Fibromyalgia in patients with chronic CCD and CMD

• Verfasst von: Losert-Bruggner, Brigitte [VerfasserIn]
• Verfasst von: Hülse, Manfred [VerfasserIn]
• Verfasst von: Hülse, Roland [VerfasserIn]
• Titel: Fibromyalgia in patients with chronic CCD and CMD
• Titelzusatz: a retrospective study of 555 patients
• Verf.angabe: Brigitte Losert-Bruggner, Manfred Hülse and Roland Hülse
• Jahr: 2018
• Umfang: 9 S.
• Fussnoten: Published online: 05 Jun 2017 ; Gesehen am 11.07.2019
• Titel Quelle: Enthalten in: Cranio
• Ort Quelle: Abingdon, Oxon : Taylor & Francis, 1984
• Jahr Quelle: 2018
• Band/Heft Quelle: 36(2018), 5, Seite 318-326
• ISSN Quelle: 2151-0903
• DOI: doi:10.1080/08869634.2017.1334376
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: ACR: American College of Rheumatology
• Sach-SW: atlas pulse therapy after Arlen
• Sach-SW: AWMF
• Sach-SW: AWMF: Association of the Scientific Medical Societies in Germany
• Sach-SW: CCD: Craniocervical dysfunction
• Sach-SW: chronic pain
• Sach-SW: CMD: Craniomandibular dysfunction
• Sach-SW: cranio cervical dysfunction
• Sach-SW: cranio mandibular dysfunction
• Sach-SW: CWP: Chronic widespread pain
• Sach-SW: EMG: Electromyography
• Sach-SW: ENT: Ears, nose and throat
• Sach-SW: Fibromyalgia
• Sach-SW: FMS: Fibromyalgia syndrome
• Sach-SW: functional spinal disorders
• Sach-SW: ICCMO: International College of Cranio-Mandibular Orthopedics
• Sach-SW: interdisciplinary myozentric splint therapy
• Sach-SW: manual therapy
• Sach-SW: TMJ: Temporomandibular joint
• Sach-SW: WPI: Widespread pain index
• K10plus-PPN: 1575971534

Abstract

Objective: Craniomandibular dysfunction (CMD) and craniocervical dysfunction (CCD) are clearly defined musculoskeletal pain syndromes. Relationships with fibromyalgia syndrome (FMS) have not yet been investigated. The aim of the present study is to establish possible relationships between FMS and CMD/ CCD.Methods: In a retrospective study, 555 patients with CCD and CMD were investigated with respect to the diagnostic criteria of FMS. In addition to otolaryngologic and dental examination, an instrumental functional analysis for the diagnosis of CMD/CCD was performed.Results: Three hundred fifty-one (63%) of the 555 patients evaluated met the diagnostic criteria for FMS. Seventy-two percent of the patients had a widespread pain index of at least 7 and a severity scale score of at least 5. Twenty-nine percent had a widespread pain index of 3-6 and a severity scale score of at least 9. Using myocentric bite splint therapy and therapy with oral orthesis in combination with neuromuscular relaxation measures, a good to very good improvement of physical symptoms was seen in 84% of CMD-FMS patients, and an improvement of the symptoms in the jaw was achieved in 77% of cases.Discussion: The substantial proportion of CMD and CCD patients who meet the criteria for FMS emphasizes the complexity of the two diseases. It must be assumed that FMS is a crucial factor for the formation of CMD and CCD. Conversely, CMD/ CCD could also be responsible for diverse clinical pictures of the FMS. FMS patients with synchronous CCD/CMD benefit from an interdisciplinary CMD/CCD treatment.