Case-control study of craniomandibular disorders in patients with fibromyalgia
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García Moya, Eduardo José; Montiel Company, José María; Almerich Silla, José Manuel
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Aquest document és un/a article, creat/da en: 2015
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Background: Fibromyalgia is a clinical syndrome characterized by chronic widespread pain, which is non-articular
and is predominantly experienced in the muscles and vertebral column, and by extensive heightened sensitivity to
local pressure at many specific points The purpose of this study was to measure differences in the level of painful
symptoms and in the movements of the mandible in a group of patients who had been diagnosed as suffering from
fibromyalgia, in comparison with a control group. The anxiety and subjective pain levels and their relation with
mandibular mobility were also compared.
Materials and Methods: A case-control study was designed. The temporomandibular joints and masticatory muscles
of the cases (n=20) and controls (n=18) were examined, anxiety was assessed by the STAI index and subjective
pain was measured on a visual analogue scale. The data analysis was carried out with SPSS v.19.0 software. The
descriptive data were expressed as means and proportions at a 95% confidence interval. The proportions were compared with the chi-square test and the means with the Mann-Whitney U test. Pearson’s correlation coefficient was
used to measure the association between quantitative variables.
Results: The fibromyalgia patients (the case group) presented a higher level of pain following the musculoskeletal
examination and significantly greater symptoms at the examination points. Regarding joint mobility, significant differences in mandibular opening were found (cases 43.4 mm vs controls 47.2 mm,
p
= 0.042). The mean pain score
of the cases was significantly higher than that of the controls (4.03 vs 1.8,
p
= 0.001) but no significant differences
were found in the anxiety index (23.8 vs 23.4).
Conclusions: patients with fibromyalgia are affected to a greater extent by craniomandibular disorders, with lower
mouth opening and higher pain levels than healthy persons. However, the anxiety levels of the two groups are
similar.
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