Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado

Detalhes bibliográficos
Autor(a) principal: Rocha, Monise Mendes
Data de Publicação: 2020
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da Uninove
Texto Completo: http://bibliotecatede.uninove.br/handle/tede/2555
Resumo: This review aimed to seek the effects of different interventions in the treatment of masticatory muscle spasticity in individuals with cerebral palsy. Randomized controlled trials (RCT) that evaluated the use of non-surgical interventions compared to the placebo group were considered, without intervention or any other active intervention. The interventions addressed were botulinum toxin, functional masticatory training and neuromuscular electrostimulation. Data such as decreased muscle spasticity, intensity of pain and adverse events, irritability and discomfort, as well as factors associated with muscle fatigue, breadth of mouth opening and prevention of tooth wear were analyzed. This review followed the recommendations of the Cochrane Manual for Systematic Reviews of Interventions and the PRISMA statement, and was recorded on the PROSPERO platform. A comprehensive literature search was performed using an electronic search (MEDLINE, Embase, Cochrane Library, LILACS, BBO, Clinicaltrials.gov and WHO / ICTRP) without restriction of date and language. Gray literature was also examined via OpenGrey. Two authors independently selected the references retrieved by the research strategy using the Rayyan software and extracted data from the included studies. All disagreements were resolved by a third author. The risk of bias assessment was performed using the RoB tool for RCTs. To estimate the effects of treatment, mean differences were calculated for continuous outcomes and risk rates for dichotomous outcomes (95% CI). The certainty of the set of evidence assessed by the GRADE approach was classified as very low due to methodological limitations and imprecision in the results.
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spelling Bussadori, Sandra KalilBussadori, Sandra KalilHorliana, Anna Carolina Ratto TempestiniSantos, Elaine Marciliohttp://lattes.cnpq.br/7063097184562996Rocha, Monise Mendes2021-06-21T18:30:00Z2020-12-16Rocha, Monise Mendes. Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado. 2020. 49 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2555This review aimed to seek the effects of different interventions in the treatment of masticatory muscle spasticity in individuals with cerebral palsy. Randomized controlled trials (RCT) that evaluated the use of non-surgical interventions compared to the placebo group were considered, without intervention or any other active intervention. The interventions addressed were botulinum toxin, functional masticatory training and neuromuscular electrostimulation. Data such as decreased muscle spasticity, intensity of pain and adverse events, irritability and discomfort, as well as factors associated with muscle fatigue, breadth of mouth opening and prevention of tooth wear were analyzed. This review followed the recommendations of the Cochrane Manual for Systematic Reviews of Interventions and the PRISMA statement, and was recorded on the PROSPERO platform. A comprehensive literature search was performed using an electronic search (MEDLINE, Embase, Cochrane Library, LILACS, BBO, Clinicaltrials.gov and WHO / ICTRP) without restriction of date and language. Gray literature was also examined via OpenGrey. Two authors independently selected the references retrieved by the research strategy using the Rayyan software and extracted data from the included studies. All disagreements were resolved by a third author. The risk of bias assessment was performed using the RoB tool for RCTs. To estimate the effects of treatment, mean differences were calculated for continuous outcomes and risk rates for dichotomous outcomes (95% CI). The certainty of the set of evidence assessed by the GRADE approach was classified as very low due to methodological limitations and imprecision in the results.Esta revisão objetivou buscar os efeitos de diferentes intervenções no tratamento da espasticidade dos músculos mastigatórios em individuos com paralisia cerebral. Considerou-se ensaios clínicos randomizados (RCT) que avaliaram o uso de intervenções não-cirúrgicas em comparação com grupo placebo, sem intervenção ou qualquer outra intervenção ativa. As intervenções abordadas foram a toxina botulínica, treinamento mastigatório funcional e eletroestimulação neuromuscular. Foram analisados dados como a diminuição da espasticidade muscular, intensidade da dor e eventos adversos, irritabilidade e desconforto, bem como, fatores associados à fadiga muscular, amplitude de abertura da boca e prevenção do desgaste dentário. Esta revisão seguiu as recomendações do Manual Cochrane para Revisões Sistemáticas de Intervenções e declaração PRISMA, e foi registrada na plataforma PROSPERO. Uma busca abrangente da literatura foi realizada por meio de uma busca eletrônica (MEDLINE, Embase, Biblioteca Cochrane, LILACS, BBO, Clinicaltrials.gov e WHO / ICTRP) sem restrição de data e idioma. A literatura cinzenta também foi examinada via OpenGrey. Dois autores selecionaram independentemente as referências recuperadas pela estratégia de pesquisa usando o software Rayyan e extrairam os dados dos estudos incluídos. Todas as discordâncias foram resolvidas por um terceiro autor. A avaliação do risco de viés foi realizada usando a ferramenta RoB para RCTs. Para a estimativa dos efeitos do tratamento, calculou-se as diferenças médias para desfechos contínuos e taxas de risco para desfechos dicotômicos (IC 95%). A certeza do conjunto da evidência avaliada pela abordagem GRADE foi classificada como muito baixa devido a limitações metodológicas e imprecisão nos resultados.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2021-06-21T18:30:00Z No. of bitstreams: 1 Monise Mendes Rocha.pdf: 1688620 bytes, checksum: 571a0437ddfaa2d892f29d04e2a0dd33 (MD5)Made available in DSpace on 2021-06-21T18:30:00Z (GMT). No. of bitstreams: 1 Monise Mendes Rocha.pdf: 1688620 bytes, checksum: 571a0437ddfaa2d892f29d04e2a0dd33 (MD5) Previous issue date: 2020-12-16application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdeparalisia cerebralespasticidade muscularintervenções não-cirurgicascerebral palsymuscle spasticitynon-surgical interventionsCIENCIAS DA SAUDEIntervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizadoInterventions for the treatment of mastigatory muscular spasticity in patients with cerebral palsy. 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dc.title.por.fl_str_mv Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado
dc.title.alternative.eng.fl_str_mv Interventions for the treatment of mastigatory muscular spasticity in patients with cerebral palsy. Systematic review of randomized clinical trial
title Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado
spellingShingle Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado
Rocha, Monise Mendes
paralisia cerebral
espasticidade muscular
intervenções não-cirurgicas
cerebral palsy
muscle spasticity
non-surgical interventions
CIENCIAS DA SAUDE
title_short Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado
title_full Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado
title_fullStr Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado
title_full_unstemmed Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado
title_sort Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado
author Rocha, Monise Mendes
author_facet Rocha, Monise Mendes
author_role author
dc.contributor.advisor1.fl_str_mv Bussadori, Sandra Kalil
dc.contributor.referee1.fl_str_mv Bussadori, Sandra Kalil
dc.contributor.referee2.fl_str_mv Horliana, Anna Carolina Ratto Tempestini
dc.contributor.referee3.fl_str_mv Santos, Elaine Marcilio
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/7063097184562996
dc.contributor.author.fl_str_mv Rocha, Monise Mendes
contributor_str_mv Bussadori, Sandra Kalil
Bussadori, Sandra Kalil
Horliana, Anna Carolina Ratto Tempestini
Santos, Elaine Marcilio
dc.subject.por.fl_str_mv paralisia cerebral
espasticidade muscular
intervenções não-cirurgicas
topic paralisia cerebral
espasticidade muscular
intervenções não-cirurgicas
cerebral palsy
muscle spasticity
non-surgical interventions
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv cerebral palsy
muscle spasticity
non-surgical interventions
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description This review aimed to seek the effects of different interventions in the treatment of masticatory muscle spasticity in individuals with cerebral palsy. Randomized controlled trials (RCT) that evaluated the use of non-surgical interventions compared to the placebo group were considered, without intervention or any other active intervention. The interventions addressed were botulinum toxin, functional masticatory training and neuromuscular electrostimulation. Data such as decreased muscle spasticity, intensity of pain and adverse events, irritability and discomfort, as well as factors associated with muscle fatigue, breadth of mouth opening and prevention of tooth wear were analyzed. This review followed the recommendations of the Cochrane Manual for Systematic Reviews of Interventions and the PRISMA statement, and was recorded on the PROSPERO platform. A comprehensive literature search was performed using an electronic search (MEDLINE, Embase, Cochrane Library, LILACS, BBO, Clinicaltrials.gov and WHO / ICTRP) without restriction of date and language. Gray literature was also examined via OpenGrey. Two authors independently selected the references retrieved by the research strategy using the Rayyan software and extracted data from the included studies. All disagreements were resolved by a third author. The risk of bias assessment was performed using the RoB tool for RCTs. To estimate the effects of treatment, mean differences were calculated for continuous outcomes and risk rates for dichotomous outcomes (95% CI). The certainty of the set of evidence assessed by the GRADE approach was classified as very low due to methodological limitations and imprecision in the results.
publishDate 2020
dc.date.issued.fl_str_mv 2020-12-16
dc.date.accessioned.fl_str_mv 2021-06-21T18:30:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.citation.fl_str_mv Rocha, Monise Mendes. Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado. 2020. 49 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.
dc.identifier.uri.fl_str_mv http://bibliotecatede.uninove.br/handle/tede/2555
identifier_str_mv Rocha, Monise Mendes. Intervenções para o tratamento da espasticidade muscular mastigatória em pacientes com paralisia cerebral. Revisão sistemática de ensaio clínico randomizado. 2020. 49 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.
url http://bibliotecatede.uninove.br/handle/tede/2555
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dc.publisher.initials.fl_str_mv UNINOVE
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Saúde
publisher.none.fl_str_mv Universidade Nove de Julho
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