Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20200011
Brazilian Journal of Pain
Original Article

Prevalence of orofacial pain in wind instrument players

Prevalência de dor orofacial em músicos de instrumento de sopro

Giovana Emanuelle Leonardi; Bruna Luiza Kieling; Giselle Emilãine da Silva Reis; Bruno Brandalise Leonardi; Priscila Brenner Hilgenberg Sydney; Daniel Bonotto

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Abstract

BACKGROUND AND OBJECTIVES: This cross-sectional observational study was conducted due to the uncertainties that still exist about the role of playing wind instruments in musculoskeletal complaints. Therefore, the objective was to assess the prevalence of temporomandibular dysfunction and associated factors in wind instrument players.

METHODS: Wind instrument players from the School of Music of Fine Arts of Paraná were evaluated for nine-months. Axes I and II of the Research Diagnostic Criteria for Temporomandibular Disorders was used to obtain the variables of interest. The statistical analyses were performed using the SPSS 2.0 software, using the Fishers Exact test, with a significance level of 5%.

RESULTS: Thirty-five musicians were examined, 85.7% were male, and 14.3% were female. The temporomandibular dysfunction prevalence was 51.4% being more commonly found in the group II (disc displacements) 34.2%. This result was statistically meaningful when associated with females (p=0,052). Group I disorders (muscle disorders) were diagnosed in 5 patients (14.2%) and group III disorders (joint disorders) were diagnosed in 3 patients (8.5%). Gender also influenced the presence of chronic pain, being more frequent in females (p=0.019).

CONCLUSION: In this research, we found a high prevalence of individuals affected by temporomandibular dysfunction. Therefore, studies with expanded samples are necessary, as well as educational and preventive measures. Temporomandibular dysfunction specialists should devote more attention to this group of people.

Keywords

Chronic pain, Facial pain, Occupational diseases, Syndrome of temporomandibular joint dysfunction

Resumo

JUSTIFICATIVA E OBJETIVOS: Estudo observacional transversal foi conduzido devido às incertezas que ainda existem sobre o papel de tocar instrumentos musicais de sopro nas queixas musculoesqueléticas. Portanto, o objetivo foi avaliar a prevalência de disfunção temporomandibular e fatores associados em músicos de instrumento de sopro.

MÉTODOS: Foram avaliados músicos de instrumento de sopro da Escola de Música Belas Artes do Paraná, durante o período de nove meses. Para obtenção das variáveis de interesse, os eixos I e II do instrumento Research Diagnostic Criteria for Temporomandibular Disorders foi utilizado. As análises estatísticas foram realizadas com o software SPSS 2.0, utilizando-se o teste Exato de Fisher, com nível de significância 5%.

RESULTADOS: Foram avaliados 35 músicos, 85,7% do sexo masculino e 14,3% do sexo feminino. A prevalência de disfunção temporomandibular foi de 51,4%, sendo mais comumente encontrado no grupo II (deslocamentos do disco) 34,2%. Esse resultado apresentou-se estatisticamente significante quando associado ao sexo feminino (p=0,052). Distúrbios do grupo I (distúrbios musculares) foram diagnosticados em 5 pacientes (14,2%) e distúrbios do grupo III (distúrbios articulares) foram diagnosticados em 3 pacientes (8,5%). O sexo também influenciou na presença de dor crônica, sendo mais frequente no sexo feminino (p=0,019).

CONCLUSÃO: Nesta pesquisa encontrou-se grande prevalência de indivíduos acometidos por disfunção temporomandibular. Portanto, é necessário o desenvolvimento de estudos com amostras ampliadas, bem como propagar medidas educativas e preventivas, sendo esse um público para o qual o especialista em dor e disfunção temporomandibular deve dedicar maiores cuidados.

Palavras-chave

Doenças profissionais, Dor crônica, Dor facial, Síndrome da disfunção da articulação temporomandibular

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Submitted date:
09/23/2019

Accepted date:
12/11/2019

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