| Revista: | Revista brasileira em promocao da saude |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000373594 |
| ISSN: | 1806-1230 |
| Autors: | Kinote, Andrezza Pinheiro Bezerra de Menezes1 Monteiro, Luana Torres2 Vieira, Ana Arcangela Coutinho3 Ferreira, Najla Maria Nogueira3 Abdon, Ana Paula de Vasconcellos3 |
| Institucions: | 1Universidade Estadual de Campinas, Campinas, Sao Paulo. Brasil 2Universidade Federal do Ceara, Fortaleza, Ceara. Brasil 3Universidade de Fortaleza, Fortaleza, Ceara. Brasil |
| Any: | 2011 |
| Període: | Oct-Dic |
| Volum: | 24 |
| Número: | 4 |
| Paginació: | 306-312 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Estadística o encuesta |
| Enfoque: | Analítico |
| Resumen en inglés | Objectives: To assess the functional profile of patients with temporomandibular joint dysfunction (TMJD) receiving physical therapy. Methods: A cross-sectional study carried with 21 patients receiving physiotherapy care during the year of 2007 at the Center for Integrated Medical Care (Núcleo de Atenção Médica Integrada - NAMI), in Fortaleza-CE, Brazil. Those were submitted to anamnesis (age, presence of pain, affected sites and parafunctional habits) and functional assessment (presence of trigger points, movement amplitude and postural evaluation). Results: The age varied from 16 to 56 years, with an average of 31.3 ± 14.85 and female gender was the most affected with 17 (81.0%) patients. Of the assessed patients, 13 (61.9%) presented pain of moderate intensity, with an average of 5.4 ± 0.50. The most common sites of pain were the temporomandibular joint (TMJ), reported by 15 (71.4%), and cervical region, reported by 13 (61.9%) patients. We found that 13 (61.9%) assessed patients reported clenching as parafunctional habit. Significant limitation of mouth opening and movements of the cervical region were observed when compared to normal values (p < 0.05). The most painful muscles on palpation were upper trapezius (n=19), medial pterygoid (n=15) and the masseter (n=15). The TMJ presented strong pain (degree 3) on palpation in 3 (14.3%) patients. In postural assessment, 10 (47.6%) had cervical hyperlordosis, 7 (33%) had forward head posture and 7 (33%) had raised shoulders. Conclusion: Patients with TMJD receiving physical therapy present limitations in TMJ and cervical movement, pain, presence of trigger points and postural changes at a more compromised and symptomatic stage of this dysfunction. In view of this, it becomes necessary to provide early evaluation and treatment with physical therapy |
| Disciplines | Medicina |
| Paraules clau: | Odontología, Salud pública, Terapéutica y rehabilitación, Disfunción temporomandibular, Articulación temporomandibular, Fisioterapia, Manifestaciones clínicas |
| Keyword: | Medicine, Dentistry, Public health, Therapeutics and rehabilitation, Temporomandibular dysfunction, Temporomandibular joint, Physiotherapy, Clinical manifestations |
| Text complet: | Texto completo (Ver PDF) |
