Implementing gnathological and neuromuscular concepts in patients with chronic migraine.
Temporomandibular disorders are among the potential comorbidities of migraine, and recent reports showed that they may have a role in promoting its progression into chronic migraine (CM). In order to clarify the possible role of neuromuscular components of the stomatognathic system in patients with CM, we studied 18 patients admitted as inpatients at our Headache Unit to undergo a withdrawal protocol for medication overuse, who underwent orthosis, after clinical and instrumental gnathological evaluation. They were subsequently evaluated after 6 months. The values of electromyographic parameters as well as of pain outcomes showed a significant decrease after orthosis. The implementation of gnathological and neuromuscular concepts can have a relevant role in the management of CM patients, in the contest of a multidisciplinary approach.
Department of Surgery, Reconstructive and Diagnostic Science, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Dental Clinic, Milan University, Milan, Italy.
H
H
Didier
C
C
Marchetti
A
A
Marchetti
D
D
D'Amico
V
V
Tullo
G
G
Bussone
F
F
Santoro
D000328:Adult; D018450:Disease Progression; D004576:Electromyography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D051271:Headache Disorders, Secondary / Q000453:epidemiology / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000453:epidemiology / Q000503:physiopathology* / Q000628:therapy; D009989:Orthotic Devices / Q000706:statistics & numerical data; D013705:Temporomandibular Joint Disorders / Q000453:epidemiology / Q000503:physiopathology* / Q000628:therapy; D055815:Young Adult