![]() Spinal and central hyperexcitability can be found in TMD patients as shown by an increase in mechanical TS.Ĭentral nervous system myofascial pain dysfunction syndrome temporomandibular joint temporomandibular joint dysfunction syndrome. These meta-analyses support the existence of differences in widespread pressure pain sensitivity in patients with TMD when compared with asymptomatic subjects. ![]() Well my clothes, for me, make me feel like I can control something. The TS qualitative analysis showed strong evidence of spinal hyperexcitability for mechanically evoked pain. 521 likes, 19 comments - Sophie La Touche (sophielatouche) on Instagram: Anyone. When analyzing for thermal hyperalgesia (hot and cold pain thresholds), differences were not found in trigeminal areas or remote areas in patients with TMD. Patients with TMD had decreased pressure pain thresholds in both trigeminal (five studies n = 1,985 SMD = -1.55, 95% CI -2.23 to -0.77 P < 0.01) and remote areas (five studies n = 1,985 SMD = -1.92, 95% CI -2.95 to -0.89 P < 0.01). Twenty-two studies (eleven case-control and eleven cross sectional studies) met the inclusion criteria eight were included in the meta-analysis (five cross-sectional and three case-control). Standardized mean differences (SMD) and 95% confidence intervals (CIs) were calculated for relevant QST outcomes and pooled in a meta-analysis using the random effects model. Since there are no convincing studies about this topic, the purpose of this study was to conduct a review of the studies involving CS-related measures in TMD patients.Ī meta-analysis of case-control and cohort/cross sectional studies was conducted. Several authors have evaluated different pain measurements, including quantitative sensory testing (QST), temporal summation (TS), and conditioned pain modulation (CPM) in order to determine the presence of central sensitization (CS) and its influence on patients with temporomandibular disorders (TMD).
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