Pelvik organ prolapsusu olan kadınlarda semptomatik rahatsızlık düzeyi ile temporomandibular ekleme ait parametrelerin ilişkisinin incelenmesi
Öz
Amaç: Çalışmamızın amacı, pelvik organ prolapsusu (POP) olan kadınlarda temporomandibular ekleme (TME) ait parametrelerin semptomatik rahatsızlık düzeyi üzerindeki etkisinin incelenmesidir.
Yöntemler: Tanımlayıcı epidemiyolojik araştırma olarak planlanan çalışmamıza, uzman bir hekim tarafından POP tanısı alan 50 kadın dâhil edildi. Katılımcıların POP’a ilişkin semptomatik rahatsızlık düzeyi “Pelvik Organ Prolapsusu Distres Envanteri-6 (POPDE-6)” ile değerlendirildi. TME’ye ait parametreler kapsamında masseter kası üzerindeki tetik nokta varlığı palpasyon yöntemi ile, TME’ye ait hareketlerin değerlendirilmesi cetvel ile, TME’nin fonksiyon kısıtlılığı ise “Çenenin Fonksiyon Kısıtlanma Skalası-20 (ÇFKS-20)” ile bir kereye mahsus olmak üzere değerlendirildi. İstatistiksel analiz, POPDE-6 bağımlı değişken, TME’ye ait parametreler ise bağımsız değişkenler olarak ele alınarak çoklu regresyon analizi ile gerçekleştirildi.
Bulgular: ÇFKS-20’nin POPDE-6 üzerinde istatistiksel olarak pozitif yönde anlamlı bir etkisi (p=0,008, B=0,386); sol lateral hareketin ise POPDE-6 üzerinde negatif yönde anlamlı bir etkisi (p=0,012, B=-0,472) bulunurken, TME ait diğer parametrelerin POPDE-6 üzerinde istatistiksel olarak anlamlı bir etkisi bulunmadı (p>0,05).
Sonuç: Çalışmamızın sonuçları, TME’ye ait parametrelerin POP’a ait semptomatik rahatsızlık düzeyi üzerinde farklı etkiler göstermesi nedeniyle, klinikte POP tanısı alan bireylerde TME’ye ait parametrelerin de değerlendirilmesinin gerekliliğini vurgulamaktadır.
Anahtar Kelimeler
Kadın pelvik organ prolapsusu pelvik taban temporomandibular eklem
Etik Beyan
Çalışmaya İstanbul Eğitim ve Araştırma Hastanesi Klinik Araştırmalar Etik Kurulu tarafından alınan 2023/64 sayılı etik kurul izni ile başlandı.
Kaynakça
- Haylen BT, Maher CF, Barber MD, et al. An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27(2):165-94.
- Aytan H, Ertunç D, Tok EC, Yaşa O, Nazik H. Prevalence of pelvic organ prolapse and related factors in a general female population. Turk J Obstet Gynecol. 2014;11(3):176-80.
- Çıtak Karakaya İ. Pelvik Organ Prolapsusunda Fizyoterapi ve Rehabilitasyon. Turkiye Klinikleri J Physiother Rehabil-Special Topics. 2017;3(3):216-24.
- Tim S, Mazur-Bialy AI. The Most Common Functional Disorders and Factors Affecting Female Pelvic Floor. Life (Basel). 2021;11(12):1397.
- Dos Santos Conceicao HN, Azevedo TC, Santos ACJ, Xaiver MRSR. Comorbities associated with temporomandibular joint disorders and the role of central sensitization: literature review. BrJP. 2022;5(1):56-60.
- Christensen ST, Hartvigsen J. Spinal curves and health: a systematic critical review of the epidemiological literature dealing with associations between sagittal spinal curves and health. J Manipulative Physiol Ther. 2008;31(9):690-714.
- Bump RC, Mattiasson A, Bø K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10-7.
- Toprak Celenay S, Akbayrak T, Kaya S, Ekici G, Beksac S. Validity and reliability of the Turkish version of the Pelvic Floor Distress Inventory-20. Int Urogynecol J. 2012;23(8):1123-7.
- Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. Am Fam Physician. 2002;65(4):653-60.
- Şahin D, Kaya Mutlu E, Şakar O, Ateş G, İnan Ş, Taşkıran H. The effect of the ischaemic compression technique on pain and functionality in temporomandibular disorders: A randomised clinical trial. J Oral Rehabil. 2021;48(5):531-41.
- Schiffman E, Ohrbach R. Executive summary of the Diagnostic Criteria for Temporomandibular Disorders for clinical and research applications. J Am Dent Assoc. 2016;147(6):438-45.
- Cohen J. Statistical Power Analysis For The Behavioral Sciences. UK: Routledge; 1988.
- Akbayrak T, Kaya S. Kadın Sağlığında Fizyoterapi ve Rehabilitasyon. Ankara: Hipokrat Kitabevi & Pelikan Kitabevi; 2016.
- Barber MD, Kuchibhatla MN, Pieper CF, Bump RC. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol. 2001;185(6):1388-95.
- de Tayrac R, Chauveaud-Lambling A, Fernandez D, Fernandez H. Quality of life instruments for women with pelvic organ prolapse. J Gynecol Obstet Biol Reprod (Paris). 2003;32(6):503-7.
- Ombregt L. A System of Orthopaedic Medicine. UK: Churchill Livingstone; 2013.
- Kaya Mutlu E. Kas İskelet Sistemi Değerlendirilmesinde Kullanılan Özel Testler: Güvenilirlik, Duyarlılık ve Özgüllük. İstanbul: IUC Yayınevi; 2023.
- Laskin DM, Greene CS, Hylander WL. Temporomandibular Disorders: An Evidence-Based Approach to Diagnosis and Treatment. UK: Quintessence Pub; 2006.
- Simons DG, Travell JG, Simons L. Myofascial Pain and Dysfunction: Upper half of body. Philadelphia: Lippincott Williams & Wilkins; 1999.
- Mínguez-Esteban I, De-la-Cueva-Reguera M, Romero-Morales C, et al. Physical manifestations of stress in women. Correlations between temporomandibular and pelvic floor disorders. PLoS One. 2024;19(4):e0296652.
Examination of the relationship between symptomatic discomfort level and temporomandibular joint parameters in women with pelvic organ prolapse
Öz
Aim: The aim of this study was to investigate the effect of temporomandibular joint (TMJ) parameters on the level of symptomatic discomfort in women with pelvic organ prolapse (POP).
Methods: 50 women diagnosed with POP by a specialist were included in this descriptive epidemiological study. The symptomatic discomfort level of the participants was evaluated with the “Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6)”. Within the scope of the parameters of TMJ, the presence of a trigger point on the masseter muscle is determined by palpation method, TMJ movements by a ruler, and the functional limitation of TMJ is measured by “Jaw Function Limitation Scale-20 (JFLS-20)”. It was evaluated on a one-time basis. Statistical analysis was carried out by multiple regression analysis, considering POPDI-6 as the dependent variable and TMJ parameters as independent variables.
Results: While ÇFKS-20 had a statistically significant positive effect on POPDE-6 (p=0,008, B=0,386); left lateral movement had a significant negative effect on POPDE-6 (p=0,012, B=-0,472), other TMJ parameters had no statistically significant effect on POPDE-6 (p>0.05).
Conclusion: The results of this study emphasize the necessity of evaluating TMJ parameters in individuals diagnosed with POP in the clinic, since TMJ parameters have different effects on the symptomatic discomfort level of POP.
Anahtar Kelimeler
Pelvic floor pelvik organ prolapse temporomandibular joint women
Etik Beyan
The study was started with the ethics committee permission numbered 2023/64 received by the Istanbul Training and Research Hospital Clinical Research Ethics Committee.
Kaynakça
- Haylen BT, Maher CF, Barber MD, et al. An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27(2):165-94.
- Aytan H, Ertunç D, Tok EC, Yaşa O, Nazik H. Prevalence of pelvic organ prolapse and related factors in a general female population. Turk J Obstet Gynecol. 2014;11(3):176-80.
- Çıtak Karakaya İ. Pelvik Organ Prolapsusunda Fizyoterapi ve Rehabilitasyon. Turkiye Klinikleri J Physiother Rehabil-Special Topics. 2017;3(3):216-24.
- Tim S, Mazur-Bialy AI. The Most Common Functional Disorders and Factors Affecting Female Pelvic Floor. Life (Basel). 2021;11(12):1397.
- Dos Santos Conceicao HN, Azevedo TC, Santos ACJ, Xaiver MRSR. Comorbities associated with temporomandibular joint disorders and the role of central sensitization: literature review. BrJP. 2022;5(1):56-60.
- Christensen ST, Hartvigsen J. Spinal curves and health: a systematic critical review of the epidemiological literature dealing with associations between sagittal spinal curves and health. J Manipulative Physiol Ther. 2008;31(9):690-714.
- Bump RC, Mattiasson A, Bø K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10-7.
- Toprak Celenay S, Akbayrak T, Kaya S, Ekici G, Beksac S. Validity and reliability of the Turkish version of the Pelvic Floor Distress Inventory-20. Int Urogynecol J. 2012;23(8):1123-7.
- Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. Am Fam Physician. 2002;65(4):653-60.
- Şahin D, Kaya Mutlu E, Şakar O, Ateş G, İnan Ş, Taşkıran H. The effect of the ischaemic compression technique on pain and functionality in temporomandibular disorders: A randomised clinical trial. J Oral Rehabil. 2021;48(5):531-41.
- Schiffman E, Ohrbach R. Executive summary of the Diagnostic Criteria for Temporomandibular Disorders for clinical and research applications. J Am Dent Assoc. 2016;147(6):438-45.
- Cohen J. Statistical Power Analysis For The Behavioral Sciences. UK: Routledge; 1988.
- Akbayrak T, Kaya S. Kadın Sağlığında Fizyoterapi ve Rehabilitasyon. Ankara: Hipokrat Kitabevi & Pelikan Kitabevi; 2016.
- Barber MD, Kuchibhatla MN, Pieper CF, Bump RC. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol. 2001;185(6):1388-95.
- de Tayrac R, Chauveaud-Lambling A, Fernandez D, Fernandez H. Quality of life instruments for women with pelvic organ prolapse. J Gynecol Obstet Biol Reprod (Paris). 2003;32(6):503-7.
- Ombregt L. A System of Orthopaedic Medicine. UK: Churchill Livingstone; 2013.
- Kaya Mutlu E. Kas İskelet Sistemi Değerlendirilmesinde Kullanılan Özel Testler: Güvenilirlik, Duyarlılık ve Özgüllük. İstanbul: IUC Yayınevi; 2023.
- Laskin DM, Greene CS, Hylander WL. Temporomandibular Disorders: An Evidence-Based Approach to Diagnosis and Treatment. UK: Quintessence Pub; 2006.
- Simons DG, Travell JG, Simons L. Myofascial Pain and Dysfunction: Upper half of body. Philadelphia: Lippincott Williams & Wilkins; 1999.
- Mínguez-Esteban I, De-la-Cueva-Reguera M, Romero-Morales C, et al. Physical manifestations of stress in women. Correlations between temporomandibular and pelvic floor disorders. PLoS One. 2024;19(4):e0296652.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Hizmetleri ve Sistemleri (Diğer) |
| Bölüm | ORJİNAL MAKALE |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Mayıs 2025 |
| Gönderilme Tarihi | 8 Mayıs 2024 |
| Kabul Tarihi | 28 Aralık 2024 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 30 Sayı: 2 |
This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.