Author(s): Amaral, Ana Paula
Date: 2018
Origin: Oasisbr
Subject(s): desordens da articula????o temporomandibular; movimento mandibular; manipula????es m??sculoesquel??ticas; modalidades de fisioterapia; temporomandibular joint disorders; mandibular movement; musculoskeletal manipulations; physiotherapy modalities; CIENCIAS DA SAUDE
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Made available in DSpace on 2018-07-16T19:54:42Z (GMT). No. of bitstreams: 1 Ana Paula Amaral.pdf: 2693688 bytes, checksum: 6f8e156a2426045e9230b1f6a49d5722 (MD5) Previous issue date: 2016-12-12
Temporomandibular dysfunction is defined as a group of heterogeneous alterations that affect the temporomandibular joint, affecting important functional and anatomical elements, characterizing itself as a complex and multifactorial disease. His doctoral thesis was divided into four studies with the following objectives: Article 1 (protocol) and Article 4: to evaluate the influence of non-specific mandibular mobilization on mandibular opening movements and lateral excursions in women with TMD by means of pachymetry and the three-dimensional kinematic analysis of movement, as well as assessing pain intensity, functionality and quality of life; Article 2: identify if manual therapy is effective in treating TMD, as well as assess the accuracy of tools that are used to evaluate the rehabilitation of patients with TMD; Article 3: investigate the immediate effect of nonspecific mandibular mobilization on the range of motion in individuals with temporomandibular dysfunction. Thus we obtained as a result and conclusion: Article 2: manual therapy is effective in the treatment of TMD mainly in the reduction of muscular pain and to improve the ROM. The visual analogue scale (VAS) and clinical evaluation using RDC / TMD are the most used tools to evaluate the effects of Manual Therapy; Article 3: Nonspecific mandibular mobilization led to an immediate increase in maximal vertical mandibular movement, as well as increases in right and left lateral excursion in individuals with and without TMD; Article 4: Non-specific mandibular mobilization decreases pain intensity and influences the clinical improvement of the mandibular opening amplitude measured by pachymetry, but does not influence the functionality, quality of life and trajectory of the mandibular movements of patients with temporomandibular dysfunction.
A disfun????o temporomandibular ?? definida como um grupo de altera????es heterog??neas que afetam a articula????o temporomandibular, acometendo importantes elementos funcionais e anat??micos, caracterizando-se assim como uma doen??a complexa e multifatorial. Essa tese de doutorado foi dividida em quatro estudos com os seguintes objetivos: Artigo 1 (protocolo) e Artigo 4 : avaliar a influ??ncia da mobiliza????o mandibular inespec??fica, sobre os movimentos mandibulares de abertura e excurs??es laterais, em mulheres com DTM, por meio da paquimetria e da an??lise cinem??tica tridimensional do movimento, bem como avaliar a intensidade da dor, a funcionalidade e a qualidade de vida; Artigo 2: identificar se a terapia manual ?? eficaz no tratamento para DTM, bem como avaliar a acur??cia das ferramentas que s??o utilizadas para avaliar a reabilita????o dos pacientes com DTM; Artigo 3: investigar o efeito imediato da mobiliza????o mandibular inespec??fica, na amplitude de movimento em indiv??duos com disfun????o temporomandibular. Assim obtivemos como resultado e conclus??o: Artigo 2: a terapia manual ?? eficaz no tratamento da DTM principalmente na diminui????o da dor muscular e para melhorar a ADM. A escala visual anal??gica (EVA) e avalia????o cl??nica com o uso do RDC/TMD s??o as ferramentas mais utilizadas para avaliar os efeitos da Terapia Manual; Artigo 3: A mobiliza????o mandibular inespec??fica levou a um aumento imediato do movimento mandibular vertical m??ximo, bem como aumentos na excurs??o lateral direita e esquerda em indiv??duos com e sem DTM; Artigo 4: A mobiliza????o mandibular inespec??fica diminui a intensidade de dor e influencia na melhora cl??nica da amplitude de abertura mandibular mensurada pela paquimetria, por??m n??o influencia na funcionalidade, na qualidade de vida e na trajet??ria dos movimentos mandibulares de pacientes com disfun????o temporomandibular.
