The effectiveness of dry needling for patients with orofacial pain associated with temporomandibular dysfunction: a systematic review and meta-analysis
| Autor: | Marina Barbosa de Almeida, Clécio Vier, Marcos Lisboa Neves, Adair R.S. Santos, Marcelo Anderson Bracht |
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| Rok vydání: | 2018 |
| Předmět: |
Pain Threshold
Orofacial pain medicine.medical_specialty Psychological intervention Acupuncture Therapy Physical Therapy Sports Therapy and Rehabilitation law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Facial Pain medicine Humans Orthopedics and Sports Medicine In patient Myofascial Pain Syndromes Pain Measurement Dry needling business.industry Myofascial pain Rehabilitation 030206 dentistry Temporomandibular joint medicine.anatomical_structure Meta-analysis Physical therapy Systematic Review medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Brazilian journal of physical therapy. 23(1) |
| ISSN: | 1809-9246 |
| Popis: | Background Orofacial pain of myofascial origin is often associated with temporomandibular joint dysfunction, affects chewing muscles and may lead to functional limitations. Dry needling is an intervention commonly used for inactivating myofascial pain trigger points. Objective To systematically review the effects of dry needling on orofacial pain of myofascial origin in patients with temporomandibular joint dysfunction. Methods This systematic review has pain intensity as primary outcome. Searches were conducted on April 13th, 2018 in eight databases, without publication date restrictions. We selected randomized controlled trials published in English, Portuguese, or Spanish, with no restrictions regarding subject ethnicity, age or sex. Results Seven trials were considered eligible. There was discrepancy among dry needling treatment protocols. Meta-analysis showed that dry needling is better than other interventions for pain intensity as well as than sham therapy on pressure pain threshold, but there is very low-quality evidence and a small effect size. There were no statistically significant differences in other outcomes. Conclusion Clinicians can use dry needling for the treatment of temporomandibular joint dysfunction, nevertheless, due the low quality of evidence and high risk of bias of some included studies, larger and low risk of bias trials are needed to assess the effects of dry needling on orofacial pain associated with temporomandibular joint dysfunction. |
| Databáze: | OpenAIRE |
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