An?lise eletromiogr?fica de pacientes portadores de dor miofacial tratados com acupuntura, laserterapia e placa miorrelaxante. Ensaio cl?nico randomizado controlado

Na Ficha Catalogr?fica, consta o t?tulo: "An?lise eletromiogr?fica de pacientes portadores de dor miofascial tratados com acupuntura e laserterapia". Na Folha de Rosto, consta o t?tulo: "An?lise eletromiogr?fica de pacientes portadores de dor miofascial tratados com acupuntura e laserterapia. Ensaio cl?nico randomizado". Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2019-03-20T18:08:07Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) luana_goes_soares.pdf: 2079287 bytes, checksum: 45587f8ee130f4944d57d2699daa7c11 (MD5) Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2019-03-30T11:18:38Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) luana_goes_soares.pdf: 2079287 bytes, checksum: 45587f8ee130f4944d57d2699daa7c11 (MD5) Made available in DSpace on 2019-03-30T11:18:38Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) luana_goes_soares.pdf: 2079287 bytes, checksum: 45587f8ee130f4944d57d2699daa7c11 (MD5) Previous issue date: 2018 A dor miofascial ? a condi??o cr?nica mais frequente encontrada nos pacientes com Desordem Temporomandibular, sendo caracterizada pela presen?a de pontos hipersens?veis na musculatura facial, onde se observa hiperatividade muscular. Este ensaio cl?nico teve como objetivo avaliar a efici?ncia do tratamento com acupuntura e laserterapia de baixa pot?ncia em pacientes com dor miofascial causada por Desordem Temporomandibular. Foram recrutados 14 pacientes diagnosticados com dor miofascial atrav?s do RDC/TMD. Os pacientes foram divididos aleatoriamente em dois grupos, onde cada grupo foi composto por sete pacientes. O grupo 1 foi submetido a dez sess?es de acupuntura, com dura??o de 20 minutos cada, onde as agulhas foram posicionadas nos pontos F3, B60, IG4, IG11, VG20, E6, E7, ID19, TA21 e Yin Tang para tratamento da dor miofascial e DTM. O grupo 2 recebeu sess?es de laser de baixa pot?ncia infra-vermelho. Os pacientes desse grupo tiveram sess?es de laserterapia at? remiss?o dos sintomas dolorosos ou at? completar o m?ximo de 10 sess?es e os pontos de aplica??o do laser foram determinado de acordo com o ponto de dor relatado pelo paciente. Antes e ap?s o tratamento, todos pacientes realizaram a eletromiografia dos m?sculos temporal (ramo anterior) e masseter em ambos os lados por um ?nico profissional capacitado. A amostra foi composta por 14 pacientes, sendo 10 do sexo feminino e 4 do sexo masculino, com m?dia de 29,5 anos. Os dados foram analisados utilizando o software Statistcal Package for Social Science (SPSS), vers?o 22.0, onde o teste de Wilcoxon para amostras emparelhadas foi usado quando a distribui??o dos dados foi n?o-normal e o teste T pareado foi usado para os dados com distribui??o normal. No grupo tratado com acupuntura, observou-se diminui??o da atividade nos m?sculos avaliados em protus?o, em lateralidade para a direita, sem diferen?a estatisticamente significativa. Foi observada uma diferen?a estatisticamente significativa durante o apertamento no m?sculo temporal direito, onde a atividade foi maior ap?s o tratamento e diminui??o da atividade neuromuscular durante a protus?o nos m?sculos avaliados, sem diferen?a estatisticamente significativa nos pacientes tratados com o laser de baixa pot?ncia. Os dois tratamentos foram estatisticamente significativos na redu??o de dor, por?m n?o houve diferen?a entre os tratamentos. Conclui-se que as terapias empregadas no gerenciamento da dor miofascial dos pacientes com DTM foram capazes de reduzir a percep??o de dor do paciente, al?m de promover altera??es na atividade el?trica neuromuscular dos m?sculos masseter e temporal. Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2018. Myofascial pain is more frequent in patients with TMD, being characterized by the presence of hypersensitive points in the facial musculature, where muscular hyperactivity is observed. This clinical trial aims to evaluate the effectiveness of acupuncture and low-level laser therapy in patients with myofascial pain caused by TMD pain. We recruited 14 patients diagnosed with myofascial pain through RDC / TMD. Patients were randomly divided into two groups, where each group consisted of seven patients. Group 1 was submitted to ten acupuncture sessions lasting 20 minutes each, where the needles were positioned at points F3, B60, IG4, IG11, VG20, E6, E7, ID19, TA21 and Yin Tang for the treatment of myofascial pain and DTM. Group 2 received low-power infra-red laser sessions. Patients in this group had laser therapy sessions until remission of painful symptoms or up to a maximum of 10 sessions. The laser application points were determined according to the point of pain reported by the patient. Before and after treatment, all patients underwent electromyography of the temporalis muscles (anterior branch) and masseter on both sides by a single trained professional. The sample consisted of 14 patients, of which 10 were female and 4 were male, with a mean of 29.5 years. Data were analyzed using the Statistcal Package for Social Science (SPSS), version 22.0, where the Wilcoxon test and the paired T-test were performed. In the group treated with acupuncture, there was a decrease in the activity in the muscles assessed in protrusion and in laterality to the right, both with no statistically significant difference. A statistically significant difference was observed during tightening in the right temporalis muscle, where activity was greater after treatment and there was decreased neuromuscular activity during protrusion in the evaluated muscles, with no statistically significant difference in patients treated with the low-level laser. Regarding VAS, the two treatments were statistically significant in reducing pain, but there was no difference between treatments. It was concluded that the therapies employed in the management of myofascial pain in patients with TMD were able to reduce the patient's perception of pain, as well as to promote changes in the neuromuscular electrical activity of the masseter and temporalis muscles.