根据功能修改的诊断标准疼痛与功能限制和行为频率的关联
Rayan Alsuwailem1,2, Heidi Crow3, Yoly Gonzalez3
1Orofacial Pain Program, Department of Oral Diagnostic Sciences, University at Buffalo, Buffalo, NY 14214, USA.
Journal of oral & facial pain and headache
|January 12, 2025
概括
功能修改的疼痛是诊断疼痛关节疾病的关键. 这项研究证实,与功能和过度使用行为相关的疼痛评估问题与已建立的功能限制和行为模式衡量标准保持一致.
科学领域:
- 口腔和牙面部外科手术
- 疼痛医学 医学 疼痛医学
- 诊断的标准 诊断的标准
背景情况:
- 部疾病 (TMD) 是面部疼痛的常见原因.
- 疼痛性TMD的准确诊断依赖于特定的标准,包括功能修改的疼痛.
- 了解功能限制,行为模式和疼痛之间的关系对于有效的TMD管理至关重要.
研究的目的:
- 评估功能限制和过度使用行为与功能修改的疼痛之间的关联.
- 为了确定功能项目修改的疼痛是否可以作为疼痛TMD的有效诊断标准.
- 评估功能修饰的疼痛与相关结构之间的关系,以测量TMD的病因和后果.
主要方法:
- 对249名近期出现面部疼痛的参与者的二次数据分析.
- 利用关节疾病诊断标准 (DC/TMD) 症状问卷,特别是功能修改的疼痛项目 (4A-D).
- 采用独立的t测试,将功能项目修改的疼痛与功能限制量表 (JFLS) 和口腔行为检查表 (OBC) 进行比较,计算效果大小.
主要成果:
- 通过和部运动改变的疼痛与相应的JFLS项目 (效果大小0.1-1.0) 显示出显著的关联.
- 与过度使用行为相关的疼痛与OBC项目有显著的相关性 (效果大小为0.1-0.8).
- 由其他功能改变的疼痛与JFLS项目 (效果大小为0.5-0.9) 有关.
结论:
- 功能问题修改的DC/TMD疼痛是痛苦TMD的强有力的诊断标准.
- 这些标准有效地捕捉了疼痛,功能限制 (JFLS) 和过度使用行为 (OBC) 等病因因素之间的关系.
- 功能修改的疼痛是理解肌肉骨疾病和感知体验的重要组成部分.
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