Myofascial pain syndrome in the dysfunction of the temporomandibular joint

Kotsiubinskaya J.V.

Bekhterev National Research Medical Center for Psychiatry and Neurology

Mikhailov V.A.

Mazo G.E.

Bekhterev National Medical Research Center for Psychiatry and Neurology

ORCID: 0000-0001-7910-9129

Ashnokova I.A.

Bekhterev National Research Medical Center for Psychiatry and Neurology

Myofascial pain syndrome in the dysfunction of the temporomandibular joint

Authors:

Kotsiubinskaya J.V., Mikhailov V.A., Mazo G.E., Ashnokova I.A.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2019;119(11): 21‑26

DOI: 10.17116/jnevro201911911121

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To cite this article:

Kotsiubinskaya JV, Mikhailov VA, Mazo GE, Ashnokova IA. Myofascial pain syndrome in the dysfunction of the temporomandibular joint. S.S. Korsakov Journal of Neurology and Psychiatry. 2019;119(11):21‑26. (In Russ.)
https://doi.org/10.17116/jnevro201911911121

Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry)

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OBJECTIVE

Selection of the clinical characteristics of pain syndrome in the orofacial region in temporomandibular joint pain dysfunction syndrome (TMJ PDS).

MATERIAL AND METHODS

One hundred and two patients with TMJ PDS were examined using the Verbal Descriptive Pain Rating Scale of the orofacial area. The Clinical Index of TMJ dysfunction (CID) by Helkimo M. was used for objectification of the level of musculo-tonic disorders in the area of the chewing muscles. The psychopathological status of patients with TMJ PDS was assessed with HRDS and SCL-90-R.

RESULTS

A significant proportion of patients with TMJ PDS, in addition to algic symptoms, have hypertonus of the facial muscles, the nature and severity of which require not only a special diagnostic assessment, but also follow-up treatment. The analysis of data allowed us to identify three clinical groups of patients: with isolated (muscular-tonic), neurological symptoms; with mixed (combination of muscular-tonic and somatoform manifestations) neurological and psychopathological symptoms and with somatoform symptoms.

CONCLUSION

Patients with TMJ PDS are clinically heterogeneous and require clinical differentiation, distinguishing the common group of patients with muscular dysfunction accompanied by pain and emotional response to it (anxiety and minor depressive symptoms) and the group of patients with a somatoform disorder (and manifestations as general anxiety).

Keywords:

myofascial pain syndrome

dysfunction of the chewing muscles

temporomandibular joint

Authors:

Kotsiubinskaya J.V.

Bekhterev National Research Medical Center for Psychiatry and Neurology

Mikhailov V.A.

Mazo G.E.

Bekhterev National Medical Research Center for Psychiatry and Neurology

ORCID: 0000-0001-7910-9129

Ashnokova I.A.

Bekhterev National Research Medical Center for Psychiatry and Neurology

Received:

22.02.2019

Accepted:

20.06.2019

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