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KMID : 1155620170120010013
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Journal of Korea CHUNA Manual Medicine for Spine & Nerves
2017 Volume.12 No. 1 p.13 ~ p.27
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A Systematic Review and Meta-analysis of Manual Therapy for Temporomandibular Disorder
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Kim Hong-Guk
Ryoo Dek-Woo
Jeong Seong-Mok
Kim Sung-Jin
Baek Seung-Won
Lee Chang-Hee
Yoon Jin-Young
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Abstract
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Objectives: To evaluate and summarize the efficacy and safety of manual therapy in temporomandibular disorder(TMD).
Methods: Ten databases (Pubmed, Cochrane, EMBASE, AMED, CINAHL, CNKI, and four Korean databases) were searched up to March 2017. Pain and range of motion(ROM) of temporomandibular joint were used as the primary outcome measure, and effective rates, dysfunction scale and adverse events were used as secondary outcome measures. The Cochrane risk of bias tool was used to evaluate the methodological quality.
Results: 10 randomized controlled trials(RCTs) involving 603 participants were included. There were no significant differences between the two groups in comparison with placebo manual therapy group. In comparison with Wait-list and conventional treatment groups, manual therapy significantly alleviated pain and ROM. Five RCTs(50.0%) reported adverse events and there were no adverse cases by manual therapy.
Conclusions: We found evidence that manual therapy may alleviate symptoms of patients with TMD. A positive effect was observed in comparison with conventional treatment and Wait-list, but no conclusion for the comparisons with placebo manual therapy. There is no evidence of worsening symptoms or causing adverse events.
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KEYWORD
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Temporomandibular disorder, Manual therapy, Randomized controlled trials, Systematic review, Meta-analysis
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