Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto

Detalhes bibliográficos
Autor(a) principal: Langella, Luciana Gonçalves
Data de Publicação: 2019
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da Uninove
Texto Completo: http://bibliotecatede.uninove.br/handle/tede/2266
Resumo: Temporomandibular dysfunction (TMD) is described as a subgroup of Orofacial pain. Studies have shown that phototherapy has been an efficient alternative in the treatment of DTMS by improving pain and orofacial function. Objective: To compare the effects of photobiomodulation on pain and functionality in patients with TMD. Methods: This was a controlled, double-blind, randomized clinical trial (pilot study) involving 15 individuals aged over 18 years old distributed in 2 groups: Laser and LED being followed up by 8 sessions 2 times a week, totaling 4 weeks of Treatment. The diagnostic criterion for TMD research (RDC) was used to evaluate all study participants, then pain was evaluated through the use of Visual analogue scale and orofacial function through the measurements of the maximum mouth opening. Photobiomodulation was applied to the Temporomandibular joint (TMJ), masseter muscles (upper, middle and lower) and anterior temporal. Results: When comparing the data regarding the variable pain, statistically significant differences were found only in the intra-group analysis pre and post treatment with photobiomodulation (laser p = 0,0117 and LED p = 0,0180); There was no statistically significant difference in pre-and post-treatment analyses between and within laser and LED groups for maximum aperture measurements without help and without pain. For maximum opening without aid and maximum opening with aid there were statistically significant differences for the laser Group (p = 0.0203; p = 0.0001, respectively); The same was observed for the LED only at the maximum opening with aid (P = 0,0459). For the right and left lateral excursion measurements, a statistically significant difference was found before and after treatment for the laser group in both lateralities (right side p = 0,0209; left side p = 0,0005) and only left for the LED Group (p = 0.0342). Conclusion: Photobiomodulation with laser and LED can produce similar effects for pain and improve the orofacial function. The LED therapy can possibly be pointed as an interesting alternative in the treatment of patients with temporomandibular dysfunction.
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spelling Bussadori, Sandra KalilBussadori, Sandra KalilMotta, Lara JansiskiDeana, Alessandro MeloSantos, Elaine MarcílioFragoso, Yara Dadaltihttp://lattes.cnpq.br/2674099568874201Langella, Luciana Gonçalves2020-10-27T18:36:16Z2019-12-19Langella, Luciana Gonçalves. Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto. 2019. 50 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2266Temporomandibular dysfunction (TMD) is described as a subgroup of Orofacial pain. Studies have shown that phototherapy has been an efficient alternative in the treatment of DTMS by improving pain and orofacial function. Objective: To compare the effects of photobiomodulation on pain and functionality in patients with TMD. Methods: This was a controlled, double-blind, randomized clinical trial (pilot study) involving 15 individuals aged over 18 years old distributed in 2 groups: Laser and LED being followed up by 8 sessions 2 times a week, totaling 4 weeks of Treatment. The diagnostic criterion for TMD research (RDC) was used to evaluate all study participants, then pain was evaluated through the use of Visual analogue scale and orofacial function through the measurements of the maximum mouth opening. Photobiomodulation was applied to the Temporomandibular joint (TMJ), masseter muscles (upper, middle and lower) and anterior temporal. Results: When comparing the data regarding the variable pain, statistically significant differences were found only in the intra-group analysis pre and post treatment with photobiomodulation (laser p = 0,0117 and LED p = 0,0180); There was no statistically significant difference in pre-and post-treatment analyses between and within laser and LED groups for maximum aperture measurements without help and without pain. For maximum opening without aid and maximum opening with aid there were statistically significant differences for the laser Group (p = 0.0203; p = 0.0001, respectively); The same was observed for the LED only at the maximum opening with aid (P = 0,0459). For the right and left lateral excursion measurements, a statistically significant difference was found before and after treatment for the laser group in both lateralities (right side p = 0,0209; left side p = 0,0005) and only left for the LED Group (p = 0.0342). Conclusion: Photobiomodulation with laser and LED can produce similar effects for pain and improve the orofacial function. The LED therapy can possibly be pointed as an interesting alternative in the treatment of patients with temporomandibular dysfunction.Disfunção temporomandibular (DTM), é descrita como um subgrupo de dor orofacial. Estudos tem demonstrado que a fototerapia vem sendo uma alternativa eficiente no tratamento das DTMs melhorando a dor e a função orofacial. Objetivo: comparar os efeitos da fotobiomodulação sobre a dor e funcionalidade em pacientes com DTM. Métodos: trata-se de um ensaio clínico controlado, duplo-cego e randomizado (estudo piloto) envolvendo 15 indivíduos com idade acima de 18 anos distribuídos em 2 grupos: laser e LED sendo acompanhados por 8 sessões 2 vezes por semana, totalizando 4 semanas de tratamento. O critério diagnóstico para pesquisa em DTM (RDC) foi utilizado para avaliar todos os participantes do estudo, em seguida avaliou-se a dor por meio da utilização de Escala Visual Analógica e função orofacial por meio das medições da abertura máxima da boca. A fotobiomodulação foi aplicada na articulação temporomandibular (ATM), músculos masseter (superior, médio e inferior) e temporal anterior. Resultados: Ao comparar os dados quanto à variável dor, diferenças estatisticamente significantes foram encontradas somente na análise intra grupos pré e pós tratamento com fotobiomodulação (laser p=0,0117 e LED p=0,0180); não houve diferença estatisticamente significante nas análises pré e pós tratamento entre e intra grupos laser e LED para as medições da abertura máxima sem auxílio e sem dor. Para a abertura máxima sem auxílio e abertura máxima com auxílio houveram diferenças estatisticamente significantes para o grupo laser (p= 0,0203; p=0,0001, respectivamente); o mesmo observou-se para o LED somente na abertura máxima com auxílio (p=0,0459). Para as medidas de excursão lateral direita e esquerda, encontrou-se diferença estatisticamente significante pré e pós tratamento para o Grupo laser em ambas lateralidades (lado direito p=0,0209; lado esquerdo p=0,0005) e apenas à esquerda para o grupo LED (p=0,0342). Conclusão: A fotobiomodulação com laser e LED podem produzir efeitos semelhantes para dor e melhorar a função orofacial. A LED terapia possivelmente possa ser apontada como uma alternativa interessante no tratamento de pacientes com disfunção temporomandibular.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2020-10-27T18:36:16Z No. of bitstreams: 1 LUCIANA GONÇALVES LANGELLA.pdf: 1572047 bytes, checksum: afb7f4b26404ae6854a3e4737896c9b9 (MD5)Made available in DSpace on 2020-10-27T18:36:16Z (GMT). No. of bitstreams: 1 LUCIANA GONÇALVES LANGELLA.pdf: 1572047 bytes, checksum: afb7f4b26404ae6854a3e4737896c9b9 (MD5) Previous issue date: 2019-12-19application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdedisfunção temporomandibularfotobiomodulaçãolaser em baixa intensidadediodo emissor de luz (LED)temporomandibular disorderfotobiomodulationlow level laser therapyLEDCIENCIAS DA SAUDEAnálise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto pilotoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALLUCIANA GONÇALVES LANGELLA.pdfLUCIANA GONÇALVES LANGELLA.pdfapplication/pdf1572047http://localhost:8080/tede/bitstream/tede/2266/2/LUCIANA+GON%C3%87ALVES+LANGELLA.pdfafb7f4b26404ae6854a3e4737896c9b9MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2266/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/22662020-10-27 16:36:17.111oai:localhost:tede/2266Tk9UQTogQ09MT1FVRSBBUVVJIEEgU1VBIFBSw5NQUklBIExJQ0VOw4dBCkVzdGEgbGljZW7Dp2EgZGUgZXhlbXBsbyDDqSBmb3JuZWNpZGEgYXBlbmFzIHBhcmEgZmlucyBpbmZvcm1hdGl2b3MuCgpMSUNFTsOHQSBERSBESVNUUklCVUnDh8ODTyBOw4NPLUVYQ0xVU0lWQQoKQ29tIGEgYXByZXNlbnRhw6fDo28gZGVzdGEgbGljZW7Dp2EsIHZvY8OqIChvIGF1dG9yIChlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSDDoCBVbml2ZXJzaWRhZGUgClhYWCAoU2lnbGEgZGEgVW5pdmVyc2lkYWRlKSBvIGRpcmVpdG8gbsOjby1leGNsdXNpdm8gZGUgcmVwcm9kdXppciwgIHRyYWR1emlyIChjb25mb3JtZSBkZWZpbmlkbyBhYmFpeG8pLCBlL291IApkaXN0cmlidWlyIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0csO0bmljbyBlIAplbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mgw6F1ZGlvIG91IHbDrWRlby4KClZvY8OqIGNvbmNvcmRhIHF1ZSBhIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBwb2RlLCBzZW0gYWx0ZXJhciBvIGNvbnRlw7pkbywgdHJhbnNwb3IgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvIApwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIHRhbWLDqW0gY29uY29yZGEgcXVlIGEgU2lnbGEgZGUgVW5pdmVyc2lkYWRlIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPDs3BpYSBhIHN1YSB0ZXNlIG91IApkaXNzZXJ0YcOnw6NvIHBhcmEgZmlucyBkZSBzZWd1cmFuw6dhLCBiYWNrLXVwIGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIGRlY2xhcmEgcXVlIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyDDqSBvcmlnaW5hbCBlIHF1ZSB2b2PDqiB0ZW0gbyBwb2RlciBkZSBjb25jZWRlciBvcyBkaXJlaXRvcyBjb250aWRvcyAKbmVzdGEgbGljZW7Dp2EuIFZvY8OqIHRhbWLDqW0gZGVjbGFyYSBxdWUgbyBkZXDDs3NpdG8gZGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyBuw6NvLCBxdWUgc2VqYSBkZSBzZXUgCmNvbmhlY2ltZW50bywgaW5mcmluZ2UgZGlyZWl0b3MgYXV0b3JhaXMgZGUgbmluZ3XDqW0uCgpDYXNvIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jw6ogbsOjbyBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2PDqiAKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc8OjbyBpcnJlc3RyaXRhIGRvIGRldGVudG9yIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBwYXJhIGNvbmNlZGVyIMOgIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSAKb3MgZGlyZWl0b3MgYXByZXNlbnRhZG9zIG5lc3RhIGxpY2Vuw6dhLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3TDoSBjbGFyYW1lbnRlIAppZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250ZcO6ZG8gZGEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFRFU0UgT1UgRElTU0VSVEHDh8ODTyBPUkEgREVQT1NJVEFEQSBURU5IQSBTSURPIFJFU1VMVEFETyBERSBVTSBQQVRST0PDjU5JTyBPVSAKQVBPSU8gREUgVU1BIEFHw4pOQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PIFFVRSBOw4NPIFNFSkEgQSBTSUdMQSBERSAKVU5JVkVSU0lEQURFLCBWT0PDiiBERUNMQVJBIFFVRSBSRVNQRUlUT1UgVE9ET1MgRSBRVUFJU1FVRVIgRElSRUlUT1MgREUgUkVWSVPDg08gQ09NTyAKVEFNQsOJTSBBUyBERU1BSVMgT0JSSUdBw4fDlUVTIEVYSUdJREFTIFBPUiBDT05UUkFUTyBPVSBBQ09SRE8uCgpBIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lIChzKSBvdSBvKHMpIG5vbWUocykgZG8ocykgCmRldGVudG9yKGVzKSBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgZGEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvLCBlIG7Do28gZmFyw6EgcXVhbHF1ZXIgYWx0ZXJhw6fDo28sIGFsw6ltIGRhcXVlbGFzIApjb25jZWRpZGFzIHBvciBlc3RhIGxpY2Vuw6dhLgo=Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2020-10-27T18:36:17Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false
dc.title.por.fl_str_mv Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto
title Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto
spellingShingle Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto
Langella, Luciana Gonçalves
disfunção temporomandibular
fotobiomodulação
laser em baixa intensidade
diodo emissor de luz (LED)
temporomandibular disorder
fotobiomodulation
low level laser therapy
LED
CIENCIAS DA SAUDE
title_short Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto
title_full Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto
title_fullStr Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto
title_full_unstemmed Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto
title_sort Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto
author Langella, Luciana Gonçalves
author_facet Langella, Luciana Gonçalves
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 Motta, Lara Jansiski
dc.contributor.referee3.fl_str_mv Deana, Alessandro Melo
dc.contributor.referee4.fl_str_mv Santos, Elaine Marcílio
dc.contributor.referee5.fl_str_mv Fragoso, Yara Dadalti
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/2674099568874201
dc.contributor.author.fl_str_mv Langella, Luciana Gonçalves
contributor_str_mv Bussadori, Sandra Kalil
Bussadori, Sandra Kalil
Motta, Lara Jansiski
Deana, Alessandro Melo
Santos, Elaine Marcílio
Fragoso, Yara Dadalti
dc.subject.por.fl_str_mv disfunção temporomandibular
fotobiomodulação
laser em baixa intensidade
diodo emissor de luz (LED)
topic disfunção temporomandibular
fotobiomodulação
laser em baixa intensidade
diodo emissor de luz (LED)
temporomandibular disorder
fotobiomodulation
low level laser therapy
LED
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv temporomandibular disorder
fotobiomodulation
low level laser therapy
LED
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description Temporomandibular dysfunction (TMD) is described as a subgroup of Orofacial pain. Studies have shown that phototherapy has been an efficient alternative in the treatment of DTMS by improving pain and orofacial function. Objective: To compare the effects of photobiomodulation on pain and functionality in patients with TMD. Methods: This was a controlled, double-blind, randomized clinical trial (pilot study) involving 15 individuals aged over 18 years old distributed in 2 groups: Laser and LED being followed up by 8 sessions 2 times a week, totaling 4 weeks of Treatment. The diagnostic criterion for TMD research (RDC) was used to evaluate all study participants, then pain was evaluated through the use of Visual analogue scale and orofacial function through the measurements of the maximum mouth opening. Photobiomodulation was applied to the Temporomandibular joint (TMJ), masseter muscles (upper, middle and lower) and anterior temporal. Results: When comparing the data regarding the variable pain, statistically significant differences were found only in the intra-group analysis pre and post treatment with photobiomodulation (laser p = 0,0117 and LED p = 0,0180); There was no statistically significant difference in pre-and post-treatment analyses between and within laser and LED groups for maximum aperture measurements without help and without pain. For maximum opening without aid and maximum opening with aid there were statistically significant differences for the laser Group (p = 0.0203; p = 0.0001, respectively); The same was observed for the LED only at the maximum opening with aid (P = 0,0459). For the right and left lateral excursion measurements, a statistically significant difference was found before and after treatment for the laser group in both lateralities (right side p = 0,0209; left side p = 0,0005) and only left for the LED Group (p = 0.0342). Conclusion: Photobiomodulation with laser and LED can produce similar effects for pain and improve the orofacial function. The LED therapy can possibly be pointed as an interesting alternative in the treatment of patients with temporomandibular dysfunction.
publishDate 2019
dc.date.issued.fl_str_mv 2019-12-19
dc.date.accessioned.fl_str_mv 2020-10-27T18:36:16Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
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dc.identifier.citation.fl_str_mv Langella, Luciana Gonçalves. Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto. 2019. 50 f. Tese( 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/2266
identifier_str_mv Langella, Luciana Gonçalves. Análise comparativa da fotobiomodulação com uso de laser e LED em indivíduos portadores de disfunção temporomandibular: projeto piloto. 2019. 50 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.
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dc.publisher.department.fl_str_mv Saúde
publisher.none.fl_str_mv Universidade Nove de Julho
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