Efficacy of different combinations of physiotherapy techniques compared to exercise and patient education in temporomandibular disorders: A randomized controlled study

Tanhan, Abdurrahman; Ozer, Aysel Yildiz; Polat, Mi̇ne Gülden

doi:10.1080/08869634.2021.1909454

Cited by 12 publications

(19 citation statements)

References 39 publications

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“…The risk of bias scores for 13 RCTs 46–58 was obtained in the PEDro database, and for 3 RCTs 45,59,60 it was assessed manually. All included RCTs obtained 3 points or more.…”

Section: Resultsmentioning

confidence: 99%

“…Three hundred eighty-nine studies were screened for eligibility and 385 were excluded for not meeting the inclusion criteria (reasons in Figure 1). Finally, 16 studies [45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60] were included in this meta-analysis. The PRISMA flow chart (Figure 1) displays the study selection process.…”

Section: Resultsmentioning

confidence: 99%

“…These studies provided data from 812 participants (29.01 ± 7.64 years old and 77% female) with different temporomandibular disorders, being the most frequent temporomandibular disc displacement with or without reduction 45,[50][51][52][54][55][56]59 and orofacial pain. 49,53,58,60 The experimental group was comprised of 416 participants (29.01 ± 7.64 years old and 77% female) who performed temporomandibular exercise therapy as unique therapy or combined with others (splints, physiotherapy or counselling education). By contrast, the comparison group was integrated by 396 participants (29.16 ± 8.17 years old and 75% female) that carried out one of the following control therapies: splints, counselling education, physiotherapy (placebo, manual physiotherapy, usual care, electrotherapy) or no intervention.…”

Section: Resultsmentioning

confidence: 99%

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Exercise therapy improves pain and mouth opening in temporomandibular disorders: A systematic review with meta-analysis

Idáñez-Robles¹,

Obrero‐Gaitán

Lomas‐Vega

et al. 2022

Clin Rehabil

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Objective To analyse the effectiveness of exercise therapy in improving pain and active or passive maximum mouth opening in patients with temporomandibular disorders. Data sources PubMed Medline, Web of Science, Scopus, CINAHL Complete and Physiotherapy Evidence Database, until April 2022, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Review methods We included randomized controlled trials evaluating the effect of exercise therapy on pain and on active and passive maximum mouth opening in patients with temporomandibular disorders. Effect size was calculated using Cohen's standardized mean difference (SMD) and their 95% confidence interval (95% CI) in a random-effects model. Results A total of 16 studies with 812 participants were included. Exercise therapy is effective in reducing pain (SMD: −0.58; 95% CI: −1.01 to −0.12) and increasing the pain pressure threshold (SMD: 0.45; 95% CI: 0.14–0.76), active and passive maximum mouth opening (SMD: 0.43; 95% CI: 0.14–0.71 and SMD: 0.4; 95% CI: 0.06–0.75, respectively). Subgroup analyses showed more effect of exercise therapy more splints versus splints on pain (SMD: −0.5; 95% CI: −0.73 to −0.26), active and passive maximum mouth opening (SMD: 1.14; 95% CI: 0.22–2.07 and SMD: 0.56; 95% CI: 0.06–1.06, respectively). On pain pressure threshold, exercise therapy was better than physiotherapy approach (manual therapy and electrotherapy) (SMD: 0.48; 95% CI: 0.09–0.87). Conclusions Therapeutic exercise is an effective therapy to reduce pain and increase pain pressure threshold and active and passive maximum mouth opening in patients with temporomandibular disorders.

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“…The risk of bias scores for 13 RCTs 46–58 was obtained in the PEDro database, and for 3 RCTs 45,59,60 it was assessed manually. All included RCTs obtained 3 points or more.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Exercise therapy improves pain and mouth opening in temporomandibular disorders: A systematic review with meta-analysis

Idáñez-Robles¹,

Obrero‐Gaitán

Lomas‐Vega

et al. 2022

Clin Rehabil

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“…Most included RCTs reported no dropouts. One RCT reported a < 10% drop out rate [ 43 ], two RCTs reported > 15% drop out rates [ 31 , 44 ], but these three RCTs did not report missing data analysis, such as intention-to-treat analysis.…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen RCTs were included in the meta-analysis to obtain a combined result. They were performed worldwide in Turkey [31], Saudi Arabia [32], New Zealand [33], India [13,34], the USA [35,36], Iran [37][38][39], Egypt [40], Spain [41,42], Belgium [43] and Portugal [44]. All RCTs included meta-analysis reported a consistent baseline.…”

Section: Description Of Rcts and Qualitymentioning

confidence: 99%

Effect of ischemic compression on myofascial pain syndrome: a systematic review and meta-analysis

Tian

et al. 2022

Chiropr Man Therap

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Background Myofascial pain syndrome (MPS) is a condition with local and referred pain characterized by trigger points (taut bands within the muscle). Ischemic compression is a noninvasive manual therapy technique that has been employed for the treatment of MPS in past decades. However, little attention has been devoted to this topic. Objectives The present review was designed to explore the efficacy of ischemic compression for myofascial pain syndrome by performing a descriptive systematic review and a meta-analysis to estimate the effect of ischemic compression on MPS. Methods A systematic review and meta-analysis concerning randomized controlled trials (RCTs) with myofascial pain subjects who received ischemic compression versus placebo, sham, or usual interventions. Five databases (PubMed, The Cochrane Library, Embase, Web of Science, Ovid) were searched from the earliest data available to 2022.1.2. The standardized mean difference (SMD) and the 95% confidence interval (CI) were used for statistics. Version 2 of the Cochrane risk of tool 2 (RoB 2) was used to assess the quality of the included RCTs. Results Seventeen studies were included in the systematic review, and 15 studies were included in the meta-analysis. For the pressure pain threshold (PPT) index, 11 studies and 427 subjects demonstrated statistically significant differences compared with the control at posttreatment (SMD = 0.67, 95% CI [0.35, 0.98], P < 0.0001, I2 = 59%). For visual analog scale (VAS) or numeric rating scale (NRS) indices, 7 studies and 251 subjects demonstrated that there was no significant difference between ischemic compression and controls posttreatment (SMD = − 0.22, 95% CI [− 0.53, 0.09], P = 0.16, I2 = 33%). Conclusion Ischemic compression, as a conservative and noninvasive therapy, only enhanced tolerance to pain in MPS subjects compared with inactive control. Furthermore, there was no evidence of benefit for self-reported pain. The number of currently included subjects was relatively small, so the conclusion may be changed by future studies. Big scale RCTs with more subjects will be critical in future.

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Therapeutic patient education (TPE): A field of research and practice for psychosocial health intervention

Ortega Pacheco

2024

Atención Primaria

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Efficacy of different combinations of physiotherapy techniques compared to exercise and patient education in temporomandibular disorders: A randomized controlled study

Cited by 12 publications

References 39 publications

Exercise therapy improves pain and mouth opening in temporomandibular disorders: A systematic review with meta-analysis

Exercise therapy improves pain and mouth opening in temporomandibular disorders: A systematic review with meta-analysis

Effect of ischemic compression on myofascial pain syndrome: a systematic review and meta-analysis

Therapeutic patient education (TPE): A field of research and practice for psychosocial health intervention

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