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Titre : | Do intra-articular temporomandibular disorders show an association between physical bite function, self-perceived bite limitation and kinesiophobia? A case-control study (2023) |
Auteurs : | Alana Dinsdale ; Lucy Thomas ; Roma Forbes ; Julia Treleaven |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 65, June 2023) |
Article en page(s) : | 102756 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Kinésiophobie ; Morsures humaines ; Présentations de cas |
Mots-clés: | Les troubles temporo-mandibulaires ; Force de la morsure |
Résumé : | Background Little is known about the impact of intra-articular temporomandibular disorders (TMDs) on bite function, or how bite impairments in this subgroup relate to self-perceived bite limitation or kinesiophobia. This presents a challenge to practitioners involved in delivering care. Objectives To determine what bite impairments are associated with intra-articular TMDs, and explore how these impairments relate to self-perceived bite limitations and kinesiophobia. Design Observational, case-control study. Method Sixty participants (n = 30 intra-articular TMDs, n = 30 healthy controls) were recruited via convenience sampling. Bite function was explored using pain-free bite force and bite endurance/steadiness (submaximal bite hold) measures. Self-perceived bite function and kinesiophobia were evaluated via the Patient specific functional scale (PSFS) and the Tampa Scale for kinesiophobia of Temporomandibular disorders (TSK-TMD) respectively. Between-group data were compared and associations between physical bite impairments, self-perceived bite limitation and kinesiophobia were explored in the intra-articular TMD group. Results Pain-free bite force was significantly impaired in the intra-articular TMD group (?108N, p 0.05). No association was observed between pain-free bite force and self-perceived bite limitation, or self-perceived bite limitation and kinesiophobia (p > 0.05). Conclusions Impaired pain-free bite force appears to be an important feature of intra-articular TMDs which should be considered within management. Kinesiophobia may be important to consider when assessing bite function in this subgroup. Future research is needed to guide optimal interventions and inform subsequent management guidelines. |
Disponible en ligne : | Oui |
En ligne : | https://www.sciencedirect.com/science/article/pii/S2468781223000413 |