DOI QR코드

DOI QR Code

Acupuncture and Electroacupuncture Treatment for Temporomandibular Joint Disorder Focused on Recent Randomized-Controlled Studies: A Systematic Review and Meta-Analysis

  • Jin-Sol Yoon (Department of Acupuncture and Moxibustion Medicine, Dongshin University Gwangju Korean Medicine Hospital ) ;
  • Joonyong Noh (Department of Acupuncture and Moxibustion Medicine, Dongshin University Gwangju Korean Medicine Hospital ) ;
  • Seonju Ahn (Department of Korean Internal Medicine, Dongshin University Gwangju Korean Medicine Hospital ) ;
  • Yun-Gwon Seon (Department of Acupuncture and Moxibustion Medicine, Dongshin University Naju Korean Medicine Hospital) ;
  • Hong-Wook Choi (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Sun-Joong Kim (Department of Acupuncture and Moxibustion Medicine, National Medical Center) ;
  • Jae-Uk Sul (Department of Korean Medicine Rehabilitation, Dongshin University Gwangju Korean Medicine Hospital ) ;
  • Jae-Hong Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Dongshin University)
  • Received : 2023.05.25
  • Accepted : 2023.07.14
  • Published : 2023.08.31

Abstract

This study aimed to evaluate the clinical efficacy and safety of acupuncture and electroacupuncture for temporomandibular joint disorder (TMD). We searched 11 databases to find randomized-controlled trials (RCTs) published between January 2018 and January 2023 that used acupuncture and electroacupuncture to treat patients with TMD. We performed a meta-analysis of 18 RCTs involving 1,109 patients. Nine studies reported that the treatment and control groups showed improvement in the evaluation index post-treatment. The results of the meta-analysis showed that the treatment groups receiving acupuncture combined with manual therapy had significantly improved visual analog scale score and dysfunction index than the control groups receiving manual therapy. Moreover, the treatment groups receiving acupuncture combined with Western medicine had statistically improved maximum mouth opening than the control groups using Western medicine. In conclusion, acupuncture and electroacupuncture have clinical effects on TMD patients. Given that 11 studies were obtained from the Chinese database, a regional bias would be considered. Furthermore, the included studies had high a risk of bias in terms of randomization, concealment, and blinding. Further studies are required to correct these limitations.

Keywords

Acknowledgement

This research was supported by the Dongshin University research grants.

References

  1. Korean Acupuncture and Moxibustion Society. Acupuncture medicine. Hanmi Medical Publishing Co. 2016:439-445. 
  2. Sim SH, Ha M. Association between psychological factors and temporomandibular disorders in Korean adults: the fouth Korean national health and nutritional examination survey (2009). J Korean Soc Dent Hyg 2013;13:739-747. doi: 10.13065/jksdh.2013.13.05.739 
  3. Kim C. Conservative treatment modalities for patients with temporomandibular joint (TMJ) disorders. J Korean Dent Assoc 2013;51:74-83. doi: 10.22974/jkda.2013.51.2.001 
  4. Society of Korean Medicine Rehabilitation. Korean medicine clinical practice guideline for temporomandibular joint disorders. National Institute for Korean Medicine Development. 2021:15-18. 
  5. Peixoto KO, Abrantes PS, De Carvalho IHG, De Almeida EO, Barbosa GAS. Temporomandibular disorders and the use of traditional and laser acupuncture: a systematic review. Cranio 2021. [Epub]. https://doi.org/10.1080/08869634.2021.1873605 
  6. Liu GF, Gao Z, Liu ZN, Yang M, Zhang S, Tan TP. Effects of warm needle acupuncture on temporomandibular joint disorders: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med 2021;2021:6868625. doi: 10.1155/2021/6868625 
  7. Vier C, Almeida MB, Neves ML, Santos ARSD, Bracht MA. The effectiveness of dry needling for patients with orofacial pain associated with temporomandibular dysfunction: a systematic review and meta-analysis. Braz J Phys Ther 2019;23:3-11. doi: 10.1016/j.bjpt.2018.08.008 
  8. Luo SY. [Acupuncture and moxibustion treatment for temporomandibular disorders: a systematic review and meta-analysis] [thesis]. Chengdu: Chengdu University of Traditional Chinese Medicine; 2018. Chinese. 
  9. Machado E, Machado P, Wandscher VF, Marchionatti AME, Zanatta FB, Kaizer OB. A systematic review of different substance injection and dry needling for treatment of temporomandibular myofascial pain. Int J Oral Maxillofac Surg 2018;47:1420-1432. doi: 10.1016/j.ijom.2018.05.003 
  10. Fernandes AC, Duarte Moura DM, Da Silva LGD, De Almeida EO, Barbosa GAS. Acupuncture in temporomandibular disorder myofascial pain treatment: a systematic review. J Oral Facial Pain Headache 2017;31:225-232. doi: 10.11607/ofph.1719 
  11. Wu JY, Zhang C, Xu YP, Yu YY, Peng L, Leng WD, et al. Acupuncture therapy in the management of the clinical outcomes for temporomandibular disorders: a PRISMA-compliant meta-analysis. Medicine (Baltimore) 2017;96:e6064. doi: 10.1097/MD.0000000000006064 
  12. Cho SH, Whang WW. Acupuncture for temporomandibular disorders: a systematic review. J Orofac Pain 2010;24:152-162. 
  13. Fink M, Rosted P, Bernateck M, Stiesch-Scholz M, Karst M. Acupuncture in the treatment of painful dysfunction of the temporomandibular joint -- a review of the literature. Forsch Komplementmed 2006;13:109-115. doi: 10.1159/000091527 
  14. McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther 2006;86:710-725. doi: 10.1093/ptj/86.5.710 
  15. Ernst E, White AR. Acupuncture as a treatment for temporomandibular joint dysfunction: a systematic review of randomized trials. Arch Otolaryngol Head Neck Surg 1999;125:269-272. doi: 10.1001/archotol.125.3.269 
  16. Noiman M, Garty A, Maimon Y, Miller U, Lev-Ari S. Acupuncture for treating temporomandibular disorder: retrospective study on safety and efficacy. J Acupunct Meridian Stud 2010;3:260-266. doi: 10.1016/S2005-2901(10)60046-5 
  17. Rosted P. Practical recommendations for the use of acupuncture in the treatment of temporomandibular disorders based on the outcome of published controlled studies. Oral Dis 2001;7:109-115. doi: 10.1034/j.1601-0825.2001.70208.x 
  18. Jung A, Shin BC, Lee MS, Sim H, Ernst E. Acupuncture for treating temporomandibular joint disorders: a systematic review and meta-analysis of randomized, sham-controlled trials. J Dent 2011;39:341-350. doi: 10.1016/j.jdent.2011.02.006 
  19. Bae DR, Cho HJ, Kim HN, Hwang EH. Chuna manual therapy for temporomandibular joint disorder: systematic review. J Korean Med Rehabi 2017;27:71-79. doi: 10.18325/jkmr.2017.27.3.71 
  20. Kim HG, Ryoo DW, Jeong SM, Kim SJ, Baek SW, Lee CH, et al. A systematic review and meta-analysis of manual therapy for temporomandibular disorder. J Korea Chuna Man Med Spine Nerves 2017;12:13-27. 
  21. MacPherson H, Altman DG, Hammerschlag R, Youping L, Taixiang W, White A, et al.; STRICTA Revision Group. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med 2010;7:e1000261. doi: 10.1371/journal.pmed.1000261 
  22. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. Cochrane handbook for systematic reviews of interventions version 6.3. Cochrane [Internet]. London: 2022 Aug 4 [cited 2023 Feb 16]. Available from: www.training.cochrane.org/handbook 
  23. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, et al. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. National Evidence-based Healthcare Collaborating Agency. 2011:164-165. 
  24. Su WH. [Curative effect of acupuncture at "temporomandibular six points" on temporomandibular disorders and its influence on surface electromyography signals] [thesis]. Fuzho: Fujian University of Traditional Chinese Medicine; 2022. Chinese. 
  25. Yang KQ, Feng YQ, Li BL, Zhao B. [Clinical observation of acupuncture stimulation in pain points combined with exercise therapy in the treatment of temporomandibular joint disorders]. Chin J Rehabil 2021;36:166-169. Chinese. doi: 10.3870/zgkf.2021.03.009 
  26. Wu M. [Clinical observation of acupuncture on dysfunction and anxiety and depression of temporomandibular disorders] [thesis]. Fuzhou: Fujian University of Traditional Chinese Medicine; 2021. Chinese. 
  27. Wang Y, Han SP, Zhang LX. [Clinical effect of electroacupuncture on temporomandibular joint disorder syndrome]. Chin Manip Rehabil Med 2021;12:26-28. Chinese. doi: 10.19787/j.issn.1008-1879.2021.05.008 
  28. Xue ZC. [Observation of acupuncture at bilateral xiaguan point (ST7) in temporomandibular joint disorders: a random clinical trial] [thesis]. Fuzhou: Fujian University of Traditional Chinese Medicine; 2020. Chinese. 
  29. Wang J, Lu JJ, Dong L, Wang F. [Clinical study on the treatment of temporomandibular joint disorders with opposing needling method combined with Western medicine]. Clin J Tradit Chin Med 2020;32:1787-1790. Chinese. doi: 10.16448/j.cjtcm.2020.0952 
  30. Chen W, Xia CL, Zhang H. [Clinical study on 24 cases of temporomandibular joint disorders treated by acupuncture combined with Western medicine]. Jiangsu J Tradit Chin Med 2019;51:66-67. Chinese. doi: 10.3969/j.issn.1672-397X.2019.08.023 
  31. Ding WF. [Clinical study of combining acupuncture and 3-step manual therapy on temporomandibular disorder] [thesis]. Fuzhou: Fujian University of Traditional Chinese Medicine; 2019. Chinese. 
  32. Ye HY. [Effect of ultrashort wave combined with electroacupuncture on temporomandibular joint disorder]. Electron J Clin Med Lit 2019;6:76-78. Chinese. doi: 10.16281/j.cnki.jocml.2019.52.056 
  33. Chen JC, Li LF, Yao ZC, Wang W, Qiu LL. [Clinical efficacy of impulse IQ in the treatment of temporomandibular joint disorder with syndrome of blockade of cold-dampness]. China Med Her 2018;15:145-148. Chinese. 
  34. Hu YL. [Electroacupuncture combined with ultrashort wave therapy in 35 cases of temporomandibular joint disorder syndrome]. Trad Chin Med Res 2018;31:47-49. Chinese. doi: 10.3969/j.issn.1001-6910.2018.09.21 
  35. Dib-Zakkour J, Flores-Fraile J, Montero-Martin J, Dib-Zakkour S, Dib-Zaitun I. Evaluation of the effectiveness of dry needling in the treatment of myogenous temporomandibular joint disorders. Medicina (Kaunas) 2022;58:256. doi: 10.3390/medicina58020256 
  36. Peixoto KO, da Silva Bezerra A, Melo RA, de Resende CMBM, de Almeida EO, Barbosa GAS. Short-term effect of scalp acupuncture on pain, sleep disorders, and quality of life in patients with temporomandibular disorders: a randomized clinical trial. Pain Med 2021;22:905-914. doi: 10.1093/pm/pnab048 
  37. Aksu O, Pekin Dogan Y, Sayiner Caglar N, Sener BM. Comparison of the efficacy of dry needling and trigger point injections with exercise in temporomandibular myofascial pain treatment. Turk J Phys Med Rehabil 2019;65:228-235. doi: 10.5606/tftrd.2019.1802 
  38. Lopez-Martos R, Gonzalez-Perez LM, Ruiz-Canela-Mendez P, Urresti-Lopez FJ, Gutierrez-Perez JL, Infante-Cossio P. Randomized, double-blind study comparing percutaneous electrolysis and dry needling for the management of temporomandibular myofascial pain. Med Oral Patol Oral Cir Bucal 2018;23:e454-e462. doi: 10.4317/medoral.22488 
  39. Ozden MC, Atalay B, Ozden AV, Cankaya A, Kolay E, Yildirim S. Efficacy of dry needling in patients with myofascial temporomandibular disorders related to the masseter muscle. Cranio 2020;38:305-311. doi: 10.1080/08869634.2018.1526848 
  40. Dalewski B, Kaminska A, Szydlowski M, Kozak M, Sobolewska E. Comparison of early effectiveness of three different intervention methods in patients with chronic orofacial pain: a randomized, controlled clinical trial. Pain Res Manag 2019;2019:7954291. doi: 10.1155/2019/7954291 
  41. Kutuk SG, Ozkan Y, Kutuk M, Ozdas T. Comparison of the efficacies of dry needling and Botox methods in the treatment of myofascial pain syndrome affecting the temporomandibular joint. J Craniofac Surg 2019;30:1556-1559. doi: 10.1097/SCS.0000000000005473 
  42. Cho JH, Lee HE, Lee H, Jung HS, Kim ES, Han KW, et al. The clinical study on 194 patients of temporomandibular disorder. J Korean Acupunct Moxibustion Soc 2009;26:39-47. 
  43. Kang KW, Kim WY, Kim TH, Shin BC, Jung SY, Kim AR, et al. Adjacent, distal, or combination of point-selective effects of acupuncture on temporomandibular joint disorders: a randomized, single-blind, assessor-blind controlled trial. Integr Med Res 2012;1:36-40. doi: 10.1016/j.imr.2012.09.004 
  44. Jin ES, Lee JH, Kim HK, Yeom SK, Jeong HC, Lim CS. The clinical study for the effects of chuna treatment on patients with temporomandibular disorder. J Orient Rehabil Med 2011;21:125-135.