Association of TMJ dysfunction with mechanical neck pain among office workers in Lahore
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Abstract
Background: Neck pain is prevalent among office workers, attributed to static postures that increase stress on neck muscles. Poor sitting posture can lead to spinal ligament damage, worsening neck pain over time. Additionally, Temporomandibular dysfunction (TMD) is often associated with neck pain, with neck pain being a common risk factor for TMD.
Objective: This study aims to investigate the association between temporomandibular joint (TMJ) dysfunction and mechanical neck pain among office workers in Lahore.
Methods: A cross-sectional study was conducted involving office workers from various offices in Lahore who reported neck pain. After obtaining informed consent, data was collected using two questionnaires: the Fonseca Anamnestic Index (FAI) to assess TMJ dysfunction, and the Neck Disability Index (NDI) to evaluate the extent of neck disability.
Results: Among the one hundred participants, 67% reported minimal neck disability, 31% moderate neck disability, and 2% severe neck disability. In terms of TMJ dysfunction, 44% of participants showed no signs of TMD, 42% had mild TMD, 11% moderate TMD, and 3% severe TMD. A significant association was found between TMJ dysfunction and neck pain, with a p-value of 0.006, showing a positive correlation.
Conclusion: The study concluded that office workers with self-reported neck pain showed a higher prevalence of TMD symptoms. There exists a significant positive association between temporomandibular dysfunction and mechanical neck pain among this demographic.
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References
Echemendia RJ, Brett BL, Broglio S, Davis GA, Giza CC, Guskiewicz KM, et al. Sport concussion assessment tool™ - 6 (SCAT6). British journal of sports medicine. 2023;57(11):622-31.
Conrad N, Misra S, Verbakel JY, Verbeke G, Molenberghs G, Taylor PN, et al. Incidence, prevalence, and co-occurrence of autoimmune disorders over time and by age, sex, and socioeconomic status: a population-based cohort study of 22 million individuals in the UK. Lancet (London, England). 2023;401(10391):1878-90.
Argus M, Pääsuke M. Musculoskeletal disorders and functional characteristics of the neck and shoulder: Comparison between office workers using a laptop or desktop computer. Work (Reading, Mass). 2023;75(4):1289-99.
Argus M, Paasuke M. Musculoskeletal disorders and associated factors among office workers in an activity-based work environment. International journal of occupational safety and ergonomics: JOSE. 2022;28(4):2419-25.
Umar A, Kashif M, Zahid N, Sohail R, Arsh A, Raqib A, et al. The prevalence of musculoskeletal disorders and work-station evaluation in bank employees. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin. 2019;29(02):99-103.
Karabicak GO, Hazar Kanik Z. Temporomandibular disorder prevalence and its association with oral parafunctions, neck pain, and neck function in healthcare students: A cross-sectional study. CRANIO®. 2020:1-7.
Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJ, et al. Neck pain: global epidemiology, trends and risk factors. BMC musculoskeletal disorders. 2022;23(1):1-13.
Maini K, Dua A. Temporomandibular joint syndrome. 2019.
Bragatto M, Bevilaqua‐Grossi D, Regalo SCH, Sousa J, Chaves TC. Associations among temporomandibular disorders, chronic neck pain and neck pain disability in computer office workers: a pilot study. Journal of oral rehabilitation. 2016;43(5):321-32.
Valesan LF, Da-Cas CD, Réus JC, Denardin ACS, Garanhani RR, Bonotto D, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clinical oral investigations. 2021; 25:441-53.
Ekici Ö, Camcı H. Relationship of temporomandibular joint disorders with cervical posture and hyoid bone position. Cranio®. 2021:1-10.
Nadershah M. Prevalence of temporomandibular joint disorders in adults in Jeddah, Kingdom of Saudi Arabia: a cross-sectional study. J Contemp Dent Pract. 2019;20(9):1009-13.
Zhang Q, Yuan S, Deng K, Li X, Liang Y, Wu A, et al. Correlation of patients’ demographics and clinical symptoms with temporomandibular disorders. CRANIO®. 2023;41(5):432-9.
Fazal M, Umair N, Masud F, Hussain SAA, Ashfaq MT, Khan U. Frequency of Temporomandibular Joint Disorders (TMDS) Among University Students from Islamabad, Pakistan: Frequency of Temporomandibular Joint Disorders. Journal of Islamic International Medical College (JIIMC). 2022;17(3):202-7.
Ashfaq-Ur-Rahim MN, Ali S, Ihsan S, Qayyum T, Kirmani U. Prevalence of Sign and Symptoms of Temporomandibular Joint Disorders in Pakistani Population at Sheikhupura, Lahore: A Gender comparison. Headache. 2021;7(20):0.59.
Malik W, Malik S, Shakir S, Khan A, Qadeer A, Malik W. Sign and Symptom of Temporomandibular Joint Disorders and Associated Parafuncion Habits in Young Adults. Pakistan Journal of Medical & Health Sciences. 2022;16(02):1146-.
Nazir MA, Izhar F, Hassan S, Tanvir M, Nemat F, Ashraf MW, et al. Temporomandibular Disorders among Dental Students in Pakistan: Assessment of Prevalence, Severity, and Associated Factors Based on Questionnaire. Scientifica. 2023;2023.
Fonseca JB, Lima VCN, Santiago JA, Lima FAP. Occurrence and severity of neck disability in individuals with different types of temporomandibular disorder. Oral and Maxillofacial Surgery. 2021;25(4):471-6.
Zagalaz-Anula N, Sánchez-Torrelo CM, Acebal-Blanco F, Alonso-Royo R, Ibáñez-Vera AJ, Obrero-Gaitán E, et al. The short form of the Fonseca anamnestic index for the screening of temporomandibular disorders: validity and reliability in a Spanish-speaking population. Journal of Clinical Medicine. 2021;10(24):5858.
Arikan H, Citaker S, Ucok C. Psychometric properties of the Fonseca Anamnestic Index (FAI) for temporomandibular disorders: Turkish version, responsiveness, reliability, and validity study. Disability and Rehabilitation. 2023:1-8.
Karabicak GO, Hazar Kanik Z. Temporomandibular disorder prevalence and its association with oral parafunctions, neck pain, and neck function in healthcare students: A cross-sectional study. CRANIO®. 2023;41(1):9-15.
Kashif M, Bashir S, Shoukat A, Shehzad K, Ashraf S. SURVEY ON PREVALENCE OF TEMPOROMANDIBULAR JOINT DYSFUNCTION AND ITS ASSOCIATION WITH NECK PAIN AMONG UNIVERSITY STUDENTS. Rehman Journal of Health Sciences. 2022;4(2):82-9.
von Piekartz H, Rösner C, Batz A, Hall T, Ballenberger N. Bruxism, temporomandibular dysfunction and cervical impairments in females–Results from an observational study. Musculoskeletal science and practice. 2020; 45:102073.
Sanchla AD, Shrivastav S, Bharti L, Kamble R, Shrivastav Sr S, Bharti Jr L. Comparative Evaluation and Correlation of Pain Pattern in Neck Musculature Observed in Mild, Moderate, and Severe Temporomandibular Joint Disorder Cases as Compared to Non-temporomandibular Joint Disorder Cases. Cureus. 2022;14(10).
Ferreira MP, Waisberg CB, Conti PCR, Bevilaqua‐Grossi D. Mobility of the upper cervical spine and muscle performance of the deep flexors in women with temporomandibular disorders. Journal of oral rehabilitation. 2019;46(12):1177-84.