[Temporomandibular joint dysfunction, disability and oral health in a community-dwelling elderly population]. / Disfunción temporomandibular, discapacidad y salud oral en una población geriátrica semi-institucionalizada.

INTRODUCTION: Temporomandibular joint dysfunction (TMD) is involved in important activities of the stomatognathic system for nutrition, such as chewing or swallowing. If the physiological tolerance of its components is exceeded, it can trigger symptoms of temporomandibular dysfunction (TMD). OBJECTIVES: To assess and relate the symptoms of TMD, functional limitations and estimates of self-perceived oral health and general geriatric population in a communitydwelling elderly population. METHODS: An observational study was performed. Ninetyfour persons belonging to units of Granada Geriatric Day were assessed symptoms of TMD (Helkimo Simplified Index), pain (VAS scale), functional limitation of stomatognathic system (research diagnostic criteria for temporomandibular disorders CDI/TTM), jaw opening index, general health index (1-5) and oral health (geriatric oral health assessment). RESULTS: In the total sample, 42.7% had at least one symptom of TMD. The most common symptoms were muscular fatigue (26.6%), noise (21.3%) and TMD pain (14.9%). The most common non-specific symptoms in the symptomatic group were neck pain and nervousness. A 48.9% of the sample had functional limitation in orofacial activities. Also, there was a statistically significant association (p<0.05) between the jaw opening index and symptomatic and asymptomatic groups with TMD. CONCLUSIONS: In the group with symptoms of TMD were more common temporomandibular joint departures and pain, and they presented lower values in oral and general health self-perception.

Disfunción temporomandibular, discapacidad y salud oral en una población geriátrica semi-institucionalizada / Temporomandibular joint dysfunction, disability and oral health in a community-dwelling elderly population

Introducción: Las articulaciones temporomandibulares (ATM) intervienen en importantes acciones del sistema estomatognático para la nutrición, como son la masticación o la deglución. Si la tolerancia fisiológica de sus componentes es superada, pueden desencadenarse síntomas de disfunción temporomandibular (DTM). Objetivos: Valorar y relacionar los síntomas de la DTM, las limitaciones funcionales y la estimación de la salud oral y general autopercibida en una población geriátrica semi-institucionalozada. Métodos: Se realizó un estudio descriptivo, observacional. A 94 personas pertenecientes a Unidades de Día Geriátricas de Granada se les evaluó la sintomatología de DTM (índice anamnésico de Helkimo), el dolor (escala EVA), la limitación funcional del sistema estomatognático (criterios diagnósticos de investigación de los trastornos temporomandibulares CDI/TTM), el índice de apertura mandibular, la salud general (índice de 1-5) y lasalud oral (índice de evaluación de salud oral geriátrica). Resultados: Del total de la muestra el 42,7% presentó al menos un síntoma de DTM. Los síntomas más comunes fueron la fatiga muscular (26,6%), los ruidos (21,3%) y el dolor en la ATM (14,9%). La clínica inespecífica más frecuente en el grupo sintomático fue la cervicalgia y el nerviosismo. El 48,9% de la muestra presentó limitación funcional en actividades orofaciales. También, se encontró una asociación estadísticamente significativa (p < 0,05) entre el índice de apertura mandibular y los grupos sintomáticos y asintomáticos de DTM. Conclusiones: En el grupo con sintomatología de DTM fueron más frecuentes las desviaciones y algias de la articulación temporomandibular, y se presentaron valores inferiores de autopercepción de salud oral y general (AU)

Introduction: Temporomandibular joint dysfunction (TMD) is involved in important activities of the stomatognathic system for nutrition, such as chewing or swallowing. If the physiological tolerance of its components is exceeded, it can trigger symptoms of temporomandibular dysfunction (TMD). Objectives: To assess and relate the symptoms of TMD, functional limitations and estimates of self-perceived oral health and general geriatric population in a communitydwelling elderly population. Methods: An observational study was performed. Ninetyfour persons belonging to units of Granada Geriatric Day were assessed symptoms of TMD (Helkimo Simplified Index), pain (VAS scale), functional limitation of stomatognathic system (research diagnostic criteria for temporomandibular disorders CDI/TTM), jaw opening index, general health index (1-5) and oral health (geriatric oral health assessment). Results: In the total sample, 42.7% had at least one symptom of TMD. The most common symptoms were muscular fatigue (26.6%), noise (21.3%) and TMD pain (14.9%). The most common non-specific symptoms in the symptomatic group were neck pain and nervousness. A 48.9% of the sample had functional limitation in orofacial activities. Also, there was a statistically significant association (p < 0.05) between the jaw opening index and symptomatic and asymptomatic groups with TMD. Conclusions: In the group with symptoms of TMD were more common temporomandibular joint departures and pain, and they presented lower values in oral and general health self-perception (AU)

Electroterapia, hiperhidrosis y enfermedades neurovasculares / Electrotherapy, hyperhidrosis and neurovascular diseases

Los síndromes vasoespásticos son alteraciones vasculares que afectan a las extremidades, principalmente las superiores; tienen carácter funcional y, como denominador común, su sintomatología está producida por un aumento de la capacidad vasoconstrictiva de etiología poco conocida. Entre los factores precipitantes se encuentran la exposición al frío y los estímulos emocionales. La exploración generalmente muestra, entre las crisis, dedos fríos y lividez con hiperhidrosis. Los objetivos de nuestro estudio son exponer la evolución antes y después del tratamiento del cortejo sintomático acompañante de la hiperhidrosis palmar, como la hipotermia y la lividez en los pacientes que la sufren. Para cumplir los objetivos, se planteó un estudio experimental con sendos grupos: control normal de 10 pacientes sin tratamiento y experimental con un total de 60 pacientes con hiperhidrosis, distribuidos en 6 subgrupos y sometidos a tratamiento de iontoforesis con agua corriente. Los resultados obtenidos indican que, aunque la terapéutica aplicada suprimió en el 100% de los casos el problema de la hipersudación palmar que presentaban los pacientes, no se obtuvo un paralelismo en los resultados del cortejo clínico acompañante, lo que confirma cierta idiosincrasia evolutiva en los pacientes con hiperhidrosis y problemas vasomotores en partes acras(AU)

Vasospastic syndromes are vascular alterations affecting the limbs, mainly the upper ones. They have a special function, that is, they are functional and have a common denominator that is produced by their symptoms due to an increase in vasoconstrictor capacity whose etiology is little known. Exposure to cold and emotional stimuli is among its precipitating factors. The examination generally shows cold fingers and lividness with hyperhidrosis among the episodes. The goals outlined in our study are exposing the pre and post therapeutic course of the main symptoms accompanying the palmar hyperhidrosis, such as hypothermia and lividness in patients with osteoporosis. In order to fulfill the objectives, a pilot study was proposed with two groups: control group of 10 patients without normal and experimental treatment and a total of 60 patients with hyperhidrosis, divided into 6 subgroups who underwent treatment with tap water iontophoresis. The results obtained suggest that although the therapy applied eliminated the problem of palmar hyperhidrosis presented by the patients in all of the cases, a parallel result was not obtained in the main accompanying symptoms, confirming some evolutionary idiosyncrasy in patients with hyperhidrosis and acral vasomotor problems(AU)