Protocolo de reabilitação miofuncional orofacial para pacientes com fratura de côndilo

Abstract

Objective: To propose a speech therapy intervention protocol for patients with non-surgically treated condylar fractures. Method: The process of elaborating the protocol included two steps: one step involved a bibliographic review of the topic. The literature search comprised the descriptors Conservative treatment, myofunctional therapy, condyle fracture in the databases 8 , in the period from 2010 to 2020 . Next, the initial version of the protocol was elaborated. The content of this initial version was constituted through the compilation of therapy proposals arranged in the literature found on the subject and suggestions from the protocol creators. In step two, this version was evaluated by speech therapists with expertise in orofacial motricity in the domains of TMD, CO and facial trauma, via Google Forms. Results: the elaboration of the first version of the protocol took place through seven studies that contained the following aspects in rehabilitation: edema, muscle manipulation, mouth opening, mandibular protrusion, lateralization, sensitivity and functional training. The protocol have a size of 17 answers, and the experts obtained 82.35% of the satisfaction index of the analyzed protocol, as well as suggestions regarding the time, use of different methods for proprioceptive stimulation, details on the performance of the exercises and on the regions for their execution. Thus, changes were made to the protocol, resulting in its final version for this stage of the research.