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Signos, síntomas y alteraciones posturales en pacientes diagnosticados con trastornos de la articulación temporomandibular.

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Title: Signos, síntomas y alteraciones posturales en pacientes diagnosticados con trastornos de la articulación temporomandibular.
Alternate Title: Signs, Symptoms, and Postural Changes in Patients Diagnosed with Temporomandibular Joint Disorders.
Authors: Mera Quintero, Noraelena1,2 noel_mequi@hotmail.com, Morales Mutis, Leidy Janeth1,3 lejamora87@hotmail.com, Ordóñez Gómez, Dany Viviana1 danyvivisog@hotmail.com, Gómez Cabrera, Gloria Cenaida1,4 g.lory48@hotmail.com, Osorio Toro, Sonia5 soniaosorio@correounivalle.edu.co
Source: Universitas Odontológica. ene-jun2015, Vol. 34 Issue 72, p57-65. 9p.
Abstract (English): Background: Several studies analyze the frequency of signs, symptoms, and postural changes of the head in patients with temporomandibular joint disorders (TMD). However, there is controversy around the frequencies reported by the different authors. Aim: To report the frequency of signs and symptoms in a group of patients with TMD and to identify whether TMD is related to the postural balance of the head and neck in those patients. Methods: This was a cross-sectional observational study with 27 patients from the maxillofacial surgery service of a third-level hospital in Cali, Colombia. TMD symptomatology was assessed through the research diagnostic criteria for temporomandibular disorders (RDC/TMD) method. Likewise, head postural features were studied with software for digital imagining postural analysis. Results: The most frequent sign was deviation jaw during opening (70%). The most common symptom was headache (96%) and the most limited activity was mastication (93%). Conclusions: Body posture is associated with the presence of TMD signs and symptoms. Forward head showed a statistically significant association with pain during palpation of the temporal muscle. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes: Muchas investigaciones analizan la frecuencia de signos, síntomas y alteraciones posturales de cabeza en pacientes con trastornos de la articulación temporomandibular (TTM); sin embargo, existe controversia en cuanto a las frecuencias encontradas por los diferentes autores. Objetivo: Reportar la frecuencia de signos y síntomas en un grupo de personas con TTM e identificar si existe alguna relación entre los TTM y el balance postural de la cabeza y el cuello en dichos pacientes. Métodos: Se realizó un estudio de tipo observacional transversal con 27 pacientes del servicio de cirugía maxilofacial de un hospital de III nivel de la ciudad de Cali, Colombia. Se usó el formato de criterios diagnósticos para la investigación de trastornos temporomandibulares (CDI/TTM) para evaluar la presencia de signos y síntomas relacionados con los TTM, así como un programa de análisis postural por imagenología computarizada para identificar las características posturales de cabeza más comunes. Se utilizó la prueba de independencia chi cuadrado para analizar la relación entre estas variables. Resultados: El signo más frecuente fue la desviación en apertura mandibular (70 %). Los síntomas más prevalentes fueron el dolor de cabeza (96 %) y la limitación en la actividad más reportada fue la masticación (93 %). Conclusión: La postura corporal tiene una relación importante con la presencia de signos y síntomas de TTM. La cabeza adelantada presentó una relación estadísticamente significativa con el dolor a la palpación en el músculo temporal (p < 0,05). [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background: Several studies analyze the frequency of signs, symptoms, and postural changes of the head in patients with temporomandibular joint disorders (TMD). However, there is controversy around the frequencies reported by the different authors. Aim: To report the frequency of signs and symptoms in a group of patients with TMD and to identify whether TMD is related to the postural balance of the head and neck in those patients. Methods: This was a cross-sectional observational study with 27 patients from the maxillofacial surgery service of a third-level hospital in Cali, Colombia. TMD symptomatology was assessed through the research diagnostic criteria for temporomandibular disorders (RDC/TMD) method. Likewise, head postural features were studied with software for digital imagining postural analysis. Results: The most frequent sign was deviation jaw during opening (70%). The most common symptom was headache (96%) and the most limited activity was mastication (93%). Conclusions: Body posture is associated with the presence of TMD signs and symptoms. Forward head showed a statistically significant association with pain during palpation of the temporal muscle. [ABSTRACT FROM AUTHOR]
ISSN:01204319
DOI:10.11144/Javeriana.uo34-72.ssap