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Publication
A eficácia do método de reeducação postural global em doentes com disfunção temporomandibular: revisão de literatura
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_29253 | 207.57 KB | Adobe PDF |
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Advisor(s)
Abstract(s)
Objetivo: Realizar uma revisao bibliográfica para tentar perceber os efeitos dos tratamentos com técnicas baseadas
na reeducação postural global (RPG), em indivíduos com diagnóstico de disfunção temporo mandibular (DTM).
Metodologia: Pesquisa nas bases de dados da PubMed, PEDro, Scielo, Ebsco e Cochrane library para conhecer
os resultados e os aconselhamentos dos autores que utilizaram a técnica sobre uma amostra com DTM. Critérios
de inclusão: estudos publicados com um limite temporal de 10 anos (2007 e 2017), com idioma em Inglês e
português, sobre estudos randomizados controlados e não randomizados, em humanos, onde foi utilizado o método
de RPG em doentes com disfunção da ATM. Critérios de exclusão: foram removidos estudos em que os doentes
com disfunção da ATM são tratados por técnicas que não sejam de exercícios de reeducação postural global ou
alongamentos globais e estudos que utilizaram terapias combinadas, onde efetuaram programas de exercícios em
complemento com outras técnicas de Fisioterapia não manuais. Resultados: A presente revisão da literatura inclui
uma totalidade de 5 estudos, 4 randomizados controlados e 1 não randomizado (quase experimental). Para além de
modalidades relacionadas com a RPG, são abordadas outras terapêuticas, como PNF, indução miofascial,
compressão isquémica, alongamento estático e técnicas de relaxamento combinada com respiração controlada.
Conclusão: O método de RPG para DTM apresenta várias vantagens, principalmente em doentes com desvios
posturais ou com DTM miogénica, podendo também ser utilizado de forma preventiva. Contudo, esta modalidade
deverá ser utilizada segundo os objetivos dos doentes e suas limitações físicas, associando assim um programa de
exercício terapêutico continuado, entretanto constatamos pouca concordância no que diz respeito aos tempos
terapêuticos para os vários indivíduos.
Objetive: To perform a literature review to try to understand the effects of treatments with techniques based on global postural reeducation (GPR) in individuals with a diagnosis of temporomandibular joint dysfunction (TMD) Method: Search the databases of PubMed, PEDro, Scielo, Ebsco and Cochrane library to know the results and the advice of the authors who used the technique on a sample with TMD. Inclusion criteria: published studies with a 10 year time limit (2007 and 2017), with English and Portuguese language, on randomized controlled and nonrandomized studies in humans, where the RPG method was used in patients with TMJ dysfunction . Exclusion criteria: studies were removed in which patients with TMD dysfunction are treated by techniques other than postural global exercises or global stretches and studies using combined therapies where they performed exercise programs in addition to other non-manual physiotherapy techniques. Results: The present review of the literature includes a total of 5 studies, 4 randomized controlled and 1 non-randomized (almost experimental). In addition to RPG-related modalities, other therapies such as PNF, myofascial induction, ischemic compression, static stretching, and relaxation techniques combined with controlled breathing are discussed. Conclusion: Based on these review studies, the RPG method for TMD has several advantages, especially in patients with postural deviations or with myogenic TMD, otherwise it may be used in a preventive manner. However, this modality should be used secondarily to the patients' goals and their physical limitations, thus associating a program of continuous therapeutic exercise, although there is little agreement as to the therapeutic times for individuals.
Objetive: To perform a literature review to try to understand the effects of treatments with techniques based on global postural reeducation (GPR) in individuals with a diagnosis of temporomandibular joint dysfunction (TMD) Method: Search the databases of PubMed, PEDro, Scielo, Ebsco and Cochrane library to know the results and the advice of the authors who used the technique on a sample with TMD. Inclusion criteria: published studies with a 10 year time limit (2007 and 2017), with English and Portuguese language, on randomized controlled and nonrandomized studies in humans, where the RPG method was used in patients with TMJ dysfunction . Exclusion criteria: studies were removed in which patients with TMD dysfunction are treated by techniques other than postural global exercises or global stretches and studies using combined therapies where they performed exercise programs in addition to other non-manual physiotherapy techniques. Results: The present review of the literature includes a total of 5 studies, 4 randomized controlled and 1 non-randomized (almost experimental). In addition to RPG-related modalities, other therapies such as PNF, myofascial induction, ischemic compression, static stretching, and relaxation techniques combined with controlled breathing are discussed. Conclusion: Based on these review studies, the RPG method for TMD has several advantages, especially in patients with postural deviations or with myogenic TMD, otherwise it may be used in a preventive manner. However, this modality should be used secondarily to the patients' goals and their physical limitations, thus associating a program of continuous therapeutic exercise, although there is little agreement as to the therapeutic times for individuals.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Global postural reeducation Postural therapy Physiotherapy TMJ disfunction ATM disorder Craneo-cervico-mandibular disfunction