Pain Catastrophizing and Functional Activation During Occlusion in TMD Patients-An Interventional Study.
Michigan splint
chronic pain
craniomandibular disorder (CMD)
fMRI
interventional trial
pain catastrophizing
temporomandibular disorder (TMD)
Journal
Human brain mapping
ISSN: 1097-0193
Titre abrégé: Hum Brain Mapp
Pays: United States
ID NLM: 9419065
Informations de publication
Date de publication:
15 Oct 2024
15 Oct 2024
Historique:
revised:
10
09
2024
received:
08
05
2024
accepted:
30
09
2024
medline:
19
10
2024
pubmed:
19
10
2024
entrez:
19
10
2024
Statut:
ppublish
Résumé
In temporomandibular disorder (TMD), the effects of standard interventions such as using an occlusal splint and its impact on pain relief and pain catastrophizing are poorly understood. Earlier work pointed to a crucial role of insula activation with changes in pain relief by occlusal splint treatment. We performed a functional imaging study using specially developed splint systems to allow for a placebo-controlled longitudinal design. Using functional MRI we examined 20 TMD patients during repetitive occlusal movements at baseline and over the course of splint therapy and also collected self-reported pain catastrophizing. For balancing performance between baseline and after intervention we used occlusion force measures in an individualized fMRI-splint system. Splint therapy lasted for approximately 7 weeks with one group selected by randomization wearing a palatine placebo splint over the first 3 weeks (delayed start; 11 individuals). As expected, fMRI activation in areas involved in pain processing (insula, primary and secondary somatosensory cortex) decreased with intervention. At baseline a positive correlation between activation of the left anterior insula and pain catastrophizing was present. Both parameters decreased over intervention while associations were primarily observable for patients with rather mild TMD.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
e70051Subventions
Organisme : Deutsche Forschungsgemeinschaft
ID : KO 1598/6-1
Organisme : Deutsche Forschungsgemeinschaft
ID : LO 795/25-1
Informations de copyright
© 2024 The Author(s). Human Brain Mapping published by Wiley Periodicals LLC.
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