Efeitos da fotobiomodulação associada à terapia miofuncional orofacial na disfunção temporomandibular muscular
Effects of photobiomodulation associated with orofacial myofactional therapy on temporomandibular joint dysfunction
Giorvan Ânderson dos Santos Alves, Yanne Rabelo da Rocha Gondim, Jully Anne Soares de Lima, Mayze Azevedo Pereira da Silva, David Sildes Fidelis Florêncio, Larissa Nadjara Alves de Almeida, Hilton Justino da Silva
Resumo
Objetivo: Investigar a influência da fotobiomodulação associada à terapia miofuncional orofacial (TMO) em pacientes com disfunção temporomandibular muscular (DTM). Método: Trata-se de uma pesquisa do tipo ensaioclínico randomizado e cego, com uma amostra de 11 mulheres com DTM muscular, dividida em dois grupos. O Grupo Experimental (GE) composto por 05 voluntárias submetidas à TMO associada à fotobiomodulação, e o Grupo Controle Positivo (GC) composto por 06 mulheres submetidas à TMO associada à fotobimodulação inativa (placebo). A intervenção foi realizada em 12 sessões: uma avaliação, 10 sessões de fonoterapia associada à fotobiomodulação, e uma reavaliação. Para os desfechos foram consideradas a investigação da percepção de dor, com a Escala Visual Analógica (EVA), a investigação da sensibilidade à palpação com o protocolo Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), e a verificação da qualidade de vida (QV) por meio do protocolo Oral Health Impact Profle – short form (OHIP-14). Resultados: o GE teve aumento nas medidas dos movimentos de abertura e de protrusão mandibular, e evidenciou melhora na avaliação da QV. Conclusão: A TMO quando associada à fotobiomodulação contribuiu no aumento da amplitude dos movimentos mandibulares e com ganhos importantes na percepção da qualidade de vida, e com melhora significativa nos quadros dolorosos das voluntárias com DTM.
Palavras-chave
Abstract
Purpose: To investigate the influence of photobiomodulation associated with Orofacial Myofunctional Therapy in patients with muscle Temporomandibular Disorders (TMD). Methods: This is a randomized, blinded trial-clinical study with a sample of 11 women with muscle TMD, divided into two groups. The Experimental Group (EG) composed of 05 volunteers submitted to Orofacial Myofunctional Therapy associated with photobiomodulation and the Positive Control Group (CG) composed of 06 women submitted to Orofacial Myofunctional Therapy associated with inactive photobiomodulation (placebo). The intervention was performed in 12 sessions: an evaluation, 10 sessions of speech therapy associated with photobiomodulation, and a reassessment. For the outcomes were considered the investigation of pain perception using the Visual Analogue Scale (VAS), the investigation of sensitivity to palpation with the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD) protocol, and quality of life (QOL) verification through the Oral Health Impact Profile - short form (OHIP-14) protocol. Results: the EG had an increase in the measures of the opening and mandibular protrusion movements, and evidenced improvement in the assessment of QOL. Conclusion: The Orofacial Myofunctional Therapy when associated with photobiomodulation contributed to the increase in the range of mandibular movements, with important gains in the perception of the quality of life and with significant improvement in the painful conditions of volunteers with TMD.
Keywords
Referências
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Submetido em:
19/06/2020
Aceito em:
26/09/2020
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