This study aimed to identify the International Classification of Functioning, Disability,
and Health categories addressed by the assessment tools commonly used in post-stroke
rehabilitation and characterize patients based on its evaluation model. [Subjects and
Methods] An exploratory, descriptive, cross-sectional study was conducted involving 35
individuals with chronic post-stroke hemiparesis. Handgrip strength was assessed to
evaluate body functions and structures. The 10-meter gait speed test and Timed Up and Go
test were administered to evaluate activity. The Stroke Specific Quality of Life scale was
used to evaluate participation. Moreover, a systematic review of the literature was
performed to identify studies that have associated these assessment tools with the
International Classification of Functioning, Disability, and Health categories. [Results]
The tools employed in this study for evaluating function addressed 63 International
Classification of Functioning, Disability, and Health categories: 24 related to body
functions and structures; 36 related to activity and participation; and 3 related to
environmental factors. [Conclusion] The assessment tools employed in this study addressed
63 International Classification of Functioning, Disability, and Health categories and
allowed a more complete evaluation of stroke survivors with hemiparesis. Use of this
classification can therefore be more easily incorporated into clinical practice.
BackgroundA number of problems involving the temporomandibular joint (TMJ) and associated structures can lead to temporomandibular disorder (TMD). The aim of the proposed study is to assess the effect of low-level laser therapy on occlusal contacts, mandibular movements, electromyography activity in the muscles of mastication and pain in adolescents with TMD.Methods/DesignA randomized, controlled, double-blind, clinical trial will be carried out involving 85 male and female adolescents between 15 and 18 years of age. The research diagnostic criteria for TMD will be used to assess all individuals who agree to participate. All participants will be submitted to a clinical examination and electromyographic analysis of the masseter muscles and anterior bundle of the temporal muscles bilaterally, to determine TMD. Based on the clinical findings, the participants will be classified as having or not having TMD. Those with TMD will be divided into four groups, three of which will receive low-level laser therapy and one of which will receive a placebo treatment. The treatments will involve the TMJ region alone, the masseter and temporal muscles alone, or both these regions together. The data will be submitted to descriptive statistical analysis. The chi-square test and Fisher’s exact test will be used to determine associations among the categorical variables. The Student’s t test and analysis of variance will be used for the comparison of mean electromyographic signals. Pearson’s correlation coefficients will be calculated for the analysis of correlations among the continuous variables.Trial registrationThe protocol for this study has been submitted to Clinical Trials – registration number (NCT01846000).
[Purpose] The aim of the present study was to assess the behavior of the mean and median
frequencies of the electromyography signal of the mastication muscles of adolescents with
different degrees of TMD severity. [Subjects] Forty-two adolescents aged 14 to 18 years.
[Methods] The adolescents were classified according to severity using the Helkimo Index.
The control group consisted of 14 subjects with no signs or symptoms of TMD. Three
readings were taken in during maximum intercuspation and mandibular rest, with each
reading lasting 10 seconds. [Results] Significant differences (p=0.0001) were found in the
mean frequency (Hz) between the control group (CG), mild TMD group (MG) and
moderate/severe TMD group (MSG), especially during mandibular rest, for all muscles
evaluated: right temporal: CG (137.5), MG (194.2), MSG (291.7); left temporal: CG (106.9),
MG (200.6), MSG (294.2); right masseter: CG (155.7), MG (242.8), MSG (278.3); left
masseter: CG (125.0), MG (214.6), MSG (316.7). Greater differences among groups were found
under the condition of mandibular rest. Conclusions: Adolescents with TMD especially those
with more severe symptoms exhibit hyperactivity of the mastication muscles.
[Purpose] To assess the association between the oclusal characteristics, headache,
parafunctional habits and clicking sounds and signs/symptoms of TMD in adolescents.
[Subjects] Adolescents between 14 and 18 years of age. [Methods] The participants were
evaluated using the Helkimo Index and a clinical examination to track clicking sounds,
parafunctional habits and other signs/symptoms of temporomandibular disorder (TMD).
Subjects were classified according to the presence or absence of headache, type of
occlusion, facial pattern and type of bite. In statistical analyse we used the chi-square
test and Fisher's exact test, with a level of significance of 5%. [Results] The sample was
made up of 81 adolescents with a mean age of 15.64 years; 51.9% were male. The prevalence
of signals/symptoms of TMD was 74.1%, predominantly affecting females. Signals/symptoms of
TMD were significantly associated with clicking sounds, headache and nail biting. No
associations were found between signals/symptoms of TMD and angle classification, type of
bite and facial pattern. [Conclusion] Headache is one of the most closely associated
symptoms of TMD. Clicking sounds were found in the majority of cases. Therefore, the sum
of two or more factors may be necessary for the onset and perpetuation of TMD.
The aims of the present study were to investigate the prevalence of temporomandibular
disorder (TMD) in a group of patients with Parkinson’s disease (PD), and to analyze oral
health according to the severity of the disease. [Methods] Signs and symptoms of TMD were
evaluated using the Research Diagnostic Criteria for Temporomandibular Disorders, and oral
health impact was measured using the Oral Health Impact Profile. The unpaired Student’s
t-test was used to compare groups with and without TMD. Pearson’s correlation coefficients
were calculated to determine correlations between the level of functional independence and
oral health impact. Fisher’s exact test was used to test the association between TMD and
the severity of symptoms of PD. [Results] Fifty-nine individuals with PD were analyzed.
The prevalence of TMD was 20.33%. No statistically significant associations were found
between TMD and the severity of PD. Oral health impact was considered weak, but a
statistically significant difference between groups with and without TMD was found for
psychological disability (p = 0.003). No significant correlation was found between the
level of functional independence and oral health impact. [Conclusion] The prevalence of
TMD among patients with Parkinson’s disease was 20.33%. A statistically significant
difference between groups with and without TMD was found regarding the psychological
disability domain.
[Purpose] The aim of the present study was to evaluate the effect of a biteplate on the
cranio-cervical posture of children with bruxism. [Subjects and Methods] Twelve male and
female children aged six to 10 years with a diagnosis of bruxism participated in this
study. The children used a biteplate during sleep for 30 days and were submitted to three
postural evaluations: initial, immediately following placement of the biteplate, and at
the end of treatment. Posture analysis was performed with the aid of the
Alcimagem® 2.1 program. Data analysis (IBM SPSS Statistics 2.0) involved
descriptive statistics and the Student’s t-test. [Results] A statistically significant
difference was found between the initial cranio-cervical angle and the angle immediately
following placement of the biteplate. However, no statistically significant difference was
found between the initial angle and the angle after one month of biteplate usage.
[Conclusion] No significant change in the cranio-cervical posture of the children was
found one month of biteplate usage. However, a reduction occurred in the cranio-cervical
angle when the biteplate was in position.
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