Influência das terapias conservadoras sobre a qualidade do sono, intensidade de dor e níveis de depressão em pacientes portadores de disfunção temporomandibular: ensaio clínico randomizado
Temporomandibular disorders (TMDs) is a major public health problem, as they are the most commonly reported causes of pain that interfere with daily activities. Biological and behavioral aspects such as depression and sleep quality may play an important role in adapting to pain and canceling out...
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| Formato: | Dissertação |
| Idioma: | por |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/25842 |
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| Resumo: | Temporomandibular disorders (TMDs) is a major public health problem, as they are the most
commonly reported causes of pain that interfere with daily activities. Biological and behavioral
aspects such as depression and sleep quality may play an important role in adapting to pain and
canceling out patients. Objective: to evaluate the therapy of conservative therapies, occlusal
splint, counseling and manual therapy on the intensity of pain, anxiety level and sleep quality in
patients with temporomandibular disorders. Methods: 85 patients diagnosed with TMD through
RDC / TMD (Diagnostic Criteria for Research in Temporomandibular Disorders) were included
in this randomized clinical trial. They were randomly assigned to 4 different treatment groups:
oclusal splint (n = 24), occlusal splint associated with counseling (n = 24), manual therapy (n =
19) and counseling (n = 18). The patients were evaluated for pain intensity by means of the
Visual Analogue Scale (VAS), pressure level by the Beck Intelligence Inventory (BDI) and the
Hospital Anxiety and Depression Scale (HADSd) and the quality of sleep through Pittsburgh
Sleep Quality Index (PSQI) there is no baseline and also the last two weeks after the treatment.
The data were used in the Split Plot ANOVA test, in order to observe the difference between
time and groups, with a confidence level of 95%. Results: When analyzing how variables over
time all therapies differ positively, with reduction of pain intensity (p = 0.000), decrease in
depression levels by BDI (p = 0.001) and also sleep quality evaluated by PSQI (p = 0.005).
Except for confidence levels at the same time that HADSd was not different over time (p =
0.106) and between groups (p = 0.890). Significant difference was not found between treatment
groups in any of the variables during the study period. Conclusion: As therapy of occlusal splint,
counseling therapy and manual terapy, have positive results regarding pain intensity, depression
levels and sleep quality in patients with short-term MS (1 and 3 months) with no differences
between them. |
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