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Does successful TMD-treatment improve concurrent headache complaints in TMD patients?

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Amsterdam University of Applied Sciences

Does successful TMD-treatment improve concurrent headache complaints in TMD patients?

van der Meer, H.A.; Calixtre, L.B.; Engelbert, R.H.H.; Nijhuis-van der Sanden, M.W.G.;

Speksnijder, C.M.; Visscher, C.M.

Publication date 2018

Document Version Final published version

Link to publication

Citation for published version (APA):

van der Meer, H. A., Calixtre, L. B., Engelbert, R. H. H., Nijhuis-van der Sanden, M. W. G., Speksnijder, C. M., & Visscher, C. M. (2018). Does successful TMD-treatment improve concurrent headache complaints in TMD patients?. Poster session presented at European Academy of Orofacial Pain and Dysfunction Conference, London.

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Download date:26 Nov 2021

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Does successful TMD-treatment improve concurrent headache complaints in TMD patients?

H.A. van der Meer 1-5 , L.B Calixtre 6 , R.H.H. Engelbert 2,3 , M.W.G. Nijhuis- van der Sanden 1 , C.M. Speksnijder 5 , C.M. Visscher 4

1

Radboud University Medical Center, Research Institute for Health Sciences, Nijmegen, the Netherlands;

2

Amsterdam University of Applied Sciences, Faculty of Health, the Netherlands;

3

Amsterdam University Medical Center, Department of Rehabilitation, Amsterdam, the Netherlands;

4

Academic Center for Dentistry Amsterdam, Department of Oral Health Sciences, the Netherlands;

5

University Medical Center Utrecht, Department of Oral-Maxillofacial Surgery, the Netherlands; Physiotherapy Department, Federal University of São Carlos, São Carlos, Brazil

The aim of this study is to determine if the change in orofacial pain (OFP) and the

change in headache in patients with TMD- pain are the same over time during TMD- treatment.

Temporomandibular disorders (TMD) and

headache are co-morbid disorders.

Introduction

Methods

It is unknown if a successful

TMD-treatment will lead to an improvement of the headache for different headache types.

Inclusion:

Patients

with TMD- pain and headache

Outcomes (collected by email)

Graded Chronic Pain Scale(GCPS)

• Chronic Pain Intensity (CPI)

• Disability Score (DS)

Multi-disciplinary usual care:

Physical therapy, splint, counseling, psychology

Follow-up 12 weeks Baseline

Results

A total of 39 participants completed the questionnaires on all four moments in time. Most were female (82%) and had

migraine (38.5%) followed by TTH (30.8%) and secondary headache attributed to

TMD (30.8%).

CPI improved over time in patients with migraine and TTH for both OFP and

headache.

Disability score only improved for patients with migraine for both OFP and headache.

Statistics

• Repeated Measures ANOVA for CPI and DS with factor time (4) and factor type of pain (OFP & headache)

• Stratified for headache types: migraine, tension-type headache (TTH) and secondary headache attributed to TMD (SHTMD)

Orofacial pain Headache

Funding:

Contact: h.a.van.der.meer@hva.nl

TAKE HOME MESSAGE

A successful TMD-treatment decreases orofacial pain and headache, as well as self-reported disability in patients with migraine.

Follow-up 4 weeks Follow-up 8 weeks

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