• Ramesh Chandra Patra
• Biswajit Kanungo
• Patitapaban Mohanty

Temporomandibular disorders (TMD) are one of the most communal musculoskeletal disorders. Sub-occipital muscle tenderness shows a significant role in the pathogenesis of TMD. This study was conducted to find out relationship between sub-occipital muscles tenderness, stress, anxiety and depression in patient with TMD. Methods: We recruited one hundred participants where were group A with 50 participants presenting with signs and symptoms of TMD and group B with 50 participants of normal individuals. Age of the participants was between 18-49 years. Sub-occipital muscle sensitivity was measured by Pressure Pain Threshold Algometer (PPT). DASS-21 (Depression Anxiety Stress Scale) was used to assess Stress, anxiety and depression. Results: Results of the study showed that 50 participants with (TMD) and 50 participants without TMD were participated in this study. Significantly significant difference was found between both the groups (𝑃 < 0.05). Conclusion: Participants with TMD showed low pain pressure threshold as well as depression, anxiety and stress as compare to normal control subjects. Therefore, it is important for the clinician to give importance to the sub-occipital muscles as well as the mental and psychological sphere for better management of TMD patients.

Temporomandibular Disorders, Pressure Pain Threshold, Sub-Occipital Muscles, depression, anxiety and stress

"Muscle Tenderness, Stress, Anxiety and Depression in Patient with Temporomandibular Disorders ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.5, Issue 11, page no.1171-1176, November 2018, Available :http://www.jetir.org/papers/JETIRDS06176.pdf

"Muscle Tenderness, Stress, Anxiety and Depression in Patient with Temporomandibular Disorders ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.5, Issue 11, page no. pp1171-1176, November 2018, Available at : http://www.jetir.org/papers/JETIRDS06176.pdf