An Algorithm for Approaching Temporomandibular Disorders With Osteopathic Manual Therapy in Patients With Fibromyalgia

catastrophizing

The Pain Catastrophizing scale (PCS), evaluates the degree og catastrophic thinking gdue to pain.It is a 13-item scale, with a total range from 0 to 52. Higher scores are associated with a greater degree of pain catastrophizing.

Time frame: From enrollment to the end of treatment at 6 weeks

functional limitation

evaluated with tue short version of the Jaw functional limitation scale (JFLS-8). Evaluates the functional status of the masticatory system. Questionnaire with 8 items, each with a scale from 0 to 10. A higher score suggests a greater limitation.

Time frame: From enrollment to the end of treatment at 6 weeks

functional status, disability and pain

collected in the craniofacial pain and disability inventory (CFPDI). Self administered questionnaire of 21 items. Each item is scored on a Likert scale from 0 to 3.

Time frame: From enrollment to the end of treatment at 6 weeks

pain and tinnitus

evaluated with a visual analog scale (VAS). Scale from 0 to 10, where 0 indicates no pain and 10 the worst pain imaginable.

Time frame: From enrollment to the end of treatment at 6 weeks

myofascial trigger points

presence of a palpable tight band, presence of a hyperirritable tenderpoint within te tight band, local twitch response elicited by acute palpation of the tight band, and presence refered pain in response ot trigger point compression.

Time frame: From enrollment to 4 weeks

Range of motion

measurements taken with a ruler: maximum opening, maximun active opening without pain and lateralization.

Time frame: From enrollment to 4 weeks