Meta AnalysisID 6923
针灸治疗颞下颌关节紊乱病的系统评价与Meta分析
CRD42023459807
The objectives of our systematic review are twofold: first, to critically assess the therapeutic efficacy of acupuncture as an intervention for treating TMD, and second, to deliver a rigorously designed, PRISMA-compliant
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Record Fields
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- Meta Analysis Id
- 6923
- Evidence Id
- 15481
- Core Evidence Id
- 15481
- Source Meta Analysis Id
- 6909
- Herb2 Meta Analysis Id
- HBMA006909
- Crd Id
- CRD42023459807
- Title
- Acupuncture in the treatment of temporomandibular disorders: A systematic review and meta-analysis
- Review Question
- The objectives of our systematic review are twofold: first, to critically assess the therapeutic efficacy of acupuncture as an intervention for treating TMD, and second, to deliver a rigorously designed, PRISMA-compliant systematic review complete with nuanced sensitivity and subgroup analyses.
- Study Type Included
- This review includes parallel or cross-over RCTs that assessed the efficacy of acupuncture regardless of blinding, language and type of reporting. Dissertations and abstracts are included, if provided they contained sufficient detail. Studies are excluded if the study was a duplicate, the data cannot be extracted or obtained through contact with the author, and too little information to calculate the missing standard deviations (SD) was provided.
- Condition Being Studied
- TMD represents the most common form of chronic orofacial pain, and the second most common musculoskeletal conditions (after chronic low back pain) resulting in pain and disability, approximately impacting 5 to 12% of the population. Predominantly affecting young and middle-aged adults, TMD is nearly twice as frequent in females compared to males. A significant 78% of individuals with TMD present with at least one comorbidity, a rate particularly elevated in those with chronic pain. The annual expenditure for TMD management in the United States alone amounts to $4 billion. The most common types of TMD include pain-related disorders (e.g., myalgia, headache attributed to TMD, and arthralgia) and disorders associated with the TMJs (primarily disc displacements and degenerative diseases) 8. The predominant characteristics associated with TMD are regional pain in the face and preauricular area, limitations in jaw movements, and noises from the TMJs during jaw movements9. Treatment strategies for TMD are primarily categorized into reversible and conservative methods, as well as irreversible approaches1. An international consensus was that reversible, conservative treatments should generally form the first line intervention for TMD.
- Participant
- This study includes subjects with TMD older than 18 years that was diagnosed by any defined or specified diagnosis criteria, regardless of their race and gender. Studies are excluded if patients with TMD found to be caused by psychogenic, neurologic and metabolic disorders.
- Animal
- Human Disease Modelled
- Intervention
- This study includes RCTs assessing acupuncture treatment of TMD conditions. Acupuncture is defined as the stimulation of acupuncture points or trigger points by needles that pierce the skin, or by heating the mugwort herb (moxibustion) in combination with needles, or by electrical stimulation. Studies are excluded if the needling operation did not conform to the principles of Traditional Chinese Medicine, such as dry needle and trigger point.
- Comparator Control
- This study includes RCTs which were presence of at least one control group, with some other type of treatment (oral medication, physical therapy, guidelines/counseling and occlusal devices) or, placebo (active sham placebo and inactive placebo).
- Main Outcome
- The main outcome is a change in the visual analog scale measurement (VAS) for pain at the end of the treatment or follow-up period from baseline. Measures of effect The measure of the effect is mean difference.
- Outcome Measure
- Additional Outcome
- The additional outcomes are as follows: a change in maximum mouth opening (MMO) without examiner intervention, a change in the VAS of masseter muscle tenderness upon palpation, and a change in the pressure pain threshold (PPT) assessed using an algometer at the end of the treatment or follow-up period from baseline. Measures of effect The measure of the effects is mean difference.
- Study Method
- Meta-analysis, Systematic review
- Keyword
- Acupuncture Therapy; Chills; Humans; Muscle Rigidity; Temporomandibular Joint Disorders
- Contact
- Bin Li [email protected]
- Organisational Affiliation
- Beijing Hospital of Traditional Chinese Medicine https://www.bjzhongyi.com/
- Funding Source
- Other Selection Criteria
- Final Publication
- Same Topic Review
- Published Protocol
- Review Type
- Language
- English
- Country
- China
- Review Stage
- Review Ongoing
- First Submission Date
- 2023-09-01
- Registration Date
- 2023-09-13
- Anticipated Start Date
- 2023-08-10
- Anticipated Completion Date
- 2023-10-01
- Title Cn
- 针灸治疗颞下颌关节紊乱病的系统评价与Meta分析
- Title En
- Acupuncture in the treatment of temporomandibular disorders: A systematic review and meta-analysis
- Bilingual Status
- complete