Is the use of manual therapy in the craniomandibular and cervical regions beneficial for reducing orofacial pain and increasing mandibular mobility? Systematic review
BACKGROUND AND OBJECTIVES: The use of manual therapy in the craniomandibular and cervical regions in the treatment of patients with temporomandibular disorders (TMD) has become common practice, and the literature supports the use of these techniques to relieve pain and improve the range of mandibula...
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Sociedade Brasileira para o Estudo da Dor
2024-12-01
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| Series: | BrJP |
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| Online Access: | https://www.scielo.br/j/brjp/a/89chnyfNdvtWFTBQqwVH7Xw/?lang=en |
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| author | Rita de Cassia das Neves Martins Lais Silva Ferreira Nathalia Rodrigues de Mello Rosa Juliana Leite da Silva Fabiano Politti Daniela Aparecida Biasotto-Gonzalez |
| author_facet | Rita de Cassia das Neves Martins Lais Silva Ferreira Nathalia Rodrigues de Mello Rosa Juliana Leite da Silva Fabiano Politti Daniela Aparecida Biasotto-Gonzalez |
| author_sort | Rita de Cassia das Neves Martins |
| collection | DOAJ |
| description | BACKGROUND AND OBJECTIVES: The use of manual therapy in the craniomandibular and cervical regions in the treatment of patients with temporomandibular disorders (TMD) has become common practice, and the literature supports the use of these techniques to relieve pain and improve the range of mandibular movement. Therefore, the organization of scientific findings can help clinicians make informed decisions. Thus, the objective of this systematic review was to evaluate the effectiveness of manual therapy in the craniomandibular region in patients with TMD and to compare it with manual therapy in the cervical region in terms of pain intensity and range of mandibular movement.
CONTENTS: Following PRISMA guidelines, Randomized Clinical Trials were included with a population of adults of both genders with signs and symptoms of TMD. Case reports, pilot studies, case series, editorials, opinion letters, letters to the editor, literature reviews, cohort studies, and case-control studies were excluded. The search strategy was created using MESH and synonyms for TMD, cervical treatment, manual therapy, physiotherapy, exercise, pain, and mandibular range of motion. The databases Medline, Embase, Pubmed, Cochrane Library, Virtual Health Library, PEDro, Scielo, LILACS and Central were used. The Cochrane ROB2 risk of bias and the PEDro scale were used to assess the methodological quality of the included studies. Eight studies were eligible, published between 2013 and 2022, totaling 339 individuals with TMD aged between 18 and 65 years. The results of the present review showed that patients undergoing manual therapy in the craniomandibular and cervical regions, with or without the addition of exercises and/or patient education, present a progressive reduction in the intensity of orofacial pain and gains in mandibular range of motion.
CONCLUSION: The results expand the data reported by other systematic reviews that investigated different aspects of the application of manual therapy in individuals with TMD. Manual therapy in the craniomandibular and cervical regions, whether associated with exercises and/or patient education, presents a clinically relevant improvement in the intensity of orofacial pain and mandibular range of motion. |
| format | Article |
| id | doaj-art-cbc98c5048804df4b5886eccac3ee19d |
| institution | Kabale University |
| issn | 2595-0118 2595-3192 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Sociedade Brasileira para o Estudo da Dor |
| record_format | Article |
| series | BrJP |
| spelling | doaj-art-cbc98c5048804df4b5886eccac3ee19d2024-12-06T14:54:58ZengSociedade Brasileira para o Estudo da DorBrJP2595-01182595-31922024-12-01710.5935/2595-0118.20240062-enIs the use of manual therapy in the craniomandibular and cervical regions beneficial for reducing orofacial pain and increasing mandibular mobility? Systematic reviewRita de Cassia das Neves Martins0Lais Silva Ferreira1Nathalia Rodrigues de Mello Rosa2Juliana Leite da Silva3Fabiano Politti4Daniela Aparecida Biasotto-Gonzalez5Nove de Julho University, Rehabilitation Sciences Program, São Paulo, SP, BrazilNove de Julho University, Rehabilitation Sciences Program, São Paulo, SP, BrazilNove de Julho University, Rehabilitation Sciences Program, São Paulo, SP, BrazilNove de Julho University, Rehabilitation Sciences Program, São Paulo, SP, BrazilNove de Julho University, Rehabilitation Sciences Program, São Paulo, SP, BrazilNove de Julho University, Rehabilitation Sciences Program, São Paulo, SP, BrazilBACKGROUND AND OBJECTIVES: The use of manual therapy in the craniomandibular and cervical regions in the treatment of patients with temporomandibular disorders (TMD) has become common practice, and the literature supports the use of these techniques to relieve pain and improve the range of mandibular movement. Therefore, the organization of scientific findings can help clinicians make informed decisions. Thus, the objective of this systematic review was to evaluate the effectiveness of manual therapy in the craniomandibular region in patients with TMD and to compare it with manual therapy in the cervical region in terms of pain intensity and range of mandibular movement. CONTENTS: Following PRISMA guidelines, Randomized Clinical Trials were included with a population of adults of both genders with signs and symptoms of TMD. Case reports, pilot studies, case series, editorials, opinion letters, letters to the editor, literature reviews, cohort studies, and case-control studies were excluded. The search strategy was created using MESH and synonyms for TMD, cervical treatment, manual therapy, physiotherapy, exercise, pain, and mandibular range of motion. The databases Medline, Embase, Pubmed, Cochrane Library, Virtual Health Library, PEDro, Scielo, LILACS and Central were used. The Cochrane ROB2 risk of bias and the PEDro scale were used to assess the methodological quality of the included studies. Eight studies were eligible, published between 2013 and 2022, totaling 339 individuals with TMD aged between 18 and 65 years. The results of the present review showed that patients undergoing manual therapy in the craniomandibular and cervical regions, with or without the addition of exercises and/or patient education, present a progressive reduction in the intensity of orofacial pain and gains in mandibular range of motion. CONCLUSION: The results expand the data reported by other systematic reviews that investigated different aspects of the application of manual therapy in individuals with TMD. Manual therapy in the craniomandibular and cervical regions, whether associated with exercises and/or patient education, presents a clinically relevant improvement in the intensity of orofacial pain and mandibular range of motion.https://www.scielo.br/j/brjp/a/89chnyfNdvtWFTBQqwVH7Xw/?lang=encervical vertebraemusculoskeletal manipulationspainrehabilitationtemporomandibular joint dysfunction syndrome |
| spellingShingle | Rita de Cassia das Neves Martins Lais Silva Ferreira Nathalia Rodrigues de Mello Rosa Juliana Leite da Silva Fabiano Politti Daniela Aparecida Biasotto-Gonzalez Is the use of manual therapy in the craniomandibular and cervical regions beneficial for reducing orofacial pain and increasing mandibular mobility? Systematic review BrJP cervical vertebrae musculoskeletal manipulations pain rehabilitation temporomandibular joint dysfunction syndrome |
| title | Is the use of manual therapy in the craniomandibular and cervical regions
beneficial for reducing orofacial pain and increasing mandibular mobility?
Systematic review |
| title_full | Is the use of manual therapy in the craniomandibular and cervical regions
beneficial for reducing orofacial pain and increasing mandibular mobility?
Systematic review |
| title_fullStr | Is the use of manual therapy in the craniomandibular and cervical regions
beneficial for reducing orofacial pain and increasing mandibular mobility?
Systematic review |
| title_full_unstemmed | Is the use of manual therapy in the craniomandibular and cervical regions
beneficial for reducing orofacial pain and increasing mandibular mobility?
Systematic review |
| title_short | Is the use of manual therapy in the craniomandibular and cervical regions
beneficial for reducing orofacial pain and increasing mandibular mobility?
Systematic review |
| title_sort | is the use of manual therapy in the craniomandibular and cervical regions beneficial for reducing orofacial pain and increasing mandibular mobility systematic review |
| topic | cervical vertebrae musculoskeletal manipulations pain rehabilitation temporomandibular joint dysfunction syndrome |
| url | https://www.scielo.br/j/brjp/a/89chnyfNdvtWFTBQqwVH7Xw/?lang=en |
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