Quality of life in temporomandibular disorder patients with localized and widespread pain

AIM: To compare temporomandibular (TMD) subgroups classified according to the presence of localized pain (LP) or widespread pain (WP) in order to assess the quality of life domains and verify which components affect most the functional capacity of facial pain patients. METHODS: A cross-sectional study was conducted and the Short Form-36 Health Survey was applied in order to assess quality of life. Thirty-nine TMD/WP patients, 37 TMD/LP patients and 40 subjects free of TMD complaints were evaluated. RESULTS: TMD/WP patients differed significantly from healthy controls in all SF-36 components and TMD/LP patients ranked between them. It was also observed that patients with bodily pain and TMD with WP are respectively, 4.16 and 49.42 times more likely to have low functional capacity. CONCLUSIONS: Functional capacity in TMD subgroups was only affected by the presence of bodily pain and WP. These patients feature high chance of low functional capacity. Furthermore, TMD patients with localized and widespread pain share role-emotional impairments...

Avaliação de um treinamento estático de carga parcial de peso / Evaluation of partial static weight load training

O treinamento da marcha com carga parcial é comum na prática do fisioterapeuta, entretanto, na área hospitalar, o tempo para esse treinamento é limitado, durando somente o tempo da internação. Dessa forma, este estudo tem como objetivo verificar o efeito do treinamento prévio de carga parcial de peso, em voluntárias sem lesões ortopédicas buscando direcionar esse treinamento para pacientes submetidos a cirurgias ortopédicas nos membros inferiores. Participaram deste estudo 32 voluntárias sem alterações posturais ou história de traumas nos membros inferiores. O treinamento de carga parcial foi realizado distribuindo-se 20 por cento da massa corporal total no membro inferior direito em uma balança digital antropométrica. As voluntárias foram divididas em dois grupos, sendo que o grupo I repetiu o treinamento 6 vezes e o grupo II, 12 vezes. Os dados da distribuição estática da carga foram coletados em uma plataforma de pressão Matscan-Tekscan® e comparados no pré e pós-treinamento. Foi verificado que houve diferença significativa no treinamento repetido 12 vezes (p< 0,015). O treinamento prévio de carga parcial mostrou-se eficaz para ser realizado no paciente durante a fase hospitalar, pois com apenas a realização do treinamento uma única vez, repetido 12 vezes, foi observado o aprendizado da carga parcial.

Gait training with partial load is common in a physical therapist practice; however, in the hospital environment, the time for this training is limited, lasting only for the time of hospitalization. Therefore, this study was aimed to check on the effects of previous partial weight load training in volunteers without orthopaedic injuries seeking to indicate it to patients submitted to orthopaedic surgeries on lower limbs. 32 volunteers showing no postural changes or history of trauma on lower limbs were included in this study. The partial load training was carried out by distributing 20 percent of the total body mass on the right lower limb in an anthropometric digital scale. The volunteers were divided into two groups, with group I repeating the drill 6 times, and group II 12 times. Data about the static load distribution were collected by a pressure platform Matscan-Tekscan® and compared on the pre- and post-training periods. A significant difference was found for 12-repetitions drills (p<0.015). Pre-training with partial weight load was shown to be effective to be applied on patients during hospitalization period, because with only a single drill repeated 12 times, partial load learning was noticed.