| Effectiveness of Manual Myofascial Therapy in Patients with Temporomandibular Joint Disorders: A systematic review |
| Paper ID : 1076-ISCSR3 |
| Authors |
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mariam mahmoud eldaly *1, afaf Mohamed Tahoon2, mostafa shahien3, jana fouad Mohamed4, ahmed ragab5 1faculty of physical therapy cairo university,egypt 2lecturer at physical therapy for orthopedics department, Cairo university 3Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Cairo University 4Faculty of physical therapy, cairo university , Egypt 5Faculty of physical therapy, Ahram Canadian university, Giza, Egypt |
| Abstract |
| Background: Temporomandibular joint disorders (TMDs) include multiple diagnoses that affect masticatory muscles, temporomandibular joint (TMJ), and its related structures. Myofascial pain associated with myofascial trigger points (MTrPs) is a common disorder of TMJ with a prevalence amounting to 45.3%. Many studies addressed the effectiveness of manual myofascial therapy (MFT) in TMD, however, the findings are debatable with a deficiency of available evidence. This study provides a focused and updated search regarding the effectiveness of MFT in TMD . Objective: To investigate the effect of MFT interventions on TMDs' symptomatic and functional-related outcomes. Design: systematic review . Method: A systematic search was conducted in PubMed, Cochrane, PEDro, Scopus, Web of Science, and VHL from inception till December 2024 restricted to the English language for randomized clinical trials on adults with TMD. This review was registered in PROSPERO and follows the PRISMA guidelines. Retrieved studies were screened using Rayyan web-based. Two independent assessors extracted the data. PEDro scale was used for quality assessment. Pain and mouth opening were primary outcomes and other secondary clinical-related outcomes . Result: A total of 15 RCTs with 851particpants were included. Regarding pain, MFT was significantly effective compared to the control groups in 7 studies out of 12 studies. Mouth opening, MFT was more effective than other conservative groups in 6 studies out of 7 studies. Jaw function, 3 studies concluded that MFT was better than other comparative groups. Anxiety level and tongue strength, MFT revealed a significant difference in 1 study than other control group. While pain pressure threshold, MFT showed a significant effect in one study however another study no difference was detected from other conservative treatments. Conclusions: Manual myofascial therapy with different techniques shows effectiveness in decreasing pain, and improving jaw function and mouth opening. |
| Keywords |
| Myofascial pain , Myofascial therapy, Temporomandibular joint disorder (TMD), Myofascial TMD |
| Status: Abstract Accepted |