{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T17:44:46Z","timestamp":1780767886708,"version":"3.54.1"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,11,20]],"date-time":"2018-11-20T00:00:00Z","timestamp":1542672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The total tenderness score (TTS) is commonly used in headache practice and contributes valuable information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess muscle tenderness scores in patients diagnosed with Temporomandibular disorders (TMD) and analyse their associations with various demographic and clinical parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Masticatory (MTS), cervical (CTS) and TTSs were analysed in this case\u2010control study among 192 TMD patients and 99 controls. The study included a questionnaire and a clinical examination following RDC\/TMD guidelines. Data were analysed using: Pearson's chi\u2010square, analysis of variance, <jats:italic>t<\/jats:italic> test and Bonferroni post hoc. To examine the factors associated with MTS score in a multivariate manner, a conceptual hierarchical multiple regression model was adopted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Masticatory and TTS differed between TMD sub\u2010groups and controls. Muscle tenderness was positively associated with: female sex, whiplash history, parafunction, co\u2010morbid pains such as headaches and body pain, pain intensity, onset, frequency and duration. In the conceptual hierarchical multiple regression model, pain onset, frequency and duration, co\u2010morbid pains were mediators in the relationship between TMD diagnosis and MTS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Muscle tenderness scores were positively associated with TMD disease characteristics and co\u2010morbid pain conditions, which may reflect associations with disease severity. MTS differed between TMD populations and may be used in routine patient workup, to assess MMD severity and changes over time as well as treatments response and as a research tool. MTS can be used as a common methodology to describe both headaches and masticatory muscle disorders and to facilitate interprofessional research and crosstalk between a headache and oro\u2010facial pain practitioners.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joor.12743","type":"journal-article","created":{"date-parts":[[2018,11,2]],"date-time":"2018-11-02T16:12:44Z","timestamp":1541175164000},"page":"209-218","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Muscle tenderness score in temporomandibular disorders patients: A case\u2010control study"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9671-0047","authenticated-orcid":false,"given":"Galit","family":"Almoznino","sequence":"first","affiliation":[{"name":"Department of Oral Medicine, Sedation &amp; Maxillofacial Imaging Hebrew University\u2010Hadassah School of Dental Medicine Jerusalem Israel"},{"name":"Division of Big Data Research, Department of Community Dentistry Hebrew University\u2010Hadassah School of Dental Medicine Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avraham","family":"Zini","sequence":"additional","affiliation":[{"name":"Department of Community Dentistry Hebrew University\u2010Hadassah School of Dental Medicine Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avraham","family":"Zakuto","sequence":"additional","affiliation":[{"name":"Temporomandibular Joint Disorders Clinic, Department of Prosthodontics, Oral and Maxillofacial Center Israel Defense Forces Medical Corps, Tel\u2010Hashomer TelAviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hulio","family":"Zlutzky","sequence":"additional","affiliation":[{"name":"Temporomandibular Joint Disorders Clinic, Department of Prosthodontics, Oral and Maxillofacial Center Israel Defense Forces Medical Corps, Tel\u2010Hashomer TelAviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stav","family":"Bekker","sequence":"additional","affiliation":[{"name":"Temporomandibular Joint Disorders Clinic, Department of Prosthodontics, Oral and Maxillofacial Center Israel Defense Forces Medical Corps, Tel\u2010Hashomer TelAviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boaz","family":"Shay","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine, Endodontic Department Hebrew University\u2010Hadassah School of Dental Medicine Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaron","family":"Haviv","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Sedation &amp; Maxillofacial Imaging Hebrew University\u2010Hadassah School of Dental Medicine Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yair","family":"Sharav","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Sedation &amp; Maxillofacial Imaging Hebrew University\u2010Hadassah School of Dental Medicine Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Benoliel","sequence":"additional","affiliation":[{"name":"Center for Orofacial Pain and Temporomandibular Disorders, Rutgers School of Dental Medicine Rutgers, The State University of New Jersey Newark New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102413485658"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.748"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2014.00148"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-8-46"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1413"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.26719\/2010.16.4.429"},{"issue":"4","key":"e_1_2_8_9_1","first-page":"301","article-title":"Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique","volume":"6","author":"Dworkin SF","year":"1992","journal-title":"J Craniomandib Disord"},{"issue":"5","key":"e_1_2_8_10_1","doi-asserted-by":"crossref","first-page":"S94","DOI":"10.1016\/j.jaci.2007.09.029","article-title":"Expert Panel Report 3 (EPR\u20103): Guidelines for the Diagnosis and Management of Asthma\u2010Summary Report 2007","volume":"120","author":"National Asthma Education and Prevention Program","year":"2007","journal-title":"J Allergy Clin Immunol"},{"issue":"4","key":"e_1_2_8_11_1","first-page":"300","article-title":"Tender muscles and masticatory myofascial pain diagnosis: how many or how much?","volume":"23","author":"Benoliel R","year":"2009","journal-title":"J Orofac Pain"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2005.00962.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2006.12.017"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-005-0462-1"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2007.02020.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2007.01253.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.1987.0704249.x"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-15-64"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.1996.1602097.x"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.1997.3706368.x"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-15-58"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417738202"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2009.07.050"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/512792"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1824"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-5573-1-6"},{"issue":"1","key":"e_1_2_8_27_1","first-page":"63","article-title":"The research diagnostic criteria for temporomandibular disorders. V: methods used to establish and validate revised Axis I diagnostic algorithms","volume":"24","author":"Schiffman EL","year":"2010","journal-title":"J Orofac Pain"},{"issue":"1","key":"e_1_2_8_28_1","first-page":"7","article-title":"The research diagnostic criteria for temporomandibular disorders. I: overview and methodology for assessment of validity","volume":"24","author":"Schiffman EL","year":"2010","journal-title":"J Orofac Pain"},{"key":"e_1_2_8_29_1","volume-title":"Orofacial Pain and Headache","author":"Sharav Y","year":"2015"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/26.1.224"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12331"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.09.010"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-015-0503-2"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.1998.3801010.x"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181b389c2"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.1999.019006602.x"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1139\/y91-102"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12515"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000331"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjoor.12743","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.12743","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T10:56:38Z","timestamp":1694688998000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.12743"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,20]]},"references-count":38,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/joor.12743"],"URL":"https:\/\/doi.org\/10.1111\/joor.12743","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,20]]},"assertion":[{"value":"2018-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}