{"title":"睡眠、清醒状态和体力活动对颞下颌疾病慢性疼痛的影响。","authors":"Koichiro Uno, Ryota Takaoka, Takafumi Kato, Ayumi Shintani, Shoichi Ishigaki","doi":"10.1111/joor.70076","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Chronic pain in patients with temporomandibular disorders is a common and costly social problem. However, studies investigating the direct relationship between sleep and physical activity and pain are insufficient, and the causal relationship between these factors remains unclear.</p><p><strong>Objectives: </strong>This study aimed to clarify whether sleep conditions and physical activity influence the subjective intensity of chronic pain in patients with temporomandibular disorders.</p><p><strong>Methods: </strong>The participants consisted of 15 females (mean age: 38.9 ± 10.1 years). Physical activity and total sleep time were evaluated using the Actigraph (AW2, AMI, USA). The recordings were carried out for 14 consecutive days. Pain intensity and subjective sleep quality were also evaluated using the Visual Analogue Scale for 14 consecutive days. The linear mixed-effects model and Mann-Whitney U-test were applied for statistical analyses.</p><p><strong>Results: </strong>The higher the subjective sleep quality the previous night, the lower the jaw pain the next day. The higher the physical activity on the previous day, the lower the jaw pain the next day. The higher the jaw pain on the previous day, the higher the jaw pain the next day.</p><p><strong>Conclusions: </strong>The subjective intensity of jaw pain was affected by subjective sleep quality, physical activity, and jaw pain the previous day.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0000,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Influence of Sleep and Wakefulness States and Physical Activity on Chronic Pain in Temporomandibular Disorders.\",\"authors\":\"Koichiro Uno, Ryota Takaoka, Takafumi Kato, Ayumi Shintani, Shoichi Ishigaki\",\"doi\":\"10.1111/joor.70076\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Chronic pain in patients with temporomandibular disorders is a common and costly social problem. However, studies investigating the direct relationship between sleep and physical activity and pain are insufficient, and the causal relationship between these factors remains unclear.</p><p><strong>Objectives: </strong>This study aimed to clarify whether sleep conditions and physical activity influence the subjective intensity of chronic pain in patients with temporomandibular disorders.</p><p><strong>Methods: </strong>The participants consisted of 15 females (mean age: 38.9 ± 10.1 years). Physical activity and total sleep time were evaluated using the Actigraph (AW2, AMI, USA). The recordings were carried out for 14 consecutive days. Pain intensity and subjective sleep quality were also evaluated using the Visual Analogue Scale for 14 consecutive days. The linear mixed-effects model and Mann-Whitney U-test were applied for statistical analyses.</p><p><strong>Results: </strong>The higher the subjective sleep quality the previous night, the lower the jaw pain the next day. The higher the physical activity on the previous day, the lower the jaw pain the next day. The higher the jaw pain on the previous day, the higher the jaw pain the next day.</p><p><strong>Conclusions: </strong>The subjective intensity of jaw pain was affected by subjective sleep quality, physical activity, and jaw pain the previous day.</p>\",\"PeriodicalId\":16605,\"journal\":{\"name\":\"Journal of oral rehabilitation\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2025-10-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of oral rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/joor.70076\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/joor.70076","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Influence of Sleep and Wakefulness States and Physical Activity on Chronic Pain in Temporomandibular Disorders.
Background: Chronic pain in patients with temporomandibular disorders is a common and costly social problem. However, studies investigating the direct relationship between sleep and physical activity and pain are insufficient, and the causal relationship between these factors remains unclear.
Objectives: This study aimed to clarify whether sleep conditions and physical activity influence the subjective intensity of chronic pain in patients with temporomandibular disorders.
Methods: The participants consisted of 15 females (mean age: 38.9 ± 10.1 years). Physical activity and total sleep time were evaluated using the Actigraph (AW2, AMI, USA). The recordings were carried out for 14 consecutive days. Pain intensity and subjective sleep quality were also evaluated using the Visual Analogue Scale for 14 consecutive days. The linear mixed-effects model and Mann-Whitney U-test were applied for statistical analyses.
Results: The higher the subjective sleep quality the previous night, the lower the jaw pain the next day. The higher the physical activity on the previous day, the lower the jaw pain the next day. The higher the jaw pain on the previous day, the higher the jaw pain the next day.
Conclusions: The subjective intensity of jaw pain was affected by subjective sleep quality, physical activity, and jaw pain the previous day.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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