Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/12173 |
Resumo: | The purpose of this study was to assess the effects of the technique of global postural re-education (GPR) on body alignment and clinical status of individuals with temporomandibular disorder (TMD) associated to postural deviations. Twenty individuals with both TMD and postural deviations confirmed by physical examination were assessed, before and after treatment, by the research diagnostic criteria for temporomandibular disorders (RDC/TMD) and as to body angle measures, by digital photogrammetry. Treatment consisted of 10 weekly, 45-minute GPR sessions. Results after treatment show higher predominance of myogenic dysfunction (rather than joint or disc ones) and significant orofacial pain intensity relief; the percentage of individuals without depression raised from10% to 35%; the percentage of individuals with physical symptoms classified as normal (excluding pain items) raised from 30 to 55%. A statistically significant improvement was found in most body structures angle measures, except at lower limb frontal angles and at the right leg/foot angle. Head alignment and measures of cervical and lumbar lordosis, having normal values before treatment, did not change. Hence the GPR treatment may be said to have brought significant relief of TMD physical and psychological symptoms, as well as improvement in body alignment and symmetry. |
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Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations Efeito da reeducação postural global no alinhamento corporal e nas condições clínicas de indivíduos com disfunção temporomandibular associada a desvios posturais Modalidades de fisioterapiaPosturaTranstornos da articulação temporomandibular^i1^sreabilitaPhysical therapy modalitiesPostureTemporomandibular joint disorders^i2^srehabilitat The purpose of this study was to assess the effects of the technique of global postural re-education (GPR) on body alignment and clinical status of individuals with temporomandibular disorder (TMD) associated to postural deviations. Twenty individuals with both TMD and postural deviations confirmed by physical examination were assessed, before and after treatment, by the research diagnostic criteria for temporomandibular disorders (RDC/TMD) and as to body angle measures, by digital photogrammetry. Treatment consisted of 10 weekly, 45-minute GPR sessions. Results after treatment show higher predominance of myogenic dysfunction (rather than joint or disc ones) and significant orofacial pain intensity relief; the percentage of individuals without depression raised from10% to 35%; the percentage of individuals with physical symptoms classified as normal (excluding pain items) raised from 30 to 55%. A statistically significant improvement was found in most body structures angle measures, except at lower limb frontal angles and at the right leg/foot angle. Head alignment and measures of cervical and lumbar lordosis, having normal values before treatment, did not change. Hence the GPR treatment may be said to have brought significant relief of TMD physical and psychological symptoms, as well as improvement in body alignment and symmetry. Este estudo visou verificar o efeito da técnica de reeducação postural global (RPG) nas condições físicas, psicológicas e psicossociais, assim como no alinhamento corporal, de indivíduos com disfunção temporomandibular (DTM) associada a desvio postural. Participaram 20 indivíduos com DTM e com desvio postural confirmado por exame físico, avaliados, antes e depois do tratamento de RPG, pelos critérios diagnósticos de desordens temporomandibulares (RDC/TMD, na sigla em inglês) e quanto às medidas angulares, por fotogrametria digital. O tratamento consistiu em 10 sessões semanais de RPG. Os resultados após o tratamento mostram, na classificação da disfunção, maior predomínio de desordens apenas musculares (em detrimento das articulares e por deslocamento de disco) e redução da intensidade da dor orofacial; o percentual de indivíduos sem depressão aumentou de 10% para 35%; o percentual de indivíduos com classificação normal de sintomas físicos (excluindo itens de dor) passou de 30% para 55%. Foi encontrada melhora estatisticamente significante na maioria das medidas angulares, exceto nos ângulos frontais dos membros inferiores e ângulo perna/retropé direito. O alinhamento horizontal da cabeça e as medidas de lordose cervical e lombar, com valores normais antes da RPG, não se modificaram. Conclui-se que, com o tratamento de RPG, os indivíduos apresentaram importantes melhoras dos sintomas físicos e psicológicos da DTM, assim como melhora do alinhamento e simetria corporais. Universidade de São Paulo. Faculdade de Medicina2010-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/1217310.1590/S1809-29502010000100012Fisioterapia e Pesquisa; Vol. 17 No. 1 (2010); 63-68 Fisioterapia e Pesquisa; Vol. 17 Núm. 1 (2010); 63-68 Fisioterapia e Pesquisa; v. 17 n. 1 (2010); 63-68 2316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/12173/13950Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessBasso, DéboraCorrêa, ElianeSilva, Ana Maria da2012-05-13T16:01:47Zoai:revistas.usp.br:article/12173Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2012-05-13T16:01:47Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations Efeito da reeducação postural global no alinhamento corporal e nas condições clínicas de indivíduos com disfunção temporomandibular associada a desvios posturais |
title |
Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations |
spellingShingle |
Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations Basso, Débora Modalidades de fisioterapia Postura Transtornos da articulação temporomandibular^i1^sreabilita Physical therapy modalities Posture Temporomandibular joint disorders^i2^srehabilitat |
title_short |
Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations |
title_full |
Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations |
title_fullStr |
Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations |
title_full_unstemmed |
Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations |
title_sort |
Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations |
author |
Basso, Débora |
author_facet |
Basso, Débora Corrêa, Eliane Silva, Ana Maria da |
author_role |
author |
author2 |
Corrêa, Eliane Silva, Ana Maria da |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Basso, Débora Corrêa, Eliane Silva, Ana Maria da |
dc.subject.por.fl_str_mv |
Modalidades de fisioterapia Postura Transtornos da articulação temporomandibular^i1^sreabilita Physical therapy modalities Posture Temporomandibular joint disorders^i2^srehabilitat |
topic |
Modalidades de fisioterapia Postura Transtornos da articulação temporomandibular^i1^sreabilita Physical therapy modalities Posture Temporomandibular joint disorders^i2^srehabilitat |
description |
The purpose of this study was to assess the effects of the technique of global postural re-education (GPR) on body alignment and clinical status of individuals with temporomandibular disorder (TMD) associated to postural deviations. Twenty individuals with both TMD and postural deviations confirmed by physical examination were assessed, before and after treatment, by the research diagnostic criteria for temporomandibular disorders (RDC/TMD) and as to body angle measures, by digital photogrammetry. Treatment consisted of 10 weekly, 45-minute GPR sessions. Results after treatment show higher predominance of myogenic dysfunction (rather than joint or disc ones) and significant orofacial pain intensity relief; the percentage of individuals without depression raised from10% to 35%; the percentage of individuals with physical symptoms classified as normal (excluding pain items) raised from 30 to 55%. A statistically significant improvement was found in most body structures angle measures, except at lower limb frontal angles and at the right leg/foot angle. Head alignment and measures of cervical and lumbar lordosis, having normal values before treatment, did not change. Hence the GPR treatment may be said to have brought significant relief of TMD physical and psychological symptoms, as well as improvement in body alignment and symmetry. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/12173 10.1590/S1809-29502010000100012 |
url |
https://www.revistas.usp.br/fpusp/article/view/12173 |
identifier_str_mv |
10.1590/S1809-29502010000100012 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/12173/13950 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 17 No. 1 (2010); 63-68 Fisioterapia e Pesquisa; Vol. 17 Núm. 1 (2010); 63-68 Fisioterapia e Pesquisa; v. 17 n. 1 (2010); 63-68 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
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1787713733952274432 |