OBJETIVO: Avaliar os resultados do tratamento fisioterapêutico em pacientes com disfunção temporomandibular (DTM). MATERIAS E MÉTODOS: Foram coletados dados dos prontuários de uma Clínica Universitária de Fisioterapia na cidade de Fortaleza. Os itens avaliados nos prontuários foram idade, gênero, ocupação, queixa principal, doenças associadas e tratamentos prévios. RESULTADOS: A predominância dos pacientes foi do gênero feminino (76,5%) e estudantes universitários da instituição. Entre as principais queixas encontram-se dor na ATM e músculos mastigatórios, ruídos da ATM, limitação para abertura bucal e cefaléia. Em associação à DTM, foram encontradas principalmente alterações posturais e fibromialgia. Correções ortodônticas e uso de placas foram os tratamentos odontológicos mais realizados pelos pacientes. Mais da metade dos pacientes obtiveram melhoras significativas, como: redução da dor muscular e na ATM, aumento da amplitude de movimento, ajustes posturais, diminuição dos estalidos e da cefaleia. CONCLUSÃO: A intervenção fisioterapêutica foi decisiva para o controle dos sintomas e prevenção de agravos, proporcionando uma melhora da funcionalidade.
Osteosarcoma (OS) is a malignant neoplasia that affects the bone tissue with no known cause. It most commonly affects the appendicular skeleton, mainly the femur and tibia bones, in children and adolescents. The surgery treatment consists of a resection of the tumor or amputation of the affected limb, associated with chemotherapy. The earlier it is diagnosed and treated, and the smaller it is, the better the prognosis will be. Objective: The main objective of this study was to present the clinical characteristics and epidemiology of adolescent patients from the Ceará Cancer Hospital (HCC) in the city of Fortaleza. Clinical and epidemiologic data about these patients, who ranged from the age of 10 to 19 years old, was investigated in order to fulfill our objectives with this study. Method: A retrospective cohort study was developed gathering information from patients' charts from the above-mentioned hospital from the period of January 2006 to December 2007. The data was collected through a semi-structured form that consisted of questions that appraised both the clinical and epidemiological characteristics of the patients, as well as the demographic data. After selecting 29 cases, only 26 were used for the analysis due to either incomplete information, abandonment of treatment, or hospital transference. Results: Our results show that Osteosarcoma was found to be more frequent in male patients (57.7%), in patients between 10 and 15 years old (73.1%), in afro-descendant patients (50%), and in patients that came from more rural areas (73.1%). This study also shows that 30.8% of the patients presented a family history of cancer. The symptom that these patients seemed to have in common was pain (24 patients), followed by an increase of local volume (20 patients), and previous trauma (8 patients). The femur bone was affected in 65.4% of the cases, with occurrence of metastasis (76.9%), almost always during the diagnosis and with the majority (15 patients) to the lungs. The treatment consisted of chemotherapy (96.2%) associated with the surgical resection (69.2%) and amputation (73.1%) or limb replacement. Other treatments such as Physical Therapy were prescribed in 42.3% of the cases, mostly during post-surgery (23.1%), and generally just to treat the complications. Conclusion: This study suggests that the common profile of a patient with Osteosarcoma is male, afro-descendant, coming from the more rural areas and presenting a family history of cancer. In conclusion, this study suggests the importance of knowledge about both clinical and epidemiological characteristics of Osteosarcoma patients, so that there is more regard from health professionals concerning multidisciplinary teamwork at the time of the diagnosis.
Nos últimos anos a busca por princípios ativos que ajudem no processo de cicatrização impulsionam o uso de fitoterápicos. Os óleos essenciais apresentam diferentes propriedades, entre elas, efeitos antiinflamatório, bactericida, antisséptico, hidratante e cicatrizante. O objetivo foi identificar o uso de óleos essenciais na cicatrização de feridas. Trata-se de uma revisão integrativa de literatura indexadas nas bases de dados LILACS, Medline, PEDro, PubMed e SciELO. A coleta de dados ocorreu entre maio e junho de 2019. A amostra constituiu-se de 11 artigos publicados entre os anos 2012 e 2017, sendo todos realizados em roedores. Em suma, esta revisão atingiu o objetivo de constatar os óleos essenciais como alternativa terapêutica efetiva e de baixo custo para o tratamento de lesões cutâneas, no entanto, torna-se necessário embasamento científico para ampliação da prática de forma segura e eficaz.
Introdução: A disfunção temporomandibular (DTM) é uma das condições orofaciais mais prevalentes e por ser multifatorial, necessita de tratamento multidisciplinar. É frequente o número de pessoas que apresentam sinais ou sintomas de DTM, porém, poucas são conhecedoras desta disfunção e buscam por tratamento. A falta de comunicação multidisciplinar ou a ausência de conhecimento por parte dos cirurgiões-dentistas em relação aos fisioterapeutas, muitas vezes impedem o tratamento multidisciplinar. O objetivo da presente pesquisa foi investigar o conhecimento dos cirurgiões-dentistas sobre a atuação da Fisioterapia no tratamento das DTM. Metodologia: Trata-se de um estudo quantitativo, do tipo analítico transversal. Foram investigados 29 cirurgiões-dentistas que trabalhavam no setor privado e/ou público, com idades entre 25 e 60 anos, de ambos os gêneros. Resultados: Os resultados da pesquisa mostraram que não existe um encaminhamento eficiente dos pacientes com DTM por parte dos cirurgiões-dentistas aos fisioterapeutas, para que assim ocorra um tratamento mais eficaz. Foi constatado que essa situação não ocorria por falta de conhecimento dos cirurgiões-dentistas (83,0%), sobre a atuação da Fisioterapia. Apenas 38% já tinham feito esse tipo de encaminhamento. Entre os mesmos 97% acreditam na importância do tratamento multidisciplinar. No entanto, os entrevistados ressaltaram a sua opinião sobre a importância da comunicação entre as áreas envolvidas, porém não manifestaram a razão da falta de encaminhamentos e da integração entre os profissionais. Entre os participantes 48% afirmaram ter sido na graduação o primeiro contato com esse tipo de informação interdisciplinar. Conclusão: Poucos cirurgiões-dentistas encaminham os pacientes com DTM para os fisioterapeutas, portanto faz-se necessário divulgar mais resultados das evoluções de casos clínicos para a área da Odontologia, além de realizar pesquisas mais focadas em concretizar pensamentos e atitudes interdisciplinares entre os profissionais da saúde de forma geral dentro do tratamento da DTM.
Osteosarcoma (OS) is a malignant neoplasia that affects the bone tissue with no known cause. It most commonly affects the appendicular skeleton, mainly the femur and tibia bones, in children and adolescents. The surgery treatment consists of a resection of the tumor or amputation of the affected limb, associated with chemotherapy. The earlier it is diagnosed and treated, and the smaller it is, the better the prognosis will be. Objective: The main objective of this study was to present the clinical characteristics and epidemiology of adolescent patients from the Ceará Cancer Hospital (HCC) in the city of Fortaleza. Clinical and epidemiologic data about these patients, who ranged from the age of 10 to 19 years old, was investigated in order to fulfill our objectives with this study. Method: A retrospective cohort study was developed gathering information from patients’ charts from the above-mentioned hospital from the period of January 2006 to December 2007. The data was collected through a semi-structured form that consisted of questions that appraised both the clinical and epidemiological characteristics of the patients, as well as the demographic data. After selecting 29 cases, only 26 were used for the analysis due to either incomplete information, abandonment of treatment, or hospital transference. Results: Our results show that Osteosarcoma was found to be more frequent in male patients (57.7%), in patients between 10 and 15 years old (73.1%), in afro-descendant patients (50%), and in patients that came from more rural areas (73.1%). This study also shows that 30.8% of the patients presented a family history of cancer. The symptom that these patients seemed to have in common was pain (24 patients), followed by an increase of local volume (20 patients), and previous trauma (8 patients). The femur bone was affected in 65.4% of the cases, with occurrence of metastasis (76.9%), almost always during the diagnosis and with the majority (15 patients) to the lungs. The treatment consisted of chemotherapy (96.2%) associated with the surgical resection (69.2%) and amputation (73.1%) or limb replacement. Other treatments such as Physical Therapy were prescribed in 42.3% of the cases, mostly during post-surgery (23.1%), and generally just to treat the complications. Conclusion: This study suggests that the common profile of a patient with Osteosarcoma is male, afro-descendant, coming from the more rural areas and presenting a family history of cancer. In conclusion, this study suggests the importance of knowledge about both clinical and epidemiological characteristics of Osteosarcoma patients, so that there is more regard from health professionals concerning multidisciplinary teamwork at the time of the diagnosis.
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