Evaluation of Relationship Between Sleep Bruxism and Headache Impact Test-6 (HIT-6) Scores: A Polysomnographic Study

Helena Martynowicz, Joanna Smardz, Monika Michalek-Zrabkowska, Pawel Gac, Rafal Poreba, Anna Wojakowska, Grzegorz Mazur, Mieszko Wieckiewicz, Helena Martynowicz, Joanna Smardz, Monika Michalek-Zrabkowska, Pawel Gac, Rafal Poreba, Anna Wojakowska, Grzegorz Mazur, Mieszko Wieckiewicz

Abstract

Sleep bruxism (SB) is a masticatory muscle activity during sleep characterized by teeth clenching or grinding and/or bracing or thrusting of the mandible. Morning headache is considered as a common symptom of SB; however, the relationship between SB and headache and its impact on patient's life is not clear. Therefore, the present study aimed to assess the relationship between SB using polysomnography with video/audio recording and Headache Impact Test-6 (HIT-6) scores. SB was evaluated in respondents by single-night diagnostic polysomnography with video/audio recording. The study found that Bruxism Episode Index was similar in the group with significant impact of headache on patient's life (HIT-6 score ≥ 50) and in group with little or no impact (HIT-6 score < 50). A statistically significant positive correlation was observed between bruxism associated with arousal and HIT-6 score (r = 0.51, p < 0.05) and between mixed bruxism and HIT-6 score (r = 0.58, p < 0.05) in the subgroup with phasic bruxism. The results indicated the relationship between SB and impact of severity of headache on the patient's life measured by HIT-6 is only modest. It was also found that the impact of severity of headache measured by HIT-6 is altered only in those with phasic bruxism and is associated with arousal. Further research should elucidate the factors influencing the relationship between SB and headache. Trial Registration: Clinical Trials NCT03083405, WMU1/2017, https://ichgcp.net/clinical-trials-registry/NCT03083405.

Keywords: arousal; headache; phasic bruxism; polysomnography; sleep bruxism.

Figures

Figure 1
Figure 1
The correlation between mean heart rate and HIT-6 score in whole studied group.
Figure 2
Figure 2
The correlation between bruxism associated with arousal and HIT-6 score in group with phasic bruxism>2.
Figure 3
Figure 3
The correlation between mixed bruxism and HIT-6 score in group with phasic bruxism>2.

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