Fisioterapia
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Navegando Fisioterapia por Autor "Agostini, Giulia Favretto"
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Artigo Científico Acesso fechado Fisioterapia articular analítica e reorganização miofascial nas disfunções temporomandibulares: série de casos(2019) Agostini, Giulia Favretto; Scheidt, Larissa IndianaIntroduction: Temporomandibular dysfunction (TMD) is defined as a range of clinical problems involving temporomandibular joint (TMJ), chewing muscles and other associated structures, generating pain, decreased mouth opening and cracking. Manual therapy is a resource used to treat this dysfunction and includes techniques such as analytical joint physiotherapy (FAA) and myofascial reorganization. Objective: To evaluate and compare mandibular pain and range of motion before and after physiotherapeutic intervention with FAA and RMF protocols in patients with TMD. Methodology: The sample consisted of 10 individuals, randomly assigned to two groups (Group 1: FAA, Group 2: FMR), treated during six 20-minute interventions each, twice a week. The instruments used for the evaluation of the patients were: Research Diagnostic Criteria for Temporomandibular Disorders, Craniomandibular Clinical Dysfunction Index, Questionnaire for evaluation of temporomandibular dysfunction recommended by the American Academy of Orofacial Pain, Questionnaire and Index Functional Limitation Mandibular, SF-36, in addition to the Visual Scale Analog to pain and goniometer to measure the range of motion (WMD). Results: The FAA increased the mouth opening ROM by 70% (p = 0.017) and the right (p = 0.006) and left (p = 0.002) excursion movement, with a significant improvement of 46%. Pain, during rest and movement, did not show a statistically significant improvement. The group that received the FMR intervention showed increased ROM and decreased pain, but no significant value was obtained. Conclusion: The FAA improved the ROM of patients with TMD. Further studies with the two intervention techniques are suggested, since it is believed that the FAA is more beneficial for the improvement of joint problems and the FMR more adequate for myofascial dysfunctions.