Jully Anne Soares de Lima

Análise integral da produção científica brasileira em Motricidade Orofacial: estado da arte e perspectivas futuras

A complete review of Brazilian scientific articles on orofacial myology (OM) published in the last 10 years was conducted to describe, categorize and quantitatively analyze studies in the field of OM. Data were col lected from all Brazilian journals on speech-language and hearing sciences published between 2005 and 2015. All articles were reviewed and categorized according to the year of publication, type of article and subject area. Furthermore, all studies conducted on humans that reported quantitative data were analyzed regarding age group, scope, main objective and type of study. The data were discussed from the standpoint of scientific methodology applied for the improvement of methods and for evidence-based scientific development. Moreover, aspects to be considered in future studies in this field are suggested.

Ganhos funcionais mensurados pelo MBGR e impacto na qualidade de vida em sujeito submetido à cirurgia ortognática: relato de caso

The proposed theme is Speech Therapy Intervention before and after orthognathic surgery. Evaluation (through MBGR Protocol of Orofacial Myofunctional Evaluation with scores) and speech therapy intervention were performed in the preoperative (three months) and postoperative periods, started on the 20th day (for three months) after the surgeons liberation. In addition, it was investigated the impact of dentofacial deformity in the patients life quality through the Oral Health Impact Profile - reduced version. In the preoperative evaluation, Simultaneous bilateral chewing, presence of noise in the temporomandibular joint and unsystematic lip closure were found while performing the function. During swallowing, there was contraction of the perioral muscles and presence of residues after this function. It was found, in speech, distortion in the /r/ sound. There was pain on palpation in the masticatory muscles and decreased tone in the perioral and masticatory muscles. It was found high impact on quality of life, totaling 32 points. In the evaluation after speech therapy intervention, improvement was observed in the chewing functions (pre: 4 points, post: 1 point), swallowing (pre: 14, post: 5), breathing (pre: 3, post: 1) and speech (pre: 7, post: 1), muscle mobility (pre: 8, post: 1), tonicity of the muscles (pre: 5, post: 0) and pain on palpation (pre: 10, post: 2). There was improvement in the posture of the lips and significant improvement in quality of life, from 32 to 8 points. It was found an improvement in the physiology of the stomatognathic functions, decreased pain on palpation, balance in tone, muscle mobility and improved quality of life.

Clinical intervention studies of orofacial motricity: an analysis of the methodological quality of brazilian studies

Mailing address: Rebecca Rhuanny Tolentino Limeira Universidade Federal da Paraíba, Campus I CEP: 58.051-900 João Pessoa, Paraíba, Brasil E-mail: rebecca.rhuanny@hotmail.com ABSTRACT Purpose: to evaluate the methodological quality of clinical trials published in Brazilian journals. Methods: four trained independent researchers conducted a systematic literature search of all Brazilian speech therapy-related journals over the last ten years, whether the journals were active or inactive. All journal volumes published during that period were selected, and each researcher conducted an individual analysis to identify articles that focused primarily on orofacial motricity. The tools used were the Downs and Black Quality Checklist and the Jadad scale. Results: after the studies were selected and categorized, the final sample comprised six articles, all of which were classified as clinical trials. The observed methodological limitations included a lack of sample planning, randomization and blinding. Mean scores of 16.3 points on the Downs and Black Quality Checklist and 2.3 on the Jadad scale were obtained. Conclusion: the randomized controlled trials in the area of orofacial motricity are scarce in Brazilian literature, suggesting that studies in this area adopting this research design should be expanded and their quality should be improved to promote clinical practice based on scientific evidence.

Masseter muscle surface electromyography in college students with a high degree of anxiety and temporomandibular disorder

Mailing address: Giorvan Ânderson dos Santos Alves Rua Josemar Rodrigues de Carvalho, 245Bairro Jardim Oceania CEP: 58037-415 João Pessoa, Paraíba, Brasil E-mail: anderson_ufpb@yahoo.com.br ABSTRACT Objective: to compare the electrical activity of masseter muscles, bilaterally, according to the presence or absence of Temporomandibular Disorder (TMD) in college students with a high degree of anxiety. Methods: the study was conducted with a randomized sample of 31 Speech Therapy students aged between 17 and 32 years; 61.3% (n = 19) were females and 38.7% (n = 12) were males. They were divided into two groups, Group 1 (G1), comprising 11 students with TMD, and Group 2 (G2), composed of 20 students without TMD. The college students answered the State-Trait Anxiety Inventory (STAI) for anxiety investigation, and were evaluated by the protocol Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) for TMD diagnosis. The evaluation of muscular electrical activity took into account the records in the conditions of rest, Sustained Maximum Voluntary Activity (SMVA) and habitual chewing (HC). The data were analyzed using the version 22 IBM Statistical Package for Social Sciences (SPSS) software. The statistical analysis was performed using Student t test to compare means between groups, considering < 0,05 as the significant p-value. Results: college students, of both groups, presented high levels of anxiety traits. Significant statistical differences were observed on the percentage of electrical activity of right masseter muscle in chewing function, as well as muscle fibers recruitment during chewing, which were higher on the group without TMD. Conclusion: college students with TMD and a high degree of anxiety presented lower means of masseter muscle electromyografic activity during chewing, in most conditions assessed, as compared to volunteers without TMD, except for the left masseter muscle in rest and chewing.

Laser therapy applied to orofacial motricity: perception of members of the Brazilian Orofacial Motricity Association - Abramo

Mailing address: Giorvan Alves Rua Josemar Rodrigues de Carvalho, 245, Apto 901 CEP: 58037-415 João Pessoa, Paraíba, Brasil E-mail: anderson_ufpb@yahoo.com.br ABSTRACT Purpose: to know the profile of members of the Brazilian Association of Orofacial Motricity and their knowledge and interest on laser therapy in Orofacial Motricity. Methods: an online form was elaborated covering questions about the speech therapist’s profile, training, and acting, as well as his/her knowledge about the theories of laser therapy and its clinical application. The form was sent via e-mail to members of the Brazilian Association of Orofacial Motricity ABRAMO, registered in the year 2015. Data were analyzed through descriptive statistics and the Spearman’s correlation test. Results: only 5 (19.2%) out of the 26 participants reported having contact with laser equipment, and of these, only 1 (3.8%) used it in his/her practice. Regarding knowledge of the method, only 2 (7.7%) were trained, and the majority, 14 speech therapists (53.8%), had an interest in acquiring knowledge on this subject. Speech therapists with a longer training period were unaware of laser therapy (p = 0.03) and did not agree on the use (p = 0.01), but claimed to be interested in the subject (p = 0.05). Conclusion: it was possible to verify that the interest in improvement and insertion in the clinical practice in laser therapy are realities for the research volunteers, but a very small number has the knowledge and makes use of the technique in their interventions.

Temporomandibular disorders and oral habits in high-school adolescents: a public health issue?

Objective: Determine the prevalence of signs and symptoms of temporomandibular disorder (TMD) and its relationship with parafunctional habits in a sample of adolescents. Methods: The sample consisted of 129 high school students, between 16 and 19 years old in public schools. Data were collected through: a questionnaire about parafunctional habits and TMD symptoms, the Fonsecas index (DMF) and a summarized protocol of clinical evaluation of the TMD signals. These data were analyzed in a descriptive way, using statistical analysis by Chi-square test (x2) and Fishers Exact test. Results: 84.5% of individuals showed a degree of auto-reported dysfunction. The most frequent parafunctional habit was chewing gum (65.9%) while the habit of biting objects was significantly associated with the presence of TMD symptoms (p = 0.042). There was a statistically significant association between TMD symptoms with variables such as gender (p = 0.032) habits (p = 0.014) and emotional stress (p <0.01), besides the association between the need of treatment and gender (p = 0.002) and stress (p <0.01). In addition, there was an association between muscle tenderness, unilateral mastication (p = 0.045) and chewing ice / lollipop (p = 0.04). Conclusion: It was concluded that there was not only a high incidence of signs and symptoms of temporomandibular dysfunction and parafunctional habits in high school students, but also an association among them, becoming necessary to establish public policies of prevention and access to treatment for these problems for that specific age group.