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Effects on jaw function shortly after whiplash trauma
Author(s) -
Lampa E.,
Wänman A.,
Nordh E.,
HäggmanHenrikson B.
Publication year - 2017
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12571
Subject(s) - whiplash , medicine , neck pain , physical therapy , rehabilitation , orofacial pain , physical medicine and rehabilitation , poison control , alternative medicine , environmental health , pathology
Summary Normal jaw function involves muscles and joints of both jaw and neck. A whiplash trauma may disturb the integrated jaw‐neck sensory‐motor function and thereby impair chewing ability; however, it is not known if such impairment is present shortly after a neck trauma or develops over time. The aim was to evaluate jaw function after a recent whiplash trauma. Eighty cases (47 women) were examined within 1 month after a whiplash trauma and compared to 80 controls (47 women) without neck trauma. Participants completed the Jaw disability checklist ( JDC ) and Neck Disability Index ( NDI ) questionnaires and performed a 5‐minute chewing test. Elicited fatigue and pain during chewing were noted, and group differences were evaluated with Fisher's exact test and Mann‐Whitney U‐test. Compared to controls , cases had higher JDC ( P < .0001) and NDI scores (15% vs 2%, P < .0001), and reported more fatigue (53% vs 31%, P = .006) and pain (30% vs 10%, P = .003) during the chewing test. Cases also had a shorter onset time for fatigue and pain (both P = .001) Furthermore, cases reporting symptoms during chewing had higher JDC and NDI scores compared to cases not reporting symptoms (both P = .01). Symptoms mainly occurred in the trigeminal area for both groups, but also in spinal areas more often for cases than for controls. Taken together, the results indicate that jaw‐neck sensory‐motor function is impaired already within 1 month after a whiplash trauma. The association between neck disability and jaw impairment underlines the close functional relationship between the regions, and stresses the importance of multidisciplinary assessment.