RT Journal Article
T1 Importance of standardized palpation of the human temporomandibular joint
A1 Serrano Hernanz, Gema
A1 Futarmal Kothari, Simple
A1 Castrillón, Eduardo
A1 Álvarez Méndez, Ana María
A1 Ardizone García, Ignacio
A1 Svensson, Peter
AB Aims: To test whether standardized palpation around the lateral pole of the condyle can influence mechanical sensitivity and unpleasantness and evoke referred sensations/pain in healthy individuals. Methods: Palpometers (0.5, 1.0, and 2.0 kg) with spherical extensions were applied around the lateral pole of the condyle in relaxed and protruded positions of the mandible for 2, 5, and 10 seconds in 30 healthy participants. Mechanical sensitivity, unpleasantness, and referred sensations/pain were assessed using a 0 to 100 numeric rating scale (NRS) for each palpation. The NRS scores were compared using analysis of variance and McNemar test. Results: Participants reported significantly higher mechanical sensitivity and unpleasantness scores for the 2.0-kg stimulus compared to the 0.5- and 1.0kg stimuli for 2, 5, and 10 seconds (mean NRS > 50; P < .001). Application of a 1.0-kg stimulus was significantly different from the 0.5- and 2.0-kg stimuli applied for 5 seconds (mean NRS < 50; P < .001). One-third of participants reported referred sensations/pain. Conclusion: Application of a 2.0-kg stimulus around the lateral pole of the condyle is painful and unpleasant regardless of time of palpation. Application of a 1.0-kg stimulus for 5 seconds was found to be nonpainful and not unpleasant in healthy participants. Thus, this study supports the Diagnostic Criteria for TMD recommendation for standardized examination of the TMJ and indicates that referred sensation/pain is a common finding in healthy individuals.
PB MRE Press
SN 2333-0384
YR 2019
FD 2019
LK https://hdl.handle.net/20.500.14352/116751
UL https://hdl.handle.net/20.500.14352/116751
LA spa
NO Serrano-Hernanz G, Kothari SF, Castrillón E, María álvarez-Méndez A, Ardizone-García I, Svensson P. Importance of standardized palpation of the human temporomandibular joint. Journal of Oral and Facial Pain and Headache. 2019;33(2):220-3.
DS Docta Complutense
RD 7 abr 2025