Fatty infiltration and morphology of cervical muscles in patients with temporomandibular disorders: A case-control study

Basit Öğe Kaydı
dc.authorid0000-0002-9356-4096
dc.authorid0000-0001-8268-5485
dc.authorid0000-0002-6836-8050
dc.contributor.authorKaynak, Besime Ahu
dc.contributor.authorTas, Serkan
dc.contributor.authorTufek, Muhammed Taha
dc.contributor.authorDag, Figen
dc.contributor.authorDikici, Rumeysa
dc.date.accessioned2026-01-24T12:29:18Z
dc.date.available2026-01-24T12:29:18Z
dc.date.issued2024
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractBackground. Changes in the fatty infiltration and/or muscle volume of neck muscles can alter cervical spine alignment and cranial load distribution, which may cause pain in the orofacial region. Objectives. The aim of the study was to examine the muscle volume and fatty infiltration of neck muscles in patients with temporomandibular disorders (TMD). Material and methods. This case-control study included 18 patients with TMD and 18 age- and sex-matched controls. The muscle volume and fatty infiltration of the neck muscles of the participants were measured using magnetic resonance imaging (MRI) and ITK-SNAP software. The 3D models of the sternocleidomastoid (SCM), splenius capitis (SPLC), semispinalis cervicis (SC)-semispinalis capitis (SCP), and multifidus (M) muscles within the C3-C7 range were created using ITK-SNAP, a semi-automatic segmentation software. The models were used to determine the volumes and fatty infiltration levels. The Neck Disability Index (NDI) was used to assess neck pain-related disability. The severity of TMD was determined using the Fonseca Anamnestic Index (FAI), while jaw-related disability was measured with the Jaw Functional Limitation Scale-20 (JFLS-20). Pain levels were recorded at rest and during chewing using the numeric rating scale (NRS). Results. There were no statistically significant differences in total muscle volume, fatty infiltration volume and fatty infiltration percentage of the SCM, SPLC, SCP, SC, and M muscles between the 2 groups (p > 0.05). The patient group had higher NDI scores compared to the controls (p < 0.001). The NDI scores correlated positively with the JFLS-20 (r = 0.831, p < 0.001), FAI (r = 0.815, p < 0.001) and NRS scores at rest (r = 0.753, p < 0.001) and during chewing (r = 0.686, p < 0.001). Conclusions. The present study did not identify any significant differences in the neck muscle volume or fatty infiltration between the TMD patients and controls. However, the severity of neck disability was found to correlate with jaw function, pain and TMD levels.
dc.description.sponsorshipScientific Research Projects Unit of Toros University [2019-SBYO-BAK-1]
dc.description.sponsorshipFunding sources The study was supported by the Scientific Research Projects Unit of Toros University (grant No. 2019-SBYO-BAK-1) .
dc.identifier.doi10.17219/dmp/166266
dc.identifier.endpage532
dc.identifier.issn1644-387X
dc.identifier.issn2300-9020
dc.identifier.issue4
dc.identifier.pmid39121241
dc.identifier.scopus2-s2.0-85201064227
dc.identifier.scopusqualityQ1
dc.identifier.startpage525
dc.identifier.urihttps://doi.org/10.17219/dmp/166266
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5249
dc.identifier.volume61
dc.identifier.wosWOS:001289303200006
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWroclaw Medical Univ
dc.relation.ispartofDental and Medical Problems
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectmuscle
dc.subjectvolume
dc.subjecttemporomandibular disorders
dc.subjectfatty infiltration
dc.subjectneck
dc.titleFatty infiltration and morphology of cervical muscles in patients with temporomandibular disorders: A case-control study
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu