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Peripheral muscle oxygenation and symptoms of stress in adolescents with and without temporomandibular disorder

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Abstract

Objective

To compare peripheral muscle oxygenation levels and the prevalence of psychological stress in adolescents with and without temporomandibular disorder (TMD).

Methods

A cross-sectional study was performed with adolescents submitted into two groups: those diagnosed with TMD (DG) and control (CG). Muscle oxygenation was measured by near-infrared spectroscopy in the masseter and upper trapezius muscles. Symptoms of stress were assessed by Lipp’s Stress Symptom Inventory for Adults or Child Stress Scale. A Student t-test was used for intergroup comparisons and association between categorical variables by chi-square test, phi coefficient of correlation, odds ratio, and two-way ANOVA.

Results

Fifty-three adolescents were evaluated and a significant reduction was observed in the oxyhemoglobin level in the masseter muscle at rest (p = 0.04) and contraction (p = 0.02). A greater total hemoglobin level was found in the upper trapezius muscle at rest in DG (p = 0.03), with a significant difference in the tissue saturation index during contraction (p = 0.05) intergroup. Individuals in the DG were 4.523 times more likely to exhibit signs and symptoms of stress than in CG.

Conclusion

Adolescents from DG showed reduced masseter oxyhemoglobin values at rest and during contraction and showed more signs and symptoms of stress than healthy controls. In the upper trapezius, DG showed higher values of total circulating hemoglobin, essential for greater blood flow and efficient maximum voluntary contraction.

Clinical relevance

Changes in tissue oxygenation and stress in adolescents with TMD prompted the earlier treatment of this population to prevent disease progression into adulthood.

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Data availability

The datasets generated and/or analyzed during the current study are available from the corresponding author upon reasonable request.

Code availability

Not applicable.

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Funding

This study was funded by Universidade do Estado de Santa Catarina (UDESC), Centro de Ciências da Saúde e do Esporte (CEFID), Brazil, PROBIC/UDESC/2019 and from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES - Brazil (PROAP/AUXPE).

Author information

Authors and Affiliations

  1. Laboratory of Development and Postural Control (LADESCOP), Center of Health Sciences and Sport, Santa Catarina State University (UDESC), Rua Pascoal Simone, 358-Coqueiros, Florianópolis, SC, 88080-350, Brazil

    Alexia Nadine Puel, Andreza Garrett da Silva Paes, Carolina Macedo, Letícia Souza Miranda, Maylli Graciosa & Anelise Sonza

  2. Post-Graduate Program in Physiotherapy, Center of Health Sciences and Sport, Santa Catarina State University, Rua Pascoal Simone, 358-Coqueiros, Florianópolis, SC, 88080-350, Brazil

    Alexia Nadine Puel, Maylli Graciosa & Anelise Sonza

  3. Post-Graduate Program in Human Movement Sciences, Center of Health Sciences and Sport, Santa Catarina State University, Rua Pascoal Simone, 358-Coqueiros, Florianópolis, SC, 88080-350, Brazil

    Andreza Garrett da Silva Paes & Anelise Sonza

  4. Physiotherapy Department, UDESC, Rua Pascoal Simone, 358, Florianópolis, SC, CEP 88080350, Brazil

    Anelise Sonza

Authors
  1. Alexia Nadine Puel
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  2. Andreza Garrett da Silva Paes
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  3. Carolina Macedo
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  4. Letícia Souza Miranda
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  5. Maylli Graciosa
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  6. Anelise Sonza
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Contributions

AS and MG contributed to the conception and design of the study. Data collection was performed by AP and LM. Statistical analysis and the first draft of the manuscript were performed by AP and MG, and all authors commented on the previous versions of the manuscript. All authors have read and approved the final manuscript submitted for publication.

Corresponding author

Correspondence to Anelise Sonza.

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Ethics approval and consent to participate

This study was approved by the Ethics Committee for Research Involving Human Beings of the Universidade do Estado de Santa Catarina (UDESC) (registration number 2.630.877).

Informed consent was obtained from all the participants and their legal guardians.

Consent for publication

The participants signed an informed consent form to publish anonymized data and photographs.

Conflict of interest

The authors declare no competing interests.

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Puel, A.N., da Silva Paes, A.G., Macedo, C. et al. Peripheral muscle oxygenation and symptoms of stress in adolescents with and without temporomandibular disorder. Clin Oral Invest 27, 1509–1517 (2023). https://doi.org/10.1007/s00784-022-04770-w

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  • DOI: https://doi.org/10.1007/s00784-022-04770-w

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