Saini Ravinder S, Okshah Abdulmajeed, Haneef Mohammed, Quadri Syed Altafuddin, Chaturvedi Mudita, Mosaddad Seyed Ali, Heboyan Artak
Department of Allied Dental Health Sciences, COAMS, King Khalid University, Abha, Saudi Arabia.
Department of Oral and Maxillofacial Surgery, Khamis Mushyat Gen Hospital, Ministry of Health, Saudi Arabia.
Arch Oral Biol. 2025 Apr;172:106168. doi: 10.1016/j.archoralbio.2024.106168. Epub 2024 Dec 26.
The main aim of this study was to identify the existing literature on the association between sporting activities and temporomandibular disorders and to critically appraise evidence of this association through a systematic review and meta-analysis.
A comprehensive search was conducted using PubMed, ScienceDirect, Dimensions, Google Scholar, Cochrane Library, and the Education Resources Information Centre (ERIC). Articles were selected using pre-specified eligibility criteria. In addition, the quality of eligible studies was assessed using the National Institutes of Health (NIH) for observational cohort and cross-sectional studies. Data were systematically extracted and analyzed.
Temporomandibular disorder symptoms, such as myofascial pain, clicking sounds, and musculoskeletal symptoms, were comparably prevalent among athletes and non-athletes, with some studies reporting contrasting results. However, meta-analyses of the comparisons demonstrated statistically insignificant differences between athletes and non-athletes. Additionally, there was a significant reduction in temporomandibular disorder symptoms when mouthguards were used.
This comprehensive analysis of existing evidence highlights the various symptoms and clinical manifestations of TMD among athletes, including myofascial pain, clicking sounds, and musculoskeletal symptoms. This study established different prevalence rates in different sports.
本研究的主要目的是识别关于体育活动与颞下颌关节紊乱症之间关联的现有文献，并通过系统评价和荟萃分析对这种关联的证据进行批判性评估。
使用PubMed、ScienceDirect、Dimensions、谷歌学术、Cochrane图书馆和教育资源信息中心（ERIC）进行全面检索。根据预先指定的纳入标准选择文章。此外，使用美国国立卫生研究院（NIH）的标准对符合条件的观察性队列研究和横断面研究的质量进行评估。对数据进行系统提取和分析。
颞下颌关节紊乱症症状，如肌筋膜疼痛、弹响和肌肉骨骼症状，在运动员和非运动员中普遍程度相当，一些研究报告了相反的结果。然而，对这些比较的荟萃分析表明，运动员和非运动员之间在统计学上没有显著差异。此外，使用护齿器时颞下颌关节紊乱症症状有显著减轻。
对现有证据的全面分析突出了运动员中颞下颌关节紊乱症的各种症状和临床表现，包括肌筋膜疼痛、弹响和肌肉骨骼症状。本研究确定了不同运动项目中的不同患病率。
