手法治疗作用于颅颌结构治疗颞下颌关节紊乱病的效果：系统评价方案。
The effectiveness of manual therapy applied to craniomandibular structures in the treatment of temporomandibular disorders: protocol for a systematic review.
机构信息
Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
Institute of Experimental and Clinical Research, Health Sciences division, Neuro-Musculo-Skeletal-Lab (NMSK), Université Catholique de Louvain, Brussels, Belgium.
出版信息
Syst Rev. 2021 Mar 8;10(1):70. doi: 10.1186/s13643-021-01623-7.
BACKGROUND
The term temporomandibular disorder (TMD) includes disorders of the temporomandibular joints (TMJ), masticatory muscles and adjacent tissues. Several studies have examined the effectiveness of manual therapy (MT) for TMDs by evaluating changes in pain and maximum mouth opening (MMO). Nevertheless, the effectiveness of MT exclusively applied to the craniomandibular structures (craniomandibular manual therapy (CMMT)) on pain and TMJ range of motion remains unclear. This review aims to evaluate the effectiveness of CMMT on pain and TMJ range of motion in people with TMDs.
METHODS
This protocol is reported in line with the preferred reporting items for systematic reviews and meta-analysis protocols (PRISMA-P). Databases including MEDLINE, Embase, CINAHL, ZETOC, Web of Science, SCOPUS, PEDro, PubMed, Cochrane Library and Best Evidence, EBM reviews-Cochrane Central Register of Controlled Trials, Index to Chiropractic Literature ChiroAccess and Google Scholar will be searched from inception as well as key journals and grey literature. Randomised controlled trials involving adults with TMD that compare the effect of any type of CMMT (e.g. mobilisation) on pain and range of motion with a placebo intervention, controlled care intervention or other types of treatment will be included. Two reviewers will independently screen articles for inclusion, extract data, assess risk of bias (revised Cochrane risk of bias tool) for included studies and evaluate overall quality of evidence (Grading of Recommendations Assessment, Development and Evaluation). A meta-analysis will be conducted if possible. If not, a narrative synthesis will be conducted reporting the effectiveness of CMMT according to disorder type (TMJ disorders, masticatory muscle disorders and mixed disorders).
DISCUSSION
In this review, the effectiveness of MT applied to craniomandibular structures for the treatment of TMD will be evaluated. Results will be submitted for publication in a peer-reviewed journal and presented at conferences. We expect our findings will facilitate treatment planning for manual therapists managing patients with TMD and provide future clinical research implications.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42019160213.
背景
颞下颌关节紊乱症（TMD）包括颞下颌关节（TMJ）、咀嚼肌和相邻组织的疾病。多项研究通过评估疼痛和最大张口度（MMO）的变化来检验手法治疗（MT）对 TMD 的有效性。然而，专门应用于颅颌结构的 MT（颅颌手动疗法（CMMT））对疼痛和 TMJ 运动范围的有效性尚不清楚。本综述旨在评估 CMMT 对 TMD 患者疼痛和 TMJ 运动范围的疗效。
方法
本方案按照系统评价和荟萃分析方案的首选报告项目（PRISMA-P）进行报告。检索包括 MEDLINE、Embase、CINAHL、ZETOC、Web of Science、SCOPUS、PEDro、PubMed、Cochrane 图书馆和最佳证据、循证医学评论- Cochrane 对照试验中心注册、整脊文献索引 ChiropracticAccess 和 Google Scholar 在内的数据库，从建库开始检索，并检索主要期刊和灰色文献。纳入比较任何类型的 CMMT（如松动术）与安慰剂干预、对照护理干预或其他类型治疗对疼痛和运动范围影响的成人 TMD 的随机对照试验。两名评审员将独立筛选纳入的文章，提取数据，评估纳入研究的偏倚风险（修订后的 Cochrane 偏倚风险工具），并评估总体证据质量（推荐评估、制定和评估分级）。如有可能，将进行荟萃分析；如果不可能，则进行叙述性综合，根据疾病类型（TMJ 疾病、咀嚼肌疾病和混合疾病）报告 CMMT 的疗效。
讨论
在本综述中，将评估应用于颅颌结构的 MT 治疗 TMD 的疗效。结果将提交给同行评议的期刊发表，并在会议上展示。我们预计我们的研究结果将有助于为管理 TMD 患者的手法治疗师制定治疗计划，并为未来的临床研究提供启示。
系统评价注册
PROSPERO CRD42019160213。
Zotero 插件