%0 Journal Article
%T Immediate effect of nonspecific mandibular mobilization on postural control in subjects with temporomandibular disorder: a single-blind, randomized, controlled clinical trial Efeito imediato da mobiliza  o mandibular inespec¨ªfica sobre o controle postural em indiv¨ªduos com disfun  o temporomandibular: ensaio cl¨ªnico controlado, randomizado, simples cego
%A Ana P. Amaral
%A Fabiano Politti
%A Yasmin E. Hage
%A Eric E. C. Arruda
%J Brazilian Journal of Physical Therapy
%D 2013
%I Associa??o Brasileira de Pesquisa e P¨®s-Gradua??o em Fisioterapia
%X BACKGROUND: Temporomandibular disorder (TMD) is considered multifactorial and is defined as a group of pain conditions characterized by functional stomatognathic system alterations, which may be affected by or related disrupted postural control. OBJECTIVE: Assess the immediate effect of nonspecific mandibular mobilization (NMM) on the postural control of subjects diagnosed or not with TMD. METHOD: A simple-blind, randomized, controlled clinical trial was performed involving 50 subjects of both genders assigned to two groups: the TMD group and the control group. TMD was diagnosed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). A stabilometric assessment was performed by testing subjects in a quiet stance on a dual force platform under two visual conditions (eyes open and eyes closed). The Center of Pressure (CoP)-related variables analyzed were displacement, amplitude, speed of anterior-posterior (AP) and medial-lateral (ML) displacements and CoP sway area. The mean values of each variable were compared, considering the accepted significance value of p<0.05. RESULTS: A significant difference between the pre- and post-NMM means could be observed in subjects diagnosed with TMD under the closed-eyes visual condition. There was a statistically significant difference in the CoP sway area (p<0.03) in the ML displacement COPML (p<0.006) and ML amplitude COPML (p<0.01) and in the variable speed in the AP COPAP (p<0.03) and ML COPML (p<0.03) directions, simultaneously. CONCLUSION: These results indicate that nonspecific temporomandibular joint mobilization contributes to the immediate improvement of postural control in patients with TMD. CONTEXTUALIZA  O: A disfun  o temporomandibular (DTM) ¨¦ considerada multifatorial e se define como um grupo de condi  es dolorosas que se caracteriza por apresentar altera  es funcionais do sistema estomatogn¨¢tico que podem estar relacionadas ¨¤ perturba  o ou a uma contribui  o em rela  o ao controle da postura. OBJETIVO: Verificar o efeito imediato da mobiliza  o mandibular inespec¨ªfica (MMI) sobre o controle postural em indiv¨ªduos com e sem diagn¨®stico de DTM. M¨¦TODO: Realizou-se um ensaio clinico controlado, randomizado, simples cego, com 50 indiv¨ªduos de ambos os g¨ºneros, alocados em dois grupos: grupo DTM e grupo controle, diagnosticados segundo o RDC/TMD. Realizou-se uma avalia  o estabilom¨¦trica com os indiv¨ªduos sobre uma plataforma de for a, em duas condi  es visuais: olhos abertos e fechados. As vari¨¢veis referentes ao centro de oscila  o do corpo (COP) analisadas foram: deslocam
%K fisioterapia
%K articula  o temporomandibular
%K transtornos da articula  o temporomandibular
%K equil¨ªbrio postural
%K physical therapy
%K temporomandibular joint
%K temporomandibular joint disorders
%K equilibrioception
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552013000200121