Prevalence of orofacial pain in wind instrument players

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

doi:10.5935/2595-0118.20200011

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

http://dx.doi.org/10.5935/2595-0118.20200011 BrJP, vol.3, n1, p.48-52, 2020

PDF

SciELO

Downloads: 0

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

References

Leaver R, Harris EC, Palmer KT. Musculoskeletal pain in elite professional musicians from British symphony orchestras. Occup Med. 2011;61(8):549-55.

Zimmers PL, Gobetti JP. Head and neck lesions commonly found in musicians. J Am Dent Assoc. 1994;125(11):1487-96.

Steinmetz A, Zeh A, Delank KS, Peroz I. Symptoms of craniomandibular dysfunction in professional orchestra musicians. Occup Med. 2014;64(1):17-22.

Attallah MM, Visscher CM, van Selms MK, Lobbezoo F. Is there an association between temporomandibular disorders and playing a musical instrument? A review of literature. J Oral Rehabil. 2014;41(7):532-41.

Gauer RL, Semidey MJ. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician. 2015;91(6):378-86.

Baadjou VA, Roussel NA, Verbunt JA, Smeets RJ, de Bie RA. Systematic review: risk factors for musculoskeletal disorders in musicians. Occup Med. 2016.

Van Selms MKA, Ahlberg J, Lobbezoo F, Visscher CM. Evidence-based review on temporomandibular disorders among musicians. Occup Med. 2017;67(5):336-43.

Nedelcut S, Leucuta DC, Dumitrascu DL. Lifestyle and psychosocial factors in musicians. Clujul Med. 2018;91(3):312-6.

Jacukowicz A. Psychosocial work aspects, stress and musculoskeletal pain among musicians. A systematic review in search of correlates and predictors of playing-related pain. Work. 2016;54(3):657-68.

Vandenbroucke JP, Von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. PLoS Med. 2007;4(10).

Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6(4):301-55.

Carrara SV, Conti PCR, Stuginski Barbosa J. Termo do 1º Consenso em Disfunção Temporomandibular e Dor Orofacial. Dental Press J Orthod. 2010;15(3):114-20.

Lacerda F, Barbosa C, Pereira S, Manso MC. Estudo de prevalência das disfunções temporomandibulares articulares em estudantes de instrumentos de sopro. Rev Port Estomatol Med Dent Cir Maxilofac. 2015;56(1):25-33.

van Selms MKA, Wiegers JW, van der Meer HA, Ahlberg J, Lobbezoo F, Visscher CM. Temporomandibular disorders, pain in the neck and shoulder area, and headache among musicians. J Oral Rehabil. 2019.

Bonotto D, Namba EL, Veiga DM, Wandembruck F, Mussi F, Afonso Cunali P. Professional karate-do and mixed martial arts fighters present with a high prevalence of temporomandibular disorders. Dental Traumatol. 2016;32(4):281-5.

Clemente MP, Moreira A, Mendes J, Ferreira AP, Amarante JM. Wind instrumentalist embouchure and the applled forces on the perioral structures. Open Dentistry J. 2019;13(2):107-14.

Stechman Neto J, Almeida C, Bradasch ER, Corteletti LC, Silvério KC, Pontes MM. Ocorrência de sinais e sintomas de disfunção temporomandibular em músicos. Rev Soc Bras Fonoaudiol. 2009;14(3):362-6.

Pinto RG, Leite WM, Sampaio LS, Sanchez MO. Association between temporomandibular signs and symptoms and depression in undergraduate students: descriptive study. Rev Dor. 2017;18(3):217-24.

Roach KE, Martinez MR, Anderson N. Musculoskeletal pain in student instrumentalists: a comparison with the general student population. Med Probl Perform Artists. 1994;9(4):125.

Schmidt DR, Ferreira VRT, Wagner MF. Disfunção temporomandibular: sintomas de ansiedade, depressão e esquemas iniciais desadaptativos. Temas Psicol. 2015;23(4):973-85.

Sayegh Ghoussoub M, Ghoussoub K, Chaaya A, Sleilaty G, Joubrel I, Rifaï K. [Orofacial and hearing specific problems among 340 wind instrumentalists in Lebanon]. J Med Liban. 2008;56(3):159-67.

Submitted date:
09/23/2019

Accepted date:
12/11/2019

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

Abstract

Keywords

Resumo

Palavras-chave

References

Links

Share

BrJP