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Prevalência de sintomas autorreportados de disfunção temporomandibular em músicos de sopro de madeira: estudo observacional transversal
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| Projeto de pós-graduação_42688 | 2.16 MB | Adobe PDF |
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Abstract(s)
O objetivo deste estudo foi avaliar a prevalência de sintomas autorreportados de disfunção temporomandibular, dor cervical e cefaleia em músicos de instrumentos de sopro de madeira (grupo de estudo) comparando com um grupo controlo composto por músicos que tocam instrumentos que não exercem sobrecarga no aparelho estomatognático (violoncelo, percussão e teclas).
Este estudo epidemiológico de tipo observacional e de natureza transversal recebeu parecer positivo da Comissão de Ética da Universidade Fernando Pessoa (FCS/PI-486/23-2). Incluiu uma amostra não probabilística de músicos adultos provenientes de diferentes contextos musicais (escolas de música, conservatórios, bandas, tunas académicas) portuguesas e italianas.
Foi proposto a todos os participantes o autopreenchimento de um questionário online baseado na versão portuguesa e italiana do “Symptom Questionnaire” (SQ) do Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), incluindo o Oral Behaviors Checklist, traduzida e com equivalência cultural para a língua portuguesa aprovada pelo International RDC/TMD Consortium. O questionário incluiu também perguntas sociodemográficas (idade e género), outras próprias da atividade musical (instrumento que toca, número médio de horas de estudo por dia nos últimos 30 dias e anos de experiência musical), hábitos de aquecimento, intervalos de estudo e hábitos de exercício físico.
Os resultados demonstraram uma prevalência significativamente superior de “dor na mandíbula, na fonte, no ouvido ou à frente do ouvido, em algum dos lados” autorreportada no grupo de instrumentos de sopro de madeira (33,3%) comparativamente com o grupo controlo (20,5%, p-value = 0,011). Também se verificou uma intensidade mediana significativamente maior da dor nessa localização nos últimos 30 dias (3 vs. 2, p-value = 0,005), na pior dor sentida nesse período (4 vs. 3, p-value = 0,042) e na dor no momento da resposta ao questionário (1 vs. 0, p-value = 0,009).
Os músicos de sopro de madeira relataram que a prática do instrumento aumentava essa dor numa proporção maior do que a do grupo controlo (p-value = 0,001). Os fatores de risco associados à “dor na mandíbula, na fonte, no ouvido ou à frente do ouvido” foram o estado de depressão constante (OR = 2,614; IC95%: 1,188-5,751; p-value = 0,017) e a presença de comportamentos orais (OR = 1,176; IC95%: 1,073-1,289; p-value = 0,001). O aumento do número de comportamentos orais demonstrou ser um fator de risco para a “dor no pescoço e/ou no(s) ombro(s)” (OR = 1,143; IC95%: 1,05-1,244; p-value = 0,002). Por outro lado, o aumento do número de anos de prática musical revelou ser um fator de proteção significativo contra a “dor de cabeça” (OR = 0,967; IC95%: 0,944-0,991; p-value = 0,007).
Conclui-se que os músicos de sopro de madeira são mais suscetíveis a desenvolver “dor na mandíbula, na fonte, no ouvido ou à frente do ouvido” relativamente ao grupo controlo.
The objective of this study was to evaluate the prevalence of self-reported symptoms of temporomandibular dysfunction, neck pain, and headache in woodwind instrument musicians (study group) compared to a control group composed of musicians who play instruments that do not exert overload on the stomatognathic system (cello, percussion, and keyboard). This observational, cross-sectional epidemiological study received positive approval from the Ethics Committee of Fernando Pessoa University (FCS/PI-486/23-2). It included a non-probabilistic sample of adult musicians from various musical contexts (music schools, conservatories, bands, academic tunas) from Portugal and Italy. All participants were asked to self-complete an online questionnaire based on the Portuguese and Italian versions of the “Symptom Questionnaire” (SQ) of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), including the Oral Behaviors Checklist, translated and with cultural equivalence to the Portuguese language approved by the International RDC/TMD Consortium. The questionnaire also included sociodemographic questions (age and gender), other questions specific to musical activity (instrument played, average number of hours of study per day in the last 30 days, and years of musical experience), warm-up habits, study intervals, and physical exercise habits. The results obtained demonstrated a significantly higher prevalence of “pain in the jaw, temple, ear, or in front of the ear on either side” self-reported in the woodwind instrument group (33.3%) compared to the control group (20.5%, p-value = 0.011). Additionally, there was a significantly higher median intensity of pain in this location in the last 30 days (3 vs. 2, p-value = 0.005), the worst pain felt during this period (4 vs. 3, p-value = 0.042), and the pain at the time of the questionnaire response (1 vs. 0, p-value = 0.009). Woodwind musicians reported that playing the instrument increased this pain more than the control group (p-value = 0.001). The risk factors associated with “pain in the jaw, temple, ear, or in front of the ear” were a constant state of depression (OR = 2.614; IC95%: 1.188-5.751; p-value = 0.017) and the presence of oral behaviors (OR = 1.176; IC95%: 1.073-1.289; p-value = 0.001). The increase in the number of oral behaviors was also a significant risk factor for “neck and/or shoulder pain” (OR = 1.143; IC95%: 1.05-1.244; p-value = 0.002). Conversely, the increase in years of musical practice was a significant protective factor against “headache” (OR = 0.967; IC95%: 0.944-0.991; p-value = 0.007). It is concluded that woodwind musicians are more susceptible to developing “pain in the jaw, temple, ear, or in front of the ear” compared to the control group.
The objective of this study was to evaluate the prevalence of self-reported symptoms of temporomandibular dysfunction, neck pain, and headache in woodwind instrument musicians (study group) compared to a control group composed of musicians who play instruments that do not exert overload on the stomatognathic system (cello, percussion, and keyboard). This observational, cross-sectional epidemiological study received positive approval from the Ethics Committee of Fernando Pessoa University (FCS/PI-486/23-2). It included a non-probabilistic sample of adult musicians from various musical contexts (music schools, conservatories, bands, academic tunas) from Portugal and Italy. All participants were asked to self-complete an online questionnaire based on the Portuguese and Italian versions of the “Symptom Questionnaire” (SQ) of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), including the Oral Behaviors Checklist, translated and with cultural equivalence to the Portuguese language approved by the International RDC/TMD Consortium. The questionnaire also included sociodemographic questions (age and gender), other questions specific to musical activity (instrument played, average number of hours of study per day in the last 30 days, and years of musical experience), warm-up habits, study intervals, and physical exercise habits. The results obtained demonstrated a significantly higher prevalence of “pain in the jaw, temple, ear, or in front of the ear on either side” self-reported in the woodwind instrument group (33.3%) compared to the control group (20.5%, p-value = 0.011). Additionally, there was a significantly higher median intensity of pain in this location in the last 30 days (3 vs. 2, p-value = 0.005), the worst pain felt during this period (4 vs. 3, p-value = 0.042), and the pain at the time of the questionnaire response (1 vs. 0, p-value = 0.009). Woodwind musicians reported that playing the instrument increased this pain more than the control group (p-value = 0.001). The risk factors associated with “pain in the jaw, temple, ear, or in front of the ear” were a constant state of depression (OR = 2.614; IC95%: 1.188-5.751; p-value = 0.017) and the presence of oral behaviors (OR = 1.176; IC95%: 1.073-1.289; p-value = 0.001). The increase in the number of oral behaviors was also a significant risk factor for “neck and/or shoulder pain” (OR = 1.143; IC95%: 1.05-1.244; p-value = 0.002). Conversely, the increase in years of musical practice was a significant protective factor against “headache” (OR = 0.967; IC95%: 0.944-0.991; p-value = 0.007). It is concluded that woodwind musicians are more susceptible to developing “pain in the jaw, temple, ear, or in front of the ear” compared to the control group.
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Keywords
Disfunção temporomandibular Músicos Dor orofacial Instrumentos de sopro de madeira Temporomandibular dysfunction Musicians Orofacial pain Woodwind instruments