Publicação
Prevalence and interplay of hypervigilance and kinesiophobia in TMD patients : implications in clinical outcomes
| datacite.subject.fos | Ciências Médicas::Ciências da Saúde | |
| datacite.subject.sdg | 03:Saúde de Qualidade | |
| dc.contributor.author | Cebola, Pedro Miguel Teixeira Carvas | |
| dc.contributor.author | Lourenço, André Schneider | |
| dc.contributor.author | Hoppe, Alexandre Mangabeira | |
| dc.contributor.author | Colombo, Livia Mourão Pereira Costa | |
| dc.contributor.author | Proença, Leilane Samary de | |
| dc.contributor.author | Moleirinho-Alves, Paula Manuela Mendes | |
| dc.contributor.author | Christidis, Nikolaos | |
| dc.contributor.author | Poluha, Rodrigo Lorenzi | |
| dc.contributor.author | Canales, Giancarlo De la Torre | |
| dc.date.accessioned | 2026-05-21T15:37:36Z | |
| dc.date.available | 2026-05-21T15:37:36Z | |
| dc.date.issued | 2025-10 | |
| dc.description.abstract | Background: Behavioural cognitive factors, like kinesiophobia and coping skills like hypervigilance, may contribute to a worse prognosis of TMD symptoms. However, there is a lack of evidence about the prevalence and relationship of hypervigilance and kinesiophobia with TMD. Objective: This study aimed to assess the prevalence and associations of hypervigilance and kinesiophobia in TMD. Methods: The sample consisted of 233 participants, divided into the TMD group (133) and a control group (100). The following instruments were used: diagnostic criteria for temporomandibular disorders (DC/TMD), Pain Vigilance and Awareness Questionnaire (PVAQ), and Tampa Scale for kinesiophobia/temporomandibular joint dysfunction (TSK/TMD). Pain pressure threshold (PPT) was measured on the masticatory muscles and the temporomandibular joint. Mandibular movements were assessed with a millimetre ruler. Mann–Whitney U test was used for group comparisons and Spearman's correlation test for association analyses. Results: The TMD-group showed higher hypervigilance and kinesiophobia values,and lower PPT and mandibular movement (opening and protrusion) values compared with controls (p < 0.05). Also, a positive moderate correlation between hypervigilance and kinesiophobia (p = 0.000001), a significant negative correlation between hypervigilance and PPT (p = 0.00001) and a significant negative correlation between hypervigilance, kinesiophobia and mandibular movements (p < 0.05) in the TMD-group were found. A positive weak correlation was found just between hypervigilance and kinesiophobia in the control group (p = 0.01). Conclusion: TMD patients present high levels of kinesiophobia and hypervigilance, which in turn are correlated and affect TMD symptoms. | eng |
| dc.identifier.citation | Cebola, P. M. T. C., Lourenço, A. S., Hoppe, A. M., Colombo, L. M. P. C., de Proença, L. S., Moleirinho-Alves, P. M. M., Christidis, N., Poluha, R. L., & De la Torre Canales, G. (2025). Prevalence and Interplay of Hypervigilance and Kinesiophobia in TMD Patients: Implications in Clinical Outcomes. Journal of oral rehabilitation, 52(10), 1549–1558. https://doi.org/10.1111/joor.13997 | |
| dc.identifier.doi | 10.1111/joor.13997 | |
| dc.identifier.issn | 1365-2842 | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/63261 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | Wiley | |
| dc.relation.hasversion | https://doi.org/10.1111/joor.13997 | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | hypervigilance | |
| dc.subject | kinesiophobia | |
| dc.subject | pressure pain threshold | |
| dc.subject | temporomandibular disorders | |
| dc.title | Prevalence and interplay of hypervigilance and kinesiophobia in TMD patients : implications in clinical outcomes | eng |
| dc.type | contribution to journal | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 1558 | |
| oaire.citation.issue | 10 | |
| oaire.citation.startPage | 1549 | |
| oaire.citation.title | Journal of Oral Rehabilitation | |
| oaire.citation.volume | 52 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 |