Temporomandibular dysfunction and craniocervical pain in professionals of the nursing area under work stress/ Disfuncao temporomandibular e dor craniocervical em profissionais da area da enfermagem sob estresse no trabalho

• Published in: Revista CEFAC Vol. 18; no. 2; p. 439
• Main Authors: Pozzebon, Daniela, Piccin, Chaiane Facco, da Silva, Ana Maria Toniolo, Correa, Eliane Castilhos Rodrigues
• Format: Journal Article
• Language: English
• Published: CEFAC - Associacao Institucional em Saude e Educacao 01.03.2016
• Subjects: Brasil
• ISSN: 1516-1846; 1982-0216
• DOI: 10.1590/1982-0216201618217515

Purpose: to investigate the presence of Temporomandibular Disorder, headache and neck pain and muscle pain threshold of cervical muscles in nursing professionals exposed to occupational stress. Methods: 43 women were evaluated for the presence and severity of Temporomandibular Disorder using the Diagnostic Criteria for Temporomandibular Disorder instrument and Temporomandibular Dysfunction Index, respectively. Furthermore, they were evaluated for the pain threshold to pressure on the cervical muscles by algometry and for the presence of headache and neck pain. Results: temporomandibular Disorder was found in sample 30.23% and 0.52 was the mean score of dysfunction severity. Of the participants with Temporomandibular Disorder, there presence of depression was found in 69.23%; 61.64% Grade I in Graded Chronic Pain and Specific Physical Symptoms including pain and excluding pain were 46.15% and 61.64%, respectively. Headache was reported by 55.81% and neck pain by 60.47%. There was no association between the presence of Temporomandibular Disorder, headache and neck pain. Pain pressure thresholds of cervical muscles were low in subjects with and without Temporomandibular Disorder, without statistical difference. The sternocleidomastoid muscle it's the lowest value of pain pressure threshold. Conclusion: high incidence of Temporomandibular Disorder, headache and neck pain were detected in the studied sample. Temporomandibular Disorder was not associated with the presence of headache and / or neck pain. The high frequency of cervical pain and low pain pressure thresholds in the sternocleidomastoid muscle in all subjects demonstrate the involvement of the cervical spine and muscles in these professionals, resulting of possible improper postures and stress-related muscle tension. Keywords: Temporomandibular Joint Disorders; Pain Measurement; Depression; Stress Psychological Objetivo: verificar a presenca e severidade de Disfuncao Temporomandibular, presenca de cefaleia e cervicalgia e o limiar de dor muscular de musculos cervicais em profissionais de enfermagem sob estresse no trabalho. Metodos: 43 mulheres foram avaliadas quanto a presenca e severidade de Disfuncao Temporomandibular pelo instrumento Criterios de Diagnostico para Pesquisa de Desordem Temporomandibular e pelo Indice Temporomandibular, respectivamente. Alem disso, foram avaliadas quanto ao limiar de dor a pressao nos musculos cervicais por algometria e quanto a presenca de cefaleia e cervicalgia. Resultados: disfuncao Temporomandibular foi encontrada em 30,23% da amostra, com valor medio de escore de gravidade de 0,52. Entre as participantes com Disfuncao Temporomandibular, 69,23% apresentavam depressao, 61,64% graduacao I de dor cronica e Sintomas Fisicos nao Especificos incluindo e excluindo itens de dor em 46,15% e 61,64%, respectivamente. Cefaleia foi referida por 55,81% e cervicalgia por 60,47%. Nao houve associacao entre Disfuncao Temporomandibular, cefaleia e cervicalgia. Os limiares de dor dos musculos cervicais apresentaram-se baixos tanto nos individuos com diagnostico de Disfuncao Temporomandibular quanto nos sem este diagnostico, sem diferenca significativa. O musculo esternocleidomastoideo apresentou-se com os menores limiares de dor a pressao. Conclusao: alta incidencia de Disfuncao Temporomandibular, cefaleia e cervicalgia foram detectadas nesta amostra. Disfuncao Temporomandibular nao influenciou a presenca de cefaleia e/ou cervicalgia. A alta frequencia de dor cervical e os baixos limiares de dor no musculo esternocleidomastoideo em todas as participantes demonstram o comprometimento dos musculos cervicais, resultante de possiveis posturas inadequadas e tensao muscular relacionadas ao estresse. Descritores: Transtornos da Articulacao Temporomandibular; Medicao da Dor; Depressao; Estresse Psicologico