Resumo Introdução O trismo é uma restrição na abertura bucal de até 3,5 cm e é um dos efeitos colaterais mais comuns da radioterapia na região da cabeça e pescoço. Tal condição afeta funções cotidianas simples, como: mastigar, deglutir, falar e até exercer higiene bucal, acarretando danos não só físicos como emocionais aos indivíduos acometidos. Evidencia-se assim a necessidade da busca de tratamentos que revertam ou atenuem tal quadro. Objetivo O objetivo do estudo é investigar o comportamento dos músculos masseter e supra-hioideos durante a deglutição antes e após o crioalongamento associado à massoterapia, em pacientes pós-neoplasia bucal com trismo devido à radioterapia. Material e método A amostra final foi constituída por oito sujeitos, com faixa etária entre 40 e 64 anos, gêneros masculino e feminino, com abertura bucal menor ou igual a 3,5 cm. Para a realização da pesquisa, foram realizadas duas avaliações eletromiográficas, uma no início e outra no final do tratamento. Com 15 atendimentos, uma vez por semana, com manobras de crioalongamento associado à massoterapia nos músculos masseter e grupo muscular dos supra-hioideos. Resultado Após a intervenção com crioalongamento e massoterapia, foi observada diferença significativa apenas no comportamento do grupo muscular dos supra-hioideos, fato não constatado no músculo masseter. Conclusão Foi encontrada diferença significativa no comportamento do grupo muscular supra-hioideo e melhora na abertura de boca dos sujeitos. Contudo, os resultados deste estudo devem ser confirmados em casuísticas maiores.
Purpose: to investigate the existence of changes in the electromyographic patterns of the mentalis and inferior orbicularis oris muscles in oronasal breathers, submitted to massage therapy on the mentalis muscle. Methods: a controlled blind placebo experiment, with a sample of 19 oronasal breathers (1 man and 18 women), mean age (standard deviation) 22.3 (2.63) years, randomly divided into control and experimental groups, respectively with 7 and 12 volunteers. The experimental group alone underwent myotherapy with massages for 3 months, while electromyographic data were collected from both groups at the beginning and end of the treatment, both at rest and when swallowing water. The analysis of variance was conducted to test the existence of differences between the means; the 5% significance level was used. Results: the analysis of variance revealed signs of interaction between the group and phase effects when analyzing the root mean square values of both the inferior orbicularis oris and the mentalis muscles. As expected, no signs of significant differences were found between the means of the phases in the control group. On the other hand, signs of significant difference were found in the experimental group, with reduced root mean square values in both muscles. The inferior orbicularis oris muscle, which in the pre-phase had a mean (standard deviation) of 202.10 (161.47) µV, had, in the post-phase, values of 131.49 (159.18) µV. The mentalis muscle, in its turn, had in the pre- and post-phase, respectively, a mean (standard deviation) of 199.31 (279.77) µV and 114.58 (253.56) µV. Conclusion: given that no effect was detected in the control group, the decrease in the root mean square values of the mentalis and inferior orbicularis oris muscles in oronasal breathers was attributed to the massage therapy on the mentalis muscle.
Modo de acesso: World Wide Web Inclui bibliografia 1.Ciências Sociais 2. Sociedade 3. Ciências Humanas 4. Direito I. SILVA, Anderson Lincoln Vital da II.Título CDD-300 Sônia Márcia Soares de Moura -CRB 6/1896 O conteúdo deste livro está licenciado sob a Licença de Atribuição Creative Commons 4.0. Com ela é permitido compartilhar o livro, devendo ser dado o devido crédito, não podendo ser utilizado para fins comerciais e nem ser alterada.O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos seus respectivos autores.
According to the World Health Organization (WHO, 2012), prematurity (birth that occurs after 20 weeks and before 37 weeks of gestation is completed) is nowadays one of the most prevalent causes of infant morbidity and mortality in industrialized countries. Not yet all the causes of premature birth are known, so an expressive number of cases still remains without scientific explanation. The objective of this work was to carry out a literary review about the role of serum Vitamin D levels (25 OH) and the occurrence of premature births. This is an integrative literature review study in order to answer the following question: "Is there an association between low serum vitamin D levels and the occurrence of premature birth?". The search for the articles took place in the PubMed databases and the Unicamp Library System (SBU), from January to May 2020, online. The identification and choice of the descriptor to be used, occurred after consulting the Descriptor Mesh (Medical Subject Headings). The terms used were "preterm labor" AND "vitamin D". After the search, the inclusion criteria adopted were: to be an original article; have been published between 2016 and March 2020; answer the guiding question. In addition, the articles underwent methodological quality assessment and were subjected to two instruments: the first instrument was adapted from the Critical Appraisal Skills Program -CASP and the second instrument was the Hierarchical Classification of Evidence for Study Evaluation criteria. The evidence pointed out in the studies indicates a relationship between vitamin D deficiency with levels below 20 ng / mL and the risk of premature birth. However, further studies are needed to better understand the effect of maternal vitamin D on premature birth, and well-designed trials are needed to determine the explicit effect of its supplementation on preventing premature birth. The prevention of premature birth is a global priority; therefore, screening women at risk for hypovitaminosis D and determining how to supplement it can be considered in the future.
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