Functional profile of patients with temporomandibular joint dysfunction under physiotherapy treatment -
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 At...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Portuguese |
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Universidade de Fortaleza
2012-01-01
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| Series: | Revista Brasileira em Promoção da Saúde |
| Subjects: | |
| Online Access: | http://ojs.unifor.br/index.php/RBPS/article/view/2087 |
| _version_ | 1828232210477481984 |
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| author | Andrezza Pinheiro Bezerra de Menezes Kinote Luana Torres Monteiro Ana Arcângela Coutinho Vieira Najla Maria Nogueira Ferreira Ana Paula de Vasconcellos Abdon |
| author_facet | Andrezza Pinheiro Bezerra de Menezes Kinote Luana Torres Monteiro Ana Arcângela Coutinho Vieira Najla Maria Nogueira Ferreira Ana Paula de Vasconcellos Abdon |
| author_sort | Andrezza Pinheiro Bezerra de Menezes Kinote |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T19:17:45Z |
| format | Article |
| id | doaj.art-1168067dfadc4a049a45bea1b8a3c374 |
| institution | Directory Open Access Journal |
| issn | 1806-1222 1806-1230 |
| language | Portuguese |
| last_indexed | 2024-04-12T19:17:45Z |
| publishDate | 2012-01-01 |
| publisher | Universidade de Fortaleza |
| record_format | Article |
| series | Revista Brasileira em Promoção da Saúde |
| spelling | doaj.art-1168067dfadc4a049a45bea1b8a3c3742022-12-22T03:19:41ZporUniversidade de FortalezaRevista Brasileira em Promoção da Saúde1806-12221806-12302012-01-0124430631210.5020/20872675Functional profile of patients with temporomandibular joint dysfunction under physiotherapy treatment -Andrezza Pinheiro Bezerra de Menezes Kinote0Luana Torres Monteiro1Ana Arcângela Coutinho Vieira2Najla Maria Nogueira Ferreira3Ana Paula de Vasconcellos Abdon4Universidade Estadual de Campinas - UNICAMPUniversidade Federal do Ceará - UFCUniversidade de Fortaleza - UNIFORUniversidade de Fortaleza - UNIFORUniversidade de Fortaleza - UNIFORObjectives: 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.http://ojs.unifor.br/index.php/RBPS/article/view/2087Síndrome da Disfunção da Articulação TemporomandibularFisioterapia (especialidade)Avaliação em Saúde. |
| spellingShingle | Andrezza Pinheiro Bezerra de Menezes Kinote Luana Torres Monteiro Ana Arcângela Coutinho Vieira Najla Maria Nogueira Ferreira Ana Paula de Vasconcellos Abdon Functional profile of patients with temporomandibular joint dysfunction under physiotherapy treatment - Revista Brasileira em Promoção da Saúde Síndrome da Disfunção da Articulação Temporomandibular Fisioterapia (especialidade) Avaliação em Saúde. |
| title | Functional profile of patients with temporomandibular joint dysfunction under physiotherapy treatment - |
| title_full | Functional profile of patients with temporomandibular joint dysfunction under physiotherapy treatment - |
| title_fullStr | Functional profile of patients with temporomandibular joint dysfunction under physiotherapy treatment - |
| title_full_unstemmed | Functional profile of patients with temporomandibular joint dysfunction under physiotherapy treatment - |
| title_short | Functional profile of patients with temporomandibular joint dysfunction under physiotherapy treatment - |
| title_sort | functional profile of patients with temporomandibular joint dysfunction under physiotherapy treatment |
| topic | Síndrome da Disfunção da Articulação Temporomandibular Fisioterapia (especialidade) Avaliação em Saúde. |
| url | http://ojs.unifor.br/index.php/RBPS/article/view/2087 |
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