Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/588017a17f8c9d0a098b4817
Revista de Odontologia da UNESP
Original Article

Exercícios Isocinéticos no Tratamento dos Estalidos Articulares da ATM

Isokinetic exercises in the management of TMJ clicking sounds

Alencar Jr., F.G.P.; Aizawa, A.S.

Downloads: 7
Views: 1139

Resumo

Neste estudo foi avaliada a eficácia dos exercícios isocinéticos como forma de terapia para a eliminação ou diminuição dos estalidos da articulação temporomandibular, nos casos de deslocamento anterior do disco com redução, em pacientes assintomáticos. Os resultados mostraram uma eliminação ou diminuição dos estalidos articulares em 60% dos pacientes do grupo de estudo e em 30% do grupo controle. Considerando tratar-se de uma modalidade terapêutica conservadora e reversível, a sua utilização poderia ser indicada nos casos em que a queixa principal fosse a presença dos estalidos articulares não acompanhados de sintomatologia dolorosa.

Palavras-chave

Desordem temporomandibular, estalido articular, tratamento, fisioterapia

Abstract

In this study we analyzed the isokinetic exercises as a treatment modality for the management of clicking sounds in asymptomatic patients with anterior disc displacements with reduction. The results showed an improvement in 60% of the patients in the study group and in 30% of the patients in the control group. Considering isokinetic exercises as a conservative and reversible therapeutic modality, it could be indicated for patients whose chief complaint is the presence of clicking sounds without pain.

Keywords

Temporomandibular Disorder, clicking, management, physical therapy

References



1. AU, A.R.; KLINEBERG, I.J. Isokinetic exercise in the management of temporomandibular joint clicking in young adults. J. Prosthet. Dent., St. Louis, v. 70, n. 1, p. 33-39, July 1993.

2. BARGHI, N.; SANTOS JR., J.; NARENDRAN, S. Effects of posterior teeth replacement on temporomandibular joint sounds: a preliminary report. J. Prosthet. Dent., St. Louis, v. 68, n. 1, p. 132-136, July 1992.

3. BELL, W.E. Temporomandibular disorders. Classification, diagnosis, and management. 3rd ed. Chicago: Year Book, 1990.

4. BERTOFT, G. The effect of physical training on temporomandibular joint clicking. Odontol. Revy , Lund, v. 23, n. 3, p. 297-304, 1972.

5. DWORKIN, S.F. et al. Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. J. Am. Dent. Assoc., Chicago, v. 120, n. 3, p. 273-281, Mar. 1990.

6. GAGE, J.P. Mechanisms of disc displacement in the temporomandibular joint. Aust. Dent. J., Sydney, v. 34, n. 5, p. 427-436, Oct. 1989.

7. GRAY, R.J.M.; DAVIES, S.J.; QUAYLE, AA. A clinical approach to temporomandibular disorders. Part 5: a clinical approach to treatment. Br. Dent. J., London, v. 177, n. 3, p. 101-106, Aug. 1994.

8. HARGREAVES, A.S.; WARDLE, J.J.M. The use of physiotherapy in the treatment of temporomandibular disorders. Br. Dent. J., London, v. 155, n. 4, p. 121- 124, Aug. 1983.

9. JUNIPER, R.P. The shape of the condyle and position of the meniscus in temporomandibular joint dysfunction. Br. J. Oral Maxillofac. Surg., Edinburgh, v. 32, n. 2, p. 71-76, Apr. 1994

10. KONDOH, T. et al. Prevalence of morphological changes in the surfaces of the temporomandibular joint disc associated with internal erangement. J. Oral Maxillofac. Surg., Philadelphia, v. 56, n. 3, p. 339-343, Mar. 1998.

11. McKAY, G.S.; YEMM, R.; CADDEN, S.W. The structure and function of the temporomandibular joint. Br. Dent. J., London, v. 173, n. 4, p. 127-132, Sept. 1992.

12. MAGNUSSON, T.; EGERMARK-ERIKSSON, I.; CARLSSON, G. Five- year longitudinal study of signs and symptoms of mandibular dysfunction in adolescents. J. Craniomandibular Pract., Chattanooga, v. 4, p.338- 344, 1986.

13. MOTOYOSHI M, OHYA M, HASEGAWA M, NAMURA S. A study of temporomandibular joint sounds. Part 1. Relationship with articular disc displacements. J. Nihon Univ. Sch. Dent., Tokyo, v. 36, n. 1, p. 48-51, Mar. 1994.

14. MUHL ZF, SADOWSKY C, SAKOLS EI. Timing of temporomandibular joint sounds in orthodontic patients. J. Dent. Res., Chicago, v. 66, n. 8, p.1389-1392, Aug. 1982.

15. OKESON, J.P. Management of temporomandibular disorders and occlusion. 4th ed. St. Louis: Mosby, 1998.

16. OSBORN, J.W. The disk of the human temporomandibular joint: design, function, and failure. J. Oral Rehabil., Oxford, v.12, n. 4, p.279-293, July 1985.

17. PAESANI, P. et al. Prevalence of temporomandibular joint internal derangement in patients with craniomandibular disorders. Am. J. Orthod. Dentofacial Orthop., St. Louis, v. 101, n. 1, p. 41-47, Jan. 1992.

18. PORTER MR. The attachment of the lateral pterygoid muscle to the meniscus. J. Prosthet. Dent., St. Louis, v. 24, n. 5, p. 555-562, Nov. 1970.

19. PRINZ, J.F. et al. Characterization of sounds emanating from the human temporomandibular joints. Arch. Oral Biol., Oxford, v. 41, p. 631-639, 1996.

20. SATO, S. et al. Morphology of the mandibular fossa and the articular eminence in temporomandibular joints with anterior disk displacement. Int. J. Oral Maxillofac. Surg., Copenhagen, v. 25, n. 3, p. 236-238, June 1995.

21. SHORE, N.A. Educational program for patients with temporomandibular dysfunction. J. Prosthet. Dent., St. Louis, v. 24, n. 1, p. 77-82, July 1970.

22. TALLENTS, R.H. et al. Temporomandibular joint sounds in asymptomatic volunteers. J. Prosthet. Dent., St. Louis, v. 69, n. 3, p. 298-304, Mar. 1993.

23. TASAKI, M.M. et al. Classification and prevalation of temporomandibular joint disk displacement in patients and symptom-free volunteers. Am. J. Orthod. Dentofacial Orthop., St. Louis, v. 109, n. 3, p. 249- 262, Mar. 1996. 24 WATT, D.M.; McPHEE, P.M. An analysis of temporomadibular joint sounds. J. Dent. Res., Chicago, v.11, n. 4, p. 346-355, Dec. 1983.

25. WESTESSON, P.L. Double-contrast arthrotomography of the temporomandibular joint: introduction of an arthrographic technique for visualization of the disc and articular surfaces. J. Oral. Maxillofac. Surg., Philadelphia, v. 41, n. 3, p.163-172, Mar. 1996.

26. WILKES, C.H. Arthrography of the temporomandibular joint in patients with the TMJ pain-dysfunction syndrome. Minn. Med., St. Paul., v. 61, n. 11, p.645- 652, Nov. 1978.

27. WISE, S.W.; CONWAY, W.F.; LASKIN, D.M. Temporomandibular joint clicking only on closure: a report of a case and explanation of the cause. J. Oral Maxillofac. Surg., Philadelphia, v. 51, n. 11, p. 1272- 1273, Nov. 1993.
588017a17f8c9d0a098b4817 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections