monatsschr Zahnmed 113: 964–977PubMed Türp JC, Schindler HJ (2003) Zum Zusammenhang zwischen Okklusion und Myoarthropathien: Einführung eines integrierenden neurobiologischen Modells. Schweiz Monatsschr Zahnmed 113: 964–977PubMed
91.
Zurück zum Zitat Türp JC, Hugger A, Nilges P et al. (2006) Aktualisierung der Empfehlungen zur standardisierten Diagnostik und Klassifikation von Patienten mit Kaumuskel- und Kiefergelenkschmerzen. Schmerz 20: 481–489 Türp JC, Hugger A, Nilges P et al. (2006) Aktualisierung der Empfehlungen zur standardisierten Diagnostik und Klassifikation von Patienten mit Kaumuskel- und Kiefergelenkschmerzen. Schmerz 20: 481–489
92.
Zurück zum Zitat Türp JC, Schindler HJ (2006) Gibt es eine Beziehung zwischen kraniomandibulären Dysfunktionen und Kopfschmerzen? Dtsch Zahnärztl Z 61: 124–130 Türp JC, Schindler HJ (2006) Gibt es eine Beziehung zwischen kraniomandibulären Dysfunktionen und Kopfschmerzen? Dtsch Zahnärztl Z 61: 124–130
93.
Zurück zum Zitat Van der Glas HW, Buchner R, van Grootel RJ (2000) Vergelijking tussen behandelingsvormen bij myogene temporomandibulaire dysfunctie. Ned Tijdschr Tandheelkd 107: 505–512PubMed Van der Glas HW, Buchner R, van Grootel RJ (2000) Vergelijking tussen behandelingsvormen bij myogene temporomandibulaire dysfunctie. Ned Tijdschr Tandheelkd 107: 505–512PubMed
94.
Zurück zum Zitat Van Eijden TM, Blanksma NG, Brugman P (1993) Amplitude and timing of EMG activity in the human masseter muscle during selected motor tasks. J Dent Res 72: 599–606PubMed Van Eijden TM, Blanksma NG, Brugman P (1993) Amplitude and timing of EMG activity in the human masseter muscle during selected motor tasks. J Dent Res 72: 599–606PubMed
95.
Zurück zum Zitat Vollaro S, Michelotti A, Cimino R et al. (2001) Studio epidemiologico su un gruppo di pazienti con disordini craniomandibolari. Analisi dei dati e delle caratteristiche cliniche. Minerva Stomatol 50: 9–14PubMed Vollaro S, Michelotti A, Cimino R et al. (2001) Studio epidemiologico su un gruppo di pazienti con disordini craniomandibolari. Analisi dei dati e delle caratteristiche cliniche. Minerva Stomatol 50: 9–14PubMed
96.
Zurück zum Zitat Von Heymann W, Böhni U, Locher H (2005) Grundlagenforschung trifft Manualmedizin. Man Med 6: 385–394CrossRef Von Heymann W, Böhni U, Locher H (2005) Grundlagenforschung trifft Manualmedizin. Man Med 6: 385–394CrossRef
97.
Zurück zum Zitat Von Lindern JJ, Niederhagen B, Berge S, Appel T (2003) Type A botulinum toxin in the treatment of chronic facial pain associated with masticatory hyperactivity. J Oral Maxillofac Surg 61: 774–778CrossRefPubMed Von Lindern JJ, Niederhagen B, Berge S, Appel T (2003) Type A botulinum toxin in the treatment of chronic facial pain associated with masticatory hyperactivity. J Oral Maxillofac Surg 61: 774–778CrossRefPubMed
98.
Zurück zum Zitat Wolfe F, Smythe HA, Yunus MB et al. (1990) The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 33: 160–172PubMed Wolfe F, Smythe HA, Yunus MB et al. (1990) The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 33: 160–172PubMed
99.
Zurück zum Zitat Wörz R, Bolten W, Heller B et al. (1996) Flupirtin im Vergleich zu Chlormezanon und Plazebo bei chronischen muskuloskelettalen Rückenschmerzen. Ergebnisse einer multizentrischen randomisierten Doppelblindstudie. Fortschr Med 114: 500–504PubMed Wörz R, Bolten W, Heller B et al. (1996) Flupirtin im Vergleich zu Chlormezanon und Plazebo bei chronischen muskuloskelettalen Rückenschmerzen. Ergebnisse einer multizentrischen randomisierten Doppelblindstudie. Fortschr Med 114: 500–504PubMed
100.
Zurück zum Zitat Wörz R, Müller-Schwefe G, Stroehmann I et al. (2000) Rückenschmerzen: Leitlinien der medikamentösen Therapie. MMW Fortschr Med 142: 27–33 Wörz R, Müller-Schwefe G, Stroehmann I et al. (2000) Rückenschmerzen: Leitlinien der medikamentösen Therapie. MMW Fortschr Med 142: 27–33
101.
Zurück zum Zitat Wright E, Anderson G, Schulte J (1995) A randomized clinical trial of intraoral soft splints and palliative treatment for masticatory muscle pain. J Orofac Pain 9: 192–199PubMed Wright E, Anderson G, Schulte J (1995) A randomized clinical trial of intraoral soft splints and palliative treatment for masticatory muscle pain. J Orofac Pain 9: 192–199PubMed
102.
Zurück zum Zitat Wright EF (2000) Referred craniofacial pain patterns in patients with temporomandibular disorder. J Am Dent Assoc 131:1 307–1315 Wright EF (2000) Referred craniofacial pain patterns in patients with temporomandibular disorder. J Am Dent Assoc 131:1 307–1315
103.
Zurück zum Zitat Zarb GA, Carlsson GE, Sessle BJ, Mohl ND (1994) Temporomandibular joint and masticatory muscle disorders. Munksgaard, Copenhagen Zarb GA, Carlsson GE, Sessle BJ, Mohl ND (1994) Temporomandibular joint and masticatory muscle disorders. Munksgaard, Copenhagen
104.
Zurück zum Zitat Ziegelgänsberger W (1996) Der chronische Schmerz. Jatros Neurologie 1: 25–29 Ziegelgänsberger W (1996) Der chronische Schmerz. Jatros Neurologie 1: 25–29
Metadaten
Titel
Therapie bei Schmerzen der Kaumuskulatur
Empfehlungen zum klinischen Management
verfasst von
Dr. H. J. Schindler
J. C. Türp
C. Sommer
H. Kares
P. Nilges
A. Hugger
Publikationsdatum
01.04.2007
Verlag
Springer-Verlag
Erschienen in
Der Schmerz / Ausgabe 2/2007
Print ISSN: 0932-433X
Elektronische ISSN: 1432-2129
DOI
https://doi.org/10.1007/s00482-006-0514-3

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