Laércio Almeida de Melo, Annie Karoline Bezerra de Medeiros, Maria De Fátima Trindade Pinto Campos, Camila Maria Bastos Machado de Resende, Gustavo Augusto Seabra Barbosa, Erika Oliveira de Almeida
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All studies were evaluated using the Cochrane Risk of Bias tool.</p><p><strong>Results: </strong>Five studies were included in the present review. Of 279 total patients, 156 were treated with manual therapy only or manual therapy with counseling. Manual therapy was efficient for pain relief in all studies evaluated; however, manual therapy was not better than counseling or botulinum toxin.</p><p><strong>Conclusion: </strong>Manual therapy was better than no treatment in one study and better than counseling in another study; however, manual therapy combined with counseling was not statistically better than counseling alone, and manual therapy alone was not better than botulinum toxin. Manual therapy combined with home therapy was better than home therapy alone in one study. 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引用次数: 30
摘要
目的:评价手法疗法治疗颞下颌疾病相关肌筋膜疼痛的疗效。方法:在Cochrane图书馆、MEDLINE、Web of Science、Scopus、LILACS和SciELO数据库中检索随机临床试验，关键词:颞下颌关节疾病;craniomandibular障碍;肌筋膜疼痛综合征;肌筋膜疼痛;运动疗法;myofunctional疗法;物理治疗方式;临床试验;前瞻性研究;还有纵向研究。使用RDC/TMD和手工疗法治疗肌筋膜疼痛的研究包括在内。所有研究均采用Cochrane偏倚风险工具进行评估。结果:本综述纳入了5项研究。279例患者中，156例仅接受手工治疗或手工治疗结合咨询。在所有评估的研究中，手工疗法对缓解疼痛有效;然而，手工治疗并不比咨询或肉毒杆菌毒素更好。结论:一项研究中手工治疗优于不治疗，另一项研究中手工治疗优于心理咨询;然而，手工疗法联合咨询在统计学上并不比单独咨询好，单独手工疗法也不优于肉毒杆菌毒素。在一项研究中，手工治疗联合家庭治疗优于单独家庭治疗。由于本综述中发现的数据不确定且同质性差，需要进一步的研究。
Manual Therapy in the Treatment of Myofascial Pain Related to Temporomandibular Disorders: A Systematic Review.
Aims: To evaluate the effectiveness of manual therapy in the treatment of myofascial pain related to temporomandibular disorders.
Methods: Randomized clinical trials were searched in the Cochrane Library, MEDLINE, Web of Science, Scopus, LILACS, and SciELO databases using the following keywords: temporomandibular joint disorders; craniomandibular disorders; myofascial pain syndromes; myofascial pain; exercise therapy; myofunctional therapy; physical therapy modalities; clinical trial; prospective studies; and longitudinal studies. Studies using the RDC/TMD and manual therapy for myofascial pain were included. All studies were evaluated using the Cochrane Risk of Bias tool.
Results: Five studies were included in the present review. Of 279 total patients, 156 were treated with manual therapy only or manual therapy with counseling. Manual therapy was efficient for pain relief in all studies evaluated; however, manual therapy was not better than counseling or botulinum toxin.
Conclusion: Manual therapy was better than no treatment in one study and better than counseling in another study; however, manual therapy combined with counseling was not statistically better than counseling alone, and manual therapy alone was not better than botulinum toxin. Manual therapy combined with home therapy was better than home therapy alone in one study. Further studies are required due to the inconclusive data and poor homogeneity found in this review.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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