Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity

Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity

Introduction The temporomandibular disorder (TMD) consists of a set of signs and symptoms that affect the masticatory structures, which may cause joint and/or muscular pain. The physiotherapy approach aims at the pain relief and the functional recovery by means of several modalities.Objective To investigate the effects, short and medium-term, of a multimodal physiotherapeutic approach on TMD diagnosis and severity.Methodology Individuals with diagnosis of TMD, confirmed by the Axis I of the RDC/TMD, took part in the study. From this evaluation, the Temporomandibular Index (TMI) and its sub-indices were calculated. The participants were treated during ten sessions of physiotherapy, which included therapeutic ultrasound, thermotherapy, manual therapy, stretching and neuromuscular exercises, as well as self-care and home exercises instructions. Assessments were carried out before treatment (AV1), immediately after treatment (AV2) and two months after the end of the treatment (AV3). The values of indices and the diagnosis prevalence were compared between the different periods by the t paired test (p < 0.05).Results The number of diagnoses reduced in all the subgroups and 41.7% of the 24 participants presented no diagnosis after the treatment. A significant decrease in the TMI was observed between AV1 and AV2 (p = 0.000). There was no difference between AV2 and AV3 (p = 0.204) in 13 participants assessed two months after the end of the treatment.Conclusion The multimodal physiotherapeutic approach resulted in positive effects, short and medium-term, on the symptoms and clinical signs, with deletion of the dysfunction or reduction of its severity in treated patients.

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Main Authors: Freire,Ariane Bôlla, Nardi,Angélica Trevisan De, Boufleur,Jalusa, Chiodelli,Laís, Pasinato,Fernanda, Corrêa,Eliane Castilhos Rodrigues
Format: Digital revista
Language:English
Published: Pontifícia Universidade Católica do Paraná 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502014000200219
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spelling oai:scielo:S0103-515020140002002192015-07-23Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severityFreire,Ariane BôllaNardi,Angélica Trevisan DeBoufleur,JalusaChiodelli,LaísPasinato,FernandaCorrêa,Eliane Castilhos Rodrigues Temporomandibular disorder Temporomandibular index Manual therapy Orofacial pain Physiotherapy Introduction The temporomandibular disorder (TMD) consists of a set of signs and symptoms that affect the masticatory structures, which may cause joint and/or muscular pain. The physiotherapy approach aims at the pain relief and the functional recovery by means of several modalities.Objective To investigate the effects, short and medium-term, of a multimodal physiotherapeutic approach on TMD diagnosis and severity.Methodology Individuals with diagnosis of TMD, confirmed by the Axis I of the RDC/TMD, took part in the study. From this evaluation, the Temporomandibular Index (TMI) and its sub-indices were calculated. The participants were treated during ten sessions of physiotherapy, which included therapeutic ultrasound, thermotherapy, manual therapy, stretching and neuromuscular exercises, as well as self-care and home exercises instructions. Assessments were carried out before treatment (AV1), immediately after treatment (AV2) and two months after the end of the treatment (AV3). The values of indices and the diagnosis prevalence were compared between the different periods by the t paired test (p < 0.05).Results The number of diagnoses reduced in all the subgroups and 41.7% of the 24 participants presented no diagnosis after the treatment. A significant decrease in the TMI was observed between AV1 and AV2 (p = 0.000). There was no difference between AV2 and AV3 (p = 0.204) in 13 participants assessed two months after the end of the treatment.Conclusion The multimodal physiotherapeutic approach resulted in positive effects, short and medium-term, on the symptoms and clinical signs, with deletion of the dysfunction or reduction of its severity in treated patients.info:eu-repo/semantics/openAccessPontifícia Universidade Católica do ParanáFisioterapia em Movimento v.27 n.2 20142014-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502014000200219en10.1590/0103-5150.027.002.AO07
institution SCIELO
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country Brasil
countrycode BR
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region America del Sur
libraryname SciELO
language English
format Digital
author Freire,Ariane Bôlla
Nardi,Angélica Trevisan De
Boufleur,Jalusa
Chiodelli,Laís
Pasinato,Fernanda
Corrêa,Eliane Castilhos Rodrigues
spellingShingle Freire,Ariane Bôlla
Nardi,Angélica Trevisan De
Boufleur,Jalusa
Chiodelli,Laís
Pasinato,Fernanda
Corrêa,Eliane Castilhos Rodrigues
Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity
author_facet Freire,Ariane Bôlla
Nardi,Angélica Trevisan De
Boufleur,Jalusa
Chiodelli,Laís
Pasinato,Fernanda
Corrêa,Eliane Castilhos Rodrigues
author_sort Freire,Ariane Bôlla
title Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity
title_short Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity
title_full Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity
title_fullStr Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity
title_full_unstemmed Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity
title_sort multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity
description Introduction The temporomandibular disorder (TMD) consists of a set of signs and symptoms that affect the masticatory structures, which may cause joint and/or muscular pain. The physiotherapy approach aims at the pain relief and the functional recovery by means of several modalities.Objective To investigate the effects, short and medium-term, of a multimodal physiotherapeutic approach on TMD diagnosis and severity.Methodology Individuals with diagnosis of TMD, confirmed by the Axis I of the RDC/TMD, took part in the study. From this evaluation, the Temporomandibular Index (TMI) and its sub-indices were calculated. The participants were treated during ten sessions of physiotherapy, which included therapeutic ultrasound, thermotherapy, manual therapy, stretching and neuromuscular exercises, as well as self-care and home exercises instructions. Assessments were carried out before treatment (AV1), immediately after treatment (AV2) and two months after the end of the treatment (AV3). The values of indices and the diagnosis prevalence were compared between the different periods by the t paired test (p < 0.05).Results The number of diagnoses reduced in all the subgroups and 41.7% of the 24 participants presented no diagnosis after the treatment. A significant decrease in the TMI was observed between AV1 and AV2 (p = 0.000). There was no difference between AV2 and AV3 (p = 0.204) in 13 participants assessed two months after the end of the treatment.Conclusion The multimodal physiotherapeutic approach resulted in positive effects, short and medium-term, on the symptoms and clinical signs, with deletion of the dysfunction or reduction of its severity in treated patients.
publisher Pontifícia Universidade Católica do Paraná
publishDate 2014
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502014000200219
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