Journal of oral rehabilitation · 2025
Prevalence and Interplay of Hypervigilance and Kinesiophobia in TMD Patients: Implications in Clinical Outcomes.
СтатьяНазвание и аннотация: Перевод в очереди
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Cebola Pedro Miguel Teixeira Carvas, Lourenço André Schneider, Hoppe Alexandre Mangabeira, Colombo Livia Mourão Pereira Costa, de Proença Leilane Samary, Moleirinho-Alves Paula Manuela Mendes, Christidis Nikolaos, Poluha Rodrigo Lorenzi, De la Torre Canales Giancarlo
Аннотация
BACKGROUND: Behavioural cognitive factors, like kinesiophobia and coping skills like hypervigilance, may contribute to a worse prognosis of TMD symptoms. However, there is a lack of evidence about the prevalence and relationship of hypervigilance and kinesiophobia with TMD.
OBJECTIVE: This study aimed to assess the prevalence and associations of hypervigilance and kinesiophobia in TMD.
METHODS: The sample consisted of 233 participants, divided into the TMD group (133) and a control group (100). The following instruments were used: diagnostic criteria for temporomandibular disorders (DC/TMD), Pain Vigilance and Awareness Questionnaire (PVAQ), and Tampa Scale for kinesiophobia/temporomandibular joint dysfunction (TSK/TMD). Pain pressure threshold (PPT) was measured on the masticatory muscles and the temporomandibular joint. Mandibular movements were assessed with a millimetre ruler. Mann-Whitney U test was used for group comparisons and Spearman's correlation test for association analyses.
RESULTS: The TMD-group showed higher hypervigilance and kinesiophobia values,and lower PPT and mandibular movement (opening and protrusion) values compared with controls (p < 0.05). Also, a positive moderate correlation between hypervigilance and kinesiophobia (p = 0.000001), a significant negative correlation between hypervigilance and PPT (p = 0.00001) and a significant negative correlation between hypervigilance, kinesiophobia and mandibular movements (p < 0.05) in the TMD-group were found. A positive weak correlation was found just between hypervigilance and kinesiophobia in the control group (p = 0.01).
CONCLUSION: TMD patients present high levels of kinesiophobia and hypervigilance, which in turn are correlated and affect TMD symptoms.
OBJECTIVE: This study aimed to assess the prevalence and associations of hypervigilance and kinesiophobia in TMD.
METHODS: The sample consisted of 233 participants, divided into the TMD group (133) and a control group (100). The following instruments were used: diagnostic criteria for temporomandibular disorders (DC/TMD), Pain Vigilance and Awareness Questionnaire (PVAQ), and Tampa Scale for kinesiophobia/temporomandibular joint dysfunction (TSK/TMD). Pain pressure threshold (PPT) was measured on the masticatory muscles and the temporomandibular joint. Mandibular movements were assessed with a millimetre ruler. Mann-Whitney U test was used for group comparisons and Spearman's correlation test for association analyses.
RESULTS: The TMD-group showed higher hypervigilance and kinesiophobia values,and lower PPT and mandibular movement (opening and protrusion) values compared with controls (p < 0.05). Also, a positive moderate correlation between hypervigilance and kinesiophobia (p = 0.000001), a significant negative correlation between hypervigilance and PPT (p = 0.00001) and a significant negative correlation between hypervigilance, kinesiophobia and mandibular movements (p < 0.05) in the TMD-group were found. A positive weak correlation was found just between hypervigilance and kinesiophobia in the control group (p = 0.01).
CONCLUSION: TMD patients present high levels of kinesiophobia and hypervigilance, which in turn are correlated and affect TMD symptoms.