Programa de Pós-graduação em Fonoaudiologia, Faculdade de Odontologia de Bauru, Universidade de São Paulo - USP - Bauru (SP), Brasil.
Conselho Federal de Fonoaudiologia - CFFa - São Paulo (SP) Brasil.
Codas. 2024 Aug 19;36(5):e20230016. doi: 10.1590/2317-1782/20242023016pt. eCollection 2024.
Propose and verify the efficiency of myofunctional intervention program to attenuate facial aging signs and balance the orofacial functions.
Thirty women, aged 50 to 60 years, randomly divided into: therapy group (TG) submitted to Orofacial Myofunctional Therapy and electromyographic biofeedback group (EBG), submitted to the same program associated with electromyographic biofeedback for chewing, swallowing, and smiling functions training. Aesthetic and oromyofunctional aspects were assessed from photographs, videos, MBGR Protocol and scales for assessing facial aging signs, described in the literature. 50-minute sessions were held weekly for nine weeks and monthly for six months after washout period. Three assessments, identical to the initial one, were performed in the tenth week, eighth week after washout and conclusion of the research. The participants responded to the Satisfaction Questionnaire on the tenth week.
The statistical analysis using the ANOVA, Tukey and Mann Whitney tests, for inter and intragroup comparison, showed that: intervention promoted attenuation of facial aging signs mainly in TG group, balance of chewing and swallowing functions in both groups; there was an impact of electromyographic biofeedback on the degree of participants' satisfaction, greater for EBG; interruption of the program for eight weeks resulted in aesthetic losses, mainly in TG, yet not functional losses, in both groups; the six monthly sessions had a limited impact on overcoming the esthetic losses that occurred after washout.
The proposed program resulted in attenuation of aging signs, mainly in the TG group and improvement in orofacial functions, in both groups.
提出并验证肌功能干预方案对减轻面部衰老迹象和平衡口腔功能的有效性。
将 30 名年龄在 50 岁至 60 岁之间的女性随机分为两组：治疗组（TG）接受口面肌功能治疗和肌电生物反馈组（EBG），接受相同的方案，并结合肌电生物反馈训练咀嚼、吞咽和微笑功能。通过照片、视频、MBGR 协议和评估面部衰老迹象的量表评估审美和口面功能。每周进行 50 分钟的治疗，共 9 周，然后在洗脱期后每月进行 6 个月。在第十周、洗脱后第八周和研究结束时进行了三次与初始评估相同的评估。第十周时，参与者对满意度问卷进行了回答。
使用 ANOVA、Tukey 和 Mann Whitney 检验进行的组间和组内比较的统计分析显示：干预措施主要在 TG 组中促进了面部衰老迹象的减轻，在两组中促进了咀嚼和吞咽功能的平衡；肌电生物反馈对参与者满意度的影响更大，主要在 EBG 组中；八周的方案中断导致了 TG 组的审美损失，而两组的功能损失不明显；六个月的治疗对克服洗脱后出现的审美损失的影响有限。
所提出的方案主要在 TG 组中减轻了衰老迹象，在两组中改善了口腔功能。
