INFLUENCE OF MANUAL THERAPY IN PATIENTS WITH TEMPOROMANDIBULAR DYSFUNCTION. CASE SERIES.
Temporomandibular dysfunction; Quality of life; Skeletal Manipulations; Salivary cortisol.
Objective: To evaluate manual therapy (TM) in patients with
temporomandibular disorder (TMD). Methodology: A series of cases was
carried out in 5 patients with TMD, diagnosed by the Temporomandibular
Dysfunction Diagnosis Criterion (RDC / TMD). Patients received sessions of TM
in the period of 1 month, a frequency twice a week lasting 30 minutes, making a
total of 8 sessions. The level of salivary cortisol, pain intensity was verified by
the visual numerical scale (EVN), degree of anxiety by the questionnaires:
Hospital Anxiety and Depression Scale (HADS), Beck Anxiety Inventory (BAI)
and Trait Anxiety Index State (STAI), degree of depression using the Hospital
Anxiety and Depression Scale questionnaire (HADS) and quality of life using
the World Health Organization Quality of Life questionnaire (WHOQUOL bref).
They were evaluated before and after the therapy was applied. Results: It was
observed that after TM, most patients were pain-free (ENA = 0), with a
decrease in the level of salivary cortisol (1.98 µg / dl to 1.31 µg / dl), less
anxious ( medium anxiety) and less depressive (mild depression) and with
improved quality of life. Conclusion: The results of this study demonstrated that
manual therapy had satisfactory effects in the treatment of patients with TMD on
pain intensity, salivary cortisol level, anxiety in relation to the BAI questionnaire,
, depression and quality of life.
Keywords: Temporomandibular dysfunction; Quality of life; Skeletal
Manipulations; Salivary cortisol.