Acupuncture in the Treatment of Pain in Temporomandibular Disorders: A Systematic Review and Meta-analysis of Randomized Controlled Trials

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dc.contributor.author La Touche Arbizu, Roy Arturo spa
dc.contributor.author Goddard, Greg spa
dc.contributor.author Hoz, José Luis de la spa
dc.contributor.author Wang, Kelun spa
dc.contributor.author París-Alemany, Alba spa
dc.contributor.author Angulo Díaz-Parreño, Santiago spa
dc.contributor.author Mesa, Juan spa
dc.contributor.author Hernández, Mar spa
dc.date.accessioned 2013-11-27T17:26:49Z
dc.date.available 2013-11-27T17:26:49Z
dc.date.issued 2010 spa
dc.identifier.citation Touche-Arbizu, R. A., Goddard, G., Hoz, J. L., Wang, K., París-Alemany, A., Angulo, S., ..., & Hernández, M. (2010). Acupuncture in the treatment of pain in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials. The Clinical Journal of Pain, 26(6), 541-550. spa
dc.identifier.issn 07498047 spa
dc.identifier.uri http://hdl.handle.net/11268/1064
dc.description.abstract Objectives: The aim of this study is to perform a qualitative and quantitative analysis of the scientific literature regarding the use of acupuncture in the treatment of pain associated with temporomandibular disorders (TMDs). Methods: By using electronic databases, the goal was to search and evaluate all the randomized controlled trials (RCTs) in which acupuncture was used in the management of pain attributed to these clinical entities. For the meta-analysis, an adequate description of the results' statistical data was required along with a comparison of the treatment with a control group using a placebo or sham. Two independent reviewers evaluated the quality of the studies using the Jadad scale. Results: A total of 8 RCTs were selected, and the quality of only 4 was considered acceptable. These 4 studies showed positive results such as reducing pain, improving masticatory function, and increasing maximum interincisal opening. By combining the studies (n = 96) and analyzing the results, it was concluded that acupuncture is more effective than placebo in reducing pain intensity in TMD (standardized mean difference 0.83; 95% confidence interval, 0.41-1.25; P = 0.00012). Discussion: The results of this meta-analysis suggest that acupuncture is a reasonable adjunctive treatment for producing a short-term analgesic effect in patients with painful TMD symptoms. Although the results described are positive, the relevance of these results was limited by the fact that substantial bias was present. These findings must be confirmed by future RCTs that improve the methodologic deficiencies of the studies evaluated in this meta-analysis. spa
dc.language.iso eng spa
dc.subject.other Temporomandibular Disorders spa
dc.subject.other Orofacial Pain spa
dc.subject.other Randomized Controlled Trial spa
dc.subject.other Meta-Analysis spa
dc.subject.other Review spa
dc.subject.other Occlusal Splint Therapy spa
dc.subject.other Myofascial Pain spa
dc.subject.other Clinical-Trials spa
dc.subject.other Craniomandibular Disorders spa
dc.subject.other Stomatognathic Treatment spa
dc.subject.other Comparing Placebo spa
dc.subject.other Sham Acupuncture spa
dc.subject.other Tmj Dysfunction spa
dc.subject.other Muscular Pain spa
dc.subject.other No Treatment spa
dc.subject.other Anesthesiology spa
dc.subject.other Neurosciences & Neurology spa
dc.title Acupuncture in the Treatment of Pain in Temporomandibular Disorders: A Systematic Review and Meta-analysis of Randomized Controlled Trials spa
dc.type article spa
dc.description.impact 3.114 JCR (2010) Q1, 6/26 Anesthesiology; Q2, 54/185 Clinical neurology spa
dc.identifier.doi 10.1097/AJP.0b013e3181e2697e spa
dc.rights.accessRights closedAccess en
dc.subject.unesco Odontología spa
dc.subject.unesco Tratamiento médico spa
dc.subject.unesco Acupuntura spa
dc.peerreviewed Si spa

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