The effectiveness of dry needling for patients with orofacial pain associated with temporomandibular dysfunction: a systematic review and meta-analysis

Brazilian Journal of Physical Therapy
Clécio VierMarcelo Anderson Bracht

Abstract

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. To systematically review the effects of dry needling on orofacial pain of myofascial origin in patients with temporomandibular joint dysfunction. 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. 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. Clinicians can use dry needling for the treatment of temporomandibular joint dysfunction, nevertheless, due the low quality of evidence and high...Continue Reading

Citations

Jul 18, 2019·Current Opinion in Supportive and Palliative Care·Marco BarberoPaolo Maino
Oct 1, 2020·The Journal of Manual & Manipulative Therapy·Lynn MatthewsJoseph Donnelly
Dec 28, 2019·Medicina·Carole A Paley, Mark I Johnson
Nov 21, 2020·Journal of Clinical Medicine·César Fernández-de-Las-Peñas, Harry Von Piekartz
Jan 6, 2021·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Rachel BynumClaudia Hilton
Jun 9, 2021·Disease-a-month : DM·Carlos Romero-MoralesEmmanuel Navarro-Flores
Jul 3, 2021·American Journal of Otolaryngology·Esther LeePhilip E Zapanta
Jul 3, 2021·International Journal of Environmental Research and Public Health·Irene Lázaro-NavasTomás Gallego-Izquierdo

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