Manual Therapy Applied to the Cervial Joint Reduces Pain and Improves Jaw Function in Individuals with Temporomandibular Disorders: A Systematic Review on Manual Therapy for Orofacial Disorders.

IF 2.4 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Oral & Facial Pain and Headache Pub Date : 2023-02-01 DOI:10.11607/ofph.3093

Fernanda Mg Liberato, Thiago V da Silva, Cintia H Santuzzi, Néville Ferreira Fachini de Oliveira, Lucas R Nascimento

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Abstract

Aims: To examine the effect of manual therapy applied to the cervical joint for reducing pain and improving mouth opening and jaw function in people with TMDs.

Methods: A systematic review of randomized controlled trials was performed. Participants were adults diagnosed with TMDs. The experimental intervention was manual therapy applied to the cervical joint compared to no intervention/placebo. Outcome data relating to orofacial pain intensity, pressure pain threshold (PPT), maximum mouth opening, and jaw function were extracted and combined in meta-analyses.

Results: The review included five trials involving 213 participants, of which 90% were women. Manual therapy applied to the cervical joint decreased orofacial pain (mean difference: -1.8 cm; 95% CI: -2.8 to -0.9) and improved PPT (mean difference: 0.64 kg/cm2; 95% CI: 0.02 to 1.26) and jaw function (standardized mean difference: 0.65; 95% CI: 0.3 to 1.0).

Conclusion: Manual therapy applied to the cervical joint had short-term benefits for reducing pain intensity and improving jaw function in women with TMDs. Further studies are needed to improve the quality of the evidence and to investigate the maintenance of benefits beyond the intervention period.

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应用于颈椎关节的手工疗法可以减轻颞下颌疾病患者的疼痛并改善颌功能:口腔面部疾病手工疗法的系统综述。

目的:探讨颈椎关节手法治疗对减轻疼痛、改善口腔张开和颌骨功能的作用。方法:对随机对照试验进行系统评价。参与者是被诊断为tmd的成年人。与不干预/安慰剂相比，实验干预是对颈椎关节进行手工治疗。提取与口面部疼痛强度、压痛阈值(PPT)、最大张嘴量和颌功能相关的结果数据，并将其合并到meta分析中。结果:该综述包括5项试验，涉及213名参与者，其中90%为女性。颈椎关节手法治疗减轻口面部疼痛(平均差值:-1.8 cm;95% CI: -2.8至-0.9)和改善PPT(平均差异:0.64 kg/cm2;95% CI: 0.02 ~ 1.26)和下颌功能(标准化平均差:0.65;95% CI: 0.3 ~ 1.0)。结论:颈椎关节手法治疗对减轻疼痛强度、改善下颌功能有短期疗效。需要进一步的研究来提高证据的质量，并调查干预期后益处的维持情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.