Exercícios terapêuticos nas desordens temporomandibulares: uma revisão de literatura

Maluf, S. A.; Moreno, Bruno Gonçalves Dias; Alfredo, Patrícia Pereira; Marques, Amélia Pasqual; Rodrigues, Graziela

doi:10.1590/s1809-29502008000400016

Cited by 40 publications

(26 citation statements)

References 32 publications

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“…Therefore, a detailed description of the techniques used is very important not only to allow study reproducibility, but also to confirm its results. 18,28 Such description should include frequency, number of repetitions, intensity of performance, treatment period and manner of conducting the exercises. Moreover, the prescribed exercises are usually performed in conjunction with other therapies, making it difficult to verify the real effectiveness of the proposed exercise.…”

Section: G1 = G2mentioning

confidence: 99%

Therapeutic exercises for the control of temporomandibular disorders

Moraes

Sanches

Ribeiro

et al. 2013

Dental Press J. Orthod.

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Introduction: Temporomandibular disorder (TMD) is a multifactorial disease. For this reason, it is difficult to obtain an accurate and correct diagnosis. In this context, conservative treatments, including therapeutic exercises classified as stretching, relaxation, coordination, strengthening and endurance, are oftentimes prescribed. Objective: Thus, the aim of the present article was to conduct a literature review concerning the types of exercises available and the efficacy for the treatment of muscular TMD. Methods: The review included researches carried out between 2000 and 2010, indexed on Web of Science, PubMed, LILACS and BBO. Moreover, the following keywords were used: Exercise, physical therapy, facial pain, myofascial pain syndrome, and temporomandibular joint dysfunction syndrome. Studies that did not consider the subject "TMD and exercises", used post-surgery exercises and did not use validated criteria for the diagnosis of TMD (RDC/TMD) were not included. Results: The results comprised seven articles which proved therapeutic exercises to be effective for the treatment of muscular TMD. However, these studies are seen as limited, since therapeutic exercises were not applied alone, but in association with other conservative procedures. In addition, they present some drawbacks such as: Small samples, lack of control group and no detailed exercise description which should have included intensity, repetition, frequency and duration. Conclusion: Although therapeutic exercises are considered effective in the management of muscular TMD, the development of randomized clinical trials is necessary, since many existing studies are still based on the clinical experience of professionals.Keywords: Temporomandibular joint dysfunction syndrome. Myofascial pain syndromes. Physical therapy modalities. Exercise.Introdução: a disfunção temporomandibular (DTM) é uma doença multifatorial, geralmente com evolução benigna. Por esse motivo, é difícil a obtenção de um diagnóstico inicial preciso e correto, levando a um consenso na prescrição de tratamentos conservadores, entre eles, os exercícios terapêuticos, que são classificados em exercícios de alongamento, relaxamento, coordenação, fortalecimento e resistência. Objetivo: o objetivo desse estudo foi realizar uma revisão de literatura dos trabalhos que apresentam os tipos de exercícios disponíveis e sua eficácia para o tratamento das DTM musculares. Métodos: foi feito um levantamento bibliográfico, de 2000 a 2010, nas bases se dados Web of Science, PubMed, LILACS e BBO, cruzando os seguintes descritores: exercise, physical therapy, facial pain, myofascial pain syndrome e temporomandibular joint disfunction syndrome. Foram excluídos os trabalhos que não consideravam o tema exercícios e DTM, utilizavam exercícios pós-cirúrgicos e que não utilizavam critérios validados para o diagnóstico da DTM (RDC/TMD). Resultados: resultaram sete artigos, que mostraram que os exercícios terapêuticos foram efetivos para o tratamento de DTM muscular. No entanto, uma das limitações desses estu...

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Section: G1 = G2mentioning

confidence: 99%

Therapeutic exercises for the control of temporomandibular disorders

Moraes

Sanches

Ribeiro

et al. 2013

Dental Press J. Orthod.

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“…In the present work, dry needling therapy alone was used, however, as Maluf et al [17] report, associated therapies can provide greater muscle relaxation, such as the combination of therapeutic exercises and postural re-education. Fernandes et al [18] state that, to increase the amplitude of mandibular movement, physiotherapy exercises should be performed.…”

Section: Discussionmentioning

confidence: 91%

Dry needling the masseter muscle in the treatment of myofascial pain: case reports

Reis

Oliveira

Dias

et al. 2017

BDS

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The aim of this study was to evaluate treatment with dry needling (AS) in the masseter muscle of patients diagnosed with myofascial pain as the pain symptoms and the mouth opening (AB). After sample size calculation, we selected 10 patients referred for treatment of temporomandibular disorders (TMD) diagnosed with MP, with or without limited mouth opening according to Axis I of the RDC/TMD, who underwent six DN sessions, once a week. Pain measurement using the Visual Analogue Scale (VAS) and an evaluation of the extent of mouth opening were done. All participants were female and the average age was 39.2 years, with 8 (80%) having a diagnosis of myofascial pain with limited mouth opening and 2 (20%) with only myofascial pain. Maximum unaided opening without pain before treatment was 31.9 mm and went to 36.2 mm, and the maximum unaided opening went from 39.6 mm to 43.1 mm. In both, however, could not find statistical significance (p> 0.05). Regarding the mean weekly VAS value, this went from 8.3 before treatment to 2.3 a week later, with statistically significant results (p < 0.05). In this study, the AS in the masseter muscle presented is a therapeutic alternative in the treatment of myofascial pain. KeywordsTemporomandibular joint; Temporomandibular Joint Disorders; Dry needling; Trigger points; Myofascial pain.

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“…1 The incidence of TMJ changes is highest in women and only 10% of the population affected searches for therapeutic care, in a ratio of five women for each man. 1,11 The age groups most affected are: 15 years-old, with the cause being frequently of muscular origin, and at 45 years of age, from degenerative joint origin. 12 TMJ changes are characterized by various types of musculoskeletal, cervical, and masticatory muscle pains, which are the main causes of non-dental pain in the orofacial region.…”

Section: Discussionmentioning

confidence: 99%

Terapia postural e manual nas disfunções temporomandibulares

Vilar

Bezerra

Façanha

et al. 2018

Rev. Bras. Odontol.

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Objective: to show the benefits of manual and postural therapy in temporomandibular joint alterations and to cite the techniques that can be used to treat these dysfunctions. Material and Methods: a narrative review of the scientific literature on the subject was carried out in books of the Physiotherapy and Dentistry areas, scientific articles through periodicals and sites, referring to publications of the last eighteen years, using as keywords: manual and postural therapy, temporomandibular joint dysfunctions, and temporomandibular joint. Results: 1.930 studies were found, of which 602 were selected for title/abstract reading, being 564 of them excluded due to lack of compliance with the inclusion criteria; thus, a total of 38 references were included. The literature reports several manual and postural techniques as beneficial resources for the treatment of temporomandibular joint alterations since they act from prevention to rehabilitation phases, regrouping the compromised muscles and recovering the functionality of the ear-jaw articulation. Conclusion: Physical Therapy, together with manual and postural therapy techniques, is important for the treatment of temporomandibular joint changes since its objectives are to activate blood circulation, relieve pain, promote muscle relaxation, and re-educate posture, aiming to promote patient well-being.

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Exercícios terapêuticos nas desordens temporomandibulares: uma revisão de literatura

Cited by 40 publications

References 32 publications

Therapeutic exercises for the control of temporomandibular disorders

Therapeutic exercises for the control of temporomandibular disorders

Dry needling the masseter muscle in the treatment of myofascial pain: case reports

Terapia postural e manual nas disfunções temporomandibulares

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