Infrared thermography of the crânio-cervico-mandibular complex in wind and string instrumentalists

Clemente, Miguel Pais; Mendes, Joaquim; Vardasca, Ricardo; Branco, Catarina Aguiar; Ferreira, Afonso Pinhão; Amarante, José

doi:10.1007/s00420-020-01517-6

Cited by 13 publications

(31 citation statements)

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“…From our perspective this can be analyzed with the assumption that wind instrument player has a very high tolerance to pain or to resistance regarding the muscle activity of certain muscles of the CCMC. As an example, on another study carried out by Clemente et al, it was possible to observe that the prevalence of asymmetric thermal patterns of these anatomical areas was not so high, which can till certain extent mean that these individuals' area highly trained and experienced to the overuse of these anatomical sites [36]. Till certain extent this can be related to the EMG findings of Gotouda research, however there are many other investigations that relate the muscle hyperactivity present in wind instrumentalist performance as a predisposing factor of TMD.…”

Section: Discussionmentioning

confidence: 93%

Tooth Position in Wind Instrument Players: Dentofacial Cephalometric Analysis

Clemente

Moreira

Morais

et al. 2021

IJERPH

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Background: Specific dentofacial characteristics in wind instrumentalists should be taken in consideration when analyzing physiological and anatomical issues regarding the musician’s embouchure, posture, and biomechanics during musical performance. Objectives: To compare tooth cephalometric characteristics between wind instrument players and string players (overjet, overbite, lower facial height, facial convexity, lower incisor inclination, and interincisal angle). Methods: In total, 48 wind instrumentalists (67%) and 24 string instrumentalists (33%). These musicians performed lateral tele-radiography and the correspondent linear and angular measurements of the dentofacial cephalometric analysis. Statistical comparison of wind and string instrumentalists was made by using an independent t-test. Results: Small variations on the analyzed parameters were found between the wind and string instrument groups. Based on the cephalometric analysis the variable interincisal angle was statistically significant (p < 0.05), when comparing the wind and string instrument group. Conclusions: Knowledge of the overjet and overbite value permits a substantial analysis on the tooth position of wind instrument players, where both of these parameters are increased and greater than the norm value. The cephalometry was an added value on the interpretation of possible factors that lead to the position of the central incisors of wind instruments. Till some extent in this group of musicians the applied forces during the embouchure mechanism on the anterior teeth and the existing perioral forces promote an equilibrium on the vector of forces. This study findings demonstrate that when evaluating the two samples, wind and string instruments there are different dentofacial configurations, however the only statistically significant differences that were found are related to the interincisal angle (p < 0.05).

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Section: Discussionmentioning

confidence: 93%

Tooth Position in Wind Instrument Players: Dentofacial Cephalometric Analysis

Clemente

Moreira

Morais

et al. 2021

IJERPH

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“…In medical thermographic diagnostic analysis, thermal symmetry emerges as a clinical relevant parameter. 17,28,29 The comparison of thermal images to contralateral limbs enhanced the asymmetry regions which are indicative of pathologies or injuries, as well as changes in local blood flow. 28 Thermal differences above 0.3°C indicate vascular abnormality, values of 0.6°C denote an important abnormality that advise a more accurate clinical investigation with other medical imaging tests in the correlation of diagnoses.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Tibia Bone Healing by Infrared Thermography: A Case Study

Strasse¹,

Campos²,

Mendonça³

et al. 2021

JMDH

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“…IRT is an useful and objective supplementary method to support capacity evaluations to perform work-related activities. 15,40 Besides finding a moderate correlation between the initial thermographic data and the patient's TMD condition, Steed 10 also showed a decrease in asymmetry in the post-treatment thermographic examination for 80.7% of patients.…”

Section: Gratt and Sicklesmentioning

confidence: 94%

Role of thermography in the assessment of temporomandibular disorders and other musculoskeletal conditions: A systematic review

Moreira

Batista

Oliveira

et al. 2021

Proc Inst Mech Eng H

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The aim of this review was to evaluate whether thermal imaging may constitute a reliable assessment method of musculoskeletal and temporomandibular disorders (TMD/MSD). A systematic review was conducted in the Pubmed, Scopus, Cochrane library, Web of Science, and Lilacs databases. The search terms were “musculoskeletal disorders,”“temporomandibular disorders,”“infrared thermography,”“thermography,” and “infrared imaging.” The inclusion criteria were: studies published between January 1985 and January 2021, performed in humans, with sample size equal or greater than 20 patients, written in English, Portuguese, French and/or Spanish, and full text available. The exclusion criteria were: systematic reviews, case studies, and/or studies focused on pathologies beyond the review’s domain. The risk of bias was evaluated using CASP 2018. A total of 2032 articles were retrieved. Of these, 25 studies met the inclusion criteria and were included to withdraw the following information: title, type of study, first author and year of publication, objective, number of participants, comparisons, and principal conclusions. No RCT were found. Despite some disparity, points of convergence among the majority of authors could be found. In general, healthy individuals show subtle thermal differences between contralateral homolog areas. Concerning orofacial structures, unilateral symptomatic individuals may show thermal differences equal or greater than 0.4°C. Infrared thermography accuracy in diagnosing TMD/MSD is still considered low to moderate. Despite some limitations, IRT might constitute a valuable supporting diagnostic tool in the medical field of TMD and MSD.

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Infrared thermography of the crânio-cervico-mandibular complex in wind and string instrumentalists

Cited by 13 publications

References 50 publications

Tooth Position in Wind Instrument Players: Dentofacial Cephalometric Analysis

Tooth Position in Wind Instrument Players: Dentofacial Cephalometric Analysis

Evaluation of Tibia Bone Healing by Infrared Thermography: A Case Study

Role of thermography in the assessment of temporomandibular disorders and other musculoskeletal conditions: A systematic review

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