Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica

Detalhes bibliográficos
Autor(a) principal: Dutra, Cynthia Maria Rocha
Data de Publicação: 2017
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações do UTP
Texto Completo: http://tede.utp.br:8080/jspui/handle/tede/1217
Resumo: Introduction: myogenic temporomandibular disorders (TMD) is a condition that should have multidisciplinary assistance. In this regard, the Kinesio Taping technique (KT) is a therapeutic alternative. Objectives: to evaluate systematically the Physical Therapy and Speech Therapy interventions used in the treatment of TMD studies (Article 1); to evaluate the effectiveness of KT therapy in the treatment of pain associated with musculoskeletal disorders (Article 2); to investigate the acute effects of applying KT in patients with myogenic TMD disorders (Article 3). Methods: for Articles 1 and 2, the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed and registered in the Prospective International Register of Systematic Reviews (PROSPERO). A search using specific key words for Article 1 ("temporomandibular dysfunction,” “temporomandibular joint,” “physiotherapy, speech therapy,” and “pain"), and for Article 2 (“kinesiotape,” “kinesio taping,” “pain,”“functional recovery,” “rehabilitation,” and “algometry") was completed. The study in Article 3, which involved a double-blind randomized controlled clinical trial, was performed at the Clinical School of Physiotherapy, University of Tuiuti of Parana. The study and assessed pain, electromyography, and thermography results at baseline and after three days of the intervention. An experimental group (KTG) received KT, and a control group (CG) received adhesive tape (placebo). Results: article 1 – of 501 articles found, four were included in the review, which pointed out that a multidisciplinary approach for the management of myogenic TMDs is appropriate. Article 2 – which returned 388 articles and included 15 in the review, most were found to be published in Europe, indicating that there was no consensus on the use of KT, and suggesting that a multidisciplinary interaction seems to be essential for the treatment of myogenic TMD. Article 3 – 70 participants, selected based RDC/TMD, randomly assigned to KTG (27 women, 8 men, middle age 29.71 ± 8.66) and GC (29 women, 6 men, middle age 32.37 ± 8.58). There was no difference in the EMG between KTG and CG in the masseter (p = 0.1494) and temporal (p = 0.699395) muscle. There was a decrease in the values of thermography in the KTG (33.43 ± 0.12 for 32.51 ± 0.21), and maintenance in CG (33.43 ± 0.13 for 33.42 ± 0.2). No significant difference was observed in algometry (0.05673 KTG), with a tendency for improvement, being significant for the CG (p = 0.02245). The data of lower degree of pain, in the KTG, compared to before the experiment, confirm the findings of the EMG results. Conclusion: it was surmised that KT results in an improvement in myogenic TMD symptomatology after a single application. However, further research is needed to determine the medium- and long-term effects of the technique. As a non-invasive and painless method, as an option for treatment, it is an indicated technique, having to take into account the methodology and the time of permanence with the KT that may influence the functional recovery and the analgesia. However, based on crossing data collected in the articles and in the interventions, and taking into account the number of inconsistent and conflicting reports on their effects, we see the need for an appropriate and necessary multidisciplinary approach for the management of myogenic TMD, in particular by using complementary therapy that could potentiate the effects of the treatment.
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spelling Santos, Rosane Sampaiohttp://lattes.cnpq.br/9670082735829503Stechman Neto, Joséhttp://lattes.cnpq.br/2988816408385273http://lattes.cnpq.br/1432469606666485Dutra, Cynthia Maria Rocha2018-04-24T16:56:37Z2017-12-20Dutra, Cynthia Maria Rocha. Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica. 2017. 151 f. Tese( Doutorado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2017 .http://tede.utp.br:8080/jspui/handle/tede/1217Introduction: myogenic temporomandibular disorders (TMD) is a condition that should have multidisciplinary assistance. In this regard, the Kinesio Taping technique (KT) is a therapeutic alternative. Objectives: to evaluate systematically the Physical Therapy and Speech Therapy interventions used in the treatment of TMD studies (Article 1); to evaluate the effectiveness of KT therapy in the treatment of pain associated with musculoskeletal disorders (Article 2); to investigate the acute effects of applying KT in patients with myogenic TMD disorders (Article 3). Methods: for Articles 1 and 2, the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed and registered in the Prospective International Register of Systematic Reviews (PROSPERO). A search using specific key words for Article 1 ("temporomandibular dysfunction,” “temporomandibular joint,” “physiotherapy, speech therapy,” and “pain"), and for Article 2 (“kinesiotape,” “kinesio taping,” “pain,”“functional recovery,” “rehabilitation,” and “algometry") was completed. The study in Article 3, which involved a double-blind randomized controlled clinical trial, was performed at the Clinical School of Physiotherapy, University of Tuiuti of Parana. The study and assessed pain, electromyography, and thermography results at baseline and after three days of the intervention. An experimental group (KTG) received KT, and a control group (CG) received adhesive tape (placebo). Results: article 1 – of 501 articles found, four were included in the review, which pointed out that a multidisciplinary approach for the management of myogenic TMDs is appropriate. Article 2 – which returned 388 articles and included 15 in the review, most were found to be published in Europe, indicating that there was no consensus on the use of KT, and suggesting that a multidisciplinary interaction seems to be essential for the treatment of myogenic TMD. Article 3 – 70 participants, selected based RDC/TMD, randomly assigned to KTG (27 women, 8 men, middle age 29.71 ± 8.66) and GC (29 women, 6 men, middle age 32.37 ± 8.58). There was no difference in the EMG between KTG and CG in the masseter (p = 0.1494) and temporal (p = 0.699395) muscle. There was a decrease in the values of thermography in the KTG (33.43 ± 0.12 for 32.51 ± 0.21), and maintenance in CG (33.43 ± 0.13 for 33.42 ± 0.2). No significant difference was observed in algometry (0.05673 KTG), with a tendency for improvement, being significant for the CG (p = 0.02245). The data of lower degree of pain, in the KTG, compared to before the experiment, confirm the findings of the EMG results. Conclusion: it was surmised that KT results in an improvement in myogenic TMD symptomatology after a single application. However, further research is needed to determine the medium- and long-term effects of the technique. As a non-invasive and painless method, as an option for treatment, it is an indicated technique, having to take into account the methodology and the time of permanence with the KT that may influence the functional recovery and the analgesia. However, based on crossing data collected in the articles and in the interventions, and taking into account the number of inconsistent and conflicting reports on their effects, we see the need for an appropriate and necessary multidisciplinary approach for the management of myogenic TMD, in particular by using complementary therapy that could potentiate the effects of the treatment.Introdução: a disfunção temporomandibular (DTM) miogênica é uma patologia que deve ter assistência multidisciplinar, sendo a terapia Kinesio Taping (KT) uma alternativa terapêutica. Objetivos: avaliar a qualidade metodológica de estudos conduzidos pela Fisioterapia e Fonoaudiologia nas DTM miogênicas (artigo 1); avaliar a efetividade da KT no tratamento da dor associada a disfunções musculoesqueléticas (artigo 2); investigar os efeitos da aplicação da KT na DTM (artigo 3). Métodos: os artigos 1 e 2 seguiram as diretrizes do Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA), com cadastro no Registro Prospectivo Internacional de Revisões Sistemáticas (PROSPERO). Foram realizadas buscas com os descritores “disfunção temporomandibular, articulação temporomandibular, Fisioterapia, Fonoaudiologia e dor” e seus correspondentes em inglês (artigo 1); “kinesiotape, Kinesio Taping”, dor, recuperação funcional, reabilitação e algometria”, e seus correspondentes em inglês (artigo 2). O artigo 3 desenvolvido de ensaio clínico randomizado, duplo-cego com grupo controle, realizado na Universidade Tuiuti do Paraná, avaliou o efeito na DTM miogênica pela KT na dor pela escala analógica visual (EVA), no limiar da dor à pressão pela algometria, na função muscular pela eletromiografia (EMG) e na variação da temperatura local pela termografia, pré e pós-intervenção. O grupo experimental (GKT) recebeu KT, o grupo controle (GC) esparadrapo (placebo) ao início da intervenção e mantendo por três dias. Os dados foram analisados (Microsoft® Office Excel 2013) com valores absolutos e relativos, (- %), pelo software R® a distribuição e a comparação das variáveis (testes de Shapiro-Wilk, t de Student ou de Wilcoxon, correlação de Pearson e regressão logístico ordinal, p<0,05). Resultados: no artigo 1, de 501 artigos identificados quatro foram incluídos na revisão, dois deles com escores de nove pontos e outros dois com oito pontos pela escala PEDro, todos relacionados à Fisioterapia; no artigo 2, de 388 artigos identificados 15 randomizados foram incluídos na revisão, oito de cegamento simples e cinco duplos cegos, a maioria deles (80%) envolvendo ambos os sexos. A dor foi analisada especificamente ou em combinação com outros parâmetros por 14 dos estudos (93,33%), e o instrumento mais comumente utilizado (66,7%) foi a EVA. No artigo 3, em 70 participantes elegidos utilizando o RDC/TMD, randomicamente alocados nos GKT (n=35, 27 mulheres, 29,7 ± 8,66 anos) e GC (n=35, 29 mulheres, 32,3 ± 8,58 anos) não foram observadas diferenças no tempo de acometimento; significante na variação da dor (GC p=0,0001, GKT p=0,00031), podendo caracterizar efeito placebo para o GC; na algometria foi significante para o GC (p=0,02245), mas não para o GKT (p=0,05673); a EMG apresentou significância para o GKT referente à média e mediana dos músculos temporal (p=0,04089 e p=0,00026), e masseter média (p=0,00021); a termografia não apresentou significância; sem correlação (r -0,37) entre a algometria e a escala de dor. Conclusão: Pelos estudos levantados apresentarem rigor metodológico elevado, mas baixo número de artigos terem apresentado a KT como eficiente na recuperação funcional, mas no presente estudo a KT não ser claramente responsável pela redução de dor, parecendo eficaz na recuperação da funcionalidade muscular, conclui-se que há necessidade de desenvolvimentos de estudos que, além do rigor metodológico, atentem para um elevado número de participantes, com GC de igual proporção, e que possibilite o seguimento por tempo prolongado favorecendo melhor avaliação das intervenções.Submitted by Heloisa Silva (heloisa.silva@utp.br) on 2018-04-24T16:56:37Z No. of bitstreams: 1 EFEITO DA APLICAÇÃO DA KINESIO TAPING NA DISFUNÇÃO TEMPOROMANDIBULAR MIOGÊNICA LOCALIZADA.pdf: 3550012 bytes, checksum: f17a4811fced78c6430098699a5b4237 (MD5)Made available in DSpace on 2018-04-24T16:56:37Z (GMT). No. of bitstreams: 1 EFEITO DA APLICAÇÃO DA KINESIO TAPING NA DISFUNÇÃO TEMPOROMANDIBULAR MIOGÊNICA LOCALIZADA.pdf: 3550012 bytes, checksum: f17a4811fced78c6430098699a5b4237 (MD5) Previous issue date: 2017-12-20application/pdfporUniversidade Tuiuti do ParanaDoutorado em Distúrbios da ComunicaçãoUTPBrasilDistúrbios da ComunicaçãoDor miogênicaAlgometriaEletromiografiaTermografiaKinesio tapingMyogenic painAlgometryElectromyographyThermography.CIENCIAS DA SAUDE::FONOAUDIOLOGIAEfeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográficainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis9039125117980950228500500600-1465691230269154980-1446670330325391347info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações do UTPinstname:Universidade Tuiuti do Paranáinstacron:UTPORIGINALEFEITO DA APLICAÇÃO DA KINESIO TAPING NA DISFUNÇÃO TEMPOROMANDIBULAR MIOGÊNICA LOCALIZADA.pdfEFEITO DA APLICAÇÃO DA KINESIO TAPING NA DISFUNÇÃO TEMPOROMANDIBULAR MIOGÊNICA LOCALIZADA.pdfapplication/pdf3550012http://localhost:8080/tede/bitstream/tede/1217/2/EFEITO+DA+APLICA%C3%87%C3%83O+DA+KINESIO+TAPING+NA+DISFUN%C3%87%C3%83O+TEMPOROMANDIBULAR+MIOG%C3%8ANICA+LOCALIZADA.pdff17a4811fced78c6430098699a5b4237MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1217/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/1217oai:localhost:tede/12172018-04-26 14:59:48.605TEDEtede@utp.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
dc.title.por.fl_str_mv Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica
title Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica
spellingShingle Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica
Dutra, Cynthia Maria Rocha
Dor miogênica
Algometria
Eletromiografia
Termografia
Kinesio taping
Myogenic pain
Algometry
Electromyography
Thermography.
CIENCIAS DA SAUDE::FONOAUDIOLOGIA
title_short Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica
title_full Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica
title_fullStr Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica
title_full_unstemmed Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica
title_sort Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica
author Dutra, Cynthia Maria Rocha
author_facet Dutra, Cynthia Maria Rocha
author_role author
dc.contributor.advisor1.fl_str_mv Santos, Rosane Sampaio
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/9670082735829503
dc.contributor.advisor-co1.fl_str_mv Stechman Neto, José
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/2988816408385273
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/1432469606666485
dc.contributor.author.fl_str_mv Dutra, Cynthia Maria Rocha
contributor_str_mv Santos, Rosane Sampaio
Stechman Neto, José
dc.subject.por.fl_str_mv Dor miogênica
Algometria
Eletromiografia
Termografia
topic Dor miogênica
Algometria
Eletromiografia
Termografia
Kinesio taping
Myogenic pain
Algometry
Electromyography
Thermography.
CIENCIAS DA SAUDE::FONOAUDIOLOGIA
dc.subject.eng.fl_str_mv Kinesio taping
Myogenic pain
Algometry
Electromyography
Thermography.
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::FONOAUDIOLOGIA
dc.description.abstract.eng.fl_txt_mv Introduction: myogenic temporomandibular disorders (TMD) is a condition that should have multidisciplinary assistance. In this regard, the Kinesio Taping technique (KT) is a therapeutic alternative. Objectives: to evaluate systematically the Physical Therapy and Speech Therapy interventions used in the treatment of TMD studies (Article 1); to evaluate the effectiveness of KT therapy in the treatment of pain associated with musculoskeletal disorders (Article 2); to investigate the acute effects of applying KT in patients with myogenic TMD disorders (Article 3). Methods: for Articles 1 and 2, the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed and registered in the Prospective International Register of Systematic Reviews (PROSPERO). A search using specific key words for Article 1 ("temporomandibular dysfunction,” “temporomandibular joint,” “physiotherapy, speech therapy,” and “pain"), and for Article 2 (“kinesiotape,” “kinesio taping,” “pain,”“functional recovery,” “rehabilitation,” and “algometry") was completed. The study in Article 3, which involved a double-blind randomized controlled clinical trial, was performed at the Clinical School of Physiotherapy, University of Tuiuti of Parana. The study and assessed pain, electromyography, and thermography results at baseline and after three days of the intervention. An experimental group (KTG) received KT, and a control group (CG) received adhesive tape (placebo). Results: article 1 – of 501 articles found, four were included in the review, which pointed out that a multidisciplinary approach for the management of myogenic TMDs is appropriate. Article 2 – which returned 388 articles and included 15 in the review, most were found to be published in Europe, indicating that there was no consensus on the use of KT, and suggesting that a multidisciplinary interaction seems to be essential for the treatment of myogenic TMD. Article 3 – 70 participants, selected based RDC/TMD, randomly assigned to KTG (27 women, 8 men, middle age 29.71 ± 8.66) and GC (29 women, 6 men, middle age 32.37 ± 8.58). There was no difference in the EMG between KTG and CG in the masseter (p = 0.1494) and temporal (p = 0.699395) muscle. There was a decrease in the values of thermography in the KTG (33.43 ± 0.12 for 32.51 ± 0.21), and maintenance in CG (33.43 ± 0.13 for 33.42 ± 0.2). No significant difference was observed in algometry (0.05673 KTG), with a tendency for improvement, being significant for the CG (p = 0.02245). The data of lower degree of pain, in the KTG, compared to before the experiment, confirm the findings of the EMG results. Conclusion: it was surmised that KT results in an improvement in myogenic TMD symptomatology after a single application. However, further research is needed to determine the medium- and long-term effects of the technique. As a non-invasive and painless method, as an option for treatment, it is an indicated technique, having to take into account the methodology and the time of permanence with the KT that may influence the functional recovery and the analgesia. However, based on crossing data collected in the articles and in the interventions, and taking into account the number of inconsistent and conflicting reports on their effects, we see the need for an appropriate and necessary multidisciplinary approach for the management of myogenic TMD, in particular by using complementary therapy that could potentiate the effects of the treatment.
dc.description.abstract.por.fl_txt_mv Introdução: a disfunção temporomandibular (DTM) miogênica é uma patologia que deve ter assistência multidisciplinar, sendo a terapia Kinesio Taping (KT) uma alternativa terapêutica. Objetivos: avaliar a qualidade metodológica de estudos conduzidos pela Fisioterapia e Fonoaudiologia nas DTM miogênicas (artigo 1); avaliar a efetividade da KT no tratamento da dor associada a disfunções musculoesqueléticas (artigo 2); investigar os efeitos da aplicação da KT na DTM (artigo 3). Métodos: os artigos 1 e 2 seguiram as diretrizes do Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA), com cadastro no Registro Prospectivo Internacional de Revisões Sistemáticas (PROSPERO). Foram realizadas buscas com os descritores “disfunção temporomandibular, articulação temporomandibular, Fisioterapia, Fonoaudiologia e dor” e seus correspondentes em inglês (artigo 1); “kinesiotape, Kinesio Taping”, dor, recuperação funcional, reabilitação e algometria”, e seus correspondentes em inglês (artigo 2). O artigo 3 desenvolvido de ensaio clínico randomizado, duplo-cego com grupo controle, realizado na Universidade Tuiuti do Paraná, avaliou o efeito na DTM miogênica pela KT na dor pela escala analógica visual (EVA), no limiar da dor à pressão pela algometria, na função muscular pela eletromiografia (EMG) e na variação da temperatura local pela termografia, pré e pós-intervenção. O grupo experimental (GKT) recebeu KT, o grupo controle (GC) esparadrapo (placebo) ao início da intervenção e mantendo por três dias. Os dados foram analisados (Microsoft® Office Excel 2013) com valores absolutos e relativos, (- %), pelo software R® a distribuição e a comparação das variáveis (testes de Shapiro-Wilk, t de Student ou de Wilcoxon, correlação de Pearson e regressão logístico ordinal, p<0,05). Resultados: no artigo 1, de 501 artigos identificados quatro foram incluídos na revisão, dois deles com escores de nove pontos e outros dois com oito pontos pela escala PEDro, todos relacionados à Fisioterapia; no artigo 2, de 388 artigos identificados 15 randomizados foram incluídos na revisão, oito de cegamento simples e cinco duplos cegos, a maioria deles (80%) envolvendo ambos os sexos. A dor foi analisada especificamente ou em combinação com outros parâmetros por 14 dos estudos (93,33%), e o instrumento mais comumente utilizado (66,7%) foi a EVA. No artigo 3, em 70 participantes elegidos utilizando o RDC/TMD, randomicamente alocados nos GKT (n=35, 27 mulheres, 29,7 ± 8,66 anos) e GC (n=35, 29 mulheres, 32,3 ± 8,58 anos) não foram observadas diferenças no tempo de acometimento; significante na variação da dor (GC p=0,0001, GKT p=0,00031), podendo caracterizar efeito placebo para o GC; na algometria foi significante para o GC (p=0,02245), mas não para o GKT (p=0,05673); a EMG apresentou significância para o GKT referente à média e mediana dos músculos temporal (p=0,04089 e p=0,00026), e masseter média (p=0,00021); a termografia não apresentou significância; sem correlação (r -0,37) entre a algometria e a escala de dor. Conclusão: Pelos estudos levantados apresentarem rigor metodológico elevado, mas baixo número de artigos terem apresentado a KT como eficiente na recuperação funcional, mas no presente estudo a KT não ser claramente responsável pela redução de dor, parecendo eficaz na recuperação da funcionalidade muscular, conclui-se que há necessidade de desenvolvimentos de estudos que, além do rigor metodológico, atentem para um elevado número de participantes, com GC de igual proporção, e que possibilite o seguimento por tempo prolongado favorecendo melhor avaliação das intervenções.
description Introduction: myogenic temporomandibular disorders (TMD) is a condition that should have multidisciplinary assistance. In this regard, the Kinesio Taping technique (KT) is a therapeutic alternative. Objectives: to evaluate systematically the Physical Therapy and Speech Therapy interventions used in the treatment of TMD studies (Article 1); to evaluate the effectiveness of KT therapy in the treatment of pain associated with musculoskeletal disorders (Article 2); to investigate the acute effects of applying KT in patients with myogenic TMD disorders (Article 3). Methods: for Articles 1 and 2, the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed and registered in the Prospective International Register of Systematic Reviews (PROSPERO). A search using specific key words for Article 1 ("temporomandibular dysfunction,” “temporomandibular joint,” “physiotherapy, speech therapy,” and “pain"), and for Article 2 (“kinesiotape,” “kinesio taping,” “pain,”“functional recovery,” “rehabilitation,” and “algometry") was completed. The study in Article 3, which involved a double-blind randomized controlled clinical trial, was performed at the Clinical School of Physiotherapy, University of Tuiuti of Parana. The study and assessed pain, electromyography, and thermography results at baseline and after three days of the intervention. An experimental group (KTG) received KT, and a control group (CG) received adhesive tape (placebo). Results: article 1 – of 501 articles found, four were included in the review, which pointed out that a multidisciplinary approach for the management of myogenic TMDs is appropriate. Article 2 – which returned 388 articles and included 15 in the review, most were found to be published in Europe, indicating that there was no consensus on the use of KT, and suggesting that a multidisciplinary interaction seems to be essential for the treatment of myogenic TMD. Article 3 – 70 participants, selected based RDC/TMD, randomly assigned to KTG (27 women, 8 men, middle age 29.71 ± 8.66) and GC (29 women, 6 men, middle age 32.37 ± 8.58). There was no difference in the EMG between KTG and CG in the masseter (p = 0.1494) and temporal (p = 0.699395) muscle. There was a decrease in the values of thermography in the KTG (33.43 ± 0.12 for 32.51 ± 0.21), and maintenance in CG (33.43 ± 0.13 for 33.42 ± 0.2). No significant difference was observed in algometry (0.05673 KTG), with a tendency for improvement, being significant for the CG (p = 0.02245). The data of lower degree of pain, in the KTG, compared to before the experiment, confirm the findings of the EMG results. Conclusion: it was surmised that KT results in an improvement in myogenic TMD symptomatology after a single application. However, further research is needed to determine the medium- and long-term effects of the technique. As a non-invasive and painless method, as an option for treatment, it is an indicated technique, having to take into account the methodology and the time of permanence with the KT that may influence the functional recovery and the analgesia. However, based on crossing data collected in the articles and in the interventions, and taking into account the number of inconsistent and conflicting reports on their effects, we see the need for an appropriate and necessary multidisciplinary approach for the management of myogenic TMD, in particular by using complementary therapy that could potentiate the effects of the treatment.
publishDate 2017
dc.date.issued.fl_str_mv 2017-12-20
dc.date.accessioned.fl_str_mv 2018-04-24T16:56:37Z
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dc.identifier.citation.fl_str_mv Dutra, Cynthia Maria Rocha. Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica. 2017. 151 f. Tese( Doutorado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2017 .
dc.identifier.uri.fl_str_mv http://tede.utp.br:8080/jspui/handle/tede/1217
identifier_str_mv Dutra, Cynthia Maria Rocha. Efeito da aplicação da kinesio taping na disfunção temporomandibular miogênica localizada: análise algométrica, eletromiográfica e termográfica. 2017. 151 f. Tese( Doutorado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2017 .
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