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Authors
Abstract(s)
Introdução: A aplicação da termografia de infravermelhos (TI) no diagnóstico e
acompanhamento dos pacientes com Distúrbios Temporomandibulares (DTM) é
pouco consensual. Assim, é objetivo major desta revisão sistemática esclarecer
a relevância/eficácia da aplicação da TI no diagnóstico de DTM.
Materiais e Métodos: Esta revisão sistemática foi desenvolvida de acordo com
as normas descritas pelas guidelines PRISMA, a questão de investigação
formulada por PICO, e o protocolo de investigação com registo na plataforma
PROSPERO. A pesquisa incidiu em 3 plataformas de bases de dados
bibliográficos: PubMed/MEDLINE®, Web of Science® e Embase®. A qualidade
dos estudos foi avaliada através da checklist de STROBE e a concordância entre
examinadores foi avaliada através do coeficiente de kappa de Cohen.
Recolheram-se dados referentes à data de realização, à população (idade,
género, tamanho da amostra), à intervenção (tipo de aparelho e características
da avaliação), ao método de diagnóstico/avaliação e às principais conclusões de
cada estudo incluído nesta revisão e foram analisados de forma comparativa.
Resultados: Obtiveram-se 170 artigos, dos quais 74 eram duplicados e/ou
triplicados, resultando em 96 artigos. Destes, 75 foram selecionados através da
leitura do título e posteriormente, obtiveram-se 43 artigos provenientes da
seleção pelo resumo. Por último, foram identificados um total 12 artigos finais,
através da leitura dos estudos na integra, para inclusão nesta revisão. A maioria
de alta qualidade (83,33%), com uma amostra maioritária de mulheres e com
idade entre os 18 e os 40 anos. O equipamento e as condições de observação
são bastante semelhantes e as áreas de interesse são na maioria a ATM, o
temporal e o masséter.
Conclusão: De um modo geral os estudos apresentam em conclusão que o uso
de termografia infravermelha para o diagnóstico de DTM demonstrou baixa
precisão e eficácia limitada.
Introduction: The application of infrared thermography (IT) in the diagnosis and follow-up of patients with Temporomandibular Disorders (TMD) is not consensual. Therefore, the main objective of this systematic review is to clarify the relevance/efficacy of IT application in the diagnosis of TMD. Materials and Methods: This systematic review was developed according to the standards described by the PRISMA guidelines, the research question was formulated by PICO, and the research protocol was registered on the PROSPERO platform. The research focused on 3 platforms of bibliographic databases: PubMed/MEDLINE®, Web of Science® and Embase®. The quality of the studies was evaluated through the STROBE checklist and the agreement between examiners was evaluated using Cohen's kappa coefficient. Data were collected regarding the date of performance, the population (age, gender sample size), the intervention (type of device and evaluation characteristics), the diagnostic/evaluation method and the main conclusions of each study included in this review and were analyzed in a comparative way. Results: From the initial 170 articles obtained, 74 were duplicated and/or tripled, resulting in 96 articles to be screened. In the title screening, 75 articles were selected and later, 43 articles were selected by the abstract screening. Finally, a total of 12 final articles were selected in the full-text screening. Most of them were of high quality (83.33%), with a majority sample of women and aged between 18 and 40 years. The equipment and observation conditions are quite similar, and the areas of interest are mostly TMJ, temporal and masseter. Conclusion: In general, studies conclude that the use of infrared thermography for the diagnosis of TMD demonstrated low accuracy and limited efficacy.
Introduction: The application of infrared thermography (IT) in the diagnosis and follow-up of patients with Temporomandibular Disorders (TMD) is not consensual. Therefore, the main objective of this systematic review is to clarify the relevance/efficacy of IT application in the diagnosis of TMD. Materials and Methods: This systematic review was developed according to the standards described by the PRISMA guidelines, the research question was formulated by PICO, and the research protocol was registered on the PROSPERO platform. The research focused on 3 platforms of bibliographic databases: PubMed/MEDLINE®, Web of Science® and Embase®. The quality of the studies was evaluated through the STROBE checklist and the agreement between examiners was evaluated using Cohen's kappa coefficient. Data were collected regarding the date of performance, the population (age, gender sample size), the intervention (type of device and evaluation characteristics), the diagnostic/evaluation method and the main conclusions of each study included in this review and were analyzed in a comparative way. Results: From the initial 170 articles obtained, 74 were duplicated and/or tripled, resulting in 96 articles to be screened. In the title screening, 75 articles were selected and later, 43 articles were selected by the abstract screening. Finally, a total of 12 final articles were selected in the full-text screening. Most of them were of high quality (83.33%), with a majority sample of women and aged between 18 and 40 years. The equipment and observation conditions are quite similar, and the areas of interest are mostly TMJ, temporal and masseter. Conclusion: In general, studies conclude that the use of infrared thermography for the diagnosis of TMD demonstrated low accuracy and limited efficacy.
Description
Keywords
Distúrbios temporomandibulares Termografia infravermelha Articulação temporomandibular Revisão sistemática Temporomandibular disorders Infrared thermography Temporomandibular joint Systematic review