Is There a Relation between Tension-Type Headache, Temporomandibular Disorders and Sleep?

Autor: Caspersen N; Danish Headache Center, Department of Neurology, Glostrup Hospital, Nordre Ringvej 69, 2600 Glostrup, Denmark., Hirsvang JR; Danish Headache Center, Department of Neurology, Glostrup Hospital, Nordre Ringvej 69, 2600 Glostrup, Denmark., Kroell L; Danish Headache Center, Department of Neurology, Glostrup Hospital, Nordre Ringvej 69, 2600 Glostrup, Denmark., Jadidi F; Section of Clinical Oral Physiology, Department of Dentistry, University of Aarhus, Vennelyst Boulevard 9, 8000 Aarhus, Denmark., Baad-Hansen L; Section of Clinical Oral Physiology, Department of Dentistry, University of Aarhus, Vennelyst Boulevard 9, 8000 Aarhus, Denmark., Svensson P; Section of Clinical Oral Physiology, Department of Dentistry, University of Aarhus, Vennelyst Boulevard 9, 8000 Aarhus, Denmark., Jensen R; Danish Headache Center, Department of Neurology, Glostrup Hospital, Nordre Ringvej 69, 2600 Glostrup, Denmark.
Jazyk: angličtina
Zdroj: Pain research and treatment [Pain Res Treat] 2013; Vol. 2013, pp. 845684. Date of Electronic Publication: 2013 Nov 20.
DOI: 10.1155/2013/845684
Abstrakt: Introduction. Tension-Type Headache (TTH) is the most prevalent headache often associated with impaired function and quality of life. Temporomandibular Disorders (TMD) and TTH frequently coexist; characterized by pericranial tenderness and impact on daily life. We aim to apply a standardized questionnaire for TMD to characterize and analyse an eventual relation between sleep and oral health in TTH in a controlled design. Material and Methods. 58 consecutive TTH patients and 58 healthy controls were included. The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire, Oral Health Impact profile (OHIP) and questionnaires for sleep were applied. Results. TTH-patients had significantly higher pain scores (P < 0.001), decreased quality of life (P < 0.001), and higher total sleep scores (P < 0.001) compared to controls. Conclusion. For the first time we have identified a clear relation between TTH and TMD symptoms, depression, anxiety, poor sleep, and impairments of oral function in carefully classified patients. These findings indicate a close, but incomplete, overlap between TTH and TMD. Their underlying pathophysiological mechanisms need further research.
Databáze: MEDLINE