Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disorders
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1093/sleep/zsac181 http://hdl.handle.net/11449/237871 |
Resumo: | The aim of the present study was to investigate orofacial pain in individuals with Down syndrome (DS) and determine possible associations with masticatory muscle hypotonia (MMH), maximum mouth opening (MMO), and sleep disorders. Twenty-three individuals with DS underwent a standardized clinical examination using Axis I of the Diagnostic Criteria for Temporomandibular Disorders, for the diagnosis of pain in the masseter and temporal muscles and temporomandibular joint (TMJ). MMH was investigated using electromyography of the temporal and masseter muscles and the measurement of maximum bite force (MBF). MMO was measured using an analog caliper. Sleep disorders (obstructive sleep apnea [OSA], snoring index [SI], and sleep bruxism index [SBI]) were investigated using type II polysomnography. Statistical analysis was performed. Nonsignificant differences were found in muscle and TMJ pain between the sexes. However, myalgia and referred myofascial pain in the left masseter muscle were more frequent in males (69%) than females (40%). Electrical activity of the temporal (left: p = .002; right: p = .004) and masseter (left: p = .008) muscles was significantly lower in males than in females. MBF range was lower in males than females, indicating the highest MMH among males. OSA, SI, and SBI were identified in both sexes, but with no statistically significant differences. We concluded that myalgia and referred myofascial pain were found in some individuals with DS, especially in males. Arthralgia was found mainly in females. Temporal and masseter myalgia may have exerted an influence on the severity of MMH in males, particularly on the left side. |
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Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disordersDown syndromeFacial painMuscle hypotoniaMasticatory muscleTemporomandibular jointSleep-wake disorderThe aim of the present study was to investigate orofacial pain in individuals with Down syndrome (DS) and determine possible associations with masticatory muscle hypotonia (MMH), maximum mouth opening (MMO), and sleep disorders. Twenty-three individuals with DS underwent a standardized clinical examination using Axis I of the Diagnostic Criteria for Temporomandibular Disorders, for the diagnosis of pain in the masseter and temporal muscles and temporomandibular joint (TMJ). MMH was investigated using electromyography of the temporal and masseter muscles and the measurement of maximum bite force (MBF). MMO was measured using an analog caliper. Sleep disorders (obstructive sleep apnea [OSA], snoring index [SI], and sleep bruxism index [SBI]) were investigated using type II polysomnography. Statistical analysis was performed. Nonsignificant differences were found in muscle and TMJ pain between the sexes. However, myalgia and referred myofascial pain in the left masseter muscle were more frequent in males (69%) than females (40%). Electrical activity of the temporal (left: p = .002; right: p = .004) and masseter (left: p = .008) muscles was significantly lower in males than in females. MBF range was lower in males than females, indicating the highest MMH among males. OSA, SI, and SBI were identified in both sexes, but with no statistically significant differences. We concluded that myalgia and referred myofascial pain were found in some individuals with DS, especially in males. Arthralgia was found mainly in females. Temporal and masseter myalgia may have exerted an influence on the severity of MMH in males, particularly on the left side.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Sao Paulo State Univ UNESP, Ctr Biosci Appl Patients Special Needs CEBAPE, Inst Sci & Technol, Sao Jose Campos Campus, Sao Paulo, BrazilHosp State Publ Servant Sao Paulo IAMSPE, Sao Paulo, BrazilSao Paulo State Univ UNESP, Inst Sci & Technol, Dept Dent Mat & Prosthodont, Sao Jose Campos Campus, Sao Paulo, BrazilSao Paulo State Univ UNESP, Inst Sci & Technol, Environm Engn Dept, Sao Jose Campos Campus, Sao Paulo, BrazilSao Paulo State Univ UNESP, Ctr Biosci Appl Patients Special Needs CEBAPE, Inst Sci & Technol, Sao Jose Campos Campus, Sao Paulo, BrazilSao Paulo State Univ UNESP, Inst Sci & Technol, Dept Dent Mat & Prosthodont, Sao Jose Campos Campus, Sao Paulo, BrazilSao Paulo State Univ UNESP, Inst Sci & Technol, Environm Engn Dept, Sao Jose Campos Campus, Sao Paulo, BrazilFAPESP: 2017/06835-8Oxford Univ Press IncUniversidade Estadual Paulista (UNESP)Hosp State Publ Servant Sao Paulo (IAMSPE)Dicieri-Pereira, Bruna [UNESP]Gomes, Monica Fernandes [UNESP]Giannasi, Lilian Chrystiane [UNESP]Nacif, Sergio RobertoOliveira, Ezequiel Fernandes [UNESP]Salgado, Miguel Angel Castillo [UNESP]Amorim, Jose Benedito de Oliveira [UNESP]Oliveira, Wagner [UNESP]Bressane, Adriano [UNESP]Rode, Sigmar de Mello [UNESP]2022-11-30T13:47:13Z2022-11-30T13:47:13Z2022-07-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article13http://dx.doi.org/10.1093/sleep/zsac181Sleep. Cary: Oxford Univ Press Inc, 13 p., 2022.0161-8105http://hdl.handle.net/11449/23787110.1093/sleep/zsac181WOS:000854054200001Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengSleepinfo:eu-repo/semantics/openAccess2022-11-30T13:47:13Zoai:repositorio.unesp.br:11449/237871Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-11-30T13:47:13Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disorders |
title |
Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disorders |
spellingShingle |
Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disorders Dicieri-Pereira, Bruna [UNESP] Down syndrome Facial pain Muscle hypotonia Masticatory muscle Temporomandibular joint Sleep-wake disorder |
title_short |
Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disorders |
title_full |
Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disorders |
title_fullStr |
Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disorders |
title_full_unstemmed |
Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disorders |
title_sort |
Down syndrome: orofacial pain, masticatory muscle hypotonia, and sleep disorders |
author |
Dicieri-Pereira, Bruna [UNESP] |
author_facet |
Dicieri-Pereira, Bruna [UNESP] Gomes, Monica Fernandes [UNESP] Giannasi, Lilian Chrystiane [UNESP] Nacif, Sergio Roberto Oliveira, Ezequiel Fernandes [UNESP] Salgado, Miguel Angel Castillo [UNESP] Amorim, Jose Benedito de Oliveira [UNESP] Oliveira, Wagner [UNESP] Bressane, Adriano [UNESP] Rode, Sigmar de Mello [UNESP] |
author_role |
author |
author2 |
Gomes, Monica Fernandes [UNESP] Giannasi, Lilian Chrystiane [UNESP] Nacif, Sergio Roberto Oliveira, Ezequiel Fernandes [UNESP] Salgado, Miguel Angel Castillo [UNESP] Amorim, Jose Benedito de Oliveira [UNESP] Oliveira, Wagner [UNESP] Bressane, Adriano [UNESP] Rode, Sigmar de Mello [UNESP] |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Hosp State Publ Servant Sao Paulo (IAMSPE) |
dc.contributor.author.fl_str_mv |
Dicieri-Pereira, Bruna [UNESP] Gomes, Monica Fernandes [UNESP] Giannasi, Lilian Chrystiane [UNESP] Nacif, Sergio Roberto Oliveira, Ezequiel Fernandes [UNESP] Salgado, Miguel Angel Castillo [UNESP] Amorim, Jose Benedito de Oliveira [UNESP] Oliveira, Wagner [UNESP] Bressane, Adriano [UNESP] Rode, Sigmar de Mello [UNESP] |
dc.subject.por.fl_str_mv |
Down syndrome Facial pain Muscle hypotonia Masticatory muscle Temporomandibular joint Sleep-wake disorder |
topic |
Down syndrome Facial pain Muscle hypotonia Masticatory muscle Temporomandibular joint Sleep-wake disorder |
description |
The aim of the present study was to investigate orofacial pain in individuals with Down syndrome (DS) and determine possible associations with masticatory muscle hypotonia (MMH), maximum mouth opening (MMO), and sleep disorders. Twenty-three individuals with DS underwent a standardized clinical examination using Axis I of the Diagnostic Criteria for Temporomandibular Disorders, for the diagnosis of pain in the masseter and temporal muscles and temporomandibular joint (TMJ). MMH was investigated using electromyography of the temporal and masseter muscles and the measurement of maximum bite force (MBF). MMO was measured using an analog caliper. Sleep disorders (obstructive sleep apnea [OSA], snoring index [SI], and sleep bruxism index [SBI]) were investigated using type II polysomnography. Statistical analysis was performed. Nonsignificant differences were found in muscle and TMJ pain between the sexes. However, myalgia and referred myofascial pain in the left masseter muscle were more frequent in males (69%) than females (40%). Electrical activity of the temporal (left: p = .002; right: p = .004) and masseter (left: p = .008) muscles was significantly lower in males than in females. MBF range was lower in males than females, indicating the highest MMH among males. OSA, SI, and SBI were identified in both sexes, but with no statistically significant differences. We concluded that myalgia and referred myofascial pain were found in some individuals with DS, especially in males. Arthralgia was found mainly in females. Temporal and masseter myalgia may have exerted an influence on the severity of MMH in males, particularly on the left side. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-11-30T13:47:13Z 2022-11-30T13:47:13Z 2022-07-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1093/sleep/zsac181 Sleep. Cary: Oxford Univ Press Inc, 13 p., 2022. 0161-8105 http://hdl.handle.net/11449/237871 10.1093/sleep/zsac181 WOS:000854054200001 |
url |
http://dx.doi.org/10.1093/sleep/zsac181 http://hdl.handle.net/11449/237871 |
identifier_str_mv |
Sleep. Cary: Oxford Univ Press Inc, 13 p., 2022. 0161-8105 10.1093/sleep/zsac181 WOS:000854054200001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Sleep |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
13 |
dc.publisher.none.fl_str_mv |
Oxford Univ Press Inc |
publisher.none.fl_str_mv |
Oxford Univ Press Inc |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1797789427863388160 |