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Acupuncture and Electroacupuncture Treatment for Temporomandibular Joint Disorder Focused on Recent Randomized-Controlled Studies: A Systematic Review and Meta-Analysis

  • Jin-Sol Yoon (Department of Acupuncture and Moxibustion Medicine, Dongshin University Gwangju Korean Medicine Hospital ) ;
  • Joonyong Noh (Department of Acupuncture and Moxibustion Medicine, Dongshin University Gwangju Korean Medicine Hospital ) ;
  • Seonju Ahn (Department of Korean Internal Medicine, Dongshin University Gwangju Korean Medicine Hospital ) ;
  • Yun-Gwon Seon (Department of Acupuncture and Moxibustion Medicine, Dongshin University Naju Korean Medicine Hospital) ;
  • Hong-Wook Choi (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Sun-Joong Kim (Department of Acupuncture and Moxibustion Medicine, National Medical Center) ;
  • Jae-Uk Sul (Department of Korean Medicine Rehabilitation, Dongshin University Gwangju Korean Medicine Hospital ) ;
  • Jae-Hong Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Dongshin University)
  • 투고 : 2023.05.25
  • 심사 : 2023.07.14
  • 발행 : 2023.08.31

초록

This study aimed to evaluate the clinical efficacy and safety of acupuncture and electroacupuncture for temporomandibular joint disorder (TMD). We searched 11 databases to find randomized-controlled trials (RCTs) published between January 2018 and January 2023 that used acupuncture and electroacupuncture to treat patients with TMD. We performed a meta-analysis of 18 RCTs involving 1,109 patients. Nine studies reported that the treatment and control groups showed improvement in the evaluation index post-treatment. The results of the meta-analysis showed that the treatment groups receiving acupuncture combined with manual therapy had significantly improved visual analog scale score and dysfunction index than the control groups receiving manual therapy. Moreover, the treatment groups receiving acupuncture combined with Western medicine had statistically improved maximum mouth opening than the control groups using Western medicine. In conclusion, acupuncture and electroacupuncture have clinical effects on TMD patients. Given that 11 studies were obtained from the Chinese database, a regional bias would be considered. Furthermore, the included studies had high a risk of bias in terms of randomization, concealment, and blinding. Further studies are required to correct these limitations.

키워드

과제정보

This research was supported by the Dongshin University research grants.

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