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Published in: Neurological Sciences 1/2012

01-05-2012 | Oral Communications

Implementing gnathological and neuromuscular concepts in patients with chronic migraine

Authors: H. Didier, C. Marchetti, A. Marchetti, D. D’Amico, V. Tullo, G. Bussone, F. Santoro

Published in: Neurological Sciences | Special Issue 1/2012

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Abstract

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.
Literature
1.
go back to reference Svensson P (2007) Muscle pain in the head: overlap between temporomandibular disorders and tension-type headaches. Curr Opin Neurol 20:320–325PubMedCrossRef Svensson P (2007) Muscle pain in the head: overlap between temporomandibular disorders and tension-type headaches. Curr Opin Neurol 20:320–325PubMedCrossRef
2.
go back to reference Franco AL, Gonçalves DA, Castanharo SM, Speciali JG, Bigal ME, Camparis CM (2010) Migraine is the most prevalent primary headache in individuals with temporomandibular disorders. J Orofac Pain 24(3):287–292PubMed Franco AL, Gonçalves DA, Castanharo SM, Speciali JG, Bigal ME, Camparis CM (2010) Migraine is the most prevalent primary headache in individuals with temporomandibular disorders. J Orofac Pain 24(3):287–292PubMed
3.
go back to reference Bevilaqua Grossi D, Lipton RB, Bigal ME (2009) Temporomandibular disorders and migraine chronification. Curr Pain Headache Rep 13(4):314–318PubMedCrossRef Bevilaqua Grossi D, Lipton RB, Bigal ME (2009) Temporomandibular disorders and migraine chronification. Curr Pain Headache Rep 13(4):314–318PubMedCrossRef
4.
go back to reference Bigal ME, Lipton RB (2008) What predicts the change from episodic to chronic migraine? Curr Opin Neurol 22(3):269–276CrossRef Bigal ME, Lipton RB (2008) What predicts the change from episodic to chronic migraine? Curr Opin Neurol 22(3):269–276CrossRef
5.
go back to reference Buse DC, Manack A, Serrano D, Turkel C, Lipton RB (2010) Sociodemographic and comorbidity profiles of chronic migraine and episodic migraine sufferers. J Neurol Neurosurg Psychiatry 81(4):428–432PubMedCrossRef Buse DC, Manack A, Serrano D, Turkel C, Lipton RB (2010) Sociodemographic and comorbidity profiles of chronic migraine and episodic migraine sufferers. J Neurol Neurosurg Psychiatry 81(4):428–432PubMedCrossRef
6.
go back to reference Grazzi L, Andrasik F, Usai S, Bussone G (2008) Headache with medication overuse: treatment strategies and proposals of relapse prevention. Neurol Sci 29(2):93–98PubMedCrossRef Grazzi L, Andrasik F, Usai S, Bussone G (2008) Headache with medication overuse: treatment strategies and proposals of relapse prevention. Neurol Sci 29(2):93–98PubMedCrossRef
7.
go back to reference Evers S, Jensen R (2011) European federation of neurological societies. Treatment of medication overuse headache—guideline of the EFNS headache panel. Eur J Neurol 18(9):1115–1121PubMedCrossRef Evers S, Jensen R (2011) European federation of neurological societies. Treatment of medication overuse headache—guideline of the EFNS headache panel. Eur J Neurol 18(9):1115–1121PubMedCrossRef
8.
go back to reference Cooper B, Kleinberg I (2009) Relationship of temporomandibular disorders to muscle tension-type headaches and a neuromuscular orthosis approach to treatment. Cranio 27(2):101–108PubMed Cooper B, Kleinberg I (2009) Relationship of temporomandibular disorders to muscle tension-type headaches and a neuromuscular orthosis approach to treatment. Cranio 27(2):101–108PubMed
9.
go back to reference Manzoni GC, Bonavita V, Bussone G et al (2011) Chronic migraine classification: current knowledge and future perspectives. J Headache Pain 12:585–592PubMedCrossRef Manzoni GC, Bonavita V, Bussone G et al (2011) Chronic migraine classification: current knowledge and future perspectives. J Headache Pain 12:585–592PubMedCrossRef
10.
go back to reference Jankelson B (1980) Measurement accuracy of the mandibular kinesiograph: a computerized study. J Prosthet Dent 44(6):656–666PubMedCrossRef Jankelson B (1980) Measurement accuracy of the mandibular kinesiograph: a computerized study. J Prosthet Dent 44(6):656–666PubMedCrossRef
11.
go back to reference Didier H, Marchetti C, Borromeo G, Tullo V, D’amico D, Bussone G, Santoro F (2011) Chronic daily headache: suggestion for the neuromuscular oral therapy. Neurol Sci 32:161–164CrossRef Didier H, Marchetti C, Borromeo G, Tullo V, D’amico D, Bussone G, Santoro F (2011) Chronic daily headache: suggestion for the neuromuscular oral therapy. Neurol Sci 32:161–164CrossRef
12.
go back to reference Jankelson B, Radke JC (1978) The Myo-monitor: its use and abuse(I). Quintessence Int Dent Dig 9(2):47–52PubMed Jankelson B, Radke JC (1978) The Myo-monitor: its use and abuse(I). Quintessence Int Dent Dig 9(2):47–52PubMed
13.
go back to reference Bevilaqua-Grossi D, Lipton RB, Napchan U, Grosberg B, Ashina S, Bigal ME (2010) Temporomandibular disorders and cutaneous allodynia are associated in individuals with migraine. Cephalalgia 30(4):425–432PubMed Bevilaqua-Grossi D, Lipton RB, Napchan U, Grosberg B, Ashina S, Bigal ME (2010) Temporomandibular disorders and cutaneous allodynia are associated in individuals with migraine. Cephalalgia 30(4):425–432PubMed
Metadata
Title
Implementing gnathological and neuromuscular concepts in patients with chronic migraine
Authors
H. Didier
C. Marchetti
A. Marchetti
D. D’Amico
V. Tullo
G. Bussone
F. Santoro
Publication date
01-05-2012
Publisher
Springer Milan
Published in
Neurological Sciences / Issue Special Issue 1/2012
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-012-1078-x

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