Department of Orofacial Pain, Centre Hospitalier Universitaire de Nice, Pôle Odontologie, Nice, France.
Department of Oral Rehabilitation, Université Côte d'Azur, UFR Odontologie, Nice, France.
Cranio. 2022 May;40(3):217-228. doi: 10.1080/08869634.2019.1687986. Epub 2019 Nov 9.
: The objectives of this systematic review were to assess the efficacy of transcutaneous electrical nerve stimulation (TENS) for the management of temporomandibular disorders (TMD) and to determine the indications and most appropriate application modalities.: Papers published in the Medline database, EMBASE, and the Cochrane Library before November 2018 were included.: Fourteen articles were retained, corresponding to a total of 532 patients, among which, 285 had a TMD. Immediately after a TENS session, significant relief of pain (19.2% to 77%), significant functional improvement (mouth opening amplitude increased by between 8.7% and 19.46%), and reduced electromyographic activity of the anterior temporalis and masseter muscles were observed. However, studies comparing TENS to other physical medicine modalities (ultrasound and laser) reported equivalent results.: Further randomized comparative clinical trials will be necessary to optimize the use of TENS (program, duration of sessions, duration of treatment) for different types of TMD.
: 本系统评价的目的是评估经皮神经电刺激（TENS）治疗颞下颌关节紊乱（TMD）的疗效，并确定其适应证和最合适的应用方式。
: 检索了 Medline 数据库、EMBASE 数据库和 Cochrane 图书馆中截至 2018 年 11 月前发表的文献。
: 共纳入 14 篇文献，共计 532 例患者，其中 285 例患有 TMD。TENS 治疗后即刻，疼痛明显缓解（19.2%至 77%），功能明显改善（张口幅度增加 8.7%至 19.46%），前颞肌和咬肌的肌电图活动减少。然而，与其他物理医学方法（超声和激光）相比，TENS 的研究报告结果相当。
: 为了优化 TENS（方案、疗程、治疗持续时间）在不同类型 TMD 中的应用，还需要进一步进行随机对照临床试验。
