Jader Pereira de Farias Neto

Radiographic measurement of the cervical spine in patients with temporomandibular dysfunction

AIM To compare the craniocervical angles and distances between temporomandibular dysfunction (TMD) and free TMD subjects. CASUISTIC AND METHODS The sample consisted of young adults, of both genders, with age ranging between 18 and 30 years. TMD diagnosis was based on the clinical criteria of the Research Diagnostic Criteria for TMD (RDC/TMD), associated with self-reported symptoms of TMD. For radiological analysis we measured three angles and two distances of craniocervical region. RESULTS Of the 56 subjects, only 23 completed all stages of research, which were divided into two groups: (1) free TMD group - composed of 11 individuals; (2) TMD group - constituted of 12 subjects. The most common clinical diagnosis of TMD was arthralgia (75.0%) followed by myofascial pain without limited mouth opening (58.4%). Among the self-reported symptoms of TMD, the most frequents were facial (83.4%) and neck (66.6%) pain. Of radiological measurement, only plane atlas angle (APA) (p=0.026) and anterior translation distance (Tz C(2)-C(7)) (p=0.045) showed statistical difference between groups TMD (APA=16.7+/-1.63; Tz C(2)-C(7)=28.7+/-2.58) and free TMD (APA=21.64+/-1.24; Tz C(2)-C(7)=19.82+/-3.29). CONCLUSION It could be verified that the symptomatic TMD patients presented a flexion of the first cervical vertebra associated with an anteriorization of the cervical spine (hyperlordosis).

Signs and symptoms of temporomandibular dysfunction in fibromyalgic patients.

ObjectiveThe objective of this study was to determine the frequency of signs and symptoms of temporomandibular disorder (TMD) in fibromyalgic patients. MethodsSixty subjects of both sexes (mean age, 49.2 ± 13.8 years) with fibromyalgia (FM) diagnosis were included in this study. All patients were examined by a calibrated investigator to identify the presence of TMD using the Research Diagnostic Criteria for TMD. ResultsThe most common signs (A) and symptoms (B) reported by FM patients were (A) pain in the masticatory muscles (masseter, 80%; posterior digastric, 76.7%), pain in the temporomandibular joint (83.3%), and 33.3% and 28.3%, respectively, presented joint sounds when opening and closing the mouth; (B) headache (97%) and facial pain (81.7%). In regard to the classic triad for the diagnosis of the TMD, it was found that 35% of the FM patients presented, at the same time, pain, joint sounds, and alteration of the mandibular movements. It was verified that myofascial pain without limitation of mouth opening was the most prevalent diagnosis (47%) for the RDC subgroup I. For the subgroup II, the disk displacement with reduction was the most prevalent diagnosis (21.6%). For the subgroup III, 36.7% of the subjects presented osteoarthritis. ConclusionsThus, there is a high prevalence of signs and symptoms of TMD in FM patients, indicating the need for an integrated diagnosis and treatment of these patients, which suggest that the FM could be a medium- or long-term risk factor for the development of TMD.

ANÁLISE DO DESEMPENHO FÍSICO E DO EQUILÍBRIO SOB INFLUÊNCIA DA CRIOTERAPIA EM ATLETAS DE FUTSAL

Introducao Crioterapia e a aplicacao de modalidades de frio com temperatura de 0oC a 18,3oC, podendo interferir no desempenho fisico e equilibrio, dependendo da capacidade do individuo em manter a estabilizacao, direcionar padroes de movimentos, controlar a postura e posicao articular. Objetivo Avaliar o desempenho fisico, a frequencia cardiaca e o equilibrio estatico com olhos abertos, em atletas de futsal (futebol de salao), antes e depois da crioimersao nos membros inferiores. Metodos Trinta e dois individuos do genero masculino participaram do estudo, distribuidos aleatoriamente em dois grupos: (A) grupo controle, imersao em agua a 24°C por 10 min; (B) grupo intervencao, crioimersao em agua com gelo a 10°C por 10 min. Os voluntarios realizavam a avaliacao do equilibrio no baropodometro, em seguida corriam em linha reta e em ziguezague por 100 m, entravam na crioimersao, terminando com uma nova avaliacao. Foram analisados o desempenho fisico, atraves dos tempos das corridas, a frequencia cardiaca, por meio de um frequencimetro e o equilibrio, atraves da baropodometria e estabilometria em apoio bipodal de olhos abertos. Resultados O desempenho fisico foi alterado apos a crioimersao quando das analises intra e intergrupos. A frequencia cardiaca apresentou diferenca ao comparar-se antes e apos a crio, porem sem diferencas em comparacao ao controle. O equilibrio nao foi alterado apos a crioimersao e nem em comparacao com o grupo controle. Conclusao A crioimersao prejudicou o desempenho fisico, quando a atividade foi imediatamente apos a mesma, sendo desta forma o gelo nao aconselhavel quando se deseja desempenho na atividade desportiva. Porem nao apresentou interferencia na frequencia cardiaca e no equilibrio de atletas de futsal, que podem nao ter sido alterados devido ao tempo da crioimersao.