Article

OBJECTIVE: To investigate the effectiveness of exercise therapy on pain,
function, and mobility outcomes in patients with temporomandibular joint
dysfunction. STUDY DESIGN: Systematic review with meta-analysis. METHODS: A
systematic review and meta-analysis undertaken following Preferred Reporting
Items for Systematic Reviews and Meta-Analyses guidelines. Studies that met the
inclusion criteria: (1) randomized controlled trials;
(2) a population with the
diagnosis of temporomandibular joint dysfunction;
and (3) interventions that
included exercise therapy were considered for review.
When studies demonstrated
homogeneity on outcome measures, the mean differences or standardized mean
differences with 95% confidence interval were calculated and pooled in a
meta-analysis for pooled synthesis. RESULTS:
Six articles with a total of 419
participants were included in the review and only four studies were included in
the meta-analysis. Mobility and mixed exercise therapy approaches appear to be
the most common exercise approaches utilized for management of temporomandibular
joint dysfunction. Exercise therapy and the associated dosage provide moderate
short-term and varying long-term benefits in reduction of pain and improvement of
range of motion of the in patients with temporomandibular joint dysfunction.
CONCLUSION: Included studies suggest a mobility or a mixed approach to exercise
therapies have impact on reducing pain, significant impact for increasing range
of motion, but lack a significant impact for functional improvement. LEVEL OF EVIDENCE: Therapy, level 1a-.

Langue : ANGLAIS