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Estudo comparativo do ultrassom terapêutico e da tecarterapia no tratamento dos sinais e sintomas da disfunção temporomandibular
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Abstract(s)
A disfunção temporomandibular (DTM) está correlacionada com problemas surgindo da articulação assim como, com mudanças musculares e ligamentares envolventes. Objetivo: Realizar um estudo comparativo entre o uso de ultrassom e tecarterapia (TECAR) nos sinais e sintomas de uma DTM. Metodologia: A amostra foi constituída por 30 estudantes de Fisioterapia da Escola Superior de Saúde Fernando Pessoa entre os 20 e os 30 anos (22,00 ± 2 anos), aos quais foi aplicado o Índice de Helkimo (IH), Índice de Mobilidade Mandibular (IMM), a avaliação do limiar de dor através do uso do algómetro e a avaliação subjetiva da dor através da escala numérica da dor (END). Foram aleatoriamente divididos em três grupos, um submetido ao tratamento com ultrassom terapêutico, outro com TECAR e um último, de controlo, que não realizou qualquer intervenção. Resultados: Ambos os grupos de tratamento apresentaram melhorias significativas em todos os parâmetros avaliativos, ocorrendo uma diminuição da dor, um aumento do limiar de dor, assim como uma melhoria do IMM e IH, no entanto, no grupo controlo não se verificou qualquer alteração avaliativa. Conclusão: Os métodos terapêuticos ultrassom ou TECAR foram igualmente eficazes na redução dos sinais e sintomas da DTM, não havendo diferenças significativas entre eles.
Temporomandibular disorder (TMD) is correlated with problems arising from the joint as well as with surrounding muscle and ligament changes. Objective: To carry out a comparative study between the use of ultrasound and tecartherapy (TECAR) in the signs and symptoms of a TMD. Methodology: The sample consisted of 30 Physiotherapy students from Escola Superior de Saúde Fernando Pessoa between 20 and 30 years old (22.00 ± 2 years), to which the Helkimo Index (HI), Mandibular Mobility Index (MMI), the pain threshold assessment using the algometer and the subjective pain assessment using the numerical pain scale (NPS) were applied. They were randomly assigned into three groups, one undergoing treatment with therapeutic ultrasound, the other with TECAR and the last, control, which did not perform any intervention. Results: Both treatment groups showed significant improvements in all evaluative parameters, occurring a decrease in pain, an increase in the pain threshold, as well as an improvement in MMI and HI, however, in the control group there was no evaluative change. Conclusion: The ultrasound or TECAR therapeutic methods were equally effective in reducing the signs and symptoms of TMD, with no significant differences between them.
Temporomandibular disorder (TMD) is correlated with problems arising from the joint as well as with surrounding muscle and ligament changes. Objective: To carry out a comparative study between the use of ultrasound and tecartherapy (TECAR) in the signs and symptoms of a TMD. Methodology: The sample consisted of 30 Physiotherapy students from Escola Superior de Saúde Fernando Pessoa between 20 and 30 years old (22.00 ± 2 years), to which the Helkimo Index (HI), Mandibular Mobility Index (MMI), the pain threshold assessment using the algometer and the subjective pain assessment using the numerical pain scale (NPS) were applied. They were randomly assigned into three groups, one undergoing treatment with therapeutic ultrasound, the other with TECAR and the last, control, which did not perform any intervention. Results: Both treatment groups showed significant improvements in all evaluative parameters, occurring a decrease in pain, an increase in the pain threshold, as well as an improvement in MMI and HI, however, in the control group there was no evaluative change. Conclusion: The ultrasound or TECAR therapeutic methods were equally effective in reducing the signs and symptoms of TMD, with no significant differences between them.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Tecarterapia Ultrassom terapêutico Disfunção temporomandibular Sinais e sintomas Tecartherapy Therapeutic ultrasound Temporomandibular disorder Signs and symptoms