Manipulative and Multimodal Therapy for Upper Extremity and Temporomandibular Disorders: A Systematic Review
Abstract
Objective The purpose of this study was to complete a systematic review of manual and manipulative therapy (MMT) for common upper extremity pain and disorders including the temporomandibular joint (TMJ). Methods A literature search was conducted using the Cumulative Index of Nursing Allied Health Literature, PubMed, Manual, Alternative, and Natural Therapy Index System (MANTIS), Physiotherapy Evidence Database (PEDro), Index to Chiropractic Literature, Google Scholar, and hand search inclusive of literature from January 1983 to March 5, 2012. Search limits included the English language and human studies along with MeSH terms such as manipulation, chiropractic, osteopathic, orthopedic, and physical therapies. Inclusion criteria required an extremity peripheral diagnosis (for upper extremity problems including the elbow, wrist, hand, finger and the (upper quadrant) temporomandibular joint) and MMT with or without multimodal therapy. Studies were assessed using the PEDro scale in conjunction with modified guidelines and systems. After synthesis and considered judgment scoring was complete, evidence grades of "A, B, C and I" were applied. Results Out of 764 citations reviewed, 129 studies were deemed possibly to probably useful and/or relevant to develop expert consensus. Out of 81 randomized controlled or clinical trials, 35 were included. Five controlled or clinical trials were located and 4 were included. Fifty case series, reports and/or single-group pre-test post-test prospe…
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Most early systematic reviews highlighted positive effects of exercises and MT to improve symptoms and function in people with TMD.
“Most of these early systematic reviews highlighted the positive effects of exercises and MT to improve symptoms and function in people with TMD.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [25]
None of these systematic reviews provided a meta-analysis of the trials.
“In addition, none of these systematic reviews provided a meta-analysis of the trials.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [25]
That recent systematic review included several types of designs and did not focus on RCTs.
“That review included several types of designs and did not focus on RCTs, which are the best evidence when looking at interventions.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [25]
That recent systematic review missed important RCTs in the area, including only 5 studies.
“based on a preliminary search performed by our team, it was realized that this review missed important RCTs in the area (included only 5 studies).”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [25]
Another recent systematic review combined pathologies of the upper extremity and TMD.
“Another recent systematic review 25 combined pathologies of the upper extremity and TMD.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [25]
Cites
Reliability of the PEDro Scale for Rating Quality of Randomized Controlled Trials
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What is meant by intention to treat analysis? Survey of published randomised controlled trials
Hollis, S., & Campbell, F. (1999) · BMJ · doi:10.1136/bmj.319.7211.670 · Cited by 2,160 · see citing works
Effectiveness of manual therapies: the UK evidence report
Bronfort, G., Haas, M., Evans, R., Leininger, B., & Triano, J. (2010) · Chiropractic & Osteopathy · doi:10.1186/1746-1340-18-3 · Cited by 434 · see citing works
Foot and hand massage as an intervention for postoperative pain
Wang, H.-L., & Keck, J. F. (2004) · Pain Management Nursing · doi:10.1016/j.pmn.2004.01.002 · Cited by 122 · see citing works
A trial into the effectiveness of soft tissue massage in the treatment of shoulder pain
van den Dolder, P. A., & Roberts, D. L. (2003) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(14)60238-5 · Cited by 75 · see citing works
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Armijo-Olivo, S., Pitance, L., Singh, V., Neto, F., Thie, N., & Michelotti, A. (2016) · Physical Therapy · doi:10.2522/ptj.20140548 · Cited by 413 · see citing works
- Authors
- Brantingham, J. W., Cassa, T. K., Bonnefin, D., Pribicevic, M., Robb, A., Pollard, H., Tong, V., & Korporaal, C.
- Affiliations
- Murdoch University (AU)
- Texas Chiropractic College (US)
- Canadian Memorial Chiropractic College (CA)
- The University of Notre Dame Australia (AU)
- Durban University of Technology (ZA)
- Corresponding author
- Brantingham, James W.
- Venue
- Journal of Manipulative and Physiological Therapeutics
- Published
- 2013-03
- Volume
- 36
- Issue
- 3
- Pages
- 143-201
- ISSN
- 0161-4754 (ISSN-L)
- OpenAlex
- W2081631580
- Cited by
- 61
- References
- 5
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 5 · 2020: 5 · 2019: 2 · 2018: 6 · 2017: 7 · 2016: 6 · 2015: 10 · 2014: 4 · 2013: 1
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Manipulative and Physiological Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- Murdoch University Research Portal (submittedVersion)
- DUT Open Scholar (Durban University of Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Medicine › Surgery › Shoulder Injury and Treatment
- Keywords
- upper limb disorders, temporomandibular disorders, multimodal therapy, carpal tunnel syndrome, elbow pain, wrist pain, hand pain, finger pain, soft tissue mobilization, exercise therapy
- MeSH terms
- Combined Modality Therapy, Humans, Musculoskeletal Diseases, Temporomandibular Joint Disorders, Musculoskeletal Manipulations, Upper Extremity
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