帕金森病患者张口垂直伸长与肌肉僵硬及社会人口学因素的关系分析

Tales Severiano da Silva, J. Oliveira, Patrícia Fernanda Faccio, M. Coriolano, C. C. S. A. Lins
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引用次数: 1

摘要

帕金森病(PD)僵直引起的变化可影响下颌肌肉组织。然而,关于其对口腔开放的影响的研究很少发表。目的分析老年帕金森病患者口腔开口垂直伸度与肌肉僵硬的关系及社会人口学因素。材料和方法这是一项横断面定量研究,收集了2018年在伯南布哥联邦大学das医院Clínicas进行的一项初步研究的数据。数据收集自医疗记录和调查问卷《颞下颌疾病研究诊断标准(RDC/TMD)》。该样本由81名帕金森病患者组成,并使用社会人口统计学变量和肌肉僵硬的存在或不存在来表征。评估的口腔开口垂直延伸量为:无辅助无疼痛开口(ABASD)和无辅助最大开口(AMBSA)。采用Pearson线性相关检验和Spearman相关检验考察连续变量之间的关系。使用简单逻辑回归进行关联分析。p<0.05为显著性水平。结果口腔开口受限与年龄、性别无关。最大的显著性水平是在无辅助、无疼痛和肌肉僵硬的张嘴(p=0.012)和受教育年限(p=0.038)之间。结论PD患者开口受限与肌肉僵硬和受教育年限较短有关。
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Analysis of the relationship of the vertical extension of mouth opening with muscle rigidity and sociodemographic factors in Parkinson's disease
Abstract Introduction Changes caused by the rigidity of Parkinson’s Disease (PD) can affect the mandibular musculature. However, few studies have been published about its impact on the oral opening. Objective To analyze the relationship of the vertical extension of the oral opening with muscular rigidity and sociodemographic factors of the elderly with PD. Material and method This is a cross-sectional, quantitative study that collected data from a primary study conducted at the Hospital das Clínicas of the Federal University of Pernambuco in 2018. Data were collected from medical records and from the questionnaire, Research Diagnostic Criterion for Temporomandibular Disorders (RDC/TMD). The sample was composed of 81 parkinsonians and characterized using: sociodemographic variables and the presence or absence of muscular rigidity. The measures of vertical extension of the oral opening evaluated were: mouth opening without assistance and without pain (ABASD), and maximum mouth opening without assistance (AMBSA). The Pearson’s linear correlation and Spearman’s correlation tests were applied to investigate the relationship among the continuous variables. Analyses of association were conducted using simple logistic regression. The level of significance was set at p<0.05. Result Limitation of the oral opening was not related to age or sex. The greatest level of significance was between mouth opening without assistance and without pain and muscular rigidity (p=0.012), and years of schooling (p=0.038). Conclusion The limitation of mouth opening in people with PD was shown to be related to muscular rigidity and fewer years of schooling.
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