Awareness of physiological responding under stress and nonstress conditions in temporomandibular disorders
- Alan G. Glaros Ph.D.
- … show all 1 hide
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
To test the hypothesis that individuals with temporomandibular disorders (TMD) have deficits in proprioceptive awareness, 20 TMD patients were compared with 20 nonpain individuals matched to the TMD patients on age and gender. Left and right frontalis, masseter, and temporalis were monitored, as were forearm extensor, heart rate, and skin conductance while the participants viewed a nonstressful film segment. Following the film segment, participants provided self-reports of these physiological responses. This sequence was repeated for a second, stressful film segment and for a third, non-stressful film segment. Correlations between physiological activity and self-report were used as measures of proprioceptive awareness. The results indicated that TMD subjects were most accurate in their awareness of facial muscle activity during the stress condition and least accurate in the two nonstress periods. Control subjects increased their accuracy of awareness at each time period, showing significantly greater accuracy than the TMD group in the last, nonstress period. TMD subjects more accurately perceived activity of the nonfacial muscle variables in the two nonstress periods than during the stress period. These findings may provide a mechanism for understanding clinical observations showing that TMD patients with myofascial pain engage in high levels of parafunctional oral activity without awareness.
- Blanchard, E. B., Jurish, S. E., Andrasik, F., & Epstein, L. H. (1981). The relationship between muscle discrimination ability and response to relaxation training in three kinds of headaches.Biofeedback and Self-Regulation, 6, 537–545.
- Dahlström, L. (1992). Conservative treatment methods in craniomandibular disorder.Swedish Dental Journal, 16, 217–230.
- Dalen, K., Ellertsen, B., Espelid, I., & Gronningsaeter, A. G. (1986). EMG feedback in the treatment of myofascial pain dysfunction syndrome.Acta Odontologica Scandinavica, 44, 279–284.
- Dworkin, S. F., & LeResche, L. (Eds.). (1992). Research diagnostic criteria for temporomandibular disorders: Review, criteria, examinations and specifications, critique.Journal of Craniomandibular Disorders: Facial & Oral Pain, 6, 301–355.
- Ferguson, G. A. (1971).Statistical analysis in psychology and education (3rd ed.). New York: McGraw-Hill.
- Flor, H., Schugens, M. M. & Birbaumer, N. (1992). Discrimination of muscle tension in chronic pain patients and healthy controls.Biofeedback and Self-Regulation, 17, 165–177.
- Fridlund, A. J., & Cacioppo, J. T. (1986). Guidelines for human electromyographic research.Psychophysiology, 23, 567–589.
- Glaros, A. G., & Glass, E. G. (1993). Temporomandibular disorders. In R. J. Gatchel & E. B. Blanchard (Eds.),Psychophysiological disorders: Research and clinical applications (pp. 299–356). Washington, DC: American Psychological Association.
- Glaros, A. G., & Hanson, K. (1990). EMG biofeedback and discriminative muscle control.Biofeedback and Self-Regulation, 15, 135–143.
- Glaros, A. G., & Rao, S. (1979). Electromyographic correlates of experimentally induced stress in diurnal bruxists and normals.Journal of Dental Research, 58, 1872–1878.
- Helkimo, E., Carlsson, G. E., & Carmeli, Y. (1975). Bite force in patients with functional disturbances of the masticatory system.Journal of Oral Rehabilitation, 2, 397–406.
- Hijzen, T. H., Slangen, J. L., & VanHouweligen, H. C. (1986). Subjective, clinical and EMG effects of biofeedback and splint treatment.Journal of Oral Rehabilitation, 13, 529–539.
- Intrieri, R. C., Jones, G. E., & Alcorn, J. D. (1994). Masseter muscle hyperactivity and myofascial pain dysfunction syndrome: A relationship under stress.Journal of Behavioral Medicine, 17, 479–500.
- Kapel, L., Glaros, A. G., & McGlynn, F. D. (1989). Psychophysiological responses to stress in patients with myofascial pain-dysfunction syndrome.Journal of Behavioral Medicine, 12, 397–406.
- Kawazoe, Y., Kotani, H., & Hamada, T. (1979). Relation between integrated electromyograph activity and biting force during voluntary isometric contraction in human masticatory muscles.Journal of Dental Research, 58, 1440–1447.
- Laskin, D. M., & Block, S. (1986). Diagnosis and treatment of myofascial pain-dysfunction (MPD) syndrome.Journal of Prosthetic Dentistry, 56, 75–84.
- Lippold, O. C. J. (1967). Electromyography. In P. H. Venables & I. Martin (Eds.),Manual of psychophysiological methods (pp. 245–298). New York: Wiley.
- Lund, J. P., & Widmer, C. G. (1989). An evaluation of the use of surface electromyography in the diagnosis, documentation, and treatment of dental patients.Journal of Craniomandibular Disorders: Facial & Oral Pain, 3, 125–137.
- Malow, R. M., Grimm, L., & Olson, R. (1980). Differences in pain perception between myofascial pain dysfunction patients and normal subjects: A signal detection analysis.Journal of Psychosomatic Research, 24, 303–309.
- Malow, R. M., West, J. A., & Sutker, P. B. (1987). A sensory decision theory analysis of anxiety and pain responses in chronic drug abusers.Journal of Abnormal Psychology, 96, 184–189.
- Mealiea, W. L., & McGlynn, F. D. (1987). Temporomandibular disorders and bruxism. In J. P. Hatch, J. G. Fisher, & J. D. Rugh (Eds.).Biofeedback: Studies in clinical efficacy (pp. 123–151). New York: Plenum Press.
- Nemcovsky, C. E., & Gross, M. D. (1991). A comparative study of the stereognathic ability between patients with myofascial pain dysfunction syndrome and a control group.Journal of Craniomandibular Practice, 9, 35–38.
- Rugh, J. D., & Montgomery, G. T. (1987). Physiological reactions of patients with TM disorders vs. symptom-free controls on a physical stress task.Journal of Craniomandibular Disorders: Facial and Oral Pain, 1, 243–250.
- Sapiro, S. M. (1992). Tongue indentations as an indicator of clenching.Clinical Preventive Dentistry, 14(2), 21–24.
- Awareness of physiological responding under stress and nonstress conditions in temporomandibular disorders
Biofeedback and Self-regulation
Volume 21, Issue 3 , pp 261-272
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- proprioceptive awareness
- temporomandibular disorder
- myofascial pain
- facial muscles
- Author Affiliations
- 1. Department of Behavioral Science, University of Missouri-Kansas City, 650 East 25th Street, 64108, Kansas City, Missouri