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Mouth opening, jaw disability, neck disability, pressure pain thresholds, and myofascial trigger points in patients
Armando Campos López1, Elena Estébanez De-Miguel2, Miguel Malo-Urriés2
1Academic Department, Orthopedic Manual Therapy Center, Hermosillo, Mexico.
Objective:
To assess jaw and neck function, pressure pain threshold (PPT), and the presence of trigger points (TrPs) in disc displacement with reduction (DDWR) subjects compared to healthy subjects.
Methods:
One hundred DDWR subjects and 100 matched controls were studied. Clinical evaluations included demographic data, range of motion, jaw and neck disability, PPT, and muscle TrPs.
Results:
DDWR subjects have limited pain-free opening limitation (p < 0.001), jaw and neck disability limitation (p < 0.001), and higher presence of active and latent TrPs limitation (p < 0.001) compared to healthy subjects.
Conclusion:
DDWR subjects present a limited pain-free mouth opening, higher jaw and neck disability, lower PPT, and major presence of active and latent TrPs compared to healthy subjects. Cervical spine and TMJ evaluation and treatment should be considered in DDWR patients.
