Izvorni znanstveni članak
Masticatory Muscle and Temporomandibular Joint Pain in Croatian War Veterans with Posttraumatic Stress Disorder
Ivone Uhač
Petra Tariba
Zoran Kovač
Sunčana Simonić-Kocijan
Vlatka Lajnert
Vesna Fugošić Mesić
Davor Kuiš
Vedrana Braut
Sažetak
The aim of this study was to investigate the prevalence and intensity of masticatory muscle and temporomandibular
joint (TMJ) pain in Croatian war veterans with posttraumatic stress disorder (PTSD). The examined group consisted of
100 Croatian war veterans, in whom PTSD had previously been diagnosed. Patients were compared with 92 subjects
who had not taken part in the war and in whom PTSD was excluded by psychiatric examination. The clinical examination
consisted of palpation of the masticatory muscles, the prominent neck musculature, and TMJ. The examination
technique used and the definition of items were previously tested for reliability and validity. 93% of the subjects with
PTSD had masticatory muscle tenderness compared to 45.65% of the subjects in the control group (c
2=51.46, p<0.0001).
The most frequent painful location in the subjects with PTSD was the left lateral pterygoid site in 88%, and in subjects of
the control group the right lateral pterygoid site in 28.26% of cases. The most painful location in the PTSD group was the
left lateral pterygoid site in 72%, and in the control group the left posterior digastric in 4.35% of cases. 58% of the subjects
with PTSD had TMJ tenderness compared to 3.26% of subjects in the control group (c
2=66.23, p<0.0001). The most frequent
painful location of TMJ in both groups was the left posterior capsule; in the PTSD group 38% and in subjects in
the control group 2.17% of cases. The most painful location was the left posterior capsule in 28% of subjects with PTSD,
while not one subject in the control group reported severe painful sensitivity. The very high frequency and intensity of
pain in subjects with PTSD confirms the effect of stress on muscle and joint sensitivity, i.e. perception of pain.
Ključne riječi
masticatory muscle; temporomandibular joint; pain; PTSD; war; veterans
Hrčak ID:
75627
URI
Datum izdavanja:
30.12.2011.
Posjeta: 1.058 *