Eficácia da laserterapia nas disfunções têmporo-mandibulares: estudo controle

Santos, Thiago de Santana; Piva, Marta Rabello; Ribeiro, Maria Helena; Antunes, Antônio Azoubel; Melo, Auremir Rocha; Silva, Emanuel Dias de Oliveira e

doi:10.1590/s1808-86942010000300004

Cited by 28 publications

(19 citation statements)

References 19 publications

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“…Alterations of neuronal activity in auditory pathways of tinnitus patients have also been documented by using auditory evoked potentials, where both increases (Santos and Matas, 2010) and decreases (Attias et al, 1993, 1996) of amplitudes have been found. The increases were observed in patients without hearing loss (i.e., <25 dB; Santos and Matas, 2010), whereas the decreases in patients with hearing loss (Attias et al, 1993).…”

Section: The Involvement Of Central Auditory Pathways In Tinnitusmentioning

confidence: 91%

“…The increases were observed in patients without hearing loss (i.e., <25 dB; Santos and Matas, 2010), whereas the decreases in patients with hearing loss (Attias et al, 1993). Significantly increased N1–P2 amplitudes were found at higher stimulus intensities for the tinnitus ear in comparison to the non-tinnitus ear in patients with unilateral tinnitus (Norena et al, 1999).…”

Section: The Involvement Of Central Auditory Pathways In Tinnitusmentioning

confidence: 96%

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Neuroimaging and Neuromodulation: Complementary Approaches for Identifying the Neuronal Correlates of Tinnitus

Langguth

Schecklmann

Lehner

et al. 2012

Front. Syst. Neurosci.

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An inherent limitation of functional imaging studies is their correlational approach. More information about critical contributions of specific brain regions can be gained by focal transient perturbation of neural activity in specific regions with non-invasive focal brain stimulation methods. Functional imaging studies have revealed that tinnitus is related to alterations in neuronal activity of central auditory pathways. Modulation of neuronal activity in auditory cortical areas by repetitive transcranial magnetic stimulation (rTMS) can reduce tinnitus loudness and, if applied repeatedly, exerts therapeutic effects, confirming the relevance of auditory cortex activation for tinnitus generation and persistence. Measurements of oscillatory brain activity before and after rTMS demonstrate that the same stimulation protocol has different effects on brain activity in different patients, presumably related to interindividual differences in baseline activity in the clinically heterogeneous study cohort. In addition to alterations in auditory pathways, imaging techniques also indicate the involvement of non-auditory brain areas, such as the fronto-parietal “awareness” network and the non-tinnitus-specific distress network consisting of the anterior cingulate cortex, anterior insula, and amygdale. Involvement of the hippocampus and the parahippocampal region putatively reflects the relevance of memory mechanisms in the persistence of the phantom percept and the associated distress. Preliminary studies targeting the dorsolateral prefrontal cortex, the dorsal anterior cingulate cortex, and the parietal cortex with rTMS and with transcranial direct current stimulation confirm the relevance of the mentioned non-auditory networks. Available data indicate the important value added by brain stimulation as a complementary approach to neuroimaging for identifying the neuronal correlates of the various clinical aspects of tinnitus.

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Section: The Involvement Of Central Auditory Pathways In Tinnitusmentioning

confidence: 91%

Section: The Involvement Of Central Auditory Pathways In Tinnitusmentioning

confidence: 96%

Neuroimaging and Neuromodulation: Complementary Approaches for Identifying the Neuronal Correlates of Tinnitus

Langguth

Schecklmann

Lehner

et al. 2012

Front. Syst. Neurosci.

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“…O raio laser pode ser compreendido como uma modalidade de radiação eletromagnética bem peculiar, com propriedades típicas, havendo a diferenciação da luz oriunda por geradores padronizados incandescentes, sendo os tipos, definidos conforme algumas características, como o comprimento da onda, a sua profundidade, assim como a sua devida aplicação (Santos, 2010).…”

Section: Referencial Teóricounclassified

“…Esse método é totalmente indolor e também na apresenta nenhum tipo de queimação. A principal finalidade dessa terapia é proporcionar uma otimização e recuperação em pacientes que se encontram na fase da pós-cirurgia, reduzindo rapidamente os edemas e apresentando melhorias do estado geral do paciente hospitalizado ou que se encontram em recuperação em casa (Santos, 2010).…”

Section: Art 1ºunclassified

Laserterapia como recurso terapêutico na fonoaudiologia

Santos¹,

Sousa²

2021

RSD

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A utilização da terapia por meio do laser de Baixa Intensidade, caracteriza-se por sua multidisciplinariedade, pois seu uso, atualmente, ocorre por muitos profissionais de diversas áreas, como por exemplo, Fonoaudiólogos. Os profissionais da Fonoaudiologia já estão procurando utilizar esse método de terapia, em razão de ser não invasivo, ou seja, sem consequências tóxicos e colaterais, contribuindo de modo significativo nas terapias, por meio do estabelecimento de um prognóstico pautado na excelência do processo de reabilitação. O objetivo geral da presente pesquisa consiste em analisar quais as principais contribuições da laser terapia como um recurso em prol de terapia na Fonoaudiologia. Dentre os objetivos específicos ressaltam-se: definir laser terapia; identificar o papel do Fonoaudiólogo; verificar como a laser terapia pode ser utilizada pelos profissionais da Fonoaudiologia. A problemática consiste no seguinte questionamento: como a laser terapia pode auxiliar os profissionais da Fonoaudiologia em suas competências? Para fundamentar a pesquisa houve a necessidade de uma metodologia pautada em uma revisão bibliográfica ou literária analisando diversas fontes, como artigos, monografias, dissertações, livros e consultas em sites que disponibilizam trabalhos científicos, como a SCIELO e Google acadêmico, por exemplo. Infere-se que a pesquisa é pertinente, constatando-se os diversos benefícios da utilização da laser terapia pelos profissionais da Fonoaudiologia, como atuação na paralisia facial, disfagias, dentre outras.

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“…Por fim, quatorze artigos foram excluídos por não indicarem a faixa etária dos pacientes e/ou por descrever apenas a média de idade dos participantes ou por apresentar pacientes com mais de 55 anos no estudo (MAZZETTO, M.O;HOTTA;PIZZO, 2010;SANTOS et al, 2010;BORGES et al, 2018;MAGRI et al, 2017;DEMIRKOL et al, 2015;AHRARI et al, 2014;MAIA et al, 2014;VENEZIAN et al, 2010;CUNHA et al, 2008;ZANIRATO, 2005;SVESHTAROV et al, 2018;DEMIRKOL et al, 2017;ÇETINER;KAHRAMAN;YÜCETAŞ, 2006;CONTI., 1997), não correspondendo aos critérios de inclusão da pesquisa. Dessa forma, foram incluídos apenas cinco artigos.…”

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Laserterapia no controle da disfunção temporomandibular dolorosa: evidências científicas

Pereira¹

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Laser Therapy in the Management of Painful Temporomandibular Dysfunction: Scientific Evidence Low-intensity laser application has been described in the literature as an intervention proposal for cases of Temporomandibular Dysfunction (TMD), and scientific evidence-based action is key for a successful treatment. This research aims to identify in literature the effectiveness of laser therapy for the control of painful TMD in adults. A systematic literature review was carried out through specific search strategies tailored for each of the databases analyzed. The researcher used PICO on PubMed, Bireme, Embase, and Scopus databases by cross-referencing the descriptors from DeCS/MESH and random keywords. Clinical trials were included involving human subjects of both sexes, aged between 18 and 55 years old, who used either GaAs or AsGaAl (infrared) low-intensity laser as an intervention in the treatment of TMD. The studies included presented laser type, application parameters and settings, and the assessment tools for potential analysis of the results for the therapy protocols that were used, with independent and non-associated therapy. All participants diagnosed with painful TMD and Muscle Temporomandibular and/or Joint Dysfunction were included. Two independent reviewers selected the articles, then the data were organized by the researcher responsible for the project, and later the data were analyzed according to the information previously collected and organized. After excluding articles by reading their title and abstract and removing duplicates, 33 of those articles related to the topic were selected and, finally, five of those were chosen. The number of participants in the study ranged from 18 to 74 subjects. Amongst the five studies analyzed, three of them were conducted in Brazil. Two studies had more than one experimental group with different dosimetry in the laser application, and only one article presented another associated therapy. Regarding the TMD diagnosis, three articles used the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) as the assessment tool. The total number of sessions ranged from three to ten, with a weekly frequency of two to four times a week, which lasted from one to five weeks. Both device and dosimetry of the studies were different, but most studies presented continuous-wave laser. Only one article did not disclose such information. Application time in the experimental and placebo groups ranged from ten to sixty seconds. Four of the five articles used GaAlAs laser and one used GaAs laser. We could identify that, out of the five studies selected, four presented improvement in the painful symptoms through laser therapy and one showed results that were similar to the placebo group. However, due to the limited number of studies and variabilities in how results were assessed and presented, it was not possible to apply the statistical treatment (meta-analysis) to prove the effectiveness of laser therapy in adults with painful TMD.

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Eficácia da laserterapia nas disfunções têmporo-mandibulares: estudo controle

Cited by 28 publications

References 19 publications

Neuroimaging and Neuromodulation: Complementary Approaches for Identifying the Neuronal Correlates of Tinnitus

Neuroimaging and Neuromodulation: Complementary Approaches for Identifying the Neuronal Correlates of Tinnitus

Laserterapia como recurso terapêutico na fonoaudiologia

Laserterapia no controle da disfunção temporomandibular dolorosa: evidências científicas

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