Temporomandibular disorder or TMD is characterized by a set of symptoms such as: pain, decreased range of motion and joint noise. It's origin is multifactorial, which may be related to biological aspects, environmental and psychosocial. The multimodal approach has been widely used in physiotherapy for the treatment of TMDs. Physiotherapy has been walking together with technology so that telerehabilitation can be a reality, contributing so that quality care reaches the patient, in the impossibility office-to-face service. The objective of this study is to verify the effect of telerehabilitation on pain outcomes, range of motion, functionality and biopsychosocial aspects in individuals with temporomandibular disorders. Will be a randomized, controlled and blinded clinical trial was carried out. The study will be divided into two moments: evaluation and intervention. Evaluations will be carried out using the Diagnostic Criteria for Temporomandibular Disorders: Clinical Protocol and Assessment Instruments (DC/TMD), the Fonseca Anamnesis Index (IAF), the Numerical Pain Scale (END) and the Functional Limitation Questionnaire (MFIQ). Individuals will be randomized into 2 groups: Group A (in person) Group B (telerehabilitation). Both groups will receive treatment physical therapy for 12 weeks. After collecting the data, they will be tabulated and analyzed using a 5% significance level.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
50
In general, patients will receive extra-oral massage and intraoral massage, myofascial release in the cranio-cervical musculature, mobilization of the hyoid bone and may also receive unspecific joint mobilization. Will bemouth opening exercise was also performed with the tongue on the palate, proprioceptive lateralization and protrusion exercises with hyperboloid and exercises with combinations of movements of laterality and opening, or protrusion and opening.
University Nove de Julho
São Paulo, Brazil
RECRUITINGScore in Numerical Pain Scale
intensity of pain
Time frame: The level of pain at 12 weeks
Score in Numerical Pain Scale
intensity of pain
Time frame: The level of pain at 6 months
measure range of motion
range of motion
Time frame: The range of motion at range of motion at 12 weeks .
measure range of motion
range of motion
Time frame: The range of motion at 6 months.
measure Functionality
Mandibular Functional Limitation Questionnaire
Time frame: The functionality at 12 weeks .
measure Functionality
Mandibular Functional Limitation Questionnaire
Time frame: The functionality at 6 months.
Biopsychosocial analysis.
Axis II of the diagnostic criterion for temporomandibular disorders
Time frame: The biopsychosocial analysis at 12 weeks .
Biopsychosocial analysis.
Axis II of the diagnostic criterion for temporomandibular disorders
Time frame: The biopsychosocial analysis at 6 months.
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