Article

OBJECTIVE: To evaluate differences in the incidence of headache, trigeminal nerve
mechanosensitivity, and temporomandibular functionality in professional male
boxers (exposed to repetitive craniofacial trauma) who were actively training and
without severe previous injuries compared with handball players. DESIGN:
Case-control study. SETTING: University-based physical therapy research clinic.
PARTICIPANTS: Eighteen boxers (mean age, 23+/-4.61y) as the cases group, and 20
handball players as the comparison group (mean age, +/-2y, and sex matched), were
included. All participants (N=38) completed the assessment protocol.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Measurements were taken of
the headache impact (Headache Impact Test-6) and the pressure pain threshold over
the trigeminal nerve sensory branches, the masseter muscle, and the tibialis
anterior muscle. The secondary outcome measure included the temporomandibular
function (Helkimo Clinic Index). RESULTS: The boxers showed slight mandibular
function impairment, local muscular and neural sensitization, and a higher impact
from headaches than did the handball players. The between-group comparison found
significant differences in all outcome measures (P<.05), except in the tibialis
anterior muscle pressure pain threshold on the dominant (P=.958) and the
nondominant (P=.453) sides. CONCLUSIONS: Professional male boxers seem to suffer
a greater headache impact and local sensitization of the craniomandibular region
than do professional handball players. It cannot be determined whether these
findings are short-lasting, as a result of the training activity, or
long-lasting.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS