Efeitos da bandagem elástica na dor orofacial e nos movimentos mandibulares após 24 horas de uso: ensaio clínico randomizado
Effects of athletic tape on orofacial pain and jaw movements after 24 hours of use: a randomized clinical trial
Marília dos Santos Faria; Gabriela Carolina Silva Teodoro; Júlia Ana Soares Silva; Tatyana Meneses Emérito; Andréa Rodrigues Motta; Mariana Souza Amaral; Renata Maria Moreira Moraes Furlan
Resumo
Palavras-chave
Abstract
Purpose: To analyze the sensation of pain and the range of mandibular movements of adult individuals with temporomandibular disorder, before and after the application of the athletic tape.
Method: This is a double-blind randomized clinical trial, in which 22 adults with temporomandibular disorder participated, randomly allocated into two groups, with group A comprising 10 women and one man (mean age 28.2±8.3 years) and group B comprising nine women and two men (mean age 26.2±3.9 years). Group A was submitted to the application of the athletic tape on the masseter with 40% stretch and the group B to the application of the athletic tape on the masseter without stretching. All participants underwent the application of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Pain threshold assessment was performed using an algometer to apply pressure to measurement points. The measurement of mandibular movements was performed using a caliper. The athletic tape was glued using the I technique, with a fixed point over the insertion and a movable point over the origin of the masseter muscle. Participants remained with the athletic tape for 24 hours and were re-evaluated.
Results: There was pain relief in the group A in the temporomandibular joint on the right and at the origin of the masseter on the left. The group B showed a reduction in pain in the left anterior temporal region. No differences were found in mandibular movements after intervention, as well as no difference was found in the comparison by groups.
Conclusion: The use of the athletic tape over the masseter muscle, with stretching, for 24 hours produced relief from the sensation of pain, on the origin of the right masseter and in the right temporomandibular joint, and, without stretching, in the left anterior temporal muscle. There was no difference in the range of mandibular movements.
Keywords
Referências
1 Conti PCR, Gonçalves DAG. International Classification of Orofacial Pain – ICOP – Brazilian Portuguese version. Headache Med. 2022;13(1):1-2.
2 American Association of Dental Research. Temporomandibular Disorders (TMD) 2015 [Internet]. USA: AADOCR; 2015 [citado em 2022 Agosto 30]. Disponível em:
3 Sassi FC, Silva AP, Santos RKS, Andrade CRF. Tratamento para disfunções temporomandibulares: uma revisão sistemática. Audiol Commun Res. 2018;23(0):e1871.
4 Kalladka M, Young A, Khan J. Myofascial pain in temporomandibular disorders: updates on etiopathogenesis and management. J Bodyw Mov Ther. 2021;28:104-13.
5 Bueno CH, Pereira DD, Pattussi MP, Grossi PK, Grossi ML. Gender differences in temporomandibular disorders in adult populational studies: a systematic review and meta‐analysis. J Oral Rehabil. 2018;45(9):720-9.
6 Brandão RAFS, Mendes CMC, Lopes TDS, Brandão Filho RA, Sena EP. Neurophysiological aspects of isotonic exercises in temporomandibular joint dysfunction syndrome. CoDAS. 2021;33(3):e20190218.
7 Gałczyńska-Rusin M, Pobudek-Radzikowska M, Prylińska-Czyżewska A, Maciejewska-Szaniec Z, Gawriołek K, Strużycka I, et al. Comparison of the fffects of myotherapy in patients with myofascial pain with and without self-reported sleep bruxism using The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I Questionnaire. Med Sci Monit. 2021;27:e934917.
8 Olchowy A, Seweryn P, Olchowy C, Wieckiewicz M. Assessment of the masseter stiffness in patients during conservative therapy for masticatory muscle disorders with shear wave elastography. BMC Musculoskelet Disord. 2022;23(1):439.
9 He F, Ma Y, Yu B, Ji R, Lu J, Chen W. Preliminary application of Kinesio taping in rehabilitation treatment of temporomandibular disorders. Iran Red Crescent Med J. 2020;22(2):e86656.
10 Hernandes NCJ, Ribeiro LL, Gomes CF, Silva AP, Dias VF. Speech therapy in temporomandibular dysfunction in two cases: comparative analysis of the effect of traditional therapy and the use of the therapeutic bandage associated. Distúrb Comun. 2017;29(2):251-61.
11 Cheshmi B, Keyhan SO, Rayegani SM, Kim SG, Ozunlu Pekyavas N, Ramezanzade S. A literature review of applications of Kinesio Taping® in the craniomaxillofacial region. Cranio. 2021;1-8.
12 Emérito TM, Silva JAS, Furlan RMMM. Use of kinesiology tape for pain relief in the treatment of temporomandibular disorders: a systematic review with meta-analysis. Audiol Commun Res. 2022;27:e2631.
13 Lemos T, Kase K, Dias E. Kinesio Taping® Introdução ao Método e Aplicações Musculares. 2. ed. São Paulo: Livraria e Editora Andreoli; 2009.
14 Emérito TM. Elastic bandage as a therapeutic resource in orofacial motricity: a bibliographic study. Pubsaúde. 2020;4:a060.
15 Tran L, Makram AM, Makram OM, Elfaituri MK, Morsy S, Ghozy S, et al. Efficacy of kinesio taping compared to other treatment modalities in musculoskeletal disorders: a systematic review and meta-analysis. Res Sports Med. 2023;31(4):416-39. PMid:34711091.
16 Silva AP, Carvalho ARR, Sassi FC, Silva MAA. The taping method effects on the trapezius muscle in healthy adults. CoDAS. 2019;31(5):e20180077.
17 Lietz-Kijak D, Kopacz L, Ardan R, Grzegocka M, Kijak E. Assessment of the short-term effectiveness of kinesiotaping and trigger points release used in functional disorders of the masticatory muscles. Pain Res Manag. 2018;2018:5464985.
18 Keskinruzgar A, Kucuk AO, Yavuz GY, Koparal M, Caliskan ZG, Utkun M. Comparison of kinesio taping and occlusal splint in the management of myofascial pain in patients with sleep bruxism. J Back Musculoskelet Rehabil. 2019;32(1):1-6.
19 Benlidayi IC, Salimov F, Kurkcu M, Guzel R. Kinesio Taping for temporomandibular disorders: single-blind, randomized, controlled trial of effectiveness. J Back Musculoskeletal Rehabil. 2016;29(2):373-80.
20 Schulz KF, Altman DG, Moher D, CONSORT Group. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials [Internet]. UK: Goodreports; 2010 [citado em 2022 Maio 11]. Disponível em:
21 Ohrbach R, editor. Diagnostic criteria for temporomandibular disorders: assessment instruments. Version 15 [Internet]. USA: INFORM; 2016 [citado em 2022 Maio 11]. Disponível em:
22 Cortese SG, Oliver LM, Biondi AM. Determination of range of mandibular movements in children without temporomandibular disorders. Cranio. 2007;25(3):200-5.
23 Özmen EE, Durmuş E, Ünüvar BS, Kalayci A. Mid-and long-term effect of Kinesio Taping on temporomandibular joint dysfunction: A Randomised-Controlled Trial. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022;13(4):579-86.
24 Smith SM, Dworkin RH, Turk DC, McDermott MP, Eccleston C, Farrar JT, et al. Interpretation of chronic pain clinical trial outcomes: IMMPACT recommended considerations. Pain. 2020;161(11):2446-61.
Submetido em:
23/03/2023
Aceito em:
28/09/2023