Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/30307 |
Resumo: | Introduction: Temporomandibular muscle dysfunction requires a multidisciplinary approach to consolidate comprehensive treatment. Objective: To report a case where the effects of an 8-week protocol of muscle resistance exercises to fatigue controlled by biofeedback associated with the use of an interocclusal device in the treatment of muscle temporomandibular disorder were evaluated. Case Report: The Diagnostic Criteria for Research on Temporomandibular Disorder (RDC/TMD), Visual Analog Scale (VAS) and Electromyographic Assessment (EMG) were used for screening and diagnosis. Female patient, 25 years old, leucoderma, attended the Dental Prosthesis Clinic complaining of jaw pain upon waking. He reported the nocturnal habit of grinding his teeth and symptoms such as: sporadic noises in the ear and pain in the cervical region. After diagnosis of temporomandibular muscle dysfunction, by RDC/TMD, a physiotherapeutic treatment based on weekly progression exercises performed twice a week was used, totaling 16 sessions, including assessments of fatigue time and perceived pain in the first 24 hours and after 4 and 8 weeks after the beginning of the protocol. In association, an interocclusal device was used at night with intervals of 7, 15, 30, 60 and 90 days in dental follow-up consultations for reexamination and occlusal adjustments of the device. At the end of the instituted therapy, the patient was again submitted to RDC/TMD, EVA and EMG. Results: A significant reduction in painful symptoms was found when comparing the values obtained in the pre and post-treatment evaluations, corresponding to a rate of approximately 89%. Conclusion: The association of dental and physical therapy therapies has shown effectiveness in reducing symptomatic pain, promoting comfort to the patient and greater range of motion of the temporomandibular joint. |
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Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case reportProtocolo de exercícios e dispositivo interoclusal como alternativa para a disfunção temporomandibular muscular: relato de casoTemporomandibular Joint DisordersBruxismFacial PainTranstornos da Articulação TemporomandibularBruxismoDor FacialIntroduction: Temporomandibular muscle dysfunction requires a multidisciplinary approach to consolidate comprehensive treatment. Objective: To report a case where the effects of an 8-week protocol of muscle resistance exercises to fatigue controlled by biofeedback associated with the use of an interocclusal device in the treatment of muscle temporomandibular disorder were evaluated. Case Report: The Diagnostic Criteria for Research on Temporomandibular Disorder (RDC/TMD), Visual Analog Scale (VAS) and Electromyographic Assessment (EMG) were used for screening and diagnosis. Female patient, 25 years old, leucoderma, attended the Dental Prosthesis Clinic complaining of jaw pain upon waking. He reported the nocturnal habit of grinding his teeth and symptoms such as: sporadic noises in the ear and pain in the cervical region. After diagnosis of temporomandibular muscle dysfunction, by RDC/TMD, a physiotherapeutic treatment based on weekly progression exercises performed twice a week was used, totaling 16 sessions, including assessments of fatigue time and perceived pain in the first 24 hours and after 4 and 8 weeks after the beginning of the protocol. In association, an interocclusal device was used at night with intervals of 7, 15, 30, 60 and 90 days in dental follow-up consultations for reexamination and occlusal adjustments of the device. At the end of the instituted therapy, the patient was again submitted to RDC/TMD, EVA and EMG. Results: A significant reduction in painful symptoms was found when comparing the values obtained in the pre and post-treatment evaluations, corresponding to a rate of approximately 89%. Conclusion: The association of dental and physical therapy therapies has shown effectiveness in reducing symptomatic pain, promoting comfort to the patient and greater range of motion of the temporomandibular joint.Introdução: A disfunção temporomandibular muscular requer uma abordagem multiprofissional para a consolidação de um tratamento integral. Objetivo: Relatar um caso onde se avaliou os efeitos de um protocolo de 8 semanas de exercícios de resistência muscular à fadiga controlado por biofeedback associado ao uso de dispositivo interoclusal no tratamento da disfunção temporomandibular muscular. Relato de Caso: Utilizou-se os critérios de diagnóstico para pesquisa em disfunção temporomandibular (RDC/TMD), escala visual analógica (EVA) e a avaliação eletromiográfica (EMG) para triagem e diagnóstico. Paciente do sexo feminino, 25 anos de idade, leucoderma, compareceu à clínica de prótese dentária queixando-se de dores na mandíbula ao acordar. Relatou o hábito noturno de ranger os dentes e sintomas como barulhos esporádicos no ouvido e dor na região cervical. Após diagnóstico de disfunção temporomandibular muscular, pelo RDC/TMD, empregou-se um tratamento fisioterapêutico baseado em exercícios de progressão semanal realizados duas vezes por semana, totalizando 16 sessões, incluindo as avaliações do tempo de fadiga e da dor percebida nas primeiras 24 horas e após 4 e 8 semanas decorridas do início do protocolo. Associadamente fez-se o uso noturno de um dispositivo interoclusal com intervalos de 7, 15, 30, 60 e 90 dias nas consultas de acompanhamento odontológico para reexame e ajustes oclusais do dispositivo. Ao final da terapêutica instituída, a paciente foi novamente submetida ao RDC/TMD, EVA e EMG. Resultados: Constatou-se redução significativa dos sintomas dolorosos quando comparados os valores obtidos nas avaliações pré e pós-tratamento, correspondendo a uma taxa de aproximadamente 89%. Conclusão: A associação das terapias odontológicas e fisioterapêuticas demonstraram efetividade na diminuição sintomática da dor, promovendo conforto ao paciente e maior amplitude de movimento da articulação temporomandibular.Editora UFJF2020-08-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelCasapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/3030710.34019/1982-8047.2020.v46.30307HU Revista; v. 46 (2020); 1-71982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/30307/20968Copyright (c) 2020 Éwerton Machado Veloso, Edmara Lúcia Pereira do Nascimento, Michelle Cristina Sales Almeida Barbosa, Rodrigo Furtado de Carvalhoinfo:eu-repo/semantics/openAccessMachado Veloso, Éwerton Lúcia Pereira do Nascimento, Edmara Cristina Sales Almeida Barbosa, Michelle Furtado de Carvalho, Rodrigo2020-11-20T19:39:50Zoai:periodicos.ufjf.br:article/30307Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2020-11-20T19:39:50HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report Protocolo de exercícios e dispositivo interoclusal como alternativa para a disfunção temporomandibular muscular: relato de caso |
title |
Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report |
spellingShingle |
Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report Machado Veloso, Éwerton Temporomandibular Joint Disorders Bruxism Facial Pain Transtornos da Articulação Temporomandibular Bruxismo Dor Facial |
title_short |
Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report |
title_full |
Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report |
title_fullStr |
Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report |
title_full_unstemmed |
Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report |
title_sort |
Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report |
author |
Machado Veloso, Éwerton |
author_facet |
Machado Veloso, Éwerton Lúcia Pereira do Nascimento, Edmara Cristina Sales Almeida Barbosa, Michelle Furtado de Carvalho, Rodrigo |
author_role |
author |
author2 |
Lúcia Pereira do Nascimento, Edmara Cristina Sales Almeida Barbosa, Michelle Furtado de Carvalho, Rodrigo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Machado Veloso, Éwerton Lúcia Pereira do Nascimento, Edmara Cristina Sales Almeida Barbosa, Michelle Furtado de Carvalho, Rodrigo |
dc.subject.por.fl_str_mv |
Temporomandibular Joint Disorders Bruxism Facial Pain Transtornos da Articulação Temporomandibular Bruxismo Dor Facial |
topic |
Temporomandibular Joint Disorders Bruxism Facial Pain Transtornos da Articulação Temporomandibular Bruxismo Dor Facial |
description |
Introduction: Temporomandibular muscle dysfunction requires a multidisciplinary approach to consolidate comprehensive treatment. Objective: To report a case where the effects of an 8-week protocol of muscle resistance exercises to fatigue controlled by biofeedback associated with the use of an interocclusal device in the treatment of muscle temporomandibular disorder were evaluated. Case Report: The Diagnostic Criteria for Research on Temporomandibular Disorder (RDC/TMD), Visual Analog Scale (VAS) and Electromyographic Assessment (EMG) were used for screening and diagnosis. Female patient, 25 years old, leucoderma, attended the Dental Prosthesis Clinic complaining of jaw pain upon waking. He reported the nocturnal habit of grinding his teeth and symptoms such as: sporadic noises in the ear and pain in the cervical region. After diagnosis of temporomandibular muscle dysfunction, by RDC/TMD, a physiotherapeutic treatment based on weekly progression exercises performed twice a week was used, totaling 16 sessions, including assessments of fatigue time and perceived pain in the first 24 hours and after 4 and 8 weeks after the beginning of the protocol. In association, an interocclusal device was used at night with intervals of 7, 15, 30, 60 and 90 days in dental follow-up consultations for reexamination and occlusal adjustments of the device. At the end of the instituted therapy, the patient was again submitted to RDC/TMD, EVA and EMG. Results: A significant reduction in painful symptoms was found when comparing the values obtained in the pre and post-treatment evaluations, corresponding to a rate of approximately 89%. Conclusion: The association of dental and physical therapy therapies has shown effectiveness in reducing symptomatic pain, promoting comfort to the patient and greater range of motion of the temporomandibular joint. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-17 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion RelCas |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/30307 10.34019/1982-8047.2020.v46.30307 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/30307 |
identifier_str_mv |
10.34019/1982-8047.2020.v46.30307 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/30307/20968 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 46 (2020); 1-7 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
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UFJF |
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UFJF |
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HU Revista (Online) |
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HU Revista (Online) |
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HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
revista.hurevista@ufjf.edu.br |
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1796798243878731776 |