Algorithm for Temporomandibular Disorders With Osteopathic Manipulative Therapy: An Expert Consensus

Journal of chiropractic medicine Pub Date : 2025-01-01 Epub Date: 2025-10-18 DOI:10.1016/j.jcm.2025.09.034

Llanos De-La-Iglesia MSc , Cristina Bravo MSc, PhD , Cristian Justribó-Manion MSc , Anna Montmany , Toni Roman-Arias MSc , Isabelle Hue PhD , P-M Dugailly MSc, PhD , Stefano Colasanto , Philip Van-Caille , Francesc Rubí-Carnacea MSc, PhD

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Abstract

Objective

The purpose of this study was to create a consensus algorithm for the osteopathic approach to temporomandibular dysfunctions.

Methods

A conventional Delphi method of at least 3 rounds of questionnaires was carried out by a panel of experts to reach a consensus on a flowchart algorithm for the diagnosis and treatment of temporomandibular disorders with osteopathic manipulative therapy.

Results

During the 3 rounds, a total of 7 panellists participated. Consensus was reached on 182 items (70.54% = 182/258). The algorithm has a numerical code with which the direction of each option can be followed, and a color code that shows the classification of each of the items (anamnesis, examination, observation, referral, palpation and treatment). The algorithm begins with 4 main categories: psychological aspects, exclusion criteria, physical aspects, and other issues, which are further subdivided into specific items that will be addressed according to the findings obtained during the patient visit.

Conclusion

This study created an algorithm for the osteopathic approach to temporomandibular dysfunctions.

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骨科手法治疗颞下颌疾病的算法：专家共识

目的本研究的目的是为颞下颌功能障碍的骨科入路建立一个共识算法。方法采用至少3轮问卷调查的传统德尔菲法，由专家小组对颞下颌关节疾病的整骨手法诊疗流程图算法达成共识。结果三轮共7位嘉宾参与。共有182项达成共识（70.54% = 182/258）。该算法有一个数字代码，可以跟随每个选项的方向，还有一个颜色代码，显示每个项目的分类（记忆、检查、观察、转诊、触诊和治疗）。该算法从4个主要类别开始：心理方面、排除标准、身体方面和其他问题，并进一步细分为具体项目，根据患者访问期间获得的结果进行解决。结论本研究为颞下颌功能障碍的骨科入路提供了一种算法。

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 chiropractic medicine

CiteScore

1.50

自引率

0.00%

发文量