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Comparison of muscle tenderness and general pain sensitivity between subjects with temporomandibular disorders and concurrent neck disability and healthy subjects Open Access


Other title
Temporomandibular disorders
Pain Sensitivity
Neck Disability
Type of item
Degree grantor
University of Alberta
Author or creator
Silveira, Anelise
Supervisor and department
Magee, David (Faculty of Rehabilitation Medicine)
Examining committee member and department
Warren, Sharon (Faculty of Rehabilitation Medicine)
Thie, Norman (Dentistry)
Faculty of Rehabilitation Medicine

Date accepted
Graduation date
Master of Science
Degree level
Purpose: The main objective of this study was to compare the masticatory and cervical muscle tenderness and general pain sensitivity between patients with TMD and healthy controls. Methods: Eligible patients completed the Neck Disability Index and Jaw Dysfunction Index. Tenderness of the masticatory and cervical muscles and general pain sensitivity in the hypothenar region of the left hand were measured using an algometer. Results: The PPTs of the masticatory as well as cervical muscles of subjects with TMD were significantly lower statistically at almost all sites tested when compared with the healthy controls. Effect sizes were moderate to high indicating a clinically relevant difference between groups. General pain sensitivity of patients with TMD was significantly higher than the healthy control group. The correlation between jaw disability and neck disability was significantly high. Conclusion: The results of this study suggest a relationship between neck muscle tenderness and TMD. These findings emphasize the importance of including the neck when evaluating and treating patients with TMD.
License granted by Anelise Silveira ( on 2011-09-24T17:42:57Z (GMT): Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of the above terms. The author reserves all other publication and other rights in association with the copyright in the thesis, and except as herein provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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