@misc{10481/96654,
year = {2024},
month = {11},
url = {https://hdl.handle.net/10481/96654},
abstract = {Background: Manual therapy (MT) and occlusal splint therapy (OST) are the most conservative
therapies applied on patients with temporomandibular disorders (TMDs). The aim was to
compare the efficacy of MT vs. OST in improving pain, maximal mouth opening (MMO), disability,
and health related-quality of life (hr-QoL) in these patients. Methods: According to PRISMA
guidelines, a meta-analysis (CRD42022343915) was conducted including randomized controlled trials
comparing the effectiveness of MT vs. OST in TMD patients, after searching in PubMed, PEDro,
SCOPUS, and WOS up to March 2024. Methodological quality and risk of bias were assessed using
the PEDro Scale. Cohen’s standardized mean difference (SMD) and its 95% confidence interval
(95% CI) were the pooled effect measures calculated. Results: Nine studies, providing data from
426 patients, were included. Meta-analyses revealed that MT is more effective than OST in reducing
disability (SMD = −0.81; 95% CI −1.1 to −0.54) and increasingMMO(SMD = 0.52; 95% CI 0.27 to 0.76)
without differences for improving pain intensity and hr-QoL. Subgroup analyses revealed the major
efficacy of OST in reducing pain in myogenic patients (SMD = 0.65; 95% CI 0.02 to 1.28). Conclusions:
With caution, due to the low number of studies included, MT may be more effective than OST for
improving disability and MMO in patients with TMDs.},
publisher = {MDPI},
keywords = {temporomandibular disorders},
keywords = {manual therapy},
keywords = {occlusal splints},
title = {Manual Therapy Techniques Versus Occlusal Splint Therapy for Temporomandibular Disorders: A Systematic Review with Meta-Analysis},
doi = {10.3390/dj12110355},
author = {Villar-Aragón-Berzosa, Víctor and Obrero Gaitán, Esteban and Lérida-Ortega, Miguel Ángel and López Ruiz, María del Carmen and Rodríguez Almagro, Daniel and Achalandabaso‑Ochoa, Alexander and Molina Ortega, Francisco Javier and Ibáñez-Vera, Alfonso Javier},
}