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Biomedical subjects

R Martina

Publications and source records attributed to R Martina.

At least 37 records · Page 2Linked to original sources

[Muscular physiotherapy in patients with temporomandibular disorders. Controlled clinical trial].

BACKGROUND: The purpose of the present study is to evaluate the short term effects of physiotherapy and counseling in the treatment of myofascial pain of the jaw muscles. METHODS: Forty consecutive myogenous TMD patients, were assigned to two treatment groups with a balanced-block randomization. The first group received only counseling, the second group received counseling supplemented by physiotherapy. The patients were followed for a period of three months. Data were collected on two different occasions: T0 = baseline and T1 = three months after the start of treatment. Treatment success was decided on the basis of an index called treatment contrast (Tc). It allowed a subjective, an objective and a total evaluation of the effects of the two therapeutic protocols. RESULTS: There was no significant difference between groups in the outcome measures except for the subjective evaluation of treatment success: physiotherapy seems to be slightly more effective than counseling. CONCLUSIONS: Elective therapy for the treatment of TMD patients remains the conservative one. Success of this therapy depend on a good patient--clinician relation, which improves patient's compliance.

Adolescent↗

[Epidemiologic study of patients with craniomandibular disorders. Report of data and clinical findings].

BACKGROUND: The purpose of this retrospective study was to identify the subjective and objective characteristics of a population referred to a clinic for diagnosis and treatment of orofacial pain and/or temporomandibular disorders. METHODS: Beginning in 1993, 825 patients, consecutively referred to the University of Naples Federico II , were examined and their records entered into a database. These data were collected by trained clinicians. Diagnostic subgroups were identified following the Research Diagnostic Criteria for temporomandibular disorders (RDC). RESULTS: Seventy-nine percent of patients were female, the mean age of the sample was 31.3+/-13 years (range: 5 to 74 years), most of patients were between 15 and 39 years of age. Based on diagnostic subgroups, patients were divided into: patients affected with myogenous pain (59%), arthrogenous pain (13%), arthrogenous and myogenous pain (16%) and fibromyalgia (4%). Sixty-three percent of the sample reported recent headaches, 53% reported parafunction, and 28% reported a previous trauma. Eighty-one percent reported spontaneous pain, which was chronic in 83% of them. The majority of patients (78%) presented a relatively high cultural BACKGROUND. CONCLUSIONS: These data appear to agree with other epidemiologic studies and depict the TMD treatment-seeking population as a predominantly female population during child-bearing years with multiple chronic pain complaints.

Adolescent↗