Department of Physiotherapy, Centro Superior de Estudios Universitarios La Salle, Autonomous University of Madrid, Madrid, Spain.
Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Autonomous University of Madrid, Madrid, Spain.
Cranio. 2022 Sep;40(5):440-450. doi: 10.1080/08869634.2020.1776529. Epub 2020 Jun 26.
The aim of this systematic review was to analyze the effectiveness of exercise and manual therapy interventions in patients with disc displacement without reduction.
The authors performed a systematic review of Medline, EMBASE, PEDro, CINAHL, and Google Scholar databases. Two independent reviewers conducted the eligibility and quality assessment of studies. Interventions based on exercise and manual therapy regarding pain intensity and maximum mouth opening as primary outcomes were examined.
Ten articles were included, according to the inclusion criteria. Most of the interventions showed statistically significant improvements in the primary outcomes.
Results show that interventions based on therapeutic exercise or manual therapy may be beneficial and play a role in the treatment of disc displacement without reduction. Limited evidence suggests that exercise significantly improves mouth opening in comparison to splints. Due to the heterogeneity of the included studies, these results should be interpreted with caution.
本系统评价旨在分析针对未复位的盘突移位患者的运动疗法和手法治疗干预的效果。
作者对 Medline、EMBASE、PEDro、CINAHL 和 Google Scholar 数据库进行了系统检索。两位独立的审查员对研究的合格性和质量进行了评估。针对主要结局（疼痛强度和最大张口度）的基于运动和手法治疗的干预措施进行了检查。
根据纳入标准，共纳入了 10 篇文章。大多数干预措施在主要结局方面显示出统计学上的显著改善。
结果表明，基于治疗性运动或手法治疗的干预措施可能是有益的，并在未复位的盘突移位的治疗中发挥作用。有限的证据表明，与夹板相比，运动疗法可显著改善张口度。由于纳入研究的异质性，这些结果应谨慎解释。
