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Association between convergence insufficiency and temporomandibular disorder cross-sectional study
Douglas Meira Dos Santos1, Fabiano Politti1, Ludmila Menezes Alves de Azevedo1
1Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho-UNINOVE, Rua Vergueiro, 235/249, Liberdade, São Paulo, SP, 01504-001, Brazil.
Objectives:
Evaluate whether there is an association between convergence insufficiency and temporomandibular disorder (TMD) and whether there is an association between pain and range of motion in different degrees of TMD.
Methods:
We evaluated 138 individuals with TMD and 46 without TMD using the Research Diagnostic Criteria for temporomandibular disorders, the Fonseca Anamnestic Index (FAI), Numeric Pain Rating Scale, and the measurement of mandibular range of motion (ROM). Convergence insufficiency was diagnosed using the convergence test and Convergence Insufficiency Symptom Survey. Analysis of variance was used to compare age and mandibular ROM. The Kruskal-Wallis was used to compare mandibular ROM and pain between groups. The chi-square test was used to evaluate associations between TMD subgroups and the FAI, sex, and ocular convergence.
Results:
The majority of individuals without TMD did not exhibit convergence insufficiency. The frequency convergence insufficiency was significantly higher among individuals with severe TMD (p < 0.003). Mean pain severity differed between individuals with and without TMD. Mandibular ROM diminished with the increase in TMD severity.
Conclusions:
Convergence insufficiency, age, the increase in pain, and the reduction in mandibular range of motion were associated with the degrees of TMD severity. Despite the significant associations between convergence insufficiency and both pain and TMD severity, these variables cannot be indicated as predictive factors due to the low variability in the linear regression analysis.
Clinical Relevance:
The present findings can assist in decision making regarding the treatment of severe TMD and the evaluation of ocular convergence.
