Effectiveness of manual physical therapy and /or mandibular exercises in the treatment of the articular temporomandibular disorder - a systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.8485

Keywords:

Temporomadibular dysfunction; Joint TMD; Physiotherapy; Manual therapy.

Abstract

Objective: Evaluate the effectiveness of manual therapy and exercises for improving function and/or pain in patients diagnosed with temporomandibular joint dysfunction (TMD) through a systematic review of the literature. Methods: A systematic and manual electronic search of the data was performed in the following databases: MEDLINE-Pubmed, Cochrane Library, Web of Science and Scopus (until 2020). The following descriptors were used: "physiotherapy", "physiotherapy modalities", "physiotherapy specialty", "manual therapy", "massage", "exercise", "temporomandibular joint", "temporomandibular disorder", "temporomandibular joint", "disc "," Previous Disc Displacement "," Randomized Controlled Clinical Trial "," Controlled Clinical Trial "," Effectiveness "," Effect "and" Effectiveness ". As an inclusion, studies should present patients with joint pain diagnosed by the Diagnostic Criteria for Research on TMD (RDC / TMD) and manual therapy as an intervention. Results: Only 1 randomized controlled clinical trial was included in the inclusion criteria. Physical therapy manual exercises, despite promoting significant improvement in all studied variables, did not represent an additional positive effect in relation to the instruction and guidance given to patients with unrestricted articular disc displacement. Manual physical therapy and physical therapy exercises, despite while promoted a significant improvement in all the studied variables, did not represent an additional positive effect in relation to the instruction and orientation given to patients with joint disc displacement without reduction. Conclusions: Weak supporting evidence regarding the use of these approaches in patients with joint TMD was found, revealing the need to conduct new studies with methodologies well delineated and higher level of evidence.

References

Anderson, G. C., et al. (2010). The Research Diagnostic Criteria for Temporomandibular Disorders. VI: future directions. J Orofac Pain, 24(1), 79–88. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3157036/.

Armijo-Olivo, S., et al. (2016). Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis. Physical Therapy, 96(1), 9–25. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706597/.

Carmeli, E., Sheklow, S. L., Bloomenfeld, I. (2001) Comparative study of repositioning splint therapy and passive Manual Range of Motion Techniques for Anterior Displaced Temporomandibular discs with unstable excursive reduction. Physiotherapy, 87 (1), 26-36. doi: 10.1016/S0031-9406: 61189-3.

Craane, C., et al., (2012). Effects of Mindfulness-Based Cognitive Therapy on Specificity of Life Goals. Cognit Ther Res, 36(3),182–189. Retrieved from https://ww w.ncbi.nlm.nih.gov/pmc/articles/PMC3348486/.

Cuccia, A. M., et al (2010). Osteopathic manual therapy versus conventional conservative therapy in the treatment of temporomandibular disorders: A randomized controlled trial. J Bodyw Mov Ther, 14 (2), 179-184. Retrieved from http://dx.doi.org/10.10 16/j.jbmt.2009.08.002.

Ferreira, L. A., et al. (2016). Diagnóstico das disfunções da articulação temporomandibular: indicação dos exames por imagem. Braz. j. otorhinolaryngol, 82(3), 341-352. Retrieved from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942016000300341&l ng=en&nrm=iso.

Tuncer, A. B., et al. (2013). Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: A randomized controlled trial. Journal of bodywork and movement therapies, 17(3), 302–308. doi: 10.1016/j.jbmt.2012.10.006 .

John, M. T., Dworkin, S. F., & Mancl, L. A. (2005). Reliability of clinical temporomandibular disorder diagnoses. Pain, 118 (1-2),61–69. doi: 10.1016/j.pain.2005.07.018.

Kalamir, A., et al. (2012). Intraoral myofascial therapy for chronic myogenous temporomandibular disorder: A randomized controlled trial. J Manipulative Physiol Ther, 35(1), 26-37. doi: 10.1016/j.jmpt.2011.09.004.

Locker, D., & Grushka, M. (1987). The impact of dental and facial pain. J Dent Res, 66(9), 1414-7. doi: 10.1177/00220345870660090101.

Medlicott, M. S., & Harris, S. R. (2006). A systematic review of the effectiveness of exercise, manual therapy, electrotherapy, relaxation training, and biofeedback in the management of temporomandibular disorder. Physical Therapy, 86(7), 955-973. Retrieved from https://academic.oup.com/ptj/article/86/7/955/2805182.

Melchior, M. O., et al (2016). Efeito do tratamento fonoaudiológico após a laserterapia de baixa intensidade em pacientes com DTM: estudo descritivo. CoDAS, 28 (6), 818-822. Retrieved from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822016000600818&l ng=pt&nrm=iso>.

Michelotti, A., et al. (2005). Home-exercise regimes for the management of non-specific temporomandibular disorders. J Oral Rehabil, 32(11), 779–785. doi: 10.1111/j.1365-2842.2005.01513.x.

Moher, D., et al. (2009). Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ, 339, b2535. Retrieved from https://www.bmj.com/content/339/bmj.b2535.

Nascimento, M. M., et al., (2013). Physical therapy and anesthetic blockage for treating temporomandibular disorders: A clinical trial. Med Oral Patol Oral Cir Bucal, 18(1), 81–5. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3548651/.

Nicolakis, P., et al. (2000). Exercise therapy for craniomandibular disorders. Arch Phys Med Rehabil, 81(1),1137–42. Retrieved from https://www.archives-pmr.org/article/S0003-9993(00)65588-0/fulltext .

Pelicioli, M., et al. (2017). Physiotherapeutic treatment in temporomandibular disorders. Rev. dor, 18(4), 355-361. Retrieved from http://www.scielo.br/scielo.ph p?script=sci_arttext&pid=S1806-00132017000400355&lng=en.

Schiffman, E., et al. (2014). Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: Recommendations of the international RDC/TMD consortium network and orofacial pain special interest group. J Oral Facial Pain headache, 28(1), 6-27. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478082/.

Stegenga, B. (2010). Nomenclature and classification of temporomandibular joint disorders. J Oral Rehabil, 37(10), 760–5. doi: 10.1111/j.1365-2842.2010.02146.x.

Tuncer, A. B., (2013). Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: A randomized controlled trial. J Bodyw Mov Ther, 17(3), 302–8. http://dx.doi.org/10.1016/j.jbmt.2012.10.006.

Yuasa, H., et al. (2001). Randomized clinical trial of primary treatment for temporomandibular joint disk displacement without reduction and without osseous changes: A combination of NSAIDs and mouth-opening exercise versus no treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 91(6), 671–5. doi: 10.1067/moe.2001.114005.

Zhang, L., et al. (2016). Occlusal force characteristics of masseteric muscles after intramuscular injection of botulinum toxin A ( BTX – A ) for treatment of temporomandibular disorder. Br J Oral Maxillofac Surg, 54(7), 736–40. doi: 10.1016/j.bjoms.2016.04.008.

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Published

22/09/2020

How to Cite

JÁCOME, A. do N. .; SOUSA, J. de S. M. .; RESENDE, C. M. B. M. de .; BARBOSA, G. A. S. .; ARAÚJO, A. A. de .; ALMEIDA, E. O. de . Effectiveness of manual physical therapy and /or mandibular exercises in the treatment of the articular temporomandibular disorder - a systematic review. Research, Society and Development, [S. l.], v. 9, n. 10, p. e1729108485, 2020. DOI: 10.33448/rsd-v9i10.8485. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/8485. Acesso em: 8 aug. 2022.

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Health Sciences