The relationship between neck pain and cervical alignment in patients with temporomandibular disorders


COŞKUN BENLİDAYI İ., Guzel R., Tatli U., SELİMLİ F., Keceli O.

CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE, cilt.38, sa.3, ss.174-179, 2020 (SCI-Expanded) identifier identifier identifier

Özet

Objective: To elucidate the impact of neck pain on cervical alignment in patients with TMDs. Method: Patients diagnosed with TMDs between November 2013 and November 2015 were included. All subjects underwent lateral cervical X-ray evaluation and completed the RDC/TMD Axis II Biobehavioral Questionnaire for TMDs. Patients with neck pain also completed the Neck Pain & Disability Scale (NPDS). Cervical lordosis angle was measured according to C2-C7 Cobb's method. Results: The mean cervical lordosis angle of the whole group (n = 60) revealed hypolordosis (10.9 +/- 12.7 degrees). Cervical lordosis angle did not differ between patients with (n = 28) and without (n = 32) neck pain (12.2 +/- 12.8 degrees versus 9.8 +/- 12.7 degrees, respectively; p = 0.46). TMD-related variables were not correlated with cervical alignment but were moderately correlated with NPDS score, with the exception of TMD-associated disability. Conclusion: Patients with TMDs have hypolordotic cervical malalignment (tendency toward kyphosis) regardless of neck pain.