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O impacto do uso da goteira na presença de sinais e sintomas em atletas de karaté: estudo observacional
| Nome: | Descrição: | Tamanho: | Formato: | |
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| Projeto de graduação_42484 | 2.32 MB | Adobe PDF |
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Introdução: O karaté é um desporto de combate que exige proteção orofacial, sendo a goteira obrigatória em competição. O seu uso prolongado pode estar associado a dor ao nível da articulação temporomandibular (ATM), cefaleias e região cervical. Objetivo: Avaliar o impacto do uso da goteira na presença de sinais e sintomas ao nível da ATM, cabeça, pescoço/nuca e na severidade da disfunção temporomandibular (DTM) em atletas de karaté de competição. Metodologia: Estudo observacional transversal, com 54 atletas federados da zona do Porto (16 a 48 anos), 29 do sexo masculino e 25 do sexo feminino. Foi utilizado um questionário sociodemográfico, o Questionário Anamnésico de Fonseca e questões sobre dor e hábitos de uso da goteira. Resultados: A DTM esteve presente em 59,3% dos participantes. A ATM foi a região com mais dor referida, seguida da cabeça. Não houve associações significativas entre dor e uso da goteira no treino. No entanto, observou-se correlação entre horas semanais de uso e dor pescoço/nuca (ρ=0.343; p=0.011), confirmada por regressão logística (OR=1.95; p=0.040). Conclusão: Embora protetora, a goteira pode associar-se a sintomas cervicais quando usada prolongadamente. Recomenda-se adaptação individual e acompanhamento especializado.
Introduction: Karate is a combat sport that requires orofacial protection, with the use of a mouthguard being mandatory during competition. Prolonged use may be associated with pain in the temporomandibular joint (TMJ), headaches, and the cervical region. Objective: To assess the impact of mouthguard use on the presence of signs and symptoms in the TMJ, head, neck, and on the severity of temporomandibular disorder (TMD) in competitive karate athletes. Methods: This was a cross-sectional observational study involving 54 federated athletes from the Porto area (ages 14–47; mean 23.74 ± 8.52), including 29 males (53.7%) and 25 females (46.3%). A sociodemographic questionnaire, the Fonseca Anamnestic Index, and specific questions on pain and mouthguard use were applied. Results: TMD was present in 59.3% of participants. The TMJ was the most frequently reported pain site, followed by the head. No significant associations were found between mouthguard use during training and pain symptoms. However, a significant correlation was observed between weekly mouthguard use and cervical pain (ρ=0.343; p=0.011), confirmed by logistic regression (OR=1.95; p=0.040). Conclusion: Although essential for orofacial protection, prolonged use of a mouthguard may be linked to cervical symptoms. Individual customization and professional follow-up are recommended.
Introduction: Karate is a combat sport that requires orofacial protection, with the use of a mouthguard being mandatory during competition. Prolonged use may be associated with pain in the temporomandibular joint (TMJ), headaches, and the cervical region. Objective: To assess the impact of mouthguard use on the presence of signs and symptoms in the TMJ, head, neck, and on the severity of temporomandibular disorder (TMD) in competitive karate athletes. Methods: This was a cross-sectional observational study involving 54 federated athletes from the Porto area (ages 14–47; mean 23.74 ± 8.52), including 29 males (53.7%) and 25 females (46.3%). A sociodemographic questionnaire, the Fonseca Anamnestic Index, and specific questions on pain and mouthguard use were applied. Results: TMD was present in 59.3% of participants. The TMJ was the most frequently reported pain site, followed by the head. No significant associations were found between mouthguard use during training and pain symptoms. However, a significant correlation was observed between weekly mouthguard use and cervical pain (ρ=0.343; p=0.011), confirmed by logistic regression (OR=1.95; p=0.040). Conclusion: Although essential for orofacial protection, prolonged use of a mouthguard may be linked to cervical symptoms. Individual customization and professional follow-up are recommended.
Descrição
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia.
Palavras-chave
Disfunção temporomandibular Goteira Dor pescoço/nuca Dor cabeça Fisioterapia Sinais e sintomas Temporomandibular disorder Mouthguard Neck pain Headache Physiotherapy Signs and symptoms