The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
권호 표지

A Systematic Review and Meta-analysis of Manual Therapy for Temporomandibular Disorder

턱관절장애에 대한 수기요법의 체계적 문헌 고찰과 메타분석

  • Kim, Hong-Guk (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Ryoo, Dek-Woo (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Jeong, Seong-Mok (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Sung-Jin (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Baek, Seung-Won (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Lee, Chang-Hee (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Yoon, Jin-Young (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Hospital at Gangdong)
  • 김홍국 (강동경희대학교한방병원 침구의학과) ;
  • 유덕우 (강동경희대학교한방병원 침구의학과) ;
  • 정성목 (강동경희대학교한방병원 침구의학과) ;
  • 김성진 (강동경희대학교한방병원 침구의학과) ;
  • 백승원 (강동경희대학교한방병원 침구의학과) ;
  • 이창희 (강동경희대학교한방병원 침구의학과) ;
  • 윤진영 (강동경희대학교한방병원 침구의학과)
  • Received : 2017.05.29
  • Accepted : 2017.06.06
  • Published : 2017.06.30
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Abstract

Objectives: To evaluate and summarize the efficacy and safety of manual therapy in temporomandibular disorder(TMD). Methods: Ten databases (Pubmed, Cochrane, EMBASE, AMED, CINAHL, CNKI, and four Korean databases) were searched up to March 2017. Pain and range of motion(ROM) of temporomandibular joint were used as the primary outcome measure, and effective rates, dysfunction scale and adverse events were used as secondary outcome measures. The Cochrane risk of bias tool was used to evaluate the methodological quality. Results: 10 randomized controlled trials(RCTs) involving 603 participants were included. There were no significant differences between the two groups in comparison with placebo manual therapy group. In comparison with Wait-list and conventional treatment groups, manual therapy significantly alleviated pain and ROM. Five RCTs(50.0%) reported adverse events and there were no adverse cases by manual therapy. Conclusions: We found evidence that manual therapy may alleviate symptoms of patients with TMD. A positive effect was observed in comparison with conventional treatment and Wait-list, but no conclusion for the comparisons with placebo manual therapy. There is no evidence of worsening symptoms or causing adverse events.

Keywords

References

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