Music Modulates Awake Bruxism in Chronic Painful Temporomandibular Disorders

被引:7
|
作者
Imbriglio, Tina Veronica [1 ,2 ]
Moayedi, Massieh [1 ,2 ,3 ,4 ]
Freeman, Bruce Victor [4 ]
Tenenbaum, Howard Charles [1 ,4 ]
Thaut, Michael [5 ]
Cioffi, Iacopo [1 ,2 ,3 ,4 ]
机构
[1] Univ Toronto, Fac Dent, Toronto, ON, Canada
[2] Univ Toronto, Ctr Multimodal Sensorimotor & Pain Res, 123 Edward St,Room 501C, Toronto, ON M5G 1E2, Canada
[3] Univ Toronto, Univ Toronto Ctr Study Pain, Toronto, ON, Canada
[4] Mt Sinai Hosp, Dept Dent, Ctr Adv Dent Res & Care, Toronto, ON, Canada
[5] Univ Toronto, Fac Mus, Toronto, ON, Canada
来源
HEADACHE | 2020年 / 60卷 / 10期
基金
加拿大创新基金会;
关键词
facial pain; temporomandibular joint disorders; bruxism; masseter muscle; electromyography; music therapy; HABIT REVERSAL TREATMENT; SELF-REPORTED BRUXISM; QUALITY-OF-LIFE; RISK-FACTORS; MYOFASCIAL PAIN; JAW MUSCLES; STRESS; ANXIETY; RELIABILITY; THRESHOLDS;
D O I
10.1111/head.13971
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective In this experimental study, we aimed to determine whether guided music listening (GML) - a music intervention based on models of mood mediation and attention modulation - modulates masticatory muscle activity and awake bruxism in subjects with chronic painful muscular temporomandibular disorders (TMD myalgia, mTMD), a condition causing a significant burden to patients, their families, and healthcare systems. Background Awake bruxism - a stress behavior characterized by clenching of the teeth - is a strong contributor to chronic mTMD. GML modulates psychological stress and motor responses and could thus reduce muscle activity in chronic musculoskeletal conditions, including mTMD. Methods We recorded the electromyographic (EMG) activity in the right masseter of 14 women with chronic (>6 months) mTMD (median [IQR] = 39.5.3 [24.3] years) and 15 pain-free women (median [IQR] = 30.0 [3.5] years) during a GML session, including 3 music (stressful, relaxing, and participants' favorite music) and a no-music (pink noise) control blocks, each lasting 15 minutes. We measured the motor effort of the right masseter relative to the participants' maximum voluntary contraction (MVC), the muscular effort to maintain mandibular posture (EMG(posture)), and to produce spontaneous awake bruxism episodes (EMG(bruxism)), and the duration and frequency of spontaneous awake bruxism episodes. We tested between-group and within-group (between blocks) differences, as well as the effect of the interaction group by experimental block on these outcome measures. Results In both groups, EMG(posture)was significantly affected by the interaction group by experimental block (P < .001). Compared to pink noise [mean (95% CI);mTMD: 2.2 (1.6-2.8) %MVC;Controls: 1.1 (0.5-1.7) %MVC], EMG(posture)increased during the stressful music block [contrast estimate (95% CI);mTMD: +0.8 (0.7-0.8) %MVC;Controls: +0.3 (0.3-0.4) %MVC; bothP < .001], and decreased during the relaxing [mTMD: -0.4 (-0.5 to -0.4) %MVC;Controls: -0.3 (-0.4 to -0.3) %MVC; bothP mTMD: -0.5 (-0.6 to -0.5) %MVC;Controls: -0.5 (-0.5 to -0.4) %MVC; bothP < .001] music blocks. EMG(posture)was greater in mTMD individuals than controls during the favorite music [contrast estimate (95% CI): +1.1 (0.2-1.9) %MVC;P = .019] and the pink noise [+1.1 (0.2-2.0) %MVC;P = .014] blocks. EMG(bruxism)was significantly affected by the interaction group by experimental block (P < .001). In mTMD participants, compared to the pink noise block [mean (95% CI); 23.8 (16.0-31.6) %MVC], EMG(bruxism)increased during the stressful music block [contrast estimate (95% CI); +10.2 (8.6-11.8) %MVC], and decreased during the relaxing [-6.2 (-8.1 to -4.3) %MVC;P < .001] and favorite [-10.2 (-12.2 to -9.1) %MVC;P < .001] music blocks. These effects were not observed in the control group [mean (95% CI); pink noise: 19.3 (10.9-27.6); stressful: 21.2 (12.9-29.4) %MVC; relaxing: 21.6 (13.3-29.9) %MVC; favorite: 24.2 (15.8-32.7) %MVC; allP> .05]. EMG(bruxism)was significantly greater in mTMD participants than controls during the stressful music block [contrast estimate (95% CI): +12.9 (1.6-24.2) %MVC;P = .026). GML did not affect the duration or the frequency of awake bruxism in either group (median [IQR],mTMD: 23.5 [96.7] s, range 1-1300 seconds;Controls: 5.5 [22.5], range 0-246 seconds;P = .108). The frequency of awake bruxism episodes was greater in the mTMD group compared to controls only during the pink noise block (median [IQR],mTMD: 5 [15.3] episodes, range 0-62 episodes;Controls: 1 [3] episode, range 0-27 episodes;P = .046). No significant between-group differences were found in either the overall time spent engaging in awake bruxism (median [IQR],mTMD: 23.5 [96.7] s, range 1-1300 seconds;Controls: 5.5 [22.5], range 0-246 seconds;P = .108), or during each block (allP> .05). Conclusions In subjects with chronic mTMD, relaxing music and the individual's favorite music decreased the muscular effort during spontaneous awake bruxism episodes by 26% and 44% (relative changes), respectively. In contrast, stressful music increases it by about 43%. Because of its positive effects on awake bruxism, GML with selected music could be a promising and non-invasive component of a multimodal approach for the management of chronic mTMD.
引用
收藏
页码:2389 / 2405
页数:17
相关论文
共 50 条
  • [21] Association of temporomandibular disorder pain with awake and sleep bruxism in adults
    Sierwald, Ira
    John, Mike T.
    Schierz, Oliver
    Hirsch, Christian
    Sagheri, Darius
    Jost-Brinkmann, Paul-Georg
    Reissmann, Daniel R.
    JOURNAL OF OROFACIAL ORTHOPEDICS-FORTSCHRITTE DER KIEFERORTHOPADIE, 2015, 76 (04): : 305 - 317
  • [22] Oral splints: The crutches for temporomandibular disorders and bruxism?
    Dao, TTT
    Lavigne, GJ
    CRITICAL REVIEWS IN ORAL BIOLOGY & MEDICINE, 1998, 9 (03) : 345 - 361
  • [23] Correlations between Sleep Bruxism and Temporomandibular Disorders
    Ohlmann, Brigitte
    Waldecker, Moritz
    Leckel, Michael
    Boemicke, Wolfgang
    Behnisch, Rouven
    Rammelsberg, Peter
    Schmitter, Marc
    JOURNAL OF CLINICAL MEDICINE, 2020, 9 (02)
  • [24] Psychosocial and Somatosensory Factors in Women with Chronic Migraine and Painful Temporomandibular Disorders
    Gil-Martinez, Alfonso
    Grande-Alonso, Monica
    La Touche, Roy
    Lara-Lara, Manuel
    Lopez-Lopez, Almudena
    Fernandez-Carnero, Josue
    PAIN RESEARCH & MANAGEMENT, 2016, 2016
  • [25] Awake bruxism in temporomandibular disorders patients referred to tertiary care: A retrospective study on its assessment and TMD management
    Nykanen, Laura
    Lobbezoo, Frank
    Kamppi, Antti
    Manfredini, Daniele
    Ahlberg, Jari
    JOURNAL OF ORAL REHABILITATION, 2024, 51 (01) : 181 - 187
  • [26] Multisystem Dysregulation in Painful Temporomandibular Disorders
    Chen, Hong
    Nackley, Andrea
    Miller, Vanessa
    Diatchenko, Luda
    Maixner, William
    JOURNAL OF PAIN, 2013, 14 (09): : 983 - 996
  • [27] Oral behaviors, bruxism, malocclusion and painful temporomandibular joint clicking: is there an association?
    Poluha, Rodrigo Lorenzi
    Canales, Giancarlo De la Torre
    Bonjardim, Leonardo Rigoldi
    Rodrigues Conti, Paulo Cesar
    BRAZILIAN ORAL RESEARCH, 2021, 35 : 1 - 9
  • [28] DIAGNOSIS AND TREATMENT OF PAINFUL TEMPOROMANDIBULAR DISORDERS
    CLARK, GT
    DENTAL CLINICS OF NORTH AMERICA, 1987, 31 (04) : 645 - 674
  • [29] Relationships between tooth wear, bruxism and temporomandibular disorders
    Beddis, Hannah P.
    Davies, Stephen J.
    BRITISH DENTAL JOURNAL, 2023, 234 (06) : 422 - 426
  • [30] Oral and Maxillofacial Surgery and Chronic Painful Temporomandibular Disorders-A Systematic Review
    Lindenmeyer, Antje
    Sutcliffe, Paul
    Eghtessad, Mehri
    Goulden, Roger
    Speculand, Bernard
    Harris, Malcolm
    JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2010, 68 (11) : 2755 - 2764