Temporomandibular Joint
Conditions
Interventions
Group Global Posture Reeducation(G1=20 patients)
The intervention by RPG Souchard is based as advocated by Souchard. The session is started identifying the present retractions and in this research wil
H02.010.625
E02.190.599
Sponsors
Universidade Federal de Pernambuco
Universidade Federal de Pernambuco
Eligibility
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Patients of both sexes; aged between 18 and 45 years; presenting with myofascial TMD
Exclusion criteria
Exclusion criteria: Will be excluded from the study patients with comorbidities and those taking analgesic, anti-inflammatory, myorelaxative or antidepressant medications, as well as patients undergoing physiotherapeutic, orthodontic or phonoaudiological treatment. For females, patients taking oral contraceptives at the time of the study will also be excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1: Evaluate pain intensity with the Visual Analog Scale (VAS) that was validated by JENSEN et al (1986), which consists of a 100-millimeter long ruler with descriptors on the left "no pain" and on the right "extreme pain";Expected Outcome 2: To evaluate the threshold of pain to pressure through the use of algometry (Medoc brand), where a continuous and increasing pressure of 0.5 kg/cm2/second is applied on the muscle belly until the patient reports pain due to the increased pressure applied;Expected Outcome 3: To assess TMD severity through the Temporomandibular Index (TMI) expressed in score points of three sub-indices (IF, IM, IA) and an average of the scores obtained by the three sub-indices (ITM).Each score ranges from 0 to 1, with 1 being the highest possible score indicating more severity;Expected Outcome 4: To evaluate the electromyographic activity of the masticatory muscles by means of surface electromyography with a Miotec® model Miotool 400 4-channel device, with precision in the acquisition of EMG signals (14 bits). The greater the recorded muscle activity, the worse the results;Expected Outcome 5: To evaluate the range of movement of the TMJ through electrognathography. The equipment will be the BioRESEARSH® JT-3D, where a small magnet will be attached to the buccal surface of the lower incisors corresponding to the midline level, and the head support will be symmetrically adjusted to capture the functioning of the mandible and the consequent movement of the magnetic sensor. Maximum values will be measured for the following variables: a) opening width in the frontal plane; b) right laterality in the horizontal plane; c) left laterality movement in the horizontal plane; d) protrusion in the sagittal plane; e) retrusion in the sagittal plane; f) maximum opening speed; g) maximum closing speed; and h) chewing;Outcome effectively observed 1: Evaluate pain intensity with the Visual Analog Scale (VAS) that was validated by JENSEN et al (1986) | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected Outcome: To evaluate cervical posture through the analysis of digitized images (photogrammetry), using the Postural Evaluation Software - SAPO version 3.0. The quantitative analysis of the results will be by distribution of the frequency of alignments in the coronal and sagittal planes. The reference values given by the software are: zero degree for vertical and horizontal alignment of the head, acromiums, antero superior iliac spines (AIS), angle between the acromiums and AIS and asymmetry of the scapulae in relation to T3 (FERREIRA, 2011). The horizontal alignment of the head-C7 will be evaluated by the angle formed by C7 with the horizontal line and tragos (FERREIRA, 2011). As a reference value, since it is not described in the software, the angle of 46.62 ± 6.10° will be considered, according to the study by Silva et al. (2010). As results in the analysis by the software, the alignment values are given in angles, and in the anterior view in inclinations to the right (higher left side) the sign will be considered positive, while in inclinations to the left (higher right side) it will be considered as a negative sign. In profile view, the angle will be positive when in counterclockwise direction (FERREIRA, 2011);Expected outcome 2: Assess cervical function with the Neck Disability Index (NDI) Questionnaire. The patient is considered to be without disability when the result ranges from 0 to 4; with mild disability when the range is 5 to 14; with moderate disability when the range is 15 to 24; with severe disability when the range is 25 to 34; and with complete disability when the range is 35 to 50;Expected Outcome 3: To assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI). The scores of the items that make up the sleep questionnaire are summed to give an overall score ranging from 0 to 21, with 0 to 4 being good sleep quality, 5 to 10 being poor sleep quality, and > 10 being presence of sleep disturbance;Expected Outcome 4: To evaluate the | — |
Countries
Brazil
Contacts
Public ContactAna Paula Ferreira
Outcome results
None listed