Myofascial pain and dysfunction as predictors of tinnitus in adults: a case-control study.

IF 3 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Head & Face Medicine Pub Date : 2026-07-13 DOI:10.1186/s13005-026-00635-9

Ana Cristina Mafla, María José Velasco-Burbano, Laura Sofía Peña-Argotty, Carlos Andrés Taramuel-López, Wendi Nayeli Rivadeneira-Arellano, Falk Schwendicke

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引用次数: 0

Abstract

Purpose: To evaluate the association of symptoms of myofascial pain and dysfunction with the presence of tinnitus in adults.

Methods: A case-control study involving 80 cases presenting tinnitus and 160 controls without this condition was designed. Sociodemographic variables as well as symptoms of myofascial pain and dysfunction measured using the Brux-Screen, psychopathological symptoms obtained from the Symptom Checklist Revised (SCL-90-R) and Perceived Stress Scale (PSS-10), stressful life events score quantified through the Social Readjustment Rating Scale (SRRS) and presence of tinnitus supported by items of the Tinnitus Handicap Inventory (THI) were collected. A directed acyclic graphs (DAG) analysis was performed to identify potential relationships, and multivariable logistic regression used to assess associations.

Results: Exposure to high levels of noise (OR = 2.29; 95% CI: 1.14-4.60, P = 0.020), plugged ear canals (OR = 2.99; 95% CI: 1.28-7.03, P = 0.012), tense face-and-neck muscles without clenching (OR = 2.34; 95% CI: 1.24-4.43, P = 0.008) and symptoms of depression (OR = 2.17; 95% CI: 1.41-3.33, P < 0.001) significantly increased the risk of suffering from tinnitus.

Conclusion: Face-and-neck muscles and mental health assessments may be warranted in individuals with tinnitus. Further studies are necessary to clarify causal mechanisms and evaluate potential management strategies.

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肌筋膜疼痛和功能障碍作为成人耳鸣的预测因素：一项病例对照研究。

目的：评价肌筋膜疼痛和功能障碍症状与成人耳鸣的关系。方法：采用病例-对照研究方法，80例耳鸣患者和160例非耳鸣患者作为对照。收集社会人口学变量以及肌筋膜疼痛和功能障碍的症状，通过症状检查表（SCL-90-R）和感知压力量表（PSS-10）获得的精神病理症状，通过社会再适应评定量表（SRRS）量化的压力生活事件评分，以及耳鸣障碍量表（THI）的项目支持的耳鸣存在。进行有向无环图（DAG）分析以确定潜在的关系，并使用多变量逻辑回归来评估关联。结果：暴露于高水平噪音（OR = 2.29; 95% CI: 1.14-4.60, P = 0.020），耳道堵塞（OR = 2.99; 95% CI: 1.28-7.03, P = 0.012），面部和颈部肌肉紧张而不握紧（OR = 2.34; 95% CI: 1.24-4.43, P = 0.008）和抑郁症状（OR = 2.17; 95% CI: 1.41-3.33， P）结论：对耳鸣患者进行面部和颈部肌肉和心理健康评估可能是有必要的。需要进一步的研究来澄清因果机制和评估潜在的管理策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head & Face Medicine DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.70

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Head & Face Medicine is a multidisciplinary open access journal that publishes basic and clinical research concerning all aspects of cranial, facial and oral conditions. The journal covers all aspects of cranial, facial and oral diseases and their management. It has been designed as a multidisciplinary journal for clinicians and researchers involved in the diagnostic and therapeutic aspects of diseases which affect the human head and face. The journal is wide-ranging, covering the development, aetiology, epidemiology and therapy of head and face diseases to the basic science that underlies these diseases. Management of head and face diseases includes all aspects of surgical and non-surgical treatments including psychopharmacological therapies.