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How does temporomandibular dysfunction affect neck awareness, cervical sensorimotor performance, and pain

Nagihan Acet1, Murat Esmer2, Sena Begen1

  • 1Atılım University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation - Ankara, Türkiye.

Revista Da Associacao Medica Brasileira (1992)
|July 1, 2026
PubMed
Summary
This summary is machine-generated.

Temporomandibular disorder impacts neck awareness but not cervical pain sensitivity or sensorimotor function. This highlights the importance of assessing neck awareness in patients with temporomandibular disorder.

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Area of Science:

  • Neurology
  • Orthopedics
  • Pain Management

Background:

  • The temporomandibular joint (TMJ) shares anatomical and neurological connections with the cervical spine.
  • Temporomandibular disorders (TMD) may influence adjacent structures, necessitating investigation into their impact on the neck.

Purpose of the Study:

  • To investigate the effect of temporomandibular disorder on neck awareness.
  • To assess cervical sensorimotor performance in individuals with TMD.
  • To evaluate pain sensitivity, including pressure pain threshold, tolerance, and temporal summation, in the cervical region of TMD patients.

Main Methods:

  • An observational, cross-sectional study involving 50 participants (25 with TMD, 25 asymptomatic controls).
  • Evaluated neck awareness using the Fremantle Neck Awareness Questionnaire.
  • Assessed cervical sensorimotor performance via joint position error tests and measured pain sensitivity using a mechanical pressure algometer.

Main Results:

  • No significant differences in cervical pain sensitivity (pressure pain threshold, tolerance, temporal summation) were observed between groups.
  • Neck awareness was significantly impaired in the TMD group compared to controls (p<0.001).
  • Cervical sensorimotor performance, assessed by joint position error tests, did not differ significantly between the TMD and control groups.

Conclusions:

  • Temporomandibular disorder does not appear to affect cervical pain sensitivity or sensorimotor performance.
  • Neck awareness is significantly compromised in individuals with temporomandibular disorder.
  • Clinical evaluation and management of TMD patients should consider potential impacts on neck awareness.