Abstract
Tweny patients (M: 4, F: 16, mean age 37 ± 11 years) with diagnosis of chronic daily headache (CDH), after drug withdrawal, were under electromyography, kinesiography and masticatory muscle deprogramming by TENS to identify the physiological rest position of the mandible. Our purpose was to clarify a possible role of the neuromuscular stomatognathic system. Examinations showed that 17 patients needed a neuromuscular orthosis, an occlusal device, to provisionally correct the detected discrepancies of jaw position. Of those, the 10 patients who showed an occlusal sagittal discrepancy higher than 2 mm and/or a lateral deviation higher than 0.4 mm, associated with more than three parafunctional activities, had a meaningful decrease on frequency/intensity of migraine crisis and/or of days of headache. VAS pain score during crisis decreased from 9.0 ± 0.9 to 4.9 ± 2.7; frequency of crisis were from 20.7 ± 5.2 to 9.5 ± 7.7. Baseline pain were from 5.3 ± 1.2 to 3.0 ± 1.3. Satisfying clinical results can be reached combining behavioural education and neuromuscular orthosis. This can be very helpful in patients who show significant discrepancy of jaw position that only TENS deprogramming can reveal and kinesiography can detect with such accuracy.
References
Castillo J, Munoz P, Guitera V, Pasual J (1999) Epidemiology of chronic daily headache in the general population. Headache 39:190–196
Couch JR (2011) Update on chronic daily headache. Curr Treat Options Neurol 13(1):41–55
Schnider P, Aull S, Baummgartner C (1996) Long-term out-come of patients with headache and drug abuse after in-patient withdrawal: five-year follow-up. Cephalalgia 16:481–485
Jankelson B (1980) Measurement accuracy of the mandibular kinesiograph: a computerized study. J Prosthet Dent 44(6):656–666
Giamberardino MA et al (2007) Contribution of myofascial trigger points to migraine symptoms. J Pain 8(11):869–878
Calandre EP, Hidalgo J, Garcıa-Leiva JM, Rico-Villademoros F (2006) Trigger point evaluation in migraine patients: an indication of peripheral sensitization linked to migraine predisposition? Eur J Neurol 13(3):244–249
Fernandez-de-las-Penas C et al (2007) Myofascial trigger points and sensitization: an updated pain model for tension-type headache. Cephalalgia 27(5):383–393
Simons DG, Travell J et al (1999) Travell and Simons’ myofascial pain and dysfunction, the trigger point manual, 2nd edn. Williams and Wilkins, Baltimore
Cooper B, Kleinberg I (2009) Relationship of temporomandibular disorders to muscle tension-type headaches and a neuromuscular orthosis approach to treatment. Cranio 27(2):101–108
Jankelson B, Radke JC (1978) The Myo-monitor: its use and abuse (I). Quintessence Int Dent Dig 9(2):47–52
Jankelson B, Radke JC (1978) The Myo-monitor: its use and abuse (II). Quintessence Int Dent Dig 9(3):35–39
Conflict of interest
The authors declare that there is no actual or potential conflict of interest in relation to this article.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Didier, H., Marchetti, C., Borromeo, G. et al. Chronic daily headache: suggestion for the neuromuscular oral therapy. Neurol Sci 32 (Suppl 1), 161–164 (2011). https://doi.org/10.1007/s10072-011-0515-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-011-0515-6