Efeito a curto prazo da laser acupuntura na dor, ansiedade e depressão de pacientes com disfunção temporomandibular: ensaio clínico randomizado
Objective: To evaluate the short-term effect of laser acupuncture compared with counseling, occlusal plaque, and physiotherapy treatments on pain, anxiety, and depression in TMD patients. Methods: A randomized clinical trial was performed with patients with TMD, diagnosed by the TMD (RDC / TMD)....
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Brasil
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/28068 |
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| Resumo: | Objective: To evaluate the short-term effect of laser acupuncture compared with counseling,
occlusal plaque, and physiotherapy treatments on pain, anxiety, and depression in TMD
patients. Methods: A randomized clinical trial was performed with patients with TMD,
diagnosed by the TMD (RDC / TMD). 60 patients were randomly allocated to four distinct
groups: counseling (AC), Occlusal Plaque (PO), physical therapy (PF) and laser acupuncture
(LA) and were evaluated at baseline, and at 1 month after therapy. To evaluate anxiety,
HADS, BAI, and STAI were used. For depression was BDI and HADS. For pain, VAS was
used. The Kruskal-Wallis test with a 95% confidence level was used for intergroup analysis.
The Mann-Whitney post-test, to verify where was the difference found between the groups.
And the Wilcoxon signed rank test for analysis between the times analyzed. Results: Over
time there was a reduction in pain symptoms in the PL (p = 0.001), PF (p = 0.014) and LA
groups were at the significance threshold (p = 0.08). After 30 days of therapy there was a
significant reduction between the PF versus AC (p = 0.004) and FP versus LA (p = 0.006)
groups. The FP group was the only group that reduced anxiety symptoms by BAI (p = 0.09)
and by STAI-E (p = 0.042). In depressive parameters there was a statistically significant
difference over time by BDI in the PO (p = 0.044) and LA (p = 0.009) groups. Between groups
there was a statistically significant difference by BDI, between PO versus LA (p = 0.004),
and PF versus LA (p = 0.005). And by HADS, between FP versus LA (p = 0.012).
Conclusion: For patients with anxiety and depression, laser acupuncture is not the most
appropriate therapy to reduce pain symptoms in the short term. |
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