Análise da postura cranio-cervical em pacientes com disfunção temporomandibular / Cranio cervical posture analyze in patients with temporomandibular disorder

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

Objective: The purpose of this study was to verify if heads posture and cervical spine alignment were influenced by different types of TMD and compared if a correlation among the different forms of evaluating the heads positioning and cervical spine alignment. Methods: 90 women were evaluated using RDC/TMD by a trained examiner and Fonsecas Anamnesis Index and were divided in 3 groups: with miogenic TMD (group 1); with mixed TMD (group 2) and without TMD (control). After, anterior and lateral view photographs were taken by a single examiner. For the realization of these photos the skin was marked in the following anatomic places: occipital protuberance, C4, C7, acromion clavicular joint and sternoclavicular joint. From these points different angles were analyzed threw the ALCimagem-2000 applicative. These same photos were later qualitatively analyzed (visual evaluation). Later on a teleradiography and radiography of the cervical spine in a lateral position was requested. The examiner was blind when analyzing the images. For the comparison of the results the chi square test and analyze of variance with significant levels of 5% was used. Results: Regardless of the method used the results revealed that the head and the cervical spine posture didnt differ among the TMD group and the group without TMD, regardless being group diagnosis. Conclusion: The posture of individuals with TMD isnt different than to TMD individuals. The photograph and visual evaluation permits the evaluation of cervical - head region, but doesnt permit high and low cervical isolated evaluation, as well as cranio rotation, in this case radiography should be used.

ASSUNTO(S)

postura cervical fotogrametria photogrammetry cervical posture cefalometria cefalometry. disfunção temporomandibular temporomandibular disorders

ACESSO AO ARTIGO

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