Salami Afeez A, Kanmodi Kehinde K, Leuke Bandara Dhanushka, Aladelusi Timothy O, Amzat Jimoh, Lin Dan, Ojo Temitope O, Jayasinghe Ruwan D
Faculty of Dentistry University of Puthisastra Phnom Penh Cambodia.
Department of Oral and Maxillofacial Surgery University College Hospital Ibadan Nigeria.
Health Sci Rep. 2023 Oct 22;6(10):e1639. doi: 10.1002/hsr2.1639. eCollection 2023 Oct.
Qigong and Tai Chi (QTC) are mind-body exercises involving a sequence of graceful movements, which promote self-healing, meditation, and self-cultivation. There is growing evidence that Qigong and/or Tai Chi therapy may improve the physical and psychological health among adults with multiple health conditions including joint movement. This systematic review aims to synthesize the available evidence on the type and effectiveness of QTC therapies used in the management of temporomandibular joint (TMJ) dysfunction.
This systematic review followed the AMSTAR-2 guideline, and it was reported based on guidelines in the PRISMA checklist. The review involved a systematic search of nine electronic databases. After deduplication and screening of the literature retrieved from the search, only one article was included based on the review's inclusion criteria. Data was extracted from this article and synthesized.
The only included article was on a non-randomized control trial which investigated the role of Tai Chi Qigong (a form of Qigong) therapy in improving joint mobility and alleviating trismus among 52 survivors of nasopharyngeal carcinoma who had TMJ disorders. The study reported, at different time intervals (at pretest; at mid-intervention; at posttest; and at follow-up posttest), that no significant difference ( > 0.05) was observed concerning mouth opening capacity between the intervention group and the control group. However, over time, less severe deterioration in mouth-opening was noted among the participants in the intervention group ( = 0.181) as compared to the control group ( < 0.001).
The role of QTC therapies in improving joint mobility and alleviating trismus is not yet fully understood, but it seems promising. The available evidence is inadequate to categorically conclude on the efficacy of these therapies. Further studies will be required to fully assess the effectiveness of QTC therapies in the management of TMJ dysfunction.
气功和太极拳（QTC）是身心锻炼方法，包含一系列优雅动作，可促进自我疗愈、冥想和自我修养。越来越多的证据表明，气功和/或太极拳疗法可能改善患有多种健康问题（包括关节活动）的成年人的身心健康。本系统评价旨在综合关于QTC疗法用于颞下颌关节（TMJ）功能障碍管理的类型和有效性的现有证据。
本系统评价遵循AMSTAR - 2指南，并根据PRISMA清单中的指南进行报告。该评价涉及对九个电子数据库进行系统检索。在对检索到的文献进行去重和筛选后，根据评价的纳入标准仅纳入了一篇文章。从这篇文章中提取数据并进行综合分析。
唯一纳入的文章是一项非随机对照试验，该试验研究了太极气功（一种气功形式）疗法在改善52名患有TMJ疾病的鼻咽癌幸存者的关节活动度和缓解牙关紧闭方面的作用。该研究报告称，在不同时间间隔（预测试；干预中期；后测试；以及后测试随访），干预组和对照组之间在张口能力方面未观察到显著差异（>0.05）。然而，随着时间的推移，与对照组（<0.001）相比，干预组参与者的张口程度恶化程度较轻（=0.181）。
QTC疗法在改善关节活动度和缓解牙关紧闭方面的作用尚未完全明确，但似乎有前景。现有证据不足以明确得出这些疗法的疗效结论。需要进一步研究以全面评估QTC疗法在TMJ功能障碍管理中的有效性。
