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The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials

Temporomandibular disorder (TMD) is a common condition disabling people and bringing up costs. The aim of this study was to investigate the effects of manual therapy on pain intensity, maximum mouth opening (MMO) and disability. Searches were conducted in six databases for randomised controlled tria...

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Autores principales: Vieira, Leonardo Sette, Pestana, Priscylla Ruany Mendes, Miranda, Júlio Pascoal, Soares, Luana Aparecida, Silva, Fabiana, Alcantara, Marcus Alessandro, Oliveira, Vinicius Cunha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967117/
https://www.ncbi.nlm.nih.gov/pubmed/36836649
http://dx.doi.org/10.3390/life13020292
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author Vieira, Leonardo Sette
Pestana, Priscylla Ruany Mendes
Miranda, Júlio Pascoal
Soares, Luana Aparecida
Silva, Fabiana
Alcantara, Marcus Alessandro
Oliveira, Vinicius Cunha
author_facet Vieira, Leonardo Sette
Pestana, Priscylla Ruany Mendes
Miranda, Júlio Pascoal
Soares, Luana Aparecida
Silva, Fabiana
Alcantara, Marcus Alessandro
Oliveira, Vinicius Cunha
author_sort Vieira, Leonardo Sette
collection PubMed
description Temporomandibular disorder (TMD) is a common condition disabling people and bringing up costs. The aim of this study was to investigate the effects of manual therapy on pain intensity, maximum mouth opening (MMO) and disability. Searches were conducted in six databases for randomised controlled trials (RCTs). Selection of trials, data extraction and methodological quality assessment were conducted by two reviewers with discrepancies resolved by a third reviewer. Estimates were presented as mean differences (MDs) or standardized mean differences (SMDs) with 95% confidence intervals (CIs). Quality of the evidence was assessed using the GRADE approach. Twenty trials met the eligibility criteria and were included. For pain intensity, high and moderate quality evidence demonstrated the additional effects of manual therapy at short- (95% CI −2.12 to −0.82 points) and long-term (95% CI −2.17 to −0.40 points) on the 0–10 points scale. For MMO, moderate to high quality evidence was found in favour of manual therapy alone (95% CI 0.01 to 7.30 mm) and its additional effects (95% CI 1.58 to 3.58 mm) at short- and long-term (95% CI 1.22 to 8.40 mm). Moderate quality evidence demonstrated an additional effect of manual therapy for disability (95% CI = −0.87 to −0.14). Evidence supports manual therapy as effective for TMD.
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spelling pubmed-99671172023-02-26 The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials Vieira, Leonardo Sette Pestana, Priscylla Ruany Mendes Miranda, Júlio Pascoal Soares, Luana Aparecida Silva, Fabiana Alcantara, Marcus Alessandro Oliveira, Vinicius Cunha Life (Basel) Systematic Review Temporomandibular disorder (TMD) is a common condition disabling people and bringing up costs. The aim of this study was to investigate the effects of manual therapy on pain intensity, maximum mouth opening (MMO) and disability. Searches were conducted in six databases for randomised controlled trials (RCTs). Selection of trials, data extraction and methodological quality assessment were conducted by two reviewers with discrepancies resolved by a third reviewer. Estimates were presented as mean differences (MDs) or standardized mean differences (SMDs) with 95% confidence intervals (CIs). Quality of the evidence was assessed using the GRADE approach. Twenty trials met the eligibility criteria and were included. For pain intensity, high and moderate quality evidence demonstrated the additional effects of manual therapy at short- (95% CI −2.12 to −0.82 points) and long-term (95% CI −2.17 to −0.40 points) on the 0–10 points scale. For MMO, moderate to high quality evidence was found in favour of manual therapy alone (95% CI 0.01 to 7.30 mm) and its additional effects (95% CI 1.58 to 3.58 mm) at short- and long-term (95% CI 1.22 to 8.40 mm). Moderate quality evidence demonstrated an additional effect of manual therapy for disability (95% CI = −0.87 to −0.14). Evidence supports manual therapy as effective for TMD. MDPI 2023-01-20 /pmc/articles/PMC9967117/ /pubmed/36836649 http://dx.doi.org/10.3390/life13020292 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Vieira, Leonardo Sette
Pestana, Priscylla Ruany Mendes
Miranda, Júlio Pascoal
Soares, Luana Aparecida
Silva, Fabiana
Alcantara, Marcus Alessandro
Oliveira, Vinicius Cunha
The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials
title The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials
title_full The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials
title_fullStr The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials
title_full_unstemmed The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials
title_short The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials
title_sort efficacy of manual therapy approaches on pain, maximum mouth opening and disability in temporomandibular disorders: a systematic review of randomised controlled trials
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967117/
https://www.ncbi.nlm.nih.gov/pubmed/36836649
http://dx.doi.org/10.3390/life13020292
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