O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da USC |
Texto Completo: | https://tede2.usc.br:8443/handle/tede/446 |
Resumo: | Temporomandibular joint dysfunction (TMD) with a multifactorial etiology of the temporomandibular joint (TMJ) is the second most frequent cause of orofacial pain in the world. Evidence indicates that TMD pain is related to masticatory muscle hyperactivity. The research diagnostic criteria for temporomandibular disorders (RDC/TMD) considered internationally as the gold standard for diagnosing TMD requires a trained and familiar professional in addition to a significant amount of time for their application. The combination of measures of pain and functionality, through a proven statistical model could provide an efficient response to the diagnosis of TMD. Objective: to investigate the response capacity resulting from the arrangement between variables to discriminate individuals with and without TMD Methodology: A cross-sectional study was carried out in 98 women (29 ± 6 years), with RDC / TMD, assigned to two groups, with and without TMD. The visual analogue scale (VAS) and pressure pain threshold (PPT) of the TMJ (or algometro) were used to evaluate pain, EMG was used to evaluate muscular and temporal excitability, and the mandibular functional limitation index (MIFQ) was used for evaluate function. The data were monitored through a timer, individually verified by the Receiver Operator Characteristics (ROC) curve and combined using a generalized linear model. The data were monitored through a timer, individually verified by the Receiver Operator Characteristics (ROC) curve and combined using a generalized linear model. The Mann-Whitney test defined the differences between groups. Results: Two statistical models were obtained, with and without PPT, and presented higher sensitivity (Se), specificity (Sp) and precision (Se = 0.95 / 0.95, Sp = 0.81 / 0.80, error = 0.10 / 0.11, 0.31 / 0.30, respectively) compared to the individual ROC curve results. The temporal efficiency of RDC / TMD (~ 30 min) was lower than VAS + PPT + MFIQ (~ 5min). Conclusion: The estimated linear model showed a more adequate responsiveness and greater precision to discriminate women with and without TMD than the individual parameters. |
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Marta , Sara Naderhttp://lattes.cnpq.br/4484420730361244Barbosa, Alexandre Wesley Carvalho384508820990599510.401.679031.662.776.33http://lattes.cnpq.br/7990902149451336Barbosa, Michelle Cristina Sales Almeida2019-02-08T21:52:40Z2018-08-16Barbosa, Michelle Cristina Sales Almeida. O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras. 2018. 72 f. Tese (Doutorado em Biologia Oral) - Universidade do Sagrado Coração, Bauru, 2018.https://tede2.usc.br:8443/handle/tede/446Temporomandibular joint dysfunction (TMD) with a multifactorial etiology of the temporomandibular joint (TMJ) is the second most frequent cause of orofacial pain in the world. Evidence indicates that TMD pain is related to masticatory muscle hyperactivity. The research diagnostic criteria for temporomandibular disorders (RDC/TMD) considered internationally as the gold standard for diagnosing TMD requires a trained and familiar professional in addition to a significant amount of time for their application. The combination of measures of pain and functionality, through a proven statistical model could provide an efficient response to the diagnosis of TMD. Objective: to investigate the response capacity resulting from the arrangement between variables to discriminate individuals with and without TMD Methodology: A cross-sectional study was carried out in 98 women (29 ± 6 years), with RDC / TMD, assigned to two groups, with and without TMD. The visual analogue scale (VAS) and pressure pain threshold (PPT) of the TMJ (or algometro) were used to evaluate pain, EMG was used to evaluate muscular and temporal excitability, and the mandibular functional limitation index (MIFQ) was used for evaluate function. The data were monitored through a timer, individually verified by the Receiver Operator Characteristics (ROC) curve and combined using a generalized linear model. The data were monitored through a timer, individually verified by the Receiver Operator Characteristics (ROC) curve and combined using a generalized linear model. The Mann-Whitney test defined the differences between groups. Results: Two statistical models were obtained, with and without PPT, and presented higher sensitivity (Se), specificity (Sp) and precision (Se = 0.95 / 0.95, Sp = 0.81 / 0.80, error = 0.10 / 0.11, 0.31 / 0.30, respectively) compared to the individual ROC curve results. The temporal efficiency of RDC / TMD (~ 30 min) was lower than VAS + PPT + MFIQ (~ 5min). Conclusion: The estimated linear model showed a more adequate responsiveness and greater precision to discriminate women with and without TMD than the individual parameters.A disfunção temporomandibular (DTM) condição complexa com etiologia multifatorial da articulação temporomandibular (ATM) é apontada como a segunda causa mais frequente de dor orofacial no mundo. Evidências indicam que a dor da DTM está relacionada com a hiperatividade da musculatura mastigatória. Os critérios de diagnóstico de pesquisa para desordens temporomandibulares (RDC/TMD) considerado internacionalmente como o padrão-ouro para diagnosticar a DTM, requer um profissional treinado e familiarizado além de uma quantidade significativa de tempo para sua aplicação. A combinação de medidas de dor e funcionalidade, por meio de um modelo estatístico comprovado poderia fornecer uma resposta eficiente para o diagnóstico da DTM. Objetivo: investigar a capacidade de resposta resultantes do arranjo entre variáveis para discriminar indivíduos com e sem DTM. Metodologia: estudo transversal, cuja amostra foi 98 mulheres (29±6 anos), triadas com RDC/TMD, alocadas em dois grupos, com e sem DTM. Escala visual analógica (VAS) e limiar pressórico de dor (PPT) da ATM (ou algometro) foram utilizados para avaliar dor, EMG foi usado para avaliar excitabilidade muscular de masseter e temporal, e índice de limitação funcional mandibular (MIFQ) foi usado para avaliar função. Os dados foram monitorados através de um cronômetro, averiguados individualmente pela curva Receiver Operator Characteristics (ROC) e combinados através de modelo linear generalizado. O teste de Mann-Whitney definiu as diferenças entre grupos. Resultados: Dois modelos estatísticos foram obtidos, com e sem PPT, e apresentaram maior sensibilidade (Se), especificidade (Sp) e precisão (Se = 0.95/0.95, Sp = 0.81/0.80, error = 0.10/0.11, ponto de corte =0.31/0.30, respectivamente) comparados com os resultados individuais da curva ROC. A eficiência temporal do RDC/TMD (~30 min) foi menor que VAS + PPT + MFIQ (~ 5min). Conclusão: O modelo linear estimado mostrou capacidade de resposta mais adequada e maior precisão para discriminar as mulheres com e sem DTM do que os parâmetros individuais.Submitted by Lidyane Lima (lidyane.lima@usc.br) on 2019-02-08T21:52:40Z No. of bitstreams: 1 O valor diagnostico das avaliacoes combinadas de dor e funcionalidade para desordem temporomandibular cronica em mulheres brasileiras (226349).pdf: 2117372 bytes, checksum: fdd2b87e70142bea9730c607cef7c834 (MD5)Made available in DSpace on 2019-02-08T21:52:40Z (GMT). No. of bitstreams: 1 O valor diagnostico das avaliacoes combinadas de dor e funcionalidade para desordem temporomandibular cronica em mulheres brasileiras (226349).pdf: 2117372 bytes, checksum: fdd2b87e70142bea9730c607cef7c834 (MD5) Previous issue date: 2018-08-16application/pdfporUniversidade do Sagrado CoraçãoBiologia OralUSCBrasilCiências da Saúde e BiológicasDisfunção temporomandibularDiagnósticoSensibilidadeEspecificidadeAcuráciaTemporomandibular joint dysfunction,DiagnosisSensitivitySpecificityAccuracyCIENCIAS DA SAUDE::ODONTOLOGIAO valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileirasThe diagnostic value of combined pain and functional assessments for chronic temporomandibular disorder in Brazilian womeninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8043334104093724546600600600-753428887677182963-2070498469879244349info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da USCinstname:Universidade do Sagrado Coração (USC)instacron:USCORIGINALO valor diagnostico das avaliacoes combinadas de dor e funcionalidade para desordem temporomandibular cronica em mulheres brasileiras (226349).pdfO valor diagnostico das avaliacoes combinadas de dor e funcionalidade para desordem temporomandibular cronica em mulheres brasileiras (226349).pdfapplication/pdf2117372http://localhost:8080/tede/bitstream/tede/446/2/O+valor+diagnostico+das+avaliacoes+combinadas+de+dor+e+funcionalidade+para+desordem+temporomandibular+cronica+em+mulheres+brasileiras+%28226349%29.pdffdd2b87e70142bea9730c607cef7c834MD52LICENSElicense.txtlicense.txttext/plain; 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dc.title.eng.fl_str_mv |
O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras |
dc.title.alternative.eng.fl_str_mv |
The diagnostic value of combined pain and functional assessments for chronic temporomandibular disorder in Brazilian women |
title |
O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras |
spellingShingle |
O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras Barbosa, Michelle Cristina Sales Almeida Disfunção temporomandibular Diagnóstico Sensibilidade Especificidade Acurácia Temporomandibular joint dysfunction, Diagnosis Sensitivity Specificity Accuracy CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras |
title_full |
O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras |
title_fullStr |
O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras |
title_full_unstemmed |
O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras |
title_sort |
O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras |
author |
Barbosa, Michelle Cristina Sales Almeida |
author_facet |
Barbosa, Michelle Cristina Sales Almeida |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Marta , Sara Nader |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4484420730361244 |
dc.contributor.advisor-co1.fl_str_mv |
Barbosa, Alexandre Wesley Carvalho |
dc.contributor.advisor-co1Lattes.fl_str_mv |
3845088209905995 |
dc.contributor.authorID.fl_str_mv |
10.401.679 031.662.776.33 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7990902149451336 |
dc.contributor.author.fl_str_mv |
Barbosa, Michelle Cristina Sales Almeida |
contributor_str_mv |
Marta , Sara Nader Barbosa, Alexandre Wesley Carvalho |
dc.subject.por.fl_str_mv |
Disfunção temporomandibular Diagnóstico Sensibilidade Especificidade Acurácia |
topic |
Disfunção temporomandibular Diagnóstico Sensibilidade Especificidade Acurácia Temporomandibular joint dysfunction, Diagnosis Sensitivity Specificity Accuracy CIENCIAS DA SAUDE::ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Temporomandibular joint dysfunction, Diagnosis Sensitivity Specificity Accuracy |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
Temporomandibular joint dysfunction (TMD) with a multifactorial etiology of the temporomandibular joint (TMJ) is the second most frequent cause of orofacial pain in the world. Evidence indicates that TMD pain is related to masticatory muscle hyperactivity. The research diagnostic criteria for temporomandibular disorders (RDC/TMD) considered internationally as the gold standard for diagnosing TMD requires a trained and familiar professional in addition to a significant amount of time for their application. The combination of measures of pain and functionality, through a proven statistical model could provide an efficient response to the diagnosis of TMD. Objective: to investigate the response capacity resulting from the arrangement between variables to discriminate individuals with and without TMD Methodology: A cross-sectional study was carried out in 98 women (29 ± 6 years), with RDC / TMD, assigned to two groups, with and without TMD. The visual analogue scale (VAS) and pressure pain threshold (PPT) of the TMJ (or algometro) were used to evaluate pain, EMG was used to evaluate muscular and temporal excitability, and the mandibular functional limitation index (MIFQ) was used for evaluate function. The data were monitored through a timer, individually verified by the Receiver Operator Characteristics (ROC) curve and combined using a generalized linear model. The data were monitored through a timer, individually verified by the Receiver Operator Characteristics (ROC) curve and combined using a generalized linear model. The Mann-Whitney test defined the differences between groups. Results: Two statistical models were obtained, with and without PPT, and presented higher sensitivity (Se), specificity (Sp) and precision (Se = 0.95 / 0.95, Sp = 0.81 / 0.80, error = 0.10 / 0.11, 0.31 / 0.30, respectively) compared to the individual ROC curve results. The temporal efficiency of RDC / TMD (~ 30 min) was lower than VAS + PPT + MFIQ (~ 5min). Conclusion: The estimated linear model showed a more adequate responsiveness and greater precision to discriminate women with and without TMD than the individual parameters. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-08-16 |
dc.date.accessioned.fl_str_mv |
2019-02-08T21:52:40Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Barbosa, Michelle Cristina Sales Almeida. O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras. 2018. 72 f. Tese (Doutorado em Biologia Oral) - Universidade do Sagrado Coração, Bauru, 2018. |
dc.identifier.uri.fl_str_mv |
https://tede2.usc.br:8443/handle/tede/446 |
identifier_str_mv |
Barbosa, Michelle Cristina Sales Almeida. O valor diagnóstico das avaliações combinadas de dor e funcionalidade para desordem temporomandibular crônica em mulheres brasileiras. 2018. 72 f. Tese (Doutorado em Biologia Oral) - Universidade do Sagrado Coração, Bauru, 2018. |
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https://tede2.usc.br:8443/handle/tede/446 |
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por |
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por |
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600 600 600 |
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Universidade do Sagrado Coração |
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Biologia Oral |
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USC |
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Brasil |
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Ciências da Saúde e Biológicas |
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Universidade do Sagrado Coração |
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