Chaves Paulo de Jesus, de Oliveira Franceane Esther Moreira, Damázio Laila Cristina Moreira
. Instituto de Ensino Superior Presidente Tancredo Neves, São João Del Rei, MG, Brazil.
. Universidade Federal de São João Del Rei, São João Del Rei, MG, Brazil.
Acta Ortop Bras. 2017 Jul-Aug;25(4):162-164. doi: 10.1590/1413-785220172504171249.
The aim of this study was to identify the incidence of postural changes and temporomandibular disorders (TMD) in children and adolescents .
We selected 117 individuals aged 10-18 years from a state school in the Zona da Mata region of Minas Gerais. The students were evaluated in four stages: assessment of body weight and height and calculation of body mass index; posture evaluation using a questionnaire developed by the researchers; application of a questionnaire recommended by the American Academy of Orofacial Pain to assess TMD; and, finally, application of the Fonseca anamnesis questionnaire .
Of our sample, 26.36% had no TMD, 50.9% had mild TMD, 21.8% moderate TMD, and 0.9% severe TMD. Of the participants with moderate or severe TMD (30.8%), about 56% had some kind of change in head positioning. We found that 88% of the children with moderate or severe TMD had changes in the shoulders .
The postural changes found in the head and shoulders are related to the biomechanical adaptation of the muscles of mastication and consequent changes in the TMJ. Level Of Evidence Iii, Non-Consecutive Patient Study Without Gold Reference Standard Applied Uniformly.
本研究旨在确定儿童和青少年姿势变化及颞下颌关节紊乱病(TMD)的发生率。
我们从米纳斯吉拉斯州马塔地区的一所公立学校选取了117名年龄在10 - 18岁的个体。学生们接受了四个阶段的评估:体重和身高评估以及体重指数计算;使用研究人员编制的问卷进行姿势评估;应用美国口腔面部疼痛学会推荐的问卷评估TMD;最后,应用丰塞卡问诊问卷。
在我们的样本中,26.36%没有TMD,50.9%有轻度TMD,21.8%有中度TMD,0.9%有重度TMD。在患有中度或重度TMD的参与者(30.8%)中,约56%的人头部位置有某种变化。我们发现,88%患有中度或重度TMD的儿童肩部有变化。
头部和肩部发现的姿势变化与咀嚼肌的生物力学适应以及颞下颌关节的相应变化有关。证据级别III,无金标准对照的非连续性患者研究。