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Implementing gnathological and neuromuscular concepts in patients with chronic migraine.

Authors
  • Didier, H
  • Marchetti, C
  • Marchetti, A
  • D'Amico, D
  • Tullo, V
  • Bussone, G
  • Santoro, F
Type
Published Article
Journal
Neurological Sciences
Publisher
Springer-Verlag
Publication Date
May 01, 2012
Volume
33 Suppl 1
Identifiers
DOI: 10.1007/s10072-012-1078-x
PMID: 22644198
Source
Medline
License
Unknown

Abstract

Temporomandibular disorders are among the potential comorbidities of migraine, and recent reports showed that they may have a role in promoting its progression into chronic migraine (CM). In order to clarify the possible role of neuromuscular components of the stomatognathic system in patients with CM, we studied 18 patients admitted as inpatients at our Headache Unit to undergo a withdrawal protocol for medication overuse, who underwent orthosis, after clinical and instrumental gnathological evaluation. They were subsequently evaluated after 6 months. The values of electromyographic parameters as well as of pain outcomes showed a significant decrease after orthosis. The implementation of gnathological and neuromuscular concepts can have a relevant role in the management of CM patients, in the contest of a multidisciplinary approach.

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