Palavras-chave
Distúrbios temporomandibulares, dor musculoesquelética, exercício aeróbico, dispositivos oclusais
Como Citar
Efeito comparativo da atividade física aeróbica e dispositivos ortopédicos estabilizadores na dor orofacial de origem musculoesquelética em indivíduos com disfunção temporomandibular. (2020). Odontoestomatología, 22(36), 15-23. https://doi.org/10.22592/ode2020n36a3
Resumo
O presente estudo avaliou a eficácia da atividade física aeróbica (AFA) no tratamento da dor orofacial de origem muscular esquelética em indivíduos com disfunção temporomandibular em comparação ao tratamento com dispositivo ortopédico estabilizador (DOE). Participaram voluntários com dor muscular esquelética com idade entre 18 e 40 anos e dentes bimaxilares. Para a avaliação da variável dor, o instrumento de medida foi a escala verbal analógica. Cada um dos grupos de tratamento foi composto por sete indivíduos, avaliados por oito (AFA) e seis (DOE) semanas, respectivamente.
AFA foi caracterizada por uma diminuição semanal significativa de 0,155 pontos na medição da dor. Quanto ao DOE, a tendência foi ainda mais acentuada do que no tratamento com AFA, sendo essa diferença significativa.
O presente estudo demonstrou que a intervenção do DOE e do AFA contribuiu para a redução da dor musculoesquelética orofacial em voluntários com TTM.
Referências
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17. Gonzalez F, Guardia L, Schiavone G,. Programa de ejercicios aerobicos o de resistencia cardiorespiratoria. En Mazza M. Manual para la prescripción de ejercicio: actividad física y ejercicio para la salud. 1era. ed. Montevideo, Cátedra de Medicina del ejercicio y deporte: DEDOS; 2011, p129-165.
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19. Karvonen J, Vourimaa T. Heart rate and exercice intensity during sports activities. Practical application. Sports Med.1988; 5 (5): p303-11.
20. Azam S. Madani, Amirtaher Mirmotazavi. Comparison of three treatment options for painful temporomandibular joint clicking. Journal of Oral Science. 2011; 53 (3): 349-354.
21. Vicente-Barrero M, Yu-Lu S., Zhang B. The efficacy of acupunture and decompression splints in the treatment of temporomandibular joint pain-dysfunction syndrome. Med Oral Patol Oral Cir Bucal. 2012. 17 (6): 1028-1033.
22. Ficnar T, Middelberg C, Rademacher B. Evaluation of the effectiveness of a semi-finished occlusal aplaiance- a randomized, controlled clinical trial. Head&Face Medicine- 2013; 9: 5 http: //www.head-face-med.com/content/9/1/5.
23. Langenfeld M, Hart L, Kao P. Plasma B-endorphin responses to one-houre bicycling and running at 60% O2 max. Medicine&Science in Sports&Exercice. 1987; 19 (2): 83-86.
24. Rahkila P, Hakala E, Salminen K. Response of plasma endorphin to running exercises in male and female endurance athletes. Med Sci Sports Exerc. 1987; 19 (5): 451-5.
25. Maresh C, Sökmen B, Kraemer W. Pituitary-adrenal responses to arm versus leg exercise in untrained man. Eur. J Appl Physiol 2006. 97: 471-477.
26. Goldfarb A, Hatfield B, Potts J. Beta-endorphin time course response to intensity of exercise: effects of training status. Int J Sports Med. 1991; 12 (3): 264-8
27. Golfarb A., Jamurtas A., Kamimori G. Gender effects on beta-endorphin response to exercise. Med Sci Sports Exerc. 1998; 30 (12): 1672-6.
28. Hayot, M. La réhabilitation du malade respiratoire chronique. En Préfaut C. y Ninot G. Les test d`exercice: lépreuve dexercice, a charge croissant.Issy les Moulineaux: Elsevier Masson, 2009; p86-112.
29. Nishishinya M, Rivera J, Cayetano A. Intervenciones no farmacológicas y tratamientos alternativos en la fibromialgia. Med Cin (Barc). 2006; 127 (8): 295-9.
30. Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database of Systematic Reviews. 2017; 1 (1): CD011279.
2. GPT-9 Glossary of Prosthodontics Terms, Edition 9, J Prosthet Dent 2017; Vol.117: 1-106
3. Le Resche L. Epidemiology of Temporomandibular Disorders: Implications for the Investigation of Etiologic Factors. Crit Rev Oral Biol Med. 1997; 8 (3): 291-305. DOI: 10.1177/10454411970080030401
4. Jussila P, Kiviahde H, Näpänkangas R. Prevalence of Temporomandibular Disorders in the Northern Finland Birth Cohorts 1966. J Oral Facial Pain Headache. 2017; 31: 159–164. doi: 10.11607/ofph.1773
5. Lung J, Bell L, Heslop M, Cuming S, Ariyawardana A. Prevalence of Temporomandibular disorders among a cohorts of university undergraduates in Australia. J Invest Clin Dent. 2018; 1-5 dos.org/10.1111/jicd.12341.
6. Riva R., Sanguinetti M, Rodriguez A, Guzzetti L, Lorenzo S. Prevalencia de trastornos temporomandibulares y bruxismo en Uruguay Parte 1. Odontoestomatología. 2011; 8 (17): 54-71.
7. Michelotti A, De Wijer A, Steenks M, Farella M. Home-exercise regimes for the management of non-specific temporomandibular disorders. Journal of Oral Rehabilitation. 2005; 32: 779- 785.
8. Dao T, Lavigne G, Charbonneau A. The efficacy of oral splints in the treatment of myofascial pain of the jaw muscles: a controlled clinical trial. Pain. 1994; 56: 85-94.
9. Kreiner M, Bentancor E, Clark G. Occlusal stabilization appliance. Evidence of their efficacy JADA. 200; 132: 770-777.
10. Lopez-Rodriguez M, Castro-Sanchez A, Fernandez-Martinez M. Comparacion entre biodanza en medio acuático y stretching en la mejora de la calidad de vida y dolor en los pacientes con fibromialgia. Aten Primaria. 2012; 44(11): 641-650.
11. Valim V, Natour J, Xiao Y. Efeitos do exercício fisico sobre os níveis sericos de serotonina e seu metabolito na fibromialgia: um estudio piloto randomizado. Rev. Bras Reumatol. 2013; 53 (6): 538-541
12. Borja Sañudo, Gailano D, Carrasco L. Efects of a prolonged exercise program on key health outcomes in women with fibromyalgia: A randomized controlled trial. J. Rehabil Med. 2011; 43: 521-526.
13. Fontaine K, Conn L, Clauw D. Effects of Lifestyle Physical Activity in Adults with Fibromyalgia: Results at Follow-up. J Clin Rheumatol. 2011; 17 (2): 64-68. doi: 10.1097/ RHU.0b013e31820e7ea7.
14. Cunha G, Ribeiro J, Oliveira A. Níveis de Beta- Endorfina em Resposta ao Exercício e no Sobretreinamento. Arq Boas Endocrinol Metab. 2008; 52 (4): 589-598.
15. Schwarz L, Kinderman W. Cannes in B- Endorphin levels in response to aerobic an anaerobic exercise. Sports Medicine. 1992; 13 (1): 25-36
16. Shiffman E, Ohrbach R, Truelove E. Diagnostic Criteria for Temporomandibular Disroders (DC/TMD) for clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014; 28 (1): p6-27.
17. Gonzalez F, Guardia L, Schiavone G,. Programa de ejercicios aerobicos o de resistencia cardiorespiratoria. En Mazza M. Manual para la prescripción de ejercicio: actividad física y ejercicio para la salud. 1era. ed. Montevideo, Cátedra de Medicina del ejercicio y deporte: DEDOS; 2011, p129-165.
18. Deppiésse F. La prescription des activités physiques en practique médicale courante. En: Depiésse F, Coste O. Prescription des activités physiques en prévention thérapeutique. 2ª edition Issy-les-Moulineaux: Elsevier, 2016, p129- 165.
19. Karvonen J, Vourimaa T. Heart rate and exercice intensity during sports activities. Practical application. Sports Med.1988; 5 (5): p303-11.
20. Azam S. Madani, Amirtaher Mirmotazavi. Comparison of three treatment options for painful temporomandibular joint clicking. Journal of Oral Science. 2011; 53 (3): 349-354.
21. Vicente-Barrero M, Yu-Lu S., Zhang B. The efficacy of acupunture and decompression splints in the treatment of temporomandibular joint pain-dysfunction syndrome. Med Oral Patol Oral Cir Bucal. 2012. 17 (6): 1028-1033.
22. Ficnar T, Middelberg C, Rademacher B. Evaluation of the effectiveness of a semi-finished occlusal aplaiance- a randomized, controlled clinical trial. Head&Face Medicine- 2013; 9: 5 http: //www.head-face-med.com/content/9/1/5.
23. Langenfeld M, Hart L, Kao P. Plasma B-endorphin responses to one-houre bicycling and running at 60% O2 max. Medicine&Science in Sports&Exercice. 1987; 19 (2): 83-86.
24. Rahkila P, Hakala E, Salminen K. Response of plasma endorphin to running exercises in male and female endurance athletes. Med Sci Sports Exerc. 1987; 19 (5): 451-5.
25. Maresh C, Sökmen B, Kraemer W. Pituitary-adrenal responses to arm versus leg exercise in untrained man. Eur. J Appl Physiol 2006. 97: 471-477.
26. Goldfarb A, Hatfield B, Potts J. Beta-endorphin time course response to intensity of exercise: effects of training status. Int J Sports Med. 1991; 12 (3): 264-8
27. Golfarb A., Jamurtas A., Kamimori G. Gender effects on beta-endorphin response to exercise. Med Sci Sports Exerc. 1998; 30 (12): 1672-6.
28. Hayot, M. La réhabilitation du malade respiratoire chronique. En Préfaut C. y Ninot G. Les test d`exercice: lépreuve dexercice, a charge croissant.Issy les Moulineaux: Elsevier Masson, 2009; p86-112.
29. Nishishinya M, Rivera J, Cayetano A. Intervenciones no farmacológicas y tratamientos alternativos en la fibromialgia. Med Cin (Barc). 2006; 127 (8): 295-9.
30. Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database of Systematic Reviews. 2017; 1 (1): CD011279.