ArticleJournal of oral rehabilitation2025
Prevalence and Interplay of Hypervigilance and Kinesiophobia in TMD Patients: Implications in Clinical Outcomes.
Article in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Psychometric Evidence on the Tampa Scale for Kinesiophobia for Temporomandibular Disorders: A Scoping Review.Dentistry journal · 2026Review
- Hypervigilance and kinesiophobia characterize distinct exploratory data-driven profiles of temporomandibular disorders.Scientific reports · 2026Observational
- Nomogram-based prediction of postoperative kinesiophobia in patients with coronary heart disease.BMC cardiovascular disorders · 2026Observational
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Authors and funding
9 authors.
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Abstract
backgroundBehavioural 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.
objectiveThis study aimed to assess the prevalence and associations of hypervigilance and kinesiophobia in TMD.
methodsThe 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.
resultsThe 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).
conclusionTMD patients present high levels of kinesiophobia and hypervigilance, which in turn are correlated and affect TMD symptoms.
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