title: Effectiveness of global postural reeducation in the treatment of temporomandibular disorder: case report.
abstract: The aim of the present study was to evaluate the effectiveness of global postural reeducation in the treatment of temporomandibular disorder through bilateral surface electromyographic (EMG) analysis of the masseter muscle in a 23-year-old volunteer. EMG values for the masseter were collected at rest (baseline) and during a maximal occlusion. There was a change in EMG activity both at rest and during maximal occlusion following the intervention, evidencing neuromuscular rebalancing between both sides after treatment as well as an increase in EMG activity during maximal occlusion, with direct improvement in the recruitment of motor units during contractile activity and a decrease in muscle tension between sides at rest. The improvement in postural patterns of the cervical spine provided an improvement in aspects of the EMG signal of the masseter muscle in this patient. However, a multidisciplinary study is needed in order to determine the effect of different forms of treatment on this condition and compare benefits between interventions. Therefore, this study can provide a direction regarding the application of this technique in patients with temporomandibular disorder.
authors.affiliation: Master's Degree in Biomedical Engineering, Prof. Ms. of Physiotherapy Course, Faculdade de Pindamonhangaba-FAPI/FUNVIC (Unit 1), Pindamonhangaba, São Paulo, Brazil.
authors.forename: Wagner
authors.initials: W
authors.lastname: Monteiro
authors.forename: Thomaz
authors.initials: T
authors.lastname: Francisco de Oliveira Dantas da Gama
authors.forename: Robiana Maria
authors.initials: RM
authors.lastname: dos Santos
authors.forename: Luanda André
authors.initials: LA
authors.lastname: Collange Grecco
authors.forename: Hugo
authors.initials: H
authors.lastname: Pasini Neto
authors.forename: Claudia Santos
authors.initials: CS
authors.lastname: Oliveira
mesh_terms: D004576:Electromyography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020393:Manipulation, Spinal / Q000379:methods*; D008406:Masseter Muscle / Q000503:physiopathology*; D009119:Muscle Contraction / Q000502:physiology; D009126:Muscle Relaxation / Q000502:physiology; D056888:Patient Positioning; D011187:Posture; D016059:Range of Motion, Articular / Q000502:physiology; D012720:Severity of Illness Index; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis* / Q000534:rehabilitation*; D016896:Treatment Outcome; D055815:Young Adult