Oral diseases · 2025
Referred Pain Manifestation and Its Impact on Patients With Temporomandibular Disorder.
СтатьяНазвание и аннотация: Перевод в очереди
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de Lima-Netto Beatriz Amaral, Conti Paulo César Rodrigues, Salbego Rafaela Stocker, Herreira-Ferreira Matheus, Costa Yuri Martins, Bonjardim Leonardo Rigoldi
Аннотация
OBJECTIVE: To investigate whether a higher number of sites eliciting referred pain upon palpation is associated with greater impairment in biopsychosocial aspects in TMD patients and identify variables that predict increased referred pain.
METHODS: This cross-sectional study analyzed data from 77 women with myalgia, assessing the number of sites eliciting referred pain upon palpation in relation to clinical (duration, frequency, intensity, painful body sites, pain-related disability), psychological (stress, anxiety, depression, catastrophizing, sleep quality), and psychophysical variables (mechanical and pressure pain thresholds, temporal summation and conditioned pain modulation).
RESULTS: Spearman's correlation revealed a significant correlation between the number of sites eliciting referred pain upon palpation in the orofacial region and both pain intensity and frequency (p < 0.001), as well as with the number of painful body sites (p = 0.009). Negative binomial regression indicated that each additional day of pain in the past week and each additional painful body site were predictors of increases of 10% and 4%, respectively, in the number of sites eliciting referred pain upon palpation.
CONCLUSIONS: These findings highlight the utility of assessing referred pain sites as a complementary indicator of severity in clinical pain parameters, providing a practical and effective tool for a more comprehensive evaluation of patients.
METHODS: This cross-sectional study analyzed data from 77 women with myalgia, assessing the number of sites eliciting referred pain upon palpation in relation to clinical (duration, frequency, intensity, painful body sites, pain-related disability), psychological (stress, anxiety, depression, catastrophizing, sleep quality), and psychophysical variables (mechanical and pressure pain thresholds, temporal summation and conditioned pain modulation).
RESULTS: Spearman's correlation revealed a significant correlation between the number of sites eliciting referred pain upon palpation in the orofacial region and both pain intensity and frequency (p < 0.001), as well as with the number of painful body sites (p = 0.009). Negative binomial regression indicated that each additional day of pain in the past week and each additional painful body site were predictors of increases of 10% and 4%, respectively, in the number of sites eliciting referred pain upon palpation.
CONCLUSIONS: These findings highlight the utility of assessing referred pain sites as a complementary indicator of severity in clinical pain parameters, providing a practical and effective tool for a more comprehensive evaluation of patients.