Neck associated factors related to migraine in adolescents with painful temporomandibular disorders

Abstract

Objective

Migraine is a comorbidity of painful temporomandibular disorders (TMDs). Both migraine and painful TMD have associations with neck pain and head posture. The aim of this study was to clarify the role of neck pain and head posture on the association between migraine and painful TMD in adolescents.

Materials and method

In total 314 adolescents were included: 235 adolescents with only painful TMD (pTMD) and 79 adolescents with painful TMD and migraine (TMDMIG). Adolescents were diagnosed according to the Research Diagnostic Criteria for Temporomandibular Disorders and International Classification of Headache Disorders, 3rd edition. Head postures were identified using lateral cephalograms. Myofascial trigger points (TrPs) were evaluated in the temporalis, masseter, trapezius, sternocleidomastoid, sub-occipitalis, and splenius capitis muscles.

Results

Multivariate logistic regression analysis confirmed the associations among the orofacial pain duration, number of active TrPs in the trapezius muscles, intensity of neck pain, and distance between the occiput and atlas and migraine in adolescents with TMD. The relationships among intensity of neck pain, number of TrPs in the cervical muscles, and head posture were more prominent in the TMDMIG than those in the pTMD.

Conclusion

Neck associated factors seemed to have relevance with migraine in adolescents with painful TMD.

Keywords:

• Temporomandibular disorder
• migraine
• neck pain
• posture
• trigger point

Disclosure statement

The author, Jeong-Hyun Kang stated that no conflicts of interests were involved in the present study.

Additional information

Funding

This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government [2018R1C1B6007671].