Therapeutic Exercise Effects on Activity, Participation and Quality of Life in Individuals With Temporomandibular Disorders: A Systematic Review

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-06-09 DOI:10.1111/joor.14042

Sarah Scrase, Roma Forbes, Adrienne Lindop, Adrienne Parcher, Louise Rainbird, Alana Dinsdale

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引用次数: 0

Abstract

Background

Temporomandibular disorders (TMDs) are common musculoskeletal jaw conditions that can significantly impact individuals' activity, participation and quality of life (QOL). Current clinical recommendations for TMD management encompass therapeutic exercise, although it is unclear how exercise impacts recovery beyond improving individuals' jaw pain and range of motion.

Objective

To investigate the effects of therapeutic exercise on patient-reported measures of activity, participation and corresponding QOL in individuals with TMD.

Methods

An electronic database search of PubMed, Embase, CINAHL and Cochrane Central was performed on 7 March 2024. Inclusion criteria were peer-reviewed journal articles written in English that investigated the effect of therapeutic exercise on activity, participation or QOL in individuals with TMD. Risk of bias was assessed, and data were grouped according to outcomes then analysed using a narrative synthesis approach. The confidence in cumulative evidence for each outcome was determined using a modified GRADE approach.

Results

Twelve studies were eligible for this review, comprising a total of 775 participants (mean age = 32.5 years, 79% female). Therapeutic exercise interventions included both global (e.g., aerobic, core, relaxation, postural) and local jaw-specific (e.g., mobility resistance) exercises. Findings suggest that both jaw-specific and global exercises may improve activity, participation and QOL in patients with TMDs. These findings should be considered with caution as confidence in cumulative evidence was very low.

Conclusion

Therapeutic exercise may be effective in improving activity, participation and QOL in individuals with TMDs, although further research is needed to improve the quality of the evidence and to direct clinical guidelines.

Abstract Image

查看原文本刊更多论文

治疗性运动对颞下颌疾病患者活动、参与和生活质量的影响：系统综述。

背景：颞下颌紊乱（TMDs）是一种常见的颌骨肌肉骨骼疾病，可显著影响个体的活动、参与和生活质量（QOL）。目前临床对TMD管理的建议包括治疗性运动，尽管尚不清楚运动如何影响恢复，除了改善个人的下颌疼痛和活动范围。目的：探讨治疗性运动对TMD患者报告的活动度、参与度和相应的生活质量的影响。方法：于2024年3月7日检索PubMed、Embase、CINAHL和Cochrane Central的电子数据库。纳入标准是同行评议的英文期刊文章，这些文章调查了治疗性运动对TMD患者活动、参与或生活质量的影响。评估偏倚风险，并根据结果对数据进行分组，然后使用叙事综合方法进行分析。使用改进的GRADE方法确定每个结果累积证据的置信度。结果：12项研究符合本综述的条件，共包括775名参与者（平均年龄= 32.5岁，79%为女性）。治疗性运动干预包括整体（如有氧、核心、放松、体位）和局部颌骨特异性（如活动阻力）运动。研究结果表明，下颌特异性运动和整体运动都可以改善颞下颌关节病患者的活动、参与和生活质量。这些发现应该谨慎考虑，因为累积证据的可信度非常低。结论：治疗性运动可能有效改善tmd患者的活动、参与和生活质量，但仍需进一步研究以提高证据质量并指导临床指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.