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Prevalência dos sintomas autorreportados de disfunção temporomandibular em músicos de sopro metálicos: estudo observacional transversal
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| Projeto de pós-graduação_39647 | 1.45 MB | Adobe PDF |
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Abstract(s)
O presente estudo epidemiológico observacional de natureza transversal teve como objetivo a avaliação da prevalência dos sintomas auto-reportados de DTM, dor cervical e cefaleia, bem como os possíveis fatores de risco e de proteção em músicos de sopro da categoria de metais, comparando-os com um grupo-controlo com músicos que tocam outros instrumentos musicais. Este estudo foi aprovado pela Comissão de Ética da Faculdade de Ciências da Universidade Fernando Pessoa e incluiu uma amostra de conveniência de músicos maiores de idade com nacionalidade portuguesa e italiana pertencentes a vários contextos musicais. Os participantes, de forma voluntária, responderam a um questionário online com 36 questões, que se baseou no inquérito “ACTA Questionnaire” e o “Symptom Questionnaire” (SQ) do DC/TMD, incluindo o Oral Behaviors Checklist, traduzido e com equivalência cultural para a língua portuguesa, com aprovação do International Research Diganostic Criteria for Temporomandibular Disorders (RDC/TDM) Consortium. Os dados recolhidos dos questionários foram exportados para o Excel e organizados e a análise foi executada através do IBM© SPSS® Statistics vs. 29.0 (IBM Corp. released 2022, Armonk, NY, USA: IBM Corp.). Os resultados deste estudo demonstraram que a intensidade de dor na “mandíbula, na fonte, no ouvido ou à frente do ouvido, e algum dos lados” relatada foi significativamente mais elevada (p = 0,026) no grupo de sopro de metais, com uma mediana de 4 (Q1-Q3: 2-5) do que no grupo-controlo, com uma mediana de 2 (Q1-Q3: 1-3). No que diz respeito aos fatores de risco, a faixa etária de músicos mais jovens (18-24 anos) apresentou uma maior tendência de risco para a manifestação de dor nos três grupos anatómicos, enquanto a faixa etária dos 25 aos 60 anos apresentou uma tendência para a redução do risco. A falta de interesse nas atividades apresentou um OR de 3,400 (IC95%: 1,191-9,709, p = 0,022), sugerindo uma associação positiva entre mudanças no estado emocional e o risco de aparecimento de dor na região do pescoço e/ou ombros. Para o grupo de manifestação de cefaleia na análise univariada, o OR foi de 1,398 (IC95%: 1,161-1,683, p < 0,001) e na análise multivariada, o OR foi de 1,305 (IC95%: 1,073-1,587, p = 0,008) para cada ponto adicional de stress sentido durante a vida diária. O número de comportamentos orais obteve uma associação estatisticamente significativa, tanto na análise univariada quanto na multivariada, para a manifestação de dor na “mandíbula, na fonte, no ouvido ou à frente do ouvido, em algum dos lados”, “de cabeça” e no “pescoço e/ou ombros”. Em conclusão, os músicos são considerados um grupo vulnerável ao estabelecimento de dores músculo-esqueléticas devido à adoção de más posturas e à sobrecarga das estruturas orofocais e cervicais.
The present cross-sectional observational epidemiological study aimed to evaluate the prevalence of self-reported symptoms of TMD, neck pain and headache, as well as possible risk and protective factors in wind musicians in the brass category, comparing them with a control group with musicians who play other musical instruments. This study was approved by the Ethics Committee of the Faculty of Sciences of the Fernando Pessoa University and included a convenience sample of overage musicians of Portuguese and Italian nationality belonging to various musical contexts. Participants voluntarily answered an online questionnaire with 36 questions, which was based on the “ACTA Questionnaire” survey and the DC/TMD “Symptom Questionnaire” (SQ), including the Oral Behaviors Checklist, translated and with cultural equivalence for the Portuguese language, with approval from the International Research Diginostic Criteria for Temporomandibular Disorders (RDC/TDM) Consortium. The data collected from the questionnaires were exported to Excel and organized and the analysis was performed using IBM© SPSS® Statistics vs. 29.0 (IBM Corp. released 2022, Armonk, NY, USA: IBM Corp.). The results of this study demonstrated that the intensity of pain reported in the “jaw, at the source, in the ear or in front of the ear, and on either side” was significantly higher (p = 0.026) in the brass group, with a median of 4 (Q1-Q3: 2-5) than in the control group, with a median of 2 (Q1-Q3: 1-3). With regard to risk factors, the younger musicians' age group (18-24 years old) showed a greater risk tendency for the manifestation of pain in the three anatomical groups, while the 25 to 60 years old age group showed a higher risk trend to reduce risk. Lack of interest in activities had an OR of 3.400 (95% CI: 1.191-9.709, p = 0.022), suggesting a positive association between changes in emotional state and the risk of developing pain in the neck and/or shoulder region. For the headache manifestation group in the univariate analysis, the OR was 1.398 (95%CI: 1.161-1.683, p < 0.001) and in the multivariate analysis, the OR was 1.305 (95%CI: 1.073-1.587, p = 0.008) for each additional point of stress felt during daily life. The number of oral behaviors obtained a statistically significant association, both in univariate and multivariate analysis, for the manifestation of pain in the “jaw, at the source, in the ear or in front of the ear, on either side”, “in the head” and on the “neck and/or shoulders”. In conclusion, musicians are considered a vulnerable group to the onset of musculoskeletal pain due to the adoption of poor postures and the overload of orofocal and cervical structures.
The present cross-sectional observational epidemiological study aimed to evaluate the prevalence of self-reported symptoms of TMD, neck pain and headache, as well as possible risk and protective factors in wind musicians in the brass category, comparing them with a control group with musicians who play other musical instruments. This study was approved by the Ethics Committee of the Faculty of Sciences of the Fernando Pessoa University and included a convenience sample of overage musicians of Portuguese and Italian nationality belonging to various musical contexts. Participants voluntarily answered an online questionnaire with 36 questions, which was based on the “ACTA Questionnaire” survey and the DC/TMD “Symptom Questionnaire” (SQ), including the Oral Behaviors Checklist, translated and with cultural equivalence for the Portuguese language, with approval from the International Research Diginostic Criteria for Temporomandibular Disorders (RDC/TDM) Consortium. The data collected from the questionnaires were exported to Excel and organized and the analysis was performed using IBM© SPSS® Statistics vs. 29.0 (IBM Corp. released 2022, Armonk, NY, USA: IBM Corp.). The results of this study demonstrated that the intensity of pain reported in the “jaw, at the source, in the ear or in front of the ear, and on either side” was significantly higher (p = 0.026) in the brass group, with a median of 4 (Q1-Q3: 2-5) than in the control group, with a median of 2 (Q1-Q3: 1-3). With regard to risk factors, the younger musicians' age group (18-24 years old) showed a greater risk tendency for the manifestation of pain in the three anatomical groups, while the 25 to 60 years old age group showed a higher risk trend to reduce risk. Lack of interest in activities had an OR of 3.400 (95% CI: 1.191-9.709, p = 0.022), suggesting a positive association between changes in emotional state and the risk of developing pain in the neck and/or shoulder region. For the headache manifestation group in the univariate analysis, the OR was 1.398 (95%CI: 1.161-1.683, p < 0.001) and in the multivariate analysis, the OR was 1.305 (95%CI: 1.073-1.587, p = 0.008) for each additional point of stress felt during daily life. The number of oral behaviors obtained a statistically significant association, both in univariate and multivariate analysis, for the manifestation of pain in the “jaw, at the source, in the ear or in front of the ear, on either side”, “in the head” and on the “neck and/or shoulders”. In conclusion, musicians are considered a vulnerable group to the onset of musculoskeletal pain due to the adoption of poor postures and the overload of orofocal and cervical structures.
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Keywords
Disfunções da articulação temporomandibular Músicos Dor orofacial Instrumentos de sopro metal Instrumentos de sopro Disfunções temporomandibulares Temporomandibular joint disorders Musicians Orofacial pain Brass Wind instruments Temporomandibular disorders