A Systematic Review of the Effectiveness of Physical Therapy Interventions for Temporomandibular Disorders

McNeely, Margaret L.; Olivo, Susan Armijo; Magee, David J.

doi:10.1093/ptj/86.5.710

Cited by 302 publications

(198 citation statements)

References 46 publications

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“…Eight SRs evaluated various physical treatments in patients with TMD ( Table 2). Of these SRs, six assessed acupuncture (23,(29)(30)(31)(32), three jaw exercises (23,33,34), two manual therapy (33,34), and three various forms of electrical therapy (30,34). Three SRs reported that acupuncture was better than no treatment, four SRs that acupuncture and other therapies yielded similar results, and one SR that acupuncture and placebo treatment had similar results.…”

Section: Resultsmentioning

confidence: 99%

Management of TMD: evidence from systematic reviews and meta-analyses

List

Axelsson

2010

Journal of Oral Rehabilitation

333

266

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This systematic review (SR) synthesises recent evidence and assesses the methodological quality of published SRs in the management of temporomandibular disorders (TMD). A systematic literature search was conducted in the PubMed, Cochrane Library, and Bandolier databases for 1987 to September 2009. Two investigators evaluated the methodological quality of each identified SR using two measurement tools: the assessment of multiple systematic reviews (AMSTAR) and level of research design scoring. Thirty-eight SRs met inclusion criteria and 30 were analysed: 23 qualitative SRs and seven meta-analyses. Ten SRs were related to occlusal appliances, occlusal adjustment or bruxism; eight to physical therapy; seven to pharmacologic treatment; four to TMJ and maxillofacial surgery; and six to behavioural therapy and multimodal treatment. The median AMSTAR score was 6 (range 2-11). Eighteen of the SRs were based on randomised clinical trials (RCTs), three were based on case-control studies, and nine were a mix of RCTs and case series. Most SRs had pain and clinical measures as primary outcome variables, while few SRs reported psychological status, daily activities, or quality of life. There is some evidence that the following can be effective in alleviating TMD pain: occlusal appliances, acupuncture, behavioural therapy, jaw exercises, postural training, and some pharmacological treatments. Evidence for the effect of electrophysical modalities and surgery is insufficient, and occlusal adjustment seems to have no effect. One limitation of most of the reviewed SRs was that the considerable variation in methodology between the primary studies made definitive conclusions impossible.

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Section: Resultsmentioning

confidence: 99%

Management of TMD: evidence from systematic reviews and meta-analyses

List

Axelsson

2010

Journal of Oral Rehabilitation

333

266

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“…Each study was assessed independently by the same two independent reviewers using a rating system originally developed by de Vet and colleagues (23) and has been used previously in systematic reviews in rehabilitation research (10, 24). Disagreements were resolved by discussion.…”

Section: Methodsmentioning

confidence: 99%

Yoga in schizophrenia: a systematic review of randomised controlled trials

Vancampfort

Vansteelandt

Scheewe

et al. 2012

Acta Psychiatr Scand

103

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Vancampfort D, Vansteelandt K, Scheewe T, Probst M, Knapen J, De Herdt A, De Hert M. Yoga in schizophrenia: a systematic review of randomised controlled trials. Objective: The objective of this systematic review was to assess the effectiveness of yoga as a complementary treatment on general psychopathology, positive and negative symptoms and health‐related quality of life (HRQL) for people with schizophrenia. Method: Randomised controlled trials (RCTs) were considered whether they investigated a yoga intervention in patients with schizophrenia. The selection of studies, data extraction and quality assessment were performed independently by two reviewers. Results: Only three RCTs met the inclusion criteria. Lower Positive and Negative Syndrome Scale (PANSS) total scores and subscale scores for positive and negative symptoms were obtained after yoga compared with exercise or waiting list control conditions. In the same way, the physical, psychological, social and environmental HRQL as measured with the abbreviated version of the World Health Organization Quality of Life questionnaire (WHOQOL‐BREF) increased more significantly after yoga than after exercise or waiting list control conditions. None of the RCTS encountered adverse events. Dose–response relationships could, however, not be determined. Conclusion: Although the number of RCTs included in this review was limited, results indicated that yoga therapy can be an useful add‐on treatment to reduce general psychopathology and positive and negative symptoms. In the same way, HRQL improved in those antipsychotic‐stabilised patients with schizophrenia following yoga.

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“…Rarely, surgical therapy is necessary. Overall, the evidence for all treatment modalities in TMD is very scarce [78][79][80][81][82].…”

Section: Facial Pain As Encountered By the Stomatologist And Dentistmentioning

confidence: 99%

Facial Pain: A Comprehensive Review and Proposal for a Pragmatic Diagnostic Approach

et al. 2020

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Background: Facial pain, alone or combined with other symptoms, is a frequent complaint. Moreover, it is a symptom situated at, more than any other pain condition, a crosspoint where several disciplines meet, for example, dentists; manual therapists; ophthalmologists; psychologists; and ear-nose-throat, pain, and internal medicine physicians besides neurologists and neurosurgeons. Recently, a new version of the most widely used classification system among neurologists for headache and facial pain, the International Classification of Headache Disorders, has been published. Objective: The aims of this study were to provide an overview of the most prevalent etiologies of facial pain and to provide a generic framework for the neurologist on how to manage patients presenting with facial pain. Methods: An overview of the different etiologies of facial pain is provided from the viewpoint of the respective clinical specialties that are confronted with facial pain. Key message: Caregivers should "think outside their own box" and refer to other disciplines when indicated. If not, a correct diagnosis can be delayed and unnecessary treatments might be given. The presented framework is aimed at excluding life-or organthreatening diseases, providing several clinical clues and indications for technical investigations, and ultimately leading to the correct diagnosis and/or referral to other disciplines.

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A Systematic Review of the Effectiveness of Physical Therapy Interventions for Temporomandibular Disorders

Cited by 302 publications

References 46 publications

Management of TMD: evidence from systematic reviews and meta-analyses

Management of TMD: evidence from systematic reviews and meta-analyses

Yoga in schizophrenia: a systematic review of randomised controlled trials

Facial Pain: A Comprehensive Review and Proposal for a Pragmatic Diagnostic Approach

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