title: Effect of experimental anterior temporalis muscle pain on jaw movements.
abstract: To test the hypotheses that experimental noxious stimulation of the anterior temporalis muscle results in significant decreases in jaw movement amplitude and velocity, and there are significant correlations between scores of mood or pain-related cognitions and amplitude and velocity. The jaw movements of 14 asymptomatic participants were recorded during standardised open/close jaw movements and free and standardised chewing tasks. Tonic infusion of hypertonic saline into the right anterior temporalis muscle maintained pain intensity between 40 and 60 mm on a 100-mm visual analogue scale. Tasks were performed in a single session in the following sequence: baseline condition, test 1 condition (during hypertonic or isotonic saline infusion), test 2 condition (during saline infusion) (10-min rest between conditions). Participants completed the Depression, Anxiety and Stress Scale (DASS-21) and the Pain Catastrophizing Scale (PCS). Amplitude and velocity of opening and closing were compared between conditions with a repeated-measures analysis of variance (anova), and Spearman's rank correlation coefficient explored correlations; statistical significance: P < 0·05. For any of the three tasks, there were no significant differences in kinematic variables between any condition and no significant correlations between DASS-21 or PCS scores and kinematic variables during hypertonic saline infusion. The absence of a significant reduction in velocity or amplitude of open/close or chewing jaw movements during experimental temporalis muscle pain is not consistent with the Pain Adaptation Model proposing decreases in kinematic measures in pain. The lack of significant correlations between psychological variables and measures of jaw movement may reflect the low scores reported by our study sample.
authors.affiliation: Jaw Function and Orofacial Pain Research Unit, Faculty of Dentistry, University of Sydney, Sydney, NSW, Australia.|Level 2, Westmead Hospital Centre for Oral Health, Westmead, NSW, Australia.
authors.forename: M
authors.initials: M
authors.lastname: Amhamed
authors.affiliation: Jaw Function and Orofacial Pain Research Unit, Faculty of Dentistry, University of Sydney, Sydney, NSW, Australia.|Level 2, Westmead Hospital Centre for Oral Health, Westmead, NSW, Australia.
authors.forename: T
authors.initials: T
authors.lastname: Whittle
authors.affiliation: Jaw Function and Orofacial Pain Research Unit, Faculty of Dentistry, University of Sydney, Sydney, NSW, Australia.|Level 2, Westmead Hospital Centre for Oral Health, Westmead, NSW, Australia.
authors.forename: T
authors.initials: T
authors.lastname: Maulina
authors.affiliation: Jaw Function and Orofacial Pain Research Unit, Faculty of Dentistry, University of Sydney, Sydney, NSW, Australia.|Level 2, Westmead Hospital Centre for Oral Health, Westmead, NSW, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Gal
authors.affiliation: Jaw Function and Orofacial Pain Research Unit, Faculty of Dentistry, University of Sydney, Sydney, NSW, Australia.|Level 2, Westmead Hospital Centre for Oral Health, Westmead, NSW, Australia.
authors.forename: R
authors.initials: R
authors.lastname: Akhter
authors.affiliation: Jaw Function and Orofacial Pain Research Unit, Faculty of Dentistry, University of Sydney, Sydney, NSW, Australia.|Level 2, Westmead Hospital Centre for Oral Health, Westmead, NSW, Australia.
authors.forename: G M
authors.initials: GM
authors.lastname: Murray
mesh_terms: D000328:Adult; D004576:Electromyography; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D007552:Isotonic Solutions / Q000008:administration & dosage*; D008297:Male; D008406:Masseter Muscle / Q000503:physiopathology*; D008409:Mastication / Q000502:physiology*; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology; D012462:Saline Solution, Hypertonic / Q000008:administration & dosage*; D013703:Temporal Muscle / Q000503:physiopathology*
chemical_list: D007552:Isotonic Solutions; D012462:Saline Solution, Hypertonic
keywords: McGill Pain Questionnaire; chewing gum; mastication; muscle pain; pain catastrophizing; visual analogue