Format

Send to

Choose Destination
Clin Rehabil. 2017 Aug;31(8):1039-1048. doi: 10.1177/0269215516672275. Epub 2016 Oct 3.

The effectiveness of exercise therapy for temporomandibular dysfunction: a systematic review and meta-analysis.

Author information

1
Department of Physical Therapy, Walsh University, North Canton, OH, USA.

Abstract

OBJECTIVE:

To investigate the effectiveness of exercise therapy on pain, function, and mobility outcomes in patients with temporomandibular joint dysfunction.

STUDY DESIGN:

Systematic review with meta-analysis.

METHODS:

A systematic review and meta-analysis undertaken following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies that met the inclusion criteria: (1) randomized controlled trials; (2) a population with the diagnosis of temporomandibular joint dysfunction; and (3) interventions that included exercise therapy were considered for review. When studies demonstrated homogeneity on outcome measures, the mean differences or standardized mean differences with 95% confidence interval were calculated and pooled in a meta-analysis for pooled synthesis.

RESULTS:

Six articles with a total of 419 participants were included in the review and only four studies were included in the meta-analysis. Mobility and mixed exercise therapy approaches appear to be the most common exercise approaches utilized for management of temporomandibular joint dysfunction. Exercise therapy and the associated dosage provide moderate short-term and varying long-term benefits in reduction of pain and improvement of range of motion of the in patients with temporomandibular joint dysfunction.

CONCLUSION:

Included studies suggest a mobility or a mixed approach to exercise therapies have impact on reducing pain, significant impact for increasing range of motion, but lack a significant impact for functional improvement.

LEVEL OF EVIDENCE:

Therapy, level 1a-.

KEYWORDS:

Temporomandibular dysfunction; exercise; meta-analysis; rehabilitation interventions; systematic review

PMID:
27697824
DOI:
10.1177/0269215516672275
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center