Objective: This study was performed with the purpose a report clinical cases involving condylar position and Nóbilo’s sliding plates. Background: Patients may present temporomandibular disorder (TMD), which is c...Objective: This study was performed with the purpose a report clinical cases involving condylar position and Nóbilo’s sliding plates. Background: Patients may present temporomandibular disorder (TMD), which is characterized by pain in masticatory muscles, temporomandibular joints and limited mandible movements. Treatment involving oral rehabilitation with the use of complete dentures with Nóbilo’s sliding plates has been an alternative for the treatment of TMD. Materials and Methods: Nine patients with a history of TMD signs and symptoms (RDC/TMD)—in particular, muscular and articular pain—received pain evaluations, mandibular movement analysis, transcranial radiography and an electromyographic analysis of the masseter and temporalis muscles before and after the use of complete dentures with Nóbilo’s sliding plates. Results: After treatment, the patients had reduced painful symptoms, an increase in mandibular movement and adequate electromyographic activity. The normalized EMG data were ta-bulated and analyzed statistically using SPSS version 17.0 for Windows (SPSS Inc., Chicago, IL, USA), and the values were compared by umpaired independent Student’s t-test. Conclusion: The use of Nóbilo’s sliding plates promoted improvements in electromyographic activity, muscular pain and man-dibular movement.展开更多
Objective: The purpose of this study was to investigate the presence of postural imbalances, which can interfere with the mandible position and affect the actions of the stomatognathic system. Materials and Methods: F...Objective: The purpose of this study was to investigate the presence of postural imbalances, which can interfere with the mandible position and affect the actions of the stomatognathic system. Materials and Methods: Forty men, aged between 23 to 29 years, were selected and divided into two groups: Group I comprised 20 healthy individuals with no clinical postural change diagnosis;Group II, 20 individuals who had ACL surgical, unilateral with patellar tendon graft, paired individual to individual (age and weight). All of them were submitted to an electromyography in different clinical conditions. In addition, a condylar biomechanical assessment was performed through videogrametry. Results: In electromyography and videogrametry, a normal standard biomechanical was observed for both groups, however, Group GII—Ligamentplasty presented an inhibition of the masticatory muscles and decreased joint kinesthetic. Conclusion: Based on the results obtained, it was concluded that after the reconstruction of the ACL, individuals presented changes in the stomatog-nathic system.展开更多
OBJECTIVE:To evaluate the sternocleidomastoid and the descending portion of the trapezius muscles in terms of electromyographic activity and pressure pain threshold in women with chronic cervical pain after acupunctur...OBJECTIVE:To evaluate the sternocleidomastoid and the descending portion of the trapezius muscles in terms of electromyographic activity and pressure pain threshold in women with chronic cervical pain after acupuncture treatment.METHODS:Twenty-five women,aged 18-50 years[(31±3)years],with chronic neck and temporomandibular disorder participated in the study.The electromyographic activity of the sternocleidomastoid muscle and the descending portion of the trapezius muscle were recorded at rest,during shoulder elevation,(left and right)rotation of the neck and crucifix position.Maximum voluntary contraction was used to normalize the electromyographic activity data.The points used for acupuncture were Jiache(ST 6),Xiaguan(ST 7),Quanliao(SI 18),Tinggong(SI 19),Yifeng(TE-17),Fengchi(GB 20),Renzhong(GV 26),Yangbai(GB-14),and points of the lower and upper limbs:Tai chong(LV 3),Zusanli(ST 36),Sanyinjiao(SP 6),Kunlun(BL 60),He Gu(LI4)and Yanglingquan(GB 34).The treatment course was 10 sessions,30 min long per session,and twice a week.The final electromyographic activity and pressure pain threshold data collection were performed 15 d after treatment completion.RESULTS:The normalized electromyographic activity and pressure pain threshold data were tabulated and submitted to statistical analysis using t-test(P<0.05).Significant difference was observed during shoulder elevation for the left trapezius muscle,during neck rotation from the right side to the left,and pressure pain threshold for the trapezius and sternocleidomastoid muscles,bilaterally,after the acupuncture treatment.CONCLUSION:The acupuncture treatment improved the neck muscles in terms of electromyographic activity and increased the tolerance to chronic pain in women.展开更多
基金This study was supported by the Foundation for Research Support of São Paulo (FAPESP).
文摘Objective: This study was performed with the purpose a report clinical cases involving condylar position and Nóbilo’s sliding plates. Background: Patients may present temporomandibular disorder (TMD), which is characterized by pain in masticatory muscles, temporomandibular joints and limited mandible movements. Treatment involving oral rehabilitation with the use of complete dentures with Nóbilo’s sliding plates has been an alternative for the treatment of TMD. Materials and Methods: Nine patients with a history of TMD signs and symptoms (RDC/TMD)—in particular, muscular and articular pain—received pain evaluations, mandibular movement analysis, transcranial radiography and an electromyographic analysis of the masseter and temporalis muscles before and after the use of complete dentures with Nóbilo’s sliding plates. Results: After treatment, the patients had reduced painful symptoms, an increase in mandibular movement and adequate electromyographic activity. The normalized EMG data were ta-bulated and analyzed statistically using SPSS version 17.0 for Windows (SPSS Inc., Chicago, IL, USA), and the values were compared by umpaired independent Student’s t-test. Conclusion: The use of Nóbilo’s sliding plates promoted improvements in electromyographic activity, muscular pain and man-dibular movement.
基金The authors wish to thank Fundacao de Amparo a Pesquisa do Estado de Sao Paulo-FAPESP(2010/07513-5)for financially supporting this research.
文摘Objective: The purpose of this study was to investigate the presence of postural imbalances, which can interfere with the mandible position and affect the actions of the stomatognathic system. Materials and Methods: Forty men, aged between 23 to 29 years, were selected and divided into two groups: Group I comprised 20 healthy individuals with no clinical postural change diagnosis;Group II, 20 individuals who had ACL surgical, unilateral with patellar tendon graft, paired individual to individual (age and weight). All of them were submitted to an electromyography in different clinical conditions. In addition, a condylar biomechanical assessment was performed through videogrametry. Results: In electromyography and videogrametry, a normal standard biomechanical was observed for both groups, however, Group GII—Ligamentplasty presented an inhibition of the masticatory muscles and decreased joint kinesthetic. Conclusion: Based on the results obtained, it was concluded that after the reconstruction of the ACL, individuals presented changes in the stomatog-nathic system.
文摘OBJECTIVE:To evaluate the sternocleidomastoid and the descending portion of the trapezius muscles in terms of electromyographic activity and pressure pain threshold in women with chronic cervical pain after acupuncture treatment.METHODS:Twenty-five women,aged 18-50 years[(31±3)years],with chronic neck and temporomandibular disorder participated in the study.The electromyographic activity of the sternocleidomastoid muscle and the descending portion of the trapezius muscle were recorded at rest,during shoulder elevation,(left and right)rotation of the neck and crucifix position.Maximum voluntary contraction was used to normalize the electromyographic activity data.The points used for acupuncture were Jiache(ST 6),Xiaguan(ST 7),Quanliao(SI 18),Tinggong(SI 19),Yifeng(TE-17),Fengchi(GB 20),Renzhong(GV 26),Yangbai(GB-14),and points of the lower and upper limbs:Tai chong(LV 3),Zusanli(ST 36),Sanyinjiao(SP 6),Kunlun(BL 60),He Gu(LI4)and Yanglingquan(GB 34).The treatment course was 10 sessions,30 min long per session,and twice a week.The final electromyographic activity and pressure pain threshold data collection were performed 15 d after treatment completion.RESULTS:The normalized electromyographic activity and pressure pain threshold data were tabulated and submitted to statistical analysis using t-test(P<0.05).Significant difference was observed during shoulder elevation for the left trapezius muscle,during neck rotation from the right side to the left,and pressure pain threshold for the trapezius and sternocleidomastoid muscles,bilaterally,after the acupuncture treatment.CONCLUSION:The acupuncture treatment improved the neck muscles in terms of electromyographic activity and increased the tolerance to chronic pain in women.
