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Titolo:
The association between Research Diagnostic Criteria for TemporomandibularDisorder findings and biting force and endurance in patients with temporomandibular disorders
Autore:
Rudy, TE; Greco, CM; Yap, GA; Zaki, HS; Leader, JK; Boston, JR;
Indirizzi:
Univ Pittsburgh, Pain Evaluat & Treatment Inst, Dept Anesthesiol Crit CareMed, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 CareMed, Pittsburgh, PA 15213 USA Univ Pittsburgh, Dept Biostat, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 Biostat, Pittsburgh, PA 15213 USA Univ Pittsburgh, Dept Prosthodont, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 thodont, Pittsburgh, PA 15213 USA Univ Pittsburgh, Dept Otolaryngol, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 aryngol, Pittsburgh, PA 15213 USA Univ Pittsburgh, Dept Bioengn, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 Bioengn, Pittsburgh, PA 15213 USA Univ Pittsburgh, Dept Elect Engn, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 ct Engn, Pittsburgh, PA 15213 USA
Titolo Testata:
PAIN MEDICINE
fascicolo: 1, volume: 2, anno: 2001,
pagine: 35 - 45
SICI:
1526-2375(200103)2:1<35:TABRDC>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
BITE-FORCE; ARTHRITIS; RECOVERY; FATIGUE; MUSCLES;
Keywords:
temporomandibular disorders; treatment outcome; bite force and endurance; RDC/TMD;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Rudy, TE Univ Pittsburgh, Pain Evaluat & Treatment Inst, Dept Anesthesiol Crit CareMed, 4601 Baum Blvd, Pittsburgh, PA 15213 USA Univ Pittsburgh 4601Baum Blvd Pittsburgh PA USA 15213 15213 USA
Citazione:
T.E. Rudy et al., "The association between Research Diagnostic Criteria for TemporomandibularDisorder findings and biting force and endurance in patients with temporomandibular disorders", PAIN MED, 2(1), 2001, pp. 35-45

Abstract

Objective. This study was designed to evaluate the association between examination findings based on Research Diagnostic Criteria for Temporomandibular Disorders and performances on bite force and endurance tasks. Methods. Subjects were 126 patients with temporomandibular disorder and 34pain-free controls. h subset of patients with temporomandibular disorder (n = 56) also were evaluated following a brief conservative if-week treatment intervention. Results. A multivariate analysis of variance indicated that female patients (P < .001) but not males (P = .17) had lower bite forces than age- and gender-matched controls. Dental examination findings were significantly but modestly predictive of bite task performance (R-2 = 0.175), with higher joint pain and smaller maximum unassisted jaw opening associated with lower bite force. The brief treatment interventions resulted in both self-reported and clinically determined improvements. Clinical and self-reported improvement significantly predicted pre-post treatment changes in biting force amongfe male subjects (R-2 = 0.237). Specifically, reduction in joint palpationpain and self-reported pain (McGill Pain Questionnaire short form) were the primary predictors of increases in bite force. The improvement in biting force was modest (mean = 7 Ib), and the force levels of female patients remained lower than those of control subjects. Treatment did not significantlyincrease endurance time. Discussion. The brief conservative treatments used resulted in improvements in pain and jaw opening, and 81.8% of patients reported moderate to majorimprovement. The modest association of the bite task with Research Diagnostic Criteria for Temporomandibular Disorders examination findings and treatment improvement in this heterogeneous sample suggests that the bite and endurance tasks have limited diagnostic utility and sensitivity to treatment effects.

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Documento generato il 26/01/20 alle ore 00:49:22