Fisioterapia

Permanent URI for this collectionhttp://repositorio.uta.edu.ec/handle/123456789/33811

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Subject: search.filters.subject.TRASTORNO TEMPOROMANDIBULAR

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    TÉCNICAS MANUALES EN LA ARTICULACIÓN TEMPOROMANDIBULAR COMO TRATAMIENTO DEL DOLOR EN ATLETAS QUE PRACTICAN DEPORTES DE CONTACTO
    (2025-02-27) Garces Ramos, Johan Alexis; Peñafiel Luna, Andrea Carolina; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia
    The present study investigated whether post-isometric muscle relaxation and myofascial relaxation are effective treatments for temporomandibular disorders (TMD) in athletes participating in contact sports. A longitudinal study was conducted with a follow-up of 6 weeks, evaluating 30 athletes from the Federación Deportiva de Tungurahua (FDT) engaged in boxing, kickboxing, and wushu. Primary outcomes were obtained using the Helkimo clinical dysfunction index, which included criteria such as limitation of jaw movement range, joint function alterations, pain during movement, muscle pain, and joint pain. The secondary outcome was pain assessed by the Visual Analog Scale (VAS). All parameters were evaluated at the beginning and end of the treatment based on post-isometric muscle relaxation and myofascial relaxation techniques. At the end of the treatment, significant effects were observed; all athletes reported a decrease in symptom severity according to the Helkimo clinical dysfunction index criteria (p=0.000). Similarly, pain according to VAS decreased almost entirely (p=0.000), indicating that the treatment was effective. The application of manual techniques such as post-isometric muscle relaxation and myofascial relaxation proved to be effective as first-line treatments for athletes continuously exposed to trauma in the temporomandibular joint.
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    ALTERACIÓN DE LA ARTICULACIÓN TEMPOROMANDIBULAR Y SU RELACIÓN CON LA PRÁCTICA DE LOS INSTRUMENTOS DE VIENTO
    (Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2024-08-28) Apupalo Jácome, Lenin Fabián; Peñafiel Luna, Andrea Carolina
    The present research project was carried out with the purpose of analyzing the relationship between temporomandibular joint disorders and the practice of wind instruments, the methodology of the study was a non-experimental design, cross - sectional and correlational type of quali-quantitative approach, two evaluations were used, Helkimo's clinical dysfunction index that through the interpretation of frequen t signs and symptoms in temporomandibular disorders allows knowing the level of dysfunction, and Rocabado's pain map that recognizes the painful sensitivity in eight specific zones found in the joint, these evaluations were applied to 40 musicians who are part of the Municipal Band of Ambato and the Symphonic Band of the Honorab l e Provincial Government of Tungurahua. Among the results obtained we found a slight limitation in the opening and sliding of laterotrusion and a severe limitation in mandibular protrusion, also the presence of articular noises and pain in the media l pterygoid and masseter muscles in their deep and superficial bundle, the areas with greater presence of painful sensitivity based on Rocabado's pain map were zones 3, 5 and 6 corresponding to the lateral collateral ligament, posteroinferior synovial and posterosuperior synovial respectively. It is concluded that most of the musicians presented a Helkimo index of moderate level and that the hours of study or practice of the instrument per day is the only factor that has a moderate positive signific a n t relation with the tendency to present a greater index of alteration.