턱관절장애에 대한 수기요법의 체계적 문헌 고찰과 메타분석

• 영문명: A Systematic Review and Meta-analysis of Manual Therapy for Temporomandibular Disorder
• 발행기관: 척추신경추나의학회
• 저자명: 김홍국(Hong-Guk Kim) 유덕우(Dek-Woo Ryoo) 정성목(Seong-Mok Jeong) 김성진(Sung-Jin Kim) 백승원(Seung-Won Baek) 이창희(Chang-Hee Lee) 윤진영(Jin-Young Yoon)
• 간행물 정보: 『척추신경추나의학회지』The Journal of Korea CHUNA Manual Medicine for Spine & Nerves Vol.12, No.1, 13~27쪽, 전체 15쪽
• 주제분류: 의약학 > 한의학
• 파일형태: PDF
• 발행일자: 2017.06.30

영문 초록

Objectives: To evaluate and summarize the efficacy and safety of manual therapy in temporomandibular disorder(TMD). Methods: Ten databases (Pubmed, Cochrane, EMBASE, AMED, CINAHL, CNKI, and four Korean databases) were searched up to March 2017. Pain and range of motion(ROM) of temporomandibular joint were used as the primary outcome measure, and effective rates, dysfunction scale and adverse events were used as secondary outcome measures. The Cochrane risk of bias tool was used to evaluate the methodological quality. Results: 10 randomized controlled trials(RCTs) involving 603 participants were included. There were no significant differences between the two groups in comparison with placebo manual therapy group. In comparison with Wait-list and conventional treatment groups, manual therapy significantly alleviated pain and ROM. Five RCTs(50.0%) reported adverse events and there were no adverse cases by manual therapy. Conclusions: We found evidence that manual therapy may alleviate symptoms of patients with TMD. A positive effect was observed in comparison with conventional treatment and Wait-list, but no conclusion for the comparisons with placebo manual therapy. There is no evidence of worsening symptoms or causing adverse events.

목차

Ⅰ. 서 론

II. 연구대상 및 방법

Ⅲ. 결 과

Ⅲ. 고 찰

Ⅳ. 결 론

키워드

Temporomandibular disorder Manual therapy Randomized controlled trials Systematic review Meta-analysis