Herpich Carolina Marciela, Amaral Ana Paula, Leal-Junior Ernesto Cesar Pinto, Tosato Juliana de Paiva, Gomes Cid Andre Fidelis de Paula, Arruda Éric Edmur Camargo, Glória Igor Phillip Dos Santos, Garcia Marilia Barbosa Santos, Barbosa Bruno Roberto Borges, Rodrigues Monique Sampaio, Silva Katiane Lima, El Hage Yasmin, Politti Fabiano, Gonzalez Tabajara de Oliveira, Bussadori Sandra Kalil, Biasotto-Gonzalez Daniela Aparecida
Postgraduate Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE): Rua Profa Maria Jose Barone Fernandes, 300, Sao Paulo, SP, 02117-020, Brazil.
Postgraduate Program in Rehabilitation Sciences, Laboratory of Phototherapy in Sports and Exercise, University Nove de Julho (UNINOVE), Brazil.
J Phys Ther Sci. 2015 Jan;27(1):295-301. doi: 10.1589/jpts.27.295. Epub 2015 Jan 9.
The aim of the present study was to perform a systematic review of the literature on the effects of low-level laser therapy in the treatment of TMD, and to analyze the use of different assessment tools. [Subjects and Methods] Searches were carried out of the BIREME, MEDLINE, PubMed and SciELO electronic databases by two independent researchers for papers published in English and Portuguese using the terms: "temporomandibular joint laser therapy" and "TMJ laser treatment". [Results] Following the application of the eligibility criteria, 11 papers were selected for in-depth analysis. The papers analyzed exhibited considerable methodological differences, especially with regard to the number of sessions, anatomic site and duration of low-level laser therapy irradiation, as well as irradiation parameters, diagnostic criteria and assessment tools. [Conclusion] Further studies are needed, especially randomized clinical trials, to establish the exact dose and ideal parameters for low-level laser therapy and define the best assessment tools in this promising field of research that may benefit individuals with signs and symptoms of TMD.
本研究的目的是对低强度激光疗法治疗颞下颌关节紊乱病(TMD)的相关文献进行系统综述,并分析不同评估工具的使用情况。[对象与方法] 两名独立研究人员在BIREME、MEDLINE、PubMed和SciELO电子数据库中进行检索,查找以英文和葡萄牙文发表的论文,检索词为:“颞下颌关节激光疗法”和“颞下颌关节激光治疗”。[结果] 应用纳入标准后,选取了11篇论文进行深入分析。所分析的论文在方法学上存在相当大的差异,尤其是在疗程次数、低强度激光疗法照射的解剖部位和持续时间,以及照射参数、诊断标准和评估工具方面。[结论] 需要进一步开展研究,尤其是随机临床试验,以确定低强度激光疗法的确切剂量和理想参数,并在这个有望使TMD体征和症状患者受益的研究领域中确定最佳评估工具。