Effectiveness of Acupuncture in the Treatment of Temporomandibular Disorders of Muscular Origin: A Systematic Review of the Last Decade

Touche, Roy La; Angulo‐Díaz‐Parreño, Santiago; de-la-Hoz, José Luis; Fernández‐Carnero, Josué; Ge, Hong-You; Linares, María Teresa Valdés; Mesa, Juan; Sánchez-Gutiérrez, Jesús

doi:10.1089/acm.2008.0484

Cited by 30 publications

(20 citation statements)

References 24 publications

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“…Such strategies often suggest the use of less invasive and reversible interventions, and has been mainly represented by the involvement of psychotherapy (utilising technology such as biofeedback [2], cognitive and behavioural therapies [3,4]); physiotherapy [5-9] (utilising exercises, mobilisation and various electro-medical therapies); and complementary and alternative medicine therapies (chiropractic [10,11], osteopathy [12,13], massage [14-17], relaxation therapy [18], acupuncture [19,20] and others [21-25]). This trend away from more invasive and irreversible treatment is also represented by an increase in the literature pertaining to the use of patient education as well as self-care (relaxation, implementation of cognitive and behavioural therapeutic strategies and exercises) [26].…”

Section: Introductionmentioning

confidence: 99%

Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial

et al. 2013

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BackgroundMyogenous temporomandibular disorders (TMD) are considered to be a common musculoskeletal condition. No studies exist comparing intra-oral myofascial therapies to education, self-care and exercise (ESC) for TMD. This study evaluated short-term differences in pain and mouth opening range between intra-oral myofascial therapy (IMT) and an ESC program.MethodsForty-six participants with chronic myogenous TMD (as assessed according to the Research Diagnostic Criteria Axis 1 procedure) were consecutively block randomised into either an IMT group or an ESC group. Each group received two sessions per week (for five weeks) of either IMT or short talks on the anatomy, physiology and biomechanics of the jaw plus instruction and supervision of self-care exercises. The sessions were conducted at the first author’s jaw pain and chiropractic clinic in Sydney, Australia. Primary outcome measures included pain at rest, upon opening and clenching, using an eleven point ordinal self reported pain scale. A secondary outcome measure consisted of maximum voluntary opening range in millimetres. Data were analysed using linear models for means and logistic regression for responder analysis.ResultsAfter adjusting for baseline, the IMT group had significantly lower average pain for all primary outcomes at 6 weeks compared to the ESC group (p < 0.001). These differences were not clinically significant but the IMT group had significantly higher odds of a clinically significant change (p < 0.045). There was no significant difference in opening range between the IMT and ESC groups. Both groups achieved statistically significant decreases in all three pain measures at six weeks (p ≤ 0.05), but only the IMT group achieved clinically significant changes of 2 or more points.ConclusionThis study showed evidence of superiority of IMT compared to ESC over the short-term but not at clinically significant levels. Positive changes over time for both IMT and ESC protocols were noted. A longer term, multi-centre study is warranted.Trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12610000508077.

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Section: Introductionmentioning

confidence: 99%

Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial

et al. 2013

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“…[15][16][17][18] However, one review was out of date 16 and secondly published one reviewed 4 sham controlled randomized clinical trials (RCTs) without comprehensive meta-analysis. 17 The third one reviewed 19 RCTs (including 5 sham controlled) without meta-analysis 15 and the last published one did 9 RCTs (including 4 sham controlled) with meta-analysis. 18 All did not conduct full searches because three of them restricted their searches only in English.…”

Section: Introductionmentioning

confidence: 99%

“…18 All did not conduct full searches because three of them restricted their searches only in English. [16][17][18] Consequently, all were missing the important sham controlled RCTs. [19][20][21] In addition, none adopted subgroup analysis and sensitivity analysis of meta-analysis which were strictly recommended by PRISMA guideline.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for treating temporomandibular joint disorders: A systematic review and meta-analysis of randomized, sham-controlled trials

Jung

Shin

Lee

et al. 2011

Journal of Dentistry

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“…The majority of the results reported were either inconclusive/mixed [72-74,76-80,88-91] or positive [67-71,75,85-87] with only four reviews [81-84] reporting negative acupuncture effectiveness. We characterize acupuncture as ‘promising for pain but with no conclusions able to be drawn’ at this point because, although all the reviews were high quality, most of the reviews reported mixed results.…”

Section: Resultsmentioning

confidence: 99%

The effectiveness of acupuncture research across components of the trauma spectrum response (tsr): a systematic review of reviews

et al. 2012

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BackgroundCo-morbid symptoms (for example, chronic pain, depression, anxiety, and fatigue) are particularly common in military fighters returning from the current conflicts, who have experienced physical and/or psychological trauma. These overlapping conditions cut across the boundaries of mind, brain and body, resulting in a common symptomatic and functional spectrum of physical, cognitive, psychological and behavioral effects referred to as the ‘Trauma Spectrum Response’ (TSR). While acupuncture has been shown to treat some of these components effectively, the current literature is often difficult to interpret, inconsistent or of variable quality. Thus, to gauge comprehensively the effectiveness of acupuncture across TSR components, a systematic review of reviews was conducted using the Samueli Institute’s Rapid Evidence Assessment of the Literature (REAL©) methodology.MethodsPubMed/MEDLINE, the Cochrane Database of Systematic Reviews, EMBASE, CINAHL, and PsycInfo were searched from inception to September 2011 for systematic reviews/meta-analyses. Quality assessment was rigorously performed using the Scottish Intercollegiate Guidelines Network (SIGN 50) checklist and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology. Adherence to the Standards for Reporting Interventions in Clinical Trials in Acupuncture (STRICTA) criteria was also assessed.ResultsOf the 1,480 citations identified by our searches, 52 systematic reviews/meta-analyses, all high quality except for one, met inclusion criteria for each TSR component except post-traumatic stress disorder (PTSD) and sexual function. The majority of reviews addressed most STRICTA components, but did not describe safety.ConclusionsBased on the results of our review, acupuncture appears to be effective for treating headaches and, although more research is needed, seems to be a promising treatment option for anxiety, sleep disturbances, depression and chronic pain. It does not, however, demonstrate any substantial treatment benefit for substance abuse. Because there were no reviews on PTSD or sexual function that met our pre-defined inclusion criteria, we cannot comment on acupuncture’s effectiveness in treating these conditions. More quality data are also needed to determine whether acupuncture is appropriate for treating fatigue or cognitive difficulties. Further, while acupuncture has been shown to be generally safe, safety was not described in the majority of studies, making it difficult to provide any strong recommendations. Future research should address safety reporting in detail in order to increase our confidence in acupuncture’s efficacy across the identified TSR components.

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Effectiveness of Acupuncture in the Treatment of Temporomandibular Disorders of Muscular Origin: A Systematic Review of the Last Decade

Abstract: In the authors' opinion, research into the long-term effects of acupuncture in the treatment of TMD is needed. We also recommend larger samples sizes for future studies, so the results will be more reliable.

Cited by 30 publications

References 24 publications

Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial

Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial

Acupuncture for treating temporomandibular joint disorders: A systematic review and meta-analysis of randomized, sham-controlled trials

The effectiveness of acupuncture research across components of the trauma spectrum response (tsr): a systematic review of reviews

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