Research Article
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Assessment of bruxism and temporomandibular disorder in mothers of children with cerebral palsy

Year 2023, Volume: 9 Issue: 3, 241 - 248, 31.12.2023

Ömer Dursun Erhan Dincer İbrahim Hakkı Sağol

https://doi.org/10.30569/adiyamansaglik.1373778

Abstract

Aim: The aim of this study was to assess bruxism and temporomandibular disorder in mothers of children with cerebral palsy (CP).
Materials and Methods: 18 mothers of children with CP and 18 mothers of healthy children were included in study. The pressure pain threshold of the masticatory muscles and the upper trapezius were measured with a digital dynamometer. Maximum mouth opening was assessed with a digital caliper. Bruxism was evaluated by a non-instrumental method. Sleep quality, depression, neck disability, and temporomandibular disorder were evaluated with the Pittsburgh Sleep Quality Index, Beck Depression Index, Neck Disability Index, and Fonseca Questionnaire.
Results: Pain thresholds were lower (p<0.05), sleep disturbance, depression, neck disability, and temporomandibular disorder were higher in the mothers of children with CP (p<0.05).
Conclusion: Our study showed that bruxism and temporomandibular disorder are highly observed in mothers of children with CP.

Keywords

Pain threshold Neck pain Depression

Ethical Statement

The study was approved by the Clinical Research Ethics Committee of the Van Training and Research Hospital (Approval date: 06.07.2022, Approval number: 2022/15-05) and conducted in accordance with the Declaration of Helsinki.

Supporting Institution

The authors funded the study.

References

  • Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.
  • Smith M, Blamires J. Mothers’ experience of having a child with cerebral palsy. A systematic review. Journal of Pediatr Nurs. 2022;64:64-73.
  • Huang YP, Kellett UM, St John W. Cerebral palsy: experiences of mothers after learning their child’s diagnosis. J Adv Nurs. 2010;66(6):1213-1221.
  • Vadivelan K, Sekar P, Sruthi SS, Gopichandran V. Burden of caregivers of children with cerebral palsy: an intersectional analysis of gender, poverty, stigma, and public policy. BMC Public Health. 2020;20(1):645. https://doi.org/10.1186/s12889-020-08808-0
  • Ribeiro MFM, Vandenberghe L, Prudente COM, Vila VSC, Porto CC. Cerebral Palsy: how the child’s age and severity of impairment affect the mother’s stress and coping strategies. Cien Saude Colet. 2016;21(10):3203-3212.
  • Kavlak E, Altuğ F, Büker N, Şenol H. Musculoskeletal system problems and quality of life of mothers of children with different levels of disability. J Back Musculoskelet Rehabil. 2015;28:803-810.
  • Tuncer A, Guzel HC, Uzun A, Atılgan ED. Sleep quality in mothers of children with cerebral palsy: the relationship between children’s gross motor function, sleep habits. Hacettepe University Faculty of Health Sciences Journal. 2022;9(1):248-263.
  • Unsal-Delialioglu S, Kaya K, Ozel S, Gorgulu G. Depression in mothers of children with cerebral palsy and related factors in Turkey: a controlled study. Int J Rehabil Res. 2009; 32(3): 199-204.
  • Benoliel R, Zini A, Zakuto A, et al. Subjective Sleep Quality in Temporomandibular Disorder Patients and Association with Disease Characteristics and Oral Health-Related Quality of Life. J Oral Facial Pain Headache. 2017;31(4):313-322.
  • Nawmar MA, Afkari BF, Moslemkhani C, Mansoori K, Dadashi M. The relationship between depression and anxiety with temporomandibular disorders symptoms in dental students. Maedica (Bucur). 2021;16(4):590-594.
  • Gungormus Z, Erciyas K. Evaluation of the relationship between anxiety and depression and bruxism. J Int Med Res. 2009;37(2):547-550.
  • von Piekartz H, Rösner C, Batz A, Hall T, Ballenberger N. Bruxism, temporomandibular dysfunction and cervical impairments in females - results from an observational study. Musculoskelet Sci Pract. 2020;45:102073. https://doi.org/10.1016/j.msksp.2019.102073
  • Maher JM, Markey JC, Ebert-May D. The other half of the story: effect size analysis in quantitative research. CBE Life Sci Educ. 2013;12(3):345-351.
  • Reid SM, Carlin JB, Reddihough DS. Distribution of motor types in cerebral palsy: how do registry data compare? Dev Med Child Neurol. 2011;53(3):233-238.
  • Reid SM, Carlin JB, Reddihough DS. Classification of topographical pattern of spasticity in cerebral palsy: a registry perspective. Res Dev Disabil. 2011;32(6):2909-2915.
  • Palisano RJ, Hanna SE, Rosenbaum PL, et al. Validation of a model of gross motor function for children with cerebral palsy. Phys Ther. 2000;80(10):974-985.
  • Pintado MR, Anderson GC, DeLong R, Douglas WH. Variation in tooth wear in young adults over a two-year period. J Prosthet Dent. 1997;77(3):313-320.
  • Kitsoulis P, Marini A, Iliou K, et al. Signs and symptoms of temporomandibular joint disorders related to the degree of mouth opening and hearing loss. BMC Ear Nose Throat Disord. 2011;11:5. https://doi.org/10.1186/1472-6815-11-5
  • Fonseca DM, Bonfante G, Valle AL, Freitas SFT. Diagnóstico pela anamnese da disfunção craniomandibular. RGO (Porto Alegre). 1994;42(1):23-28.
  • Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther. 2008;31(7):491-502.
  • Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77-100.
  • Farella M, Michelotti A, Steenks MH, Romeo R, Cimino R, Bosman F. The diagnostic value of pressure algometry in myofascial pain of the jaw muscles. J Oral Rehabil. 2000;27(1):9-14.
  • Pires RCCK, da Rocha NS, Esteves JE, Rodrigues ME. Use of pressure dynamometer in the assessment of the pressure pain threshold in trigger points in the craniocervical muscles in women with unilateral migraine and tension-type headache: An observational study. Int J Osteopath Med. 2017;26:28-35.
  • Schoenen J, Bottin D, Hardy F, Gerard P. Cephalic and extracephalic pressure pain thresholds in chronic tension-type headache. Pain. 1991;47(2):145-149.
  • Wadhwa S, Kapila S. TMJ disorders: future innovations in diagnostics and therapeutics. J Dent Educ. 2008;72(8):930-947.
  • Valeson LF, Da-Cos CD, Reus JC, Denardin ACS, Garanhani RR, Bonotto D, Januzzi E, de Souza BDM. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 2021;25(2):441-453.
  • De Abreu Figueiredo IN, das Graças de Araujo M, Fonseca JB, et al. Occurrence and severity of neck disability in individuals with different types of temporomandibular disorder. Oral Maxillofac Surg. 2021;25(4):471-476.
  • The glossary of prosthodontics terms, 8th ed. J Prosthet Dent. 2005;94:10-92.
  • Dym H, Israel H. Diagnosis and treatment of temporomandibular disorders. Dent Clin North Am. 2012;56(1):149-161.
  • Ciancaglini R, Gherlone EF, Radaelli G. The relationship of bruxism with craniofacial pain and symptoms from the masticatory system in the adult population. J Oral Rehabil. 2001;28(9):842-848.
  • Castroflorio T, Bargellini A, Deregibus A, Svensson P. Masticatory muscle pain and disorders. In: Farah CS, Balasubramaniam R, McCullough MJ, eds. Contemporary Oral Medicine: A Comprehensive Approach to Clinical Practice. New York, NY: Springer International Publishing; 2019:1843-1880.
  • Baldry P. Acupuncture, Trigger Points and Musculoskeletal Pain: A Scientific Approach to Acupuncture for Use by Doctors and Physiotherapists in the Diagnosis and Management of Myofascial Trigger Point Pain. London (LDN): Elsevier/Churchill Livingstone; 2005.
  • Staffe AT, Bech MW, Clemmensen SLK, Nielsen HT, Larsen DB, Petersen KK. Total sleep deprivation increases pain sensitivity, impairs conditioned pain modulation and facilitates temporal summation of pain in healthy participants. PLoS One. 2019;14(12):e0225849. https://doi.org/10.1371/journal.pone.0225849
  • Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo F. Epidemiology of bruxism in adults: a systematic review of the literature. J Orofac Pain. 2013;27(2):99-110.
  • Çebi AT, Yılmaz N, Karayürek F, Gülses A. Depression and anxiety levels in a group of elderly with temporomandibular disorders. Turk J Geriatr. 2021;24(3):397-406.
  • Garip Y, Ozel S, Tuncer OB, Kilinc G, Seckin F, Arasil T. Fatigue in the mothers of children with cerebral palsy. Disabil Rehabil. 2017;39(8):757-762.
  • Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues Clin Neurosci. 2008;10(3):329-336.
  • Sarıpınarlı B, Takinacı ZD. Relationship between sleep quality and chronic neck pain in adults. AJST. 2018;9(7):8352-8354.
  • Kim H, Han HJ. Sleep quality in adult patients with sleep related bruxism. Sleep and Biol Rhythms. 2015;13(1):94-98.
  • Sajedi F, Alizad V, Malekkhosravi G, Karimlou M, Vameghi R. Depression in Mothers whose children were diagnosed with CP and its relation to severity and type of cerebral palsy. Acta Med Iran. 2010;48(4):250-254.
  • Hu Z, Zuhu X, Kaminga AC, Zhu T, Nie Y, Xu H. Association between poor sleep quality and depression symptoms among the elderly in nursing homes in Hunan province, China: a cross-sectional study. BMJ Open. 2020;10(7):e036401.
  • Talvari A, Nemati N, Sini ZK, Golsefidi N, Varkiani ME. The association of neck pain with depression and anxiety symptoms in elderly. Procedia Soc Behav Sci. 2013;82:366-368.
  • Kaya K,Unsal-Delialioglu S, Ordu-Gokkaya NK, et al. Musculo-skeletal pain, quality of life and depression in mothers of children with cerebral palsy. Disabil Rehabil. 2010;32(20):1666-1672.
  • Castroflorio T, Bargellini A, Rossini G, Cugliari G, Rainoldi A, Deregibus A. Risk factors related to sleep bruxism in children: a systematic literature review. Arch Oral Biol. 2015;60(11):1618-1624.
  • Giannakopoulos NN, Schindler HJ, Rammelsberg P, Eberhard L, Schmitter M, Hellmann D. Co-activation of jaw and neck muscles during submaximum clenching in the supine position. Arch Oral Biol. 2013;58(12):1751-1760.
  • Armijo-Olivo S, Magee D. Cervical musculoskeletal impairments and temporomandibular disorders. J Oral Maxillofac Res. 2013;3(4):e4. https://doi.org/10.5037/jomr.2012.3404
  • von Piekartz H, Hall T. Orofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: a randomized controlled trial. Man Ther. 2013;18(4):345-350.

Serebral palsili çocuğu olan annelerde bruksizm ve temporomandibular rahatsızlığın değerlendirilmesi

Year 2023, Volume: 9 Issue: 3, 241 - 248, 31.12.2023

Ömer Dursun Erhan Dincer İbrahim Hakkı Sağol

https://doi.org/10.30569/adiyamansaglik.1373778

Abstract

Amaç: Bu çalışmanın amacı serebral palsili çocuğu olan annelerde bruksizmi ve temporomandibular rahatsızlığı değerlendirmekti.
Gereç ve Yöntem: Çalışmaya serebral palsili çocuğu olan 18 anne ve sağlıklı çocuğu olan 18 anne dahil edildi. Çiğneme kasları ve üst trapez kasının ağrı eşiği dijital dinamometre ile ölçüldü. Maksimum ağız açma mesafesi dijital kaliper ile ölçüldü. Bruksizm non-enstrümental yöntemle değerlendirildi. Uyku kalitesi, depresyon, boyun özürlülüğü ve temporomandibular rahatsızlık; Pittsburgh Uyku Kalitesi İndeksi, Beck Depresyon Envanteri, Boyun Özürlülük İndeksi ve Fonseka Anketiyle değerlendirildi.
Bulgular: Serebral palsili çocuğu olan annelerde kas ağrı eşikleri düşüktü (p<0,05), uyku bozukluğu, depresyon, boyun özürlülüğü ve temporomandibular rahatsızlıksa daha yüksekti (p<0,05).
Sonuç: Çalışmamız serebral palsili çocuğu olan annelerde bruksizm ve temporomandibular rahatsızlığın yüksek oranda görüldüğünü gösterdi.

Keywords

Ağrı eşiği Bruksizm Depresyon

Ethical Statement

The study was approved by the Clinical Research Ethics Committee of the Van Training and Research Hospital (Approval date: 06.07.2022, Approval number: 2022/15-05) and conducted in accordance with the Declaration of Helsinki.

Supporting Institution

The authors funded the study.

References

  • Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.
  • Smith M, Blamires J. Mothers’ experience of having a child with cerebral palsy. A systematic review. Journal of Pediatr Nurs. 2022;64:64-73.
  • Huang YP, Kellett UM, St John W. Cerebral palsy: experiences of mothers after learning their child’s diagnosis. J Adv Nurs. 2010;66(6):1213-1221.
  • Vadivelan K, Sekar P, Sruthi SS, Gopichandran V. Burden of caregivers of children with cerebral palsy: an intersectional analysis of gender, poverty, stigma, and public policy. BMC Public Health. 2020;20(1):645. https://doi.org/10.1186/s12889-020-08808-0
  • Ribeiro MFM, Vandenberghe L, Prudente COM, Vila VSC, Porto CC. Cerebral Palsy: how the child’s age and severity of impairment affect the mother’s stress and coping strategies. Cien Saude Colet. 2016;21(10):3203-3212.
  • Kavlak E, Altuğ F, Büker N, Şenol H. Musculoskeletal system problems and quality of life of mothers of children with different levels of disability. J Back Musculoskelet Rehabil. 2015;28:803-810.
  • Tuncer A, Guzel HC, Uzun A, Atılgan ED. Sleep quality in mothers of children with cerebral palsy: the relationship between children’s gross motor function, sleep habits. Hacettepe University Faculty of Health Sciences Journal. 2022;9(1):248-263.
  • Unsal-Delialioglu S, Kaya K, Ozel S, Gorgulu G. Depression in mothers of children with cerebral palsy and related factors in Turkey: a controlled study. Int J Rehabil Res. 2009; 32(3): 199-204.
  • Benoliel R, Zini A, Zakuto A, et al. Subjective Sleep Quality in Temporomandibular Disorder Patients and Association with Disease Characteristics and Oral Health-Related Quality of Life. J Oral Facial Pain Headache. 2017;31(4):313-322.
  • Nawmar MA, Afkari BF, Moslemkhani C, Mansoori K, Dadashi M. The relationship between depression and anxiety with temporomandibular disorders symptoms in dental students. Maedica (Bucur). 2021;16(4):590-594.
  • Gungormus Z, Erciyas K. Evaluation of the relationship between anxiety and depression and bruxism. J Int Med Res. 2009;37(2):547-550.
  • von Piekartz H, Rösner C, Batz A, Hall T, Ballenberger N. Bruxism, temporomandibular dysfunction and cervical impairments in females - results from an observational study. Musculoskelet Sci Pract. 2020;45:102073. https://doi.org/10.1016/j.msksp.2019.102073
  • Maher JM, Markey JC, Ebert-May D. The other half of the story: effect size analysis in quantitative research. CBE Life Sci Educ. 2013;12(3):345-351.
  • Reid SM, Carlin JB, Reddihough DS. Distribution of motor types in cerebral palsy: how do registry data compare? Dev Med Child Neurol. 2011;53(3):233-238.
  • Reid SM, Carlin JB, Reddihough DS. Classification of topographical pattern of spasticity in cerebral palsy: a registry perspective. Res Dev Disabil. 2011;32(6):2909-2915.
  • Palisano RJ, Hanna SE, Rosenbaum PL, et al. Validation of a model of gross motor function for children with cerebral palsy. Phys Ther. 2000;80(10):974-985.
  • Pintado MR, Anderson GC, DeLong R, Douglas WH. Variation in tooth wear in young adults over a two-year period. J Prosthet Dent. 1997;77(3):313-320.
  • Kitsoulis P, Marini A, Iliou K, et al. Signs and symptoms of temporomandibular joint disorders related to the degree of mouth opening and hearing loss. BMC Ear Nose Throat Disord. 2011;11:5. https://doi.org/10.1186/1472-6815-11-5
  • Fonseca DM, Bonfante G, Valle AL, Freitas SFT. Diagnóstico pela anamnese da disfunção craniomandibular. RGO (Porto Alegre). 1994;42(1):23-28.
  • Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther. 2008;31(7):491-502.
  • Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77-100.
  • Farella M, Michelotti A, Steenks MH, Romeo R, Cimino R, Bosman F. The diagnostic value of pressure algometry in myofascial pain of the jaw muscles. J Oral Rehabil. 2000;27(1):9-14.
  • Pires RCCK, da Rocha NS, Esteves JE, Rodrigues ME. Use of pressure dynamometer in the assessment of the pressure pain threshold in trigger points in the craniocervical muscles in women with unilateral migraine and tension-type headache: An observational study. Int J Osteopath Med. 2017;26:28-35.
  • Schoenen J, Bottin D, Hardy F, Gerard P. Cephalic and extracephalic pressure pain thresholds in chronic tension-type headache. Pain. 1991;47(2):145-149.
  • Wadhwa S, Kapila S. TMJ disorders: future innovations in diagnostics and therapeutics. J Dent Educ. 2008;72(8):930-947.
  • Valeson LF, Da-Cos CD, Reus JC, Denardin ACS, Garanhani RR, Bonotto D, Januzzi E, de Souza BDM. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 2021;25(2):441-453.
  • De Abreu Figueiredo IN, das Graças de Araujo M, Fonseca JB, et al. Occurrence and severity of neck disability in individuals with different types of temporomandibular disorder. Oral Maxillofac Surg. 2021;25(4):471-476.
  • The glossary of prosthodontics terms, 8th ed. J Prosthet Dent. 2005;94:10-92.
  • Dym H, Israel H. Diagnosis and treatment of temporomandibular disorders. Dent Clin North Am. 2012;56(1):149-161.
  • Ciancaglini R, Gherlone EF, Radaelli G. The relationship of bruxism with craniofacial pain and symptoms from the masticatory system in the adult population. J Oral Rehabil. 2001;28(9):842-848.
  • Castroflorio T, Bargellini A, Deregibus A, Svensson P. Masticatory muscle pain and disorders. In: Farah CS, Balasubramaniam R, McCullough MJ, eds. Contemporary Oral Medicine: A Comprehensive Approach to Clinical Practice. New York, NY: Springer International Publishing; 2019:1843-1880.
  • Baldry P. Acupuncture, Trigger Points and Musculoskeletal Pain: A Scientific Approach to Acupuncture for Use by Doctors and Physiotherapists in the Diagnosis and Management of Myofascial Trigger Point Pain. London (LDN): Elsevier/Churchill Livingstone; 2005.
  • Staffe AT, Bech MW, Clemmensen SLK, Nielsen HT, Larsen DB, Petersen KK. Total sleep deprivation increases pain sensitivity, impairs conditioned pain modulation and facilitates temporal summation of pain in healthy participants. PLoS One. 2019;14(12):e0225849. https://doi.org/10.1371/journal.pone.0225849
  • Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo F. Epidemiology of bruxism in adults: a systematic review of the literature. J Orofac Pain. 2013;27(2):99-110.
  • Çebi AT, Yılmaz N, Karayürek F, Gülses A. Depression and anxiety levels in a group of elderly with temporomandibular disorders. Turk J Geriatr. 2021;24(3):397-406.
  • Garip Y, Ozel S, Tuncer OB, Kilinc G, Seckin F, Arasil T. Fatigue in the mothers of children with cerebral palsy. Disabil Rehabil. 2017;39(8):757-762.
  • Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues Clin Neurosci. 2008;10(3):329-336.
  • Sarıpınarlı B, Takinacı ZD. Relationship between sleep quality and chronic neck pain in adults. AJST. 2018;9(7):8352-8354.
  • Kim H, Han HJ. Sleep quality in adult patients with sleep related bruxism. Sleep and Biol Rhythms. 2015;13(1):94-98.
  • Sajedi F, Alizad V, Malekkhosravi G, Karimlou M, Vameghi R. Depression in Mothers whose children were diagnosed with CP and its relation to severity and type of cerebral palsy. Acta Med Iran. 2010;48(4):250-254.
  • Hu Z, Zuhu X, Kaminga AC, Zhu T, Nie Y, Xu H. Association between poor sleep quality and depression symptoms among the elderly in nursing homes in Hunan province, China: a cross-sectional study. BMJ Open. 2020;10(7):e036401.
  • Talvari A, Nemati N, Sini ZK, Golsefidi N, Varkiani ME. The association of neck pain with depression and anxiety symptoms in elderly. Procedia Soc Behav Sci. 2013;82:366-368.
  • Kaya K,Unsal-Delialioglu S, Ordu-Gokkaya NK, et al. Musculo-skeletal pain, quality of life and depression in mothers of children with cerebral palsy. Disabil Rehabil. 2010;32(20):1666-1672.
  • Castroflorio T, Bargellini A, Rossini G, Cugliari G, Rainoldi A, Deregibus A. Risk factors related to sleep bruxism in children: a systematic literature review. Arch Oral Biol. 2015;60(11):1618-1624.
  • Giannakopoulos NN, Schindler HJ, Rammelsberg P, Eberhard L, Schmitter M, Hellmann D. Co-activation of jaw and neck muscles during submaximum clenching in the supine position. Arch Oral Biol. 2013;58(12):1751-1760.
  • Armijo-Olivo S, Magee D. Cervical musculoskeletal impairments and temporomandibular disorders. J Oral Maxillofac Res. 2013;3(4):e4. https://doi.org/10.5037/jomr.2012.3404
  • von Piekartz H, Hall T. Orofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: a randomized controlled trial. Man Ther. 2013;18(4):345-350.
There are 48 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Research Article
Authors

Ömer Dursun 0000-0002-0522-4228

Erhan Dincer 0000-0002-4060-8067

İbrahim Hakkı Sağol 0000-0002-4059-5323

Publication Date December 31, 2023
Submission Date October 10, 2023
Acceptance Date December 6, 2023
Published in Issue Year 2023 Volume: 9 Issue: 3

Cite

AMA Dursun Ö, Dincer E, Sağol İH. Assessment of bruxism and temporomandibular disorder in mothers of children with cerebral palsy. ADYÜ Sağlık Bilimleri Derg. December 2023;9(3):241-248. doi:10.30569/adiyamansaglik.1373778
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