Group pain education is as effective as individual education in patients with chronic temporomandibular disorders.
characteristic pain intensity
graded chronic pain scale
group intervention
orofacial pain
pain catastrophising scale
pain education
temporomandibular disorders
Journal
Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology
ISSN: 1600-0714
Titre abrégé: J Oral Pathol Med
Pays: Denmark
ID NLM: 8911934
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
02
06
2020
accepted:
04
06
2020
pubmed:
13
6
2020
medline:
3
11
2020
entrez:
13
6
2020
Statut:
ppublish
Résumé
Temporomandibular disorders (TMD) are recognised as the most common chronic orofacial pain condition, with prevalence figures ranging from 3% to 12%. Patients referred to tertiary orofacial pain clinics for the management of TMD often experience delays in receiving treatment. The objective of the present study was to assess a group treatment programme to deliver effective earlier intervention for patients with chronic TMD. Forty-two patients with TMD seen at the Oral Medicine Clinic, Royal Dental Hospital of Melbourne, were administered baseline validated pain questionnaires: the Graded Chronic Pain Scale and Pain Catastrophising Scale. Twenty patients subsequently received education about basic neurophysiology of pain, TMD and relaxation techniques in either a group setting or in a one-on-one session and were followed longitudinally. Administration of pain questionnaires was repeated at 4-6 weeks post-intervention. No evidence of difference in levels of anxiety, somatic symptoms or catastrophising was found between patients who received either group or individual intervention. Both were effective at reducing pain intensity and levels of disability. Individual intervention resulted in a greater reduction in rumination. Patients with TMD can receive effective reduction of TMD-related pain and catastrophising from either group or individual education regarding neurophysiology of pain, TMD and relaxation techniques. Group education should accelerate time to commencement of care in large referral-based settings.
Sections du résumé
BACKGROUND
BACKGROUND
Temporomandibular disorders (TMD) are recognised as the most common chronic orofacial pain condition, with prevalence figures ranging from 3% to 12%. Patients referred to tertiary orofacial pain clinics for the management of TMD often experience delays in receiving treatment. The objective of the present study was to assess a group treatment programme to deliver effective earlier intervention for patients with chronic TMD.
METHODS
METHODS
Forty-two patients with TMD seen at the Oral Medicine Clinic, Royal Dental Hospital of Melbourne, were administered baseline validated pain questionnaires: the Graded Chronic Pain Scale and Pain Catastrophising Scale. Twenty patients subsequently received education about basic neurophysiology of pain, TMD and relaxation techniques in either a group setting or in a one-on-one session and were followed longitudinally. Administration of pain questionnaires was repeated at 4-6 weeks post-intervention.
RESULTS
RESULTS
No evidence of difference in levels of anxiety, somatic symptoms or catastrophising was found between patients who received either group or individual intervention. Both were effective at reducing pain intensity and levels of disability. Individual intervention resulted in a greater reduction in rumination.
CONCLUSION
CONCLUSIONS
Patients with TMD can receive effective reduction of TMD-related pain and catastrophising from either group or individual education regarding neurophysiology of pain, TMD and relaxation techniques. Group education should accelerate time to commencement of care in large referral-based settings.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
470-475Subventions
Organisme : Melbourne Dental School
Informations de copyright
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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