Manual therapy for temporomandibular disorder in older adults: an integrative literature review

ABSTRACT Purpose: to describe the manual therapy techniques used to treat the temporomandibular disorder in older adults. Methods: an integrative literature review assessing scientific publications indexed in six databases: MEDLINE/PubMed, Web of Science, CINAHL, Scopus, LILACS, and PEDro. Only intervention studies were included, with no restriction of date or language. The articles included in the review were assessed with the Critical Appraisal Skills Programme. Results: after consulting the databases, 88 articles were found, six of which were considered eligible. No study was found exclusively approaching older adults. According to the analysis of the risk of bias, two articles were classified as low-risk, two as intermediate, and two as high-risk. The manual therapy techniques were intra- and extraoral massage, temporomandibular joint and cervical spine mobilization, myofascial release, trigger-point finger pressure, and deep transverse massage. Conclusion: the studies observed improved mandibular movements and masticatory function, eased pain, and reduced anxiety.摘要 研究目的：描述用于治疗老年群体颞下颌关节紊乱病（temporomandibular disorder）的手法治疗技术。 研究方法：本研究为整合性文献综述，检索了MEDLINE/PubMed、Web of Science、CINAHL、Scopus、LILACS及PEDro共6个数据库收录的科学文献。研究仅纳入干预性研究，未对发表时间及语言设置限制。纳入本次综述的文献均采用关键评价技能方案（Critical Appraisal Skills Programme）进行质量评价。 研究结果：经数据库检索，共检出88篇文献，其中6篇符合纳入标准。未发现仅针对老年群体开展的相关研究。依据偏倚风险分析结果，2篇文献被评为低偏倚风险，2篇为中偏倚风险，2篇为高偏倚风险。本次综述涉及的手法治疗技术包括口内与口外按摩、颞下颌关节及颈椎关节松动术、肌筋膜松解术、扳机点指压疗法及深部横向按摩。 研究结论：现有研究显示，受试者的下颌运动功能与咀嚼功能得以改善，疼痛得到缓解，焦虑情绪有所减轻。