Can infrared thermography replace other methods of assessing orofacial pain intensity? Systematic review
A termografia infravermelha pode substituir outros métodos de avaliação da intensidade da dor orofacial? Revisão sistemática
Julia Pereira Americano; Sofia Melo Pires; Luciano Ambrósio Ferreira; Karina Lopes Devito
Abstract
BACKGROUND AND OBJECTIVES: Measuring pain is complex due to its various components, including the subjective aspect. Establishing an effective and safe method for assessing orofacial pain (OFP) is extremely important. The objective of this study was to conduct a systematic review to verify whether Infrared Thermography (IT) can be used as a substitute for other methods of evaluating the intensity of neuropathic or musculoskeletal OFP.
CONTENTS: Five databases were searched: Pubmed, Scielo, Web of Science, Scopus, and Cochrane. The PECO question was used to guide the definition of eligibility criteria used to select the articles. The risk of bias was analyzed using the Joanna Briggs scale. Five studies met the eligibility criteria. Of the five eligible studies, four reported an association between orofacial pain intensity and temperature. Of these, one article showed that patients with temporomandibular disorders (TMD) and pain showed an increase in temperature when compared with individuals without pain. The other three articles showed a decrease in temperature with increasing pain intensity. In only one study pain intensity was not significantly associated with temperature.
CONCLUSION: IT does not replace other pain intensity assessment methods, but it is an important ally for complementing diagnostic procedures. Additional investigations are necessary to find a standardized method for obtaining and analyzing orofacial infrared images.
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: A mensuração da dor é complexa devido aos seus vários componentes, incluindo o aspecto subjetivo. É extremamente importante estabelecer um método eficaz e seguro para avaliar a dor orofacial (DOF). O objetivo deste estudo foi realizar uma revisão sistemática para verificar se a termografia infravermelha (TI) pode ser usada como substituta de outros métodos de avaliação da intensidade da DOF neuropática ou musculoesquelética.
CONTEÚDO: Foram pesquisados cinco bancos de dados: Pubmed, Scielo, Web of Science, Scopus e Cochrane. A questão PECO foi usada para orientar a definição dos critérios de elegibilidade usados para selecionar os artigos. O risco de viés foi analisado usando a escala Joanna Briggs. Cinco estudos atenderam aos critérios de elegibilidade. Dos cinco estudos elegíveis, quatro relataram uma associação entre a intensidade da DOF e a temperatura. Desses, um artigo mostrou que os pacientes com distúrbios temporomandibulares (DTM) e dor apresentaram um aumento na temperatura quando comparados com indivíduos sem dor. Os outros três artigos mostraram uma diminuição da temperatura com o aumento da intensidade da dor. Em apenas um estudo a intensidade da dor não foi significativamente associada à temperatura.
CONCLUSÃO: A TI não substitui outros métodos de avaliação da intensidade da dor, mas é um importante aliado para complementar os procedimentos diagnósticos. São necessárias investigações adicionais para encontrar um método padronizado de obtenção e análise de imagens infravermelhas orofaciais.
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References
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Submitted date:
01/04/2024
Accepted date:
06/21/2024
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