BACKGROUND AND OBJECTIVES:Temporomandibular disorder is a collective term encompassing a wide range of clinical orofacial joint and muscle problems. The stomatognatic system is part of the postural system, so changes in one system may interfere with the other. This study aimed at observing whether there is change in jaw and head position before and after temporomandibular disorder treatment. METHODS: Participated in the study 16 volunteers, aged above 18 years, of both genders, who looked for assistance in the dentistry course clinic of a Public University, with diagnosis of temporomandibular disorder according to Diagnostic Criteria for Temporomandibular Disorder Research. Volunteers were submitted to X-rays (teleradiography with analysis of cephalometric points); posture in physiologic centric relation was evaluated by computerized photogrammetry and pain intensity was evaluated by the visual analog scale from zero to 10. Patients were evaluated before and after 8 weeks of treatment. RESULTS: Pain has decreased from 6.43±2.84 to 2.17±2.39, before and after treatment, respectively (p<0.05). Vertical head alignment, in initial angle, has changed from 21.84⁰±17.49⁰ to 11.38⁰±14.61⁰ (p<0.05). Jaw position has changed from A-NB (angle indicating mandible-jaw relationship in the anterior posterior direction): 4.95±2.52mm to A-NB: 4.64±2.52mm (p<0.05). CONCLUSION: Muscle temporomandibular disorder changes vertical head alignment and interferes with jaw position.
BACKGROUND AND OBJECTIVES: Headaches are the most common neurological symptom and the most frequent medical complaint, with tension-type pain being one of the most reported forms, being considered a public health problem. Among the manual therapies indicated for the treatment of tension type headaches (TTH) is myofascial release (MRL), which consists of releasing muscle and fascia tension, through techniques that deactivate trigger points (TP). Thus, the objective of this integrative review is to determine the effectiveness of physical therapy using MRL in the treatment of TP-induced TTH. CONTENTS:The guiding question of the study was: "What is the effect of manual therapy using myofascial release as a treatment in patients with tension-type headaches"? Searches were performed in LILACS and Pubmed/Medline databases until August 2021. Sixteen studies published between 2003 and 2021 were included in this integrative review, including case reports and clinical trials, presenting a total of 481 patients. CONCLUSION: It was possible to conclude that the MRL technique showed positive results as a treatment for TTH through the reduction of pain, intensity and frequency.
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