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Eficácia da terapia manual versus punção seca em desordens temporomandibulares: a propósito de um caso clínico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_38957 | 4.52 MB | Adobe PDF |
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Abstract(s)
As desordens temporomandibulares (DTM) referem-se às condições que afetam a articulação temporomandibular (ATM) e as estruturas adjacentes, como os músculos circundantes, podendo causar dor miofascial e cefaleias, bem como disfunção nos movimentos mandibulares. A sua etiologia inclui fatores como stress, apertamento dentário parafuncional e más posturas. O diagnóstico e tratamento envolvem abordagens multidisciplinares, incluindo fisioterapia, terapia medicamentosa e, em vários casos, intervenções médico-dentárias. A terapia manual e o agulhamento seco são duas abordagens frequentemente utilizadas para aliviar as dores musculares e articulares.
Objetivo: Avaliar a eficácia, rapidez e comodidade percebida pelo paciente na melhoria da dor e na restauração da cinemática mandibular, comparando as duas técnicas de fisioterapia em casos de DTM.
Materiais e Métodos: Foram comparadas abordagens terapêuticas manuais, como massagem, mobilização e alongamento, com a técnica de punção seca, sem a utilização de produtos associados. Após a seleção criteriosa dos pacientes e obtenção do consentimento informado, garantindo a natureza voluntária da participação, e com base numa revisão integrativa da literatura sobre o tema, este estudo descreve os resultados obtidos após a aplicação de cada uma das terapias no tratamento de um caso clínico de DTM, utilizando informações clínicas obtidas durante consultas nas Clínicas Pedagógicas de Medicina Dentária (CPMD) da Faculdade de Ciências da Saúde da Universidade Fernando Pessoa (FCS-UFP).
Resultados: Ambas as técnicas demonstraram benefícios. A punção seca parece mostrar um potencial maior para proporcionar alívio rápido e eficaz, sendo, no entanto, referida como mais dolorosa. A escolha da melhor técnica deve ser baseada nas necessidades e na tolerabilidade individual de cada paciente.
Conclusão: Os resultados indicam que ambas as terapias podem ser eficazes no alívio da dor e na melhoria da função mandibular em pacientes com DTM, sendo essencial uma abordagem individualizada para cada paciente.
Introduction: Temporomandibular disorders (TMD) refer to conditions that affect the temporomandibular joint (TMJ) and adjacent structures, such as the surrounding muscles, and can cause myofascial pain, headaches, and dysfunction in jaw movements. Its etiology includes stress, parafunctional dental clenching, and poor posture. Diagnosis and treatment involve multidisciplinary approaches, including physiotherapy, drug therapy, and in several cases, medical-dental interventions. Manual therapy and dry needling are two treatment approaches frequently used to relieve muscle and joint pain. Objective: To evaluate the effectiveness, speed, and convenience perceived by patients in improving pain and restoring mandibular kinematics in cases of TMD, comparing two different physiotherapy techniques. Materials and Methods: Therapeutic approaches included manual techniques such as massage, mobilization, and stretching, compared to the dry needling technique without the use of associated products. After careful patient selection and obtaining informed consent, ensuring voluntary participation, and based on an integrative literature review on the subject, this study describes the results obtained after applying each therapy in the treatment of a clinical case of TMD using clinical information obtained from consultations at the Dental Medicine Pedagogical Clinics (DMPD) of the Faculty of Health Sciences of Fernando Pessoa University (FHS-FPU). Results: Both techniques showed benefits. Dry needling appears to have greater potential for providing quick and effective relief, although it was also reported to be more painful. The choice of the best technique should be based on the individual needs and tolerability of each patient. Conclusion: The results indicate that both therapies can be effective in pain relief and improving mandibular function in patients with TMD, highlighting the importance of an individualized approach for each patient.
Introduction: Temporomandibular disorders (TMD) refer to conditions that affect the temporomandibular joint (TMJ) and adjacent structures, such as the surrounding muscles, and can cause myofascial pain, headaches, and dysfunction in jaw movements. Its etiology includes stress, parafunctional dental clenching, and poor posture. Diagnosis and treatment involve multidisciplinary approaches, including physiotherapy, drug therapy, and in several cases, medical-dental interventions. Manual therapy and dry needling are two treatment approaches frequently used to relieve muscle and joint pain. Objective: To evaluate the effectiveness, speed, and convenience perceived by patients in improving pain and restoring mandibular kinematics in cases of TMD, comparing two different physiotherapy techniques. Materials and Methods: Therapeutic approaches included manual techniques such as massage, mobilization, and stretching, compared to the dry needling technique without the use of associated products. After careful patient selection and obtaining informed consent, ensuring voluntary participation, and based on an integrative literature review on the subject, this study describes the results obtained after applying each therapy in the treatment of a clinical case of TMD using clinical information obtained from consultations at the Dental Medicine Pedagogical Clinics (DMPD) of the Faculty of Health Sciences of Fernando Pessoa University (FHS-FPU). Results: Both techniques showed benefits. Dry needling appears to have greater potential for providing quick and effective relief, although it was also reported to be more painful. The choice of the best technique should be based on the individual needs and tolerability of each patient. Conclusion: The results indicate that both therapies can be effective in pain relief and improving mandibular function in patients with TMD, highlighting the importance of an individualized approach for each patient.
Description
Keywords
Dor miofascial Terapia manual Desordem temporomandibular Agulhamento seco profundo Ponto gatilho Ensaio controlado randomizado Myofascial pain Manual therapy Temporomandibular disorder Deep dry needling Trigger point Randomized controlled trial