The effectiveness of cervical treatments in temporomandibular disorders: manual therapy and exercise
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Boonen_Eleonore_72451700Everarts_Alexandra_47801700_2020-2021.pdf
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- Objective: This SR sought to assess the effectiveness of manual therapy (MT) techniques as well as exercises targeted at the cervical spine in patients with temporomandibular disorders (TMDs). Design: Systematic review (SR) Method: The search strategy was conducted from June 2020 to February 2021. The documentary research was preformed through the following databases: PubMed (MEDLINE), Pedro, Embase, AMED, Cochrane and Scopus. Randomized controlled trials (RCTs) published from 2000 to 2020 and meeting our eligibility criteria were selected. Two independent reviewers (AE and EB) extracted data information and summarized it based on the main descriptive characteristics of each trial. Reviewers also appraised the risk of bias of included studies by “using the revised Cochrane risk-of-bias tool (RoB2).” Results: A total of 5 studies were selected for this SR from the literature search. Significant results regarding orofacial pain and dysfunction were reported improvements in patients with TMD. Pressure pain threshold (PPT), pain intensity as well as pain-free maximal mouth opening (MMO) were the primary outcome measures. Conclusion: MT techniques and exercise focusing on the neck are simple interventions that could potentially be useful for the management of TMD. Larger randomized controlled trials with rigorous methodology are warranted