Sağlıklı ve İdiyopatik Skolyozlu Adolesanlarda Seçilmiş Boyun ve Çiğneme Kaslarında Basınç Ağrı Eşiği Değerlerinin ve Alt Çene Hareket Limitlerinin Değerlendirilmesi1

GİRİŞ ve AMAÇ: Bu çalışmanın amacı, temporomandibuler eklem(TME) ve boyun bölgesi yapılarında meydana gelen değişiklikler açısından idiyopatik skolyozlu (İS) ve sağlıklı adolesanları karşılaştırmaktır. YÖNTEM ve GEREÇLER: Çalışma, İstanbul Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji polikliniğine gelen ve idiopatik skolyoz tanısı konan 51 adet hasta (24 erkek,27 kız; ortalama yaş: 13,5± 2,1 yıl) ile normal kemik gelişimi değerlendirilmesi için takibe gelen 50 adet sağlıklı bireyde (23 erkek,27 kız; ortalama yaş: 14,5± 2,3 yıl) gerçekleştirilmiştir. Grupların değerlendirmesinde Temporomandibuler Düzensizlikler için Teşhis Kriterleri: Değerlendirme Araçları (TMD/TK) kullanılmıştır. Boyun yapıları, masseter ve temporalis kaslarının basınç ağrı eşiği değerleri (BAE), algometre aracılığıyla ölçülmüştür. Elde edilen veriler, Mann Whitney-U, Wilcoxon ve Ki-Kare testleri aracılığıyla istatistiksel olarak değerlendirilmişlerdir. BULGULAR: TMD/TK formundan elde edilen verilere göre, gruplar arasında istatistiksel olarak anlamlı düzeyde farklılık gösteren parametreler şunlardır(p≤0,001): TMD varlığı, temporal baş ağrısı, orta hat sapması, sağ ve sol lateral hareketler. BAE değerlerinin, kontrol grubunda çalışma grubuna göre anlamlı düzeyde daha yüksek olduğu görülmüştür(p

Evaluation Of Pressure Pain Thresholds And Limits Of Mandibular Movements In Selected Neck And Masticatory Muscles In Healthy And Idiopathic Scoliotic Adolescents

INTRODUCTION: The aim was to compare adolescents with idiopathic scoliosis and healthy controls in terms of changes in temporomandibular joint(TMJ) and neck structures. METHODS: The study was performed with 51 patients (24 male, 27 female, mean age: 13.5 ± 2.1 years) with idiopathic scoliosis and 50 healthy subjects (23 males, 27 females, mean age: 14.5 ± 2.3 years). For evaluation, Diagnostic Criteria for Temporomandibular Disorders: Clinical Protocol and Assessment Instruments (DC/TMD) form was used. The pressure pain threshold (PPT) values of selected structures were measured using a hand-held pressure algometer. Data was statistically evaluated with Mann Whitney-U, Wilcoxon and Chi-Square tests. RESULTS: Following parameters showed statistically significant difference between groups (p≤0.001): presence of TMD, temporal headache, midline deviation, right and left lateral movements. PPT values resulted higher values in the control group compared with the study group (p

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