Physiotherapy Management of Headaches and Temporomandibular Related Diseases

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: closed (28 February 2022) | Viewed by 23436

Special Issue Editors

Physiotherapy, Occupational Therapy, Physical Medicine and Rehabilitation Department, Universidad Rey Juan Carlos, 28933 Móstoles, Madrid, Spain
Interests: pain assessment; headache; temporomandibular disorders; neck pain; electromyography; measurement properties; musculoskeletal disorders; physiotherapy interventions
Special Issues, Collections and Topics in MDPI journals
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Alcorcón, Madrid, Spain
Interests: chronic pain; pain neuroscience education, manual therapy; central nervous system sensitization
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

I invite you to contribute to a Special Issue of the journal Applied Sciences on “Physiotherapy Management of Headaches and Temporomandibular Related Diseases”, which aims to present solid evidence in this field.

Headache disorders are recognized as highly prevalent and/or disabling conditions. Headaches are also often comorbid with temporomandibular disorders and/or cervical musculoskeletal dysfunctions. Over the past decades, physical therapy management of these conditions has gained recognition in the treatment of these disorders with a gradual implementation in the headache multiprofessional team worldwide. However, we still have a lack of good quality studies that provide evidence of potential effective interventions. Moreover, evidence that would help to clarify the sensory and functional dysfunctions that need to be addressed and about the quality and applicability of their clinical assessment is also lacking. We thus invite you to submit your research on these topics. This Special Issue welcome well-designed and good-quality studies in this field, such as original studies, clinical trial reviews, and meta-analyses.

Prof. Dr. Lidiane Lima Florencio
Prof. Dr. César Fernández De Las Peñas
Guest Editors

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Keywords

  • Migraine disorders
  • Tension-type headache
  • Cervicogenic headache
  • Primary headache
  • Secondary headache
  • Neck pain
  • Temporomandibular disorders
  • Physiotherapy
  • Physical therapy
  • Manual therapy
  • Therapeutic exercises
  • Pain education

Published Papers (6 papers)

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Research

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7 pages, 256 KiB  
Article
Relationship between the Somatosensory Cortex Morphology, Cutaneous Allodynia, and Clinical Features of Patients with Migraine
by Gabriela Ferreira Carvalho, Nicoly Machado Maciel, Eduardo Arruda, Carina Ferreira Pinheiro, Natália Oliveira, Rodolfo Dias Chiari Correia, Fabiola Dach, Antonio Carlos dos Santos and Debora Bevilaqua-Grossi
Appl. Sci. 2021, 11(23), 11358; https://0-doi-org.brum.beds.ac.uk/10.3390/app112311358 - 01 Dec 2021
Viewed by 1406
Abstract
Recent studies have demonstrated the presence of brain alterations in patients with migraine. Functional and vascular changes in the brain are related to the presence and severity of cutaneous allodynia. However, the association between brain structural changes and cutaneous allodynia has not been [...] Read more.
Recent studies have demonstrated the presence of brain alterations in patients with migraine. Functional and vascular changes in the brain are related to the presence and severity of cutaneous allodynia. However, the association between brain structural changes and cutaneous allodynia has not been yet investigated in patients with migraine. Thus, the purpose of this study was to evaluate the correlation between the severity of cutaneous allodynia, migraine features, and the thickness and volume of the somatosensory cortex. Forty-five patients with migraine, with and without aura and chronic migraine, were included. Volunteers filled out the Allodynia Symptom Questionnaire (ASC-12/Brazil) and were evaluated via magnetic resonance imaging (MRI). The images were inspected by a blinded neuroradiologist and analyzed with Freesurfer software. Correlation tests and a linear regression model were used to evaluate the relationship among the outcomes. The somatosensory cortex thickness and volume were not different among migraine subgroups (p > 0.05). There was no significant correlation between the somatosensory thickness and volume with the ASC-12/Brazil, migraine frequency, intensity, migraine onset or aura frequency. The ASC-12/Brazil score variability cannot be predicted by the somatosensory cortex thickness or volume. The results show that the somatosensory cortex morphology is neither associated with cutaneous allodynia nor with migraine features among migraineurs. Full article
12 pages, 1205 KiB  
Article
Is the Course of Headache Complaints Related to the Course of Orofacial Pain and Disability in Patients Treated for Temporomandibular Pain? An Observational Study
by Hedwig A. van der Meer, Letícia B. Calixtre, Caroline M. Speksnijder, Raoul H. H. Engelbert, Maria W. G. Nijhuis-van der Sanden and Corine M. Visscher
Appl. Sci. 2021, 11(17), 7780; https://0-doi-org.brum.beds.ac.uk/10.3390/app11177780 - 24 Aug 2021
Viewed by 1595
Abstract
Migraine, tension-type headache (TTH) and headaches attributed to temporomandibular disorders (TMD) are prevalent in patients with TMD-pain. The objective was to describe the course of headache complaints as compared to the course of TMD complaints in TMD-pain patients with headache during usual care [...] Read more.
Migraine, tension-type headache (TTH) and headaches attributed to temporomandibular disorders (TMD) are prevalent in patients with TMD-pain. The objective was to describe the course of headache complaints as compared to the course of TMD complaints in TMD-pain patients with headache during usual care multidisciplinary treatment for TMD. This was a 12-week longitudinal observational study following adults with TMD-pain and headache during a usual-care multidisciplinary TMD-treatment. The Graded Chronic Pain Scale was used for both TMD and headache to measure pain-related disability (primary outcome measure), pain intensity, days with pain and days experiencing disability (secondary outcome measures). Stratified for the headache type, general linear modelling for repeated measures was used to analyze changes over time in the TMD complaints and the headache complaints. TMD-pain patients with migraine (n = 22) showed significant decrease of pain-related disability for both TMD and headache complaints over time. No difference in the effect over time was found between the two complaints. Patients with TMD-pain and TTH (n = 21) or headache attributed to TMD (n = 17) did not improve in disability over time. For the secondary outcome measures, the results were equivocal. In conclusion, TMD-pain patients with migraine, improvement in TMD-related disability was comparable to headache-related disability for TMD-pain patients with TTH or with headache attributed to TMD, no improvements in disability were found. Full article
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8 pages, 251 KiB  
Article
Interictal Photophobia and Phonophobia Are Related to the Presence of Aura and High Frequency of Attacks in Patients with Migraine
by Carina F. Pinheiro, Jessica R. Moreira, Gabriela F. Carvalho, Leticia Zorzin, Fabiola Dach and Debora Bevilaqua-Grossi
Appl. Sci. 2021, 11(6), 2474; https://0-doi-org.brum.beds.ac.uk/10.3390/app11062474 - 10 Mar 2021
Cited by 7 | Viewed by 3119
Abstract
Background: Despite that photophobia and phonophobia are well-known symptoms related to migraine, it is unclear whether they affect daily life activities during the headache-free period. Objective: To evaluate the interictal photophobia/phonophobia intensity during daily activities in migraineurs and non-headache individuals. Methods: Women with [...] Read more.
Background: Despite that photophobia and phonophobia are well-known symptoms related to migraine, it is unclear whether they affect daily life activities during the headache-free period. Objective: To evaluate the interictal photophobia/phonophobia intensity during daily activities in migraineurs and non-headache individuals. Methods: Women with migraine without aura (MoA, n = 30), migraine with aura (MA, n = 30), chronic migraine (CM, n = 30) and without headache (CG, n = 30) reported the photophobia and phonophobia intensity during daily activities using a Likert scale ranging from 0 (no discomfort) to 10 (maximum discomfort). Results: The migraine groups reported higher intensity of interictal photophobia and phonophobia than CG during “driving” and “social situations”, respectively (p < 0.05). MA and CM groups presented higher intensity of phonophobia than CG, hearing sounds in everyday situations and listening to conversations in noisy places (p < 0.05). Also, the MA group presented higher interictal phonophobia than the CG to keep concentration in noisy places (p < 0.05). Weak positive correlations were observed between the intensity of both photophobia and phonophobia with migraine intensity, frequency of migraine and frequency of aura (p < 0.05). Conclusion: Interictally, the intensity of photophobia and phonophobia reported during daily activities is higher in patients with migraine, especially those with aura and chronic migraine, than in non-headache subjects. Full article
13 pages, 1556 KiB  
Article
Patient Profiling Based on Spectral Clustering for an Enhanced Classification of Patients with Tension-Type Headache
by Oscar J. Pellicer-Valero, César Fernández-de-las-Peñas, José D. Martín-Guerrero, Esperanza Navarro-Pardo, Margarita I. Cigarán-Méndez and Lidiane L. Florencio
Appl. Sci. 2020, 10(24), 9109; https://0-doi-org.brum.beds.ac.uk/10.3390/app10249109 - 20 Dec 2020
Cited by 5 | Viewed by 1894
Abstract
Profiling groups of patients in clusters can provide meaningful insights into the features of the population, thus helping to identify people at risk of chronification and the development of specific therapeutic strategies. Our aim was to determine if spectral clustering is able to [...] Read more.
Profiling groups of patients in clusters can provide meaningful insights into the features of the population, thus helping to identify people at risk of chronification and the development of specific therapeutic strategies. Our aim was to determine if spectral clustering is able to distinguish subgroups (clusters) of tension-type headache (TTH) patients, identify the profile of each group, and argue about potential different therapeutic interventions. A total of 208 patients (n = 208) with TTH participated. Headache intensity, frequency, and duration were collected with a 4-week diary. Anxiety and depressive levels, headache-related burden, sleep quality, health-related quality of life, pressure pain thresholds (PPTs), dynamic pressure thresholds (DPT) and evoked-pain, and the number of trigger points (TrPs) were evaluated. Spectral clustering was used to identify clusters of patients without any previous assumption. A total of three clusters of patients based on a main difference on headache frequency were identified: one cluster including patients with chronic TTH (cluster 2) and two clusters including patients with episodic TTH (clusters 0–1). Patients in cluster 2 showed worse scores in all outcomes than those in clusters 0–1. A subgroup of patients with episodic TTH exhibited pressure pain hypersensitivity (cluster 0) similarly to those with chronic TTH (cluster 2). Spectral clustering was able to confirm subgrouping of patients with TTH by headache frequency and to identify a group of patients with episodic TTH with higher sensitization, which may need particular attention and specific therapeutic programs for avoiding potential chronification. Full article
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Review

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27 pages, 3908 KiB  
Review
Assessment and Brain Training of Patients Experiencing Head and Facial Pain with a Distortion of Orofacial Somatorepresentation: A Narrative Review
by Harry von Piekartz and Alba Paris-Alemany
Appl. Sci. 2021, 11(15), 6857; https://0-doi-org.brum.beds.ac.uk/10.3390/app11156857 - 26 Jul 2021
Cited by 3 | Viewed by 6144
Abstract
The management of patients experiencing chronic orofacial pain is a great challenge, due to the complexity of chronic pain itself, combined with an increased peripheral sensitization in the craniofacial itself. Therefore, patients with orofacial pain may present a clear distortion of the somatorepresentation [...] Read more.
The management of patients experiencing chronic orofacial pain is a great challenge, due to the complexity of chronic pain itself, combined with an increased peripheral sensitization in the craniofacial itself. Therefore, patients with orofacial pain may present a clear distortion of the somatorepresentation after some time. In this review, the authors develop a neurophysiological explanation of orofacial distortion, as well as propose assessment and treatment options, based on scarcely available scientific evidence and their own clinical experience. The assessments of facial somatosensory, cognitive-affective and motor dysfunctions are crucial to establish the most accurate treatment; the assessment tools are described in the article. Two-point discrimination, laterality recognition and emotion recognition are altered in patients with orofacial pain. Other sensorimotor assessment tools, such as motor acuity and auditory acuity, are also explained. Finally, the authors review their treatment proposals, based on the integration of brain training techniques and biobehavioral interventions. Somatosensory reintegration (tactile acuity training), facial emotion recognition, movement representation techniques, orofacial motor training and therapeutic patient education are explained in detail, and this may challenge new directions in rehabilitation and research. Full article
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44 pages, 5023 KiB  
Review
Effectiveness of Exercise and Manual Therapy as Treatment for Patients with Migraine, Tension-Type Headache or Cervicogenic Headache: An Umbrella and Mapping Review with Meta-Meta-Analysis
by Aida Herranz-Gómez, Irene García-Pascual, Pablo Montero-Iniesta, Roy La Touche and Alba Paris-Alemany
Appl. Sci. 2021, 11(15), 6856; https://0-doi-org.brum.beds.ac.uk/10.3390/app11156856 - 26 Jul 2021
Cited by 10 | Viewed by 8128
Abstract
The aim of the study was to perform a mapping and umbrella review with meta-meta-analysis (MMA) to synthesise and critically evaluate the effectiveness of manual therapy (MT) and aerobic exercise (AE) in relation to pain intensity, frequency, disability and quality of life in [...] Read more.
The aim of the study was to perform a mapping and umbrella review with meta-meta-analysis (MMA) to synthesise and critically evaluate the effectiveness of manual therapy (MT) and aerobic exercise (AE) in relation to pain intensity, frequency, disability and quality of life in patients with migraines, tension-type headaches (TTH) and cervicogenic headaches (CGH). A systematic search was conducted in PubMed, PEDro, Scielo and Google Scholar up to December 2020. A total of 18 articles met the inclusion criteria, and only 8 were included in the quantitative analysis. The MMA showed results in favour of the interventions in terms of pain intensity and quality of life in migraine, TTH and CCH. Data were also in favour of the intervention in terms of pain frequency in migraine and in terms of disability in TTH. However, there were no significant effects on pain frequency in TTH and CGH. The results showed moderate evidence to suggest that AE reduces pain intensity in patients with migraine. In addition, the evidence in favour of MT or a mixed intervention (including therapeutic exercise) was also moderate in terms of reducing pain intensity in patients with TTH. Full article
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