Clinical Signs and Subjective Symptoms of Temporomandibular Disorders in Instrumentalists.
Yonsei Med J
; 57(6): 1500-7, 2016 Nov.
Article
in En
| MEDLINE
| ID: mdl-27593881
ABSTRACT
PURPOSE:
Most of the reports on instrumentalists' experiences of temporomandibular disorders (TMD) have been reported not by clinical examinations but by subjective questionnaires. The aim of this study was to investigate the clinical signs and subjective symptoms of TMD in a large number of instrumentalists objectively. MATERIALS ANDMETHODS:
A total of 739 musicians from a diverse range of instrument groups completed a TMD questionnaire. Among those who reported at least one symptom of TMD, 71 volunteers underwent clinical examinations and radiography for diag-nosis.RESULTS:
Overall, 453 participants (61.3%) reported having one or more symptoms of TMD. The most frequently reported symptom was a clicking or popping sound, followed by temporomandibular joint (TMJ) pain, muscle pain, crepitus, and mouth opening limitations. Compared with lower-string instrumentalists, a clicking or popping sound was about 1.8 and 2 times more frequent in woodwind and brass instrumentalists, respectively. TMJ pain was about 3.2, 2.8, and 3.2 times more frequent in upper-string, woodwind, and brass instrumentalists, respectively. Muscle pain was about 1.5 times more frequent in instrumentalists with an elevated arm position than in those with a neutral arm position. The most frequent diagnosis was myalgia or myofascial pain (MFP), followed by disc displacement with reduction. Myalgia or MFP was 4.6 times more frequent in those practicing for no less than 3.5 hours daily than in those practicing for less than 3.5 hours.CONCLUSION:
The results indicate that playing instruments can play a contributory role in the development of TMD.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sound
/
Temporomandibular Joint
/
Temporomandibular Joint Disorders
/
Range of Motion, Articular
/
Music
/
Occupational Diseases
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Yonsei Med J
Year:
2016
Document type:
Article