Auriculoterapia associada à placa miorrelaxante no alvo da dor em indivíduos com desordens temporomandibulares - Estudo piloto
A sensibilidade muscular é um sinal clínico importante presente na maioria dos pacientes com algum tipo de Disfunção Têmporo-
-Mandibular(DTM). A Organização Mundial de Saúde (OMS) reconheceu a auriculoterapia como uma terapia eficaz em alívio de
dores. O objetivo deste trabalho é avaliar a eficiência da auriculoterapia, associada com a placa miorrelaxante, no alivio da dor em
pacientes com desordens temporomandibulares comparando os grupos quanto ao tipo de seleção de pontos, tempo de tratamento e
de alta. Foram analisados 15 pacientes divididos igualmente em 3 grupos: controle, grupo dos pontos pré-selecionados e grupo das
síndromes energéticas. Em todos os grupos, os pacientes utilizaram placas miorrelaxantes e nos dois últimos foi realizada a auriculo-
terapia com sementes. Mensurou-se o nível de dor por uma escala visual analógica(VAS). A comparação das intensidades de dor no
três grupos em cada momento de medida semanal foi realizada pelo teste Kruskal-Wallis e quando houve diferenças estatisticamente
significativas entre os grupos, o Teste de Mann- Whitney foi utilizado. Além disso, o tempo de tratamento para alta nos três grupos
foi descrito pelas curvas de Kaplan – Maier, e comparados pelo teste log rank. Os resultados revelaram diferenças estatisticamente
significantes (p<0,05) entre os grupos controle e pontos pré-selecionados, não houve diferenças entre os três grupos quanto ao tempo
de alta, a associação das técnicas da auriculoterapia com a placa miorrelaxante é positiva, quando indicada para alivio da dor.
palavras-chave (Desc/Mesh): Síndrome da Disfunção da Articulação Temporomandibular, Acupuntura auricular, Placas Oclusais
AbsTRACT
Muscular sensitivity is an important clinical sign present in the majority of patients with some type of temporomandibular dys-
function (TMD). The World Health Organization (WHO) has recognized auriculotherapy as an efficient therapy for pain relief.
Muscular sensitivity is an important clinical sign present in the majority of patients with some type of temporomandibular dys-
function (TMD). The World Health Organization (WHO) has recognized auriculotherapy as an efficient therapy for pain relief.
The aim of this study is to assess the efficiency of auriculotherapy associated with a myorelaxant plate in pain relief of patients
with temporomandibular disorders, comparing the groups with regard to the type of point selection, treatment time and dis-
charge. Fifteen patients, equally divided into 3 groups were analyzed: control, group of pre-selected points and group of energy
syndromes. In all groups, the patients used myorelaxant plates, and in the latter two groups auriculotherapy with ear seeds was
performed. The pain level was measured by a visual analogue scale (VAS). Every week the pain intensities in the three groups
were measured, and all the times of these weekly pain intensity measurements were compared by the Kruskal-Wallis test. When
there were statistically significant differences among the groups, the Mann- Whitney test was used. In addition, treatment time
for discharge in the three groups was described by Kaplan-Meier curves and compared by the log rank test. The results revealed
statistically significant differences (p<0.05) between control group and group of pre-selected points; there were no differences
among the three groups as regards discharge time; the association of auriculotherapy techniques with the myorelaxant plate is
positive when indicated for pain relief.
Keywords: Temporomandibular Joint Dysfunction Syndrome, Pain, Facial Pain, Ear Acupuncture, Occlusal Splint
with temporomandibular disorders, comparing the groups with regard to the type of point selection, treatment time and dis-
charge. Fifteen patients, equally divided into 3 groups were analyzed: control, group of pre-selected points and group of energy
syndromes. In all groups, the patients used myorelaxant plates, and in the latter two groups auriculotherapy with ear seeds was
performed. The pain level was measured by a visual analogue scale (VAS). Every week the pain intensities in the three groups
were measured, and all the times of these weekly pain intensity measurements were compared by the Kruskal-Wallis test. When
there were statistically significant differences among the groups, the Mann- Whitney test was used. In addition, treatment time
for discharge in the three groups was described by Kaplan-Meier curves and compared by the log rank test. The results revealed
statistically significant differences (p<0.05) between control group and group of pre-selected points; there were no differences
among the three groups as regards discharge time; the association of auriculotherapy techniques with the myorelaxant plate is
positive when indicated for pain relief.
Keywords: Temporomandibular Joint Dysfunction Syndrome, Pain, Facial Pain, Ear Acupuncture, Occlusal Splint