Agulhamento seco em pacientes com plenitude aural e disfunção temporomandibular muscular
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Data
2023-11-01
Autores
Cruz, Naiana Manuela Rocha Arcanjo da [UNIFESP]
Orientadores
Ganança, Fernando Freitas [UNIFESP]
Tipo
Dissertação de mestrado
Título da Revista
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Resumo
Objetivo: Analisar o impacto do agulhamento seco na plenitude aural em pacientes com disfunção temporomandibular muscular. Método: Trata-se de ensaio clínico, duplocego. A população do estudo foi constituída por 8 indivíduos com diagnóstico de disfunção temporomandibular muscular, atendidos no ambulatório de disfunção temporomandibular e dor orofacial do Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço da Universidade Federal de São Paulo – UNIFESP no período de dezembro de 2021 a julho de 2023. Foi realizado agulhamento seco no grupo estudo e o agulhamento sham (placebo) no grupo controle, em 3 sessões com intervalo de 7 dias. A Escala Visual Analógica (EVA) foi aplicada antes e após os procedimentos de intervenção para avaliação da plenitude aural. Os indivíduos de ambos os grupos foram submetidos a termografia infravermelha para monitorar as alterações de temperatura no músculo masseter nos diferentes momentos (antes e após a intervenção). Resultados: A maioria da população do estudo foi do sexo feminino (75%), com média de idade de 40,6 anos. A ansiedade foi a comorbidade mais frequente (37,5%). Os resultados mostraram que não houve significância estatística na pontuação da EVA e na diferença de temperatura do músculo masseter detectada e registrada pela termografia antes e após a intervenção para a plenitude aural em ambos os grupos. Conclusão: Conclui-se que os pacientes com DTM muscular não apresentaram melhora da plenitude aural quando submetidos ao agulhamento seco.
Objective: To analyze the impact of dry needling on ear fullness in patients with muscular temporomandibular dysfunction. Method: this is a doubleblind clinical trial. The study population was composed by 8 individuals with a diagnosis of muscular temporomandibular disorder attended at the temporomandibular disorder and orofacial pain clinic of the Department of Otorhinolaryngology and Head and Neck Surgery at the Federal University of São Paulo UNIFESP from December 2021 to July de 2023. Dry needling was performed in the study group and sham needling (placebo) in the control group, in 3 sessions with an interval of 7 days. The Visual Analogue Scale (VAS) before and after the intervention procedures to assess aural fullness were applied. Subjects in both groups underwent infrared thermography to monitor temperature changes in the masseter muscle at different time points (before and after the intervention). Results: The majority of the study population was female (75%) with a mean age of 40,6 years. Anxiety was the most frequent comorbidity (37,5%). The results showed that there was no statistical significance in the VAS score and in the masseter muscle temperature difference detected and recorded by thermography before and after the intervention for the aural fullness in both groups. Conclusion: It is concluded that patients with muscular TMD did not improve aural fullness when submitted to dry needling.
Objective: To analyze the impact of dry needling on ear fullness in patients with muscular temporomandibular dysfunction. Method: this is a doubleblind clinical trial. The study population was composed by 8 individuals with a diagnosis of muscular temporomandibular disorder attended at the temporomandibular disorder and orofacial pain clinic of the Department of Otorhinolaryngology and Head and Neck Surgery at the Federal University of São Paulo UNIFESP from December 2021 to July de 2023. Dry needling was performed in the study group and sham needling (placebo) in the control group, in 3 sessions with an interval of 7 days. The Visual Analogue Scale (VAS) before and after the intervention procedures to assess aural fullness were applied. Subjects in both groups underwent infrared thermography to monitor temperature changes in the masseter muscle at different time points (before and after the intervention). Results: The majority of the study population was female (75%) with a mean age of 40,6 years. Anxiety was the most frequent comorbidity (37,5%). The results showed that there was no statistical significance in the VAS score and in the masseter muscle temperature difference detected and recorded by thermography before and after the intervention for the aural fullness in both groups. Conclusion: It is concluded that patients with muscular TMD did not improve aural fullness when submitted to dry needling.
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Citação
CRUZ, Naiana Manuela Rocha Arcanjo da Agulhamento seco em pacientes com plenitude aural e disfunção temporomandibular muscular. 2023. Dissertação (Mestrado em Otorrinolaringologia) - Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, 2023.