Temporomandibular Joint Disorder Syndrome
Conditions
Interventions
An Analytical, Longitudinal, Prospective, Study in which a group of 50 women underwent a clinical evaluation of the interview type, diagnostic test for TMD with the Research Diagnostic Criteria for Te
assessment of the cervical range of motion through the gravitational fleximeter, evaluation of the cervical and skull posture by biophotogrammetry, and evaluation of the electrical activity of the ant
Other
E05.318.308.980
E01.370.405.255
Sponsors
Universidade Estadual de Ponta Grossa
Faculdade Guairacá
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Women 18 to 40 years old who reported at least one (1) of the following signs and symptoms: Referred pain in the temporomandibular joint and / or associated musculature (at least 1 episode in the last 3 months); Limitation or restriction of opening or lateralization of the mouth (lateral excursion) (at least 1 episode in the last 3 months); Pain reported in the mouth opening (at least 1 episode in the last 3 months); Sounds in the joint without pain, but with a recent episode (or at least 1 episode in the last 3 months) of pain or limitation of mouth opening; Sounds in the joint without the presence of pain, but with severity enough to cause concern to the patient or make him seek treatment; Women seeking treatment for temporomandibular dysfunction with confirmed diagnosis; Women with diagnosis of temporomandibular dysfunction, obtained by the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD) Axes I and II.
Exclusion criteria
Exclusion criteria: History of facial traumas; history of facial neoplasms; history of facial surgeries; cognitive alterations; neurological changes; use of auxiliary devices for walking and locomotion; presence of rheumatic disease; presence of physical disability; pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1: There is a difference between the TMD diagnostic groups regarding the mandible, depression and pain limitations assessed by the RDC / TMD Axis II (Kruskal Wallis Test).;Outcome found 1: 1: Limitations related to mandibular function, depression and pain did not present differences regarding TMD diagnoses and muscular impairment. Depression was different in terms of joint impairment and pain in the presence of bruxism. Women with no joint impairment presented higher depression scores, 0.90 (0.55 - 1.50), compared to those with monoarticular involvement, 0.37 (0.15-0.83), (p = 0.008) . Women with biarticular impairment, 0.80 (0.45 - 1.60) had a higher rate of depression compared to monoarticular impairment, 0.37 (0.15 - 0.83), (p = 0.023). The group with bruxism reported a greater degree of pain at the time, 3.0 (2.0 - 6.0), than the group without bruxism, 0 (0 - 2.0), (p = 0.001), as also showed a greater impairment in the ability to work through pain, 1.5 (0 - 3.0), compared to the group without reporting bruxism, 0 (0 - 0.75), (p = 0.039).;Expected outcome 2: It presents difference between TMD diagnostic groups regarding postural angles, range of cervical movement and surface electromyography (Kruskal Wallis Test).;Outcome found 2: The muscular TMD group, and the mixed TMD group, had lower right ROMs, 69.00 (64.5 - 79.3) and 78.60 (71.6 - 85.0) respectively, compared to joint diagnosis, 93.15 (91.3 - 95.0), p = 0.037 and p = 0.033. The myofascial pain group, 82.95 (66.0 - 88.0) and myofascial pain with aperture limitation 77.00 (67.8 - 79.6) had a lower cervical rotation ROM to the right compared to the non-muscle group 93.15 (91.3 - 95.0), p = 0.049 and p = 0.028, respectively. ;Expected outcome 3: Lower cervical range of motion, worse posture and difference in surface electromyography (Kruskal Wallis Test).;Outcome found 3: Participants who did not report bruxism had lower ROM in left cervical rotation, 75.95 (68.35 - 80.90), compared to the br | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome 4: Correlation between limitations related to mandibular function with postural changes, range of cervical joint motion and surface electromyography (Spearman Test).;Outcome found 4: The variables related to posture, the EMGs showed no correlation with the limitations related to the mandibular function. There was a weak negative correlation between the lateral tilt ADM to the right of the cervical (? = -0.315 - p = 0.026).;Expected outcome 5: Correlation between limitations related to mandibular function with depression and pain assessed by RDC / TMD Axis II (Spearman Test).;Outcome found 5: There was a positive correlation between depression (? = 0.333 - p = 0.015), pain interference in daily activities (? = 0.298 - p = 0.036) and leisure 0.341 - p = 0.015) with limitations related to mandibular function. | — |
Countries
Brazil
Contacts
Public ContactFranciele Amaral
Faculdade Guairacá (Centro Coordenador)
Outcome results
None listed