caa a22 4500 44535674X CHVBK 20180317142902.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s10072-011-0515-6 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0515-6 Chronic daily headache: suggestion for the neuromuscular oral therapy [Elektronische Daten] [H. Didier, C. Marchetti, G. Borromeo, V. Tullo, D. D'amico, G. Bussone, F. Santoro] Tweny patients (M: 4, F: 16, mean age 37±11years) with diagnosis of chronic daily headache (CDH), after drug withdrawal, were under electromyography, kinesiography and masticatory muscle deprogramming by TENS to identify the physiological rest position of the mandible. Our purpose was to clarify a possible role of the neuromuscular stomatognathic system. Examinations showed that 17 patients needed a neuromuscular orthosis, an occlusal device, to provisionally correct the detected discrepancies of jaw position. Of those, the 10 patients who showed an occlusal sagittal discrepancy higher than 2mm and/or a lateral deviation higher than 0.4mm, associated with more than three parafunctional activities, had a meaningful decrease on frequency/intensity of migraine crisis and/or of days of headache. VAS pain score during crisis decreased from 9.0±0.9 to 4.9±2.7; frequency of crisis were from 20.7±5.2 to 9.5±7.7. Baseline pain were from 5.3±1.2 to 3.0±1.3. Satisfying clinical results can be reached combining behavioural education and neuromuscular orthosis. This can be very helpful in patients who show significant discrepancy of jaw position that only TENS deprogramming can reveal and kinesiography can detect with such accuracy. Springer-Verlag, 2011 Chronic daily headache nationallicence TENS nationallicence Neuromuscular orthosis nationallicence Mandibular rest position nationallicence Kinesiography nationallicence Didier H. Fondazione IRCCS Cà Granda, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche Sezione di Odontostomatologia, Università degli Studi di Milano, Via della Commenda 10, 10122, Milan, Italy aut Marchetti C. Fondazione IRCCS Cà Granda, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche Sezione di Odontostomatologia, Università degli Studi di Milano, Via della Commenda 10, 10122, Milan, Italy aut Borromeo G. Fondazione IRCCS Cà Granda, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche Sezione di Odontostomatologia, Università degli Studi di Milano, Via della Commenda 10, 10122, Milan, Italy aut Tullo V. Clinical Neurosciences Department, Carlo Besta Neurological Institute IRCCS Foundation, Milan, Italy aut D'amico D. Clinical Neurosciences Department, Carlo Besta Neurological Institute IRCCS Foundation, Milan, Italy aut Bussone G. Clinical Neurosciences Department, Carlo Besta Neurological Institute IRCCS Foundation, Milan, Italy aut Santoro F. Fondazione IRCCS Cà Granda, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche Sezione di Odontostomatologia, Università degli Studi di Milano, Via della Commenda 10, 10122, Milan, Italy aut Neurological Sciences Springer Milan 32(2011-05-01), 161-164 1590-1874 32<161 2011 32 10072 https://doi.org/10.1007/s10072-011-0515-6 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0515-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Didier H. Fondazione IRCCS Cà Granda, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche Sezione di Odontostomatologia, Università degli Studi di Milano, Via della Commenda 10, 10122, Milan, Italy aut NATIONALLICENCE 700 1- Marchetti C. Fondazione IRCCS Cà Granda, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche Sezione di Odontostomatologia, Università degli Studi di Milano, Via della Commenda 10, 10122, Milan, Italy aut NATIONALLICENCE 700 1- Borromeo G. Fondazione IRCCS Cà Granda, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche Sezione di Odontostomatologia, Università degli Studi di Milano, Via della Commenda 10, 10122, Milan, Italy aut NATIONALLICENCE 700 1- Tullo V. Clinical Neurosciences Department, Carlo Besta Neurological Institute IRCCS Foundation, Milan, Italy aut NATIONALLICENCE 700 1- D'amico D. Clinical Neurosciences Department, Carlo Besta Neurological Institute IRCCS Foundation, Milan, Italy aut NATIONALLICENCE 700 1- Bussone G. Clinical Neurosciences Department, Carlo Besta Neurological Institute IRCCS Foundation, Milan, Italy aut NATIONALLICENCE 700 1- Santoro F. Fondazione IRCCS Cà Granda, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche Sezione di Odontostomatologia, Università degli Studi di Milano, Via della Commenda 10, 10122, Milan, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32(2011-05-01), 161-164 1590-1874 32<161 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer