Background: The temporomandibular joint (TMJ) is certainly one of the most complex joints in the human body. The American Academy of Orofacial Pain defines temporomandibular joint disorder (TMD) as a set of disorders involving the masticatory muscles, the TMJ, and associated structures. It is pointed as the main cause of non-dental pain in the orofacial region, including head, face and related structures. The most common TMD symptoms involve joint, chewing and face pain. There may also be crackling when opening and closing the mouth, earache, tinnitus, dizziness, dislocations, limitation of movement and painful tenderness to palpation. Stroke causes sequelae in subjects that include motor disorders, speech or language disorders, and swallowing disorders. Approximately 50% of patients with hemiparesis after stroke are known to have facial control deficiency, weakened orofacial and mandibular functions. Objective: To evaluate patients with a history of stroke, seeking a possible relationship with TMD, the pain associated with this change, and the limitations of range of motion related to the presence of hemibody spasticity in patients post stroke. Methods: The sample consisted of 19 patients of both genders, aged 55 to 70 years, who had suffered stroke. It was used the RDC/TMD for TMD diagnosis, Pressure Pain Threshold test, Ashworth scale, and Sanny Fleximeter for cervical ROM evaluation, being the statistical analysis performed by the software Bioestat version 5.3. Results: TMD was diagnosed in 81.8% of the sample, and of these, 45.4% had a diagnosis of disc displacement with reduction. Conclusion: There was an increase in the muscle tone and the pressure pain threshold, and a decrease in cervical spine ROM, related to the affected side and diagnosed with this disorder, observing that the muscle alterations caused by stroke may be predisposing factors to patients, to the development of muscle TMD or even joint TMD.

Introduction: Motor development is a continuous process of motor behavior changes throughout life, allowing for movement control. Premature birth can affect this process, with a greater risk of delays in acquiring these skills. Objective: Compare motor development during the fundamental movement phase of preterm infants submitted to early stimulation and full-term babies. Methods: An analytical cross-sectional study with convenience sampling, performed with twenty 3-year-old children of both sexes, distributed into two groups: the preterm group (n = 10), which received physical therapy in the first months of life, and the term group (n = 10). Motor development stages were assessed between January and April 2013, using the Motor Development Scale (Escala de Desenvolvimento Motor - EDM) developed by Francisco Rosa Neto, with an average execution time of thirty minutes. Statistical analysis was performed using BioEstat 5.0 software, and the Shapiro-Wilk test was applied to verify data normality. A significance level of p ≤ 0.05 was adopted, analyzed using the Mann-Whitney test. Results: The term group exhibited significant differences in relation to the preterm group for the variables Fine and Gross Motor Skills, and Spatial and Temporal Awareness, with no differences in Balance and Body Scheme. Conclusion: Only the premature infants submitted to early intervention achieved normal levels of Balance and Body Scheme on the EDM Scale.

Introdução: O método Pilates tem possibilitado melhora da resistência muscular, flexibilidade e equilíbrio, no entanto, pouco se sabe sobre os efeitos na população jovem e em curtos períodos de treinamento. Objetivo: Verificar os efeitos do Pilates em mulheres jovens, sobre a resistência muscular do tronco, flexibilidade e equilíbrio. Métodos: Participaram da pesquisa dez voluntárias, com média de 22,5±1,80 anos. Avaliações pré- e pós-intervenção foram realizadas para resistência muscular dos flexores e extensores do tronco; flexibilidade do quadril em flexão e do tronco em flexão e extensão; e equilíbrio postural estático por meio de uma plataforma de força. As intervenções ocorreram com oito sessões de Pilates ao longo de quatro semanas. Resultados: Foi possível identificar melhora significativa (P

Introduction: Patient satisfaction is an important indicator of care quality and can be used to set goals and identify areas for improvement. Objective: To evaluate the satisfaction, quality of life and depressive symptoms of patients at the Uenp (State University of Northern Paraná) Physiotherapy teaching clinic. Method: Cross-sectional, quantitative descriptive study. Sixty-one patients completed a sociodemographic questionnaire, the “Instrument to assess patient satisfaction with physical therapy in the public health system”, the short-form-36 health survey (SF-36) to evaluate quality of life, and the Beck Depression Inventory (BDI) to determine the presence of depression. For statistical analysis, data were described using means and standard deviations, the Shapiro-Wilk test was applied to assess normality, and the variables were analyzed by Pearson’s correlation coefficient, with p ≤ 0.05 considered statistically significant. Results: The patient-therapist relationship was largely classified as “excellent”; the most common response for the item “respect and interest shown to patients” was also “excellent”. Patients scored well on the SF-36, indicating good quality of life; the highest scores were obtained in the “mental health” domain (65.04 ± 23.25). Regarding the depression, most patients (52.44%) displayed depressive symptoms. Correlation between satisfaction and the BDI showed a statistically significant difference in twelve dimensions. Comparison between the SF-36 and BDI indicated a statistically significant difference in eight domains. Conclusion: Patients are satisfied with the treatment received and the competence of the health care team at the clinic.

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Introdução. Distúrbios neurológicos são capazes de causar comprometimento no desempenho funcional, como a dificuldade da manutenção do equilíbrio, exigindo um tratamento a longo prazo, e a telereabilitação favorece a continuidade do tratamento à distância. Objetivo. Verificar se a telereabilitação é efetiva no treino de equilíbrio de pacientes com disfunção neurológica. Método. Trata-se de uma revisão de literatura, em que foi realizado busca nas bases de dados PubMed, Cochrane Library, Biblioteca Virtual de Saúde, Scielo e PEDro, no mês de setembro de 2020, sendo a busca atualizada em março de 2021. Resultados. Foram incluídos 7 ensaios clínicos controlados realizados entre 2004 e 2020. Para os desfechos de equilíbrio estático e dinâmico, dois estudos mostraram que o grupo de telereabilitação apresentou melhora superior do que o grupo controle, enquanto, os demais obtiveram efeitos semelhantes. Quando avaliado o nível de confiança de equilíbrio, apenas um de dois estudos apresentou melhoras significativas. Para a adesão e satisfação avaliada em três estudos, um obteve boa satisfação e dois não tiveram diferenças quanto ao grupo controle.  Conclusões. Telereabilitação é uma forma eficaz para o treinamento de equilíbrio de pacientes com disfunção neurológica, sendo uma opção viável, capaz de gerar benefícios similares ao da fisioterapia convencional.

Introduction:The ankle and foot are responsible for the support base of the whole body and variations in the foot posture influences the function of lower limbs. Objective: To observe whether there is a relationship between the isokinetic peak torque of ankle muscles with different types of foot. Method: The sample consisted of 32 volunteers, divided intentionally into 3 groups (normal, flat and cavus) according to the classification of the type of foot. They were evaluated in an isokinetic dynamometer Biodex 4 Medical Systems  , for analysis of ankle muscles peak torque in flexion and dorsal plantar, inversion and eversion in concentric contraction at 30 and 60°/s speeds. Results: There was positive moderate correlation between cavus group and the inversion peak torque in the dominant lower limb and negative moderate correlation on the not dominant lower limb. The flat foot group presented correlation with peak torque in the plantar flexion movement at a speed of 30°/s in non-dominant leg, which was negative moderate correlation. The normal foot group was correlated with peak torque of dorsiflexion movement in the dominant lower limb on 60 °/s speed and the non-dominant leg on 30°/s, been negative moderate correlations. Conclusion: The foot types were correlated with the ankle muscles, showing that alterations on the position of the feet, the ankle muscle strength changes depending on it.