Sarah Scrase, Roma Forbes, Adrienne Lindop, Adrienne Parcher, Louise Rainbird, Alana Dinsdale
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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.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>To investigate the effects of therapeutic exercise on patient-reported measures of activity, participation and corresponding QOL in individuals with TMD.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 10","pages":"1839-1864"},"PeriodicalIF":4.0000,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.14042","citationCount":"0","resultStr":"{\"title\":\"Therapeutic Exercise Effects on Activity, Participation and Quality of Life in Individuals With Temporomandibular Disorders: A Systematic Review\",\"authors\":\"Sarah Scrase, Roma Forbes, Adrienne Lindop, Adrienne Parcher, Louise Rainbird, Alana Dinsdale\",\"doi\":\"10.1111/joor.14042\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To investigate the effects of therapeutic exercise on patient-reported measures of activity, participation and corresponding QOL in individuals with TMD.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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. 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Therapeutic Exercise Effects on Activity, Participation and Quality of Life in Individuals With Temporomandibular Disorders: A Systematic Review
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.
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.
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