RT Journal Article
T1 Craniocervical and Cervical Spine Features of Patients with Temporomandibular Disorders: A Systematic Review and Meta-Analysis of Observational Studies
A1 Cuenca Martínez, Ferran
A1 Herranz Gómez, Aida
A1 Madroñero Miguel, Beatriz
A1 Reina Varona, Álvaro
A1 La Touche, Roy
A1 Angulo Díaz-Parreño, Santiago
A1 Pardo Montero, Joaquín
A1 Del Corral Núñez-Flores, Tamara
A1 López De Uralde Villanueva, Ibai Julio
AB To assess neck disability with respect to jaw disability, craniocervical position, cervical alignment, and sensorimotor impairments in patients with temporomandibular disorders (TMD), a systematic review and meta-analysis of observational studies trials were conducted. The meta-analysis showed statistically significant differences in the association between neck disability and jaw disability (standardized mean difference (SMD), 0.72 (0.56–0.82)). However, results showed no significant differences for cervical alignment (SMD, 0.02 (−0.31–0.36)) or for the craniocervical position (SMD, −0.09 (−0.27–0.09)). There was moderate evidence for lower pressure pain thresholds (PPT) and for limited cervical range of motion (ROM). There was limited evidence for equal values for maximal strength between the patients with TMD and controls. There was also limited evidence for reduced cervical endurance and conflicting evidence for abnormal electromyographic (EMG) activity and motor control in TMD patients. Results showed a clinically relevant association between cervical and mandibular disability in patients with TMD. Regarding sensory-motor alterations, the most conclusive findings were observed in the reduction of PPT and cervical ROM, with moderate evidence of their presence in the patients with TMD. Lastly, the evidence on impaired motor control and cervical EMG activity in patients with TMD was conflicting.
PB MDPI
SN 2077-0383
YR 2020
FD 2020-08-30
LK https://hdl.handle.net/20.500.14352/103231
UL https://hdl.handle.net/20.500.14352/103231
LA eng
NO Cuenca-Martínez, F.; Herranz-Gómez, A.; Madroñero-Miguel, B.; Reina-Varona, Á.; La Touche, R.; Angulo-Díaz-Parreño, S.; Pardo-Montero, J.; del Corral, T.; López-de-Uralde-Villanueva, I. Craniocervical and Cervical Spine Features of Patients with Temporomandibular Disorders: A Systematic Review and Meta-Analysis of Observational Studies. J. Clin. Med. 2020, 9, 2806. https://doi.org/10.3390/jcm9092806
NO This article belongs to the Special Issue Physiotherapy in Temporomandibular Disorders and Headaches
DS Docta Complutense
RD 9 abr 2025