PDF(Pubmed)
Abstract：
The aim of this review was to answer the following PICO question: \"Do TMJ kinematic parameters (intervention and comparison) show efficacy for assessment of mandibular function (Outcome) both in asymptomatic and TMD subjects? (Population)\". PubMed, Scopus, Web of Science, Embase, Central databases were searched. The inclusion criteria were (1) performed on human, (2) English only, (3) on healthy, symptomatic or surgically altered TMJ, (4) measured dynamic kinematics of mandible or TMJ (5) with six degrees of freedom. To assess the Risk of Bias, the Joanna Briggs Institute tool for non-randomised clinical studies was employed. A pairwise meta-analysis was carried out using STATA v.17.0 (Stata). The heterogeneity was estimated using the Q value and the inconsistency index. Ninety-two articles were included in qualitative synthesis, nine studies in quantitative synthesis. The condylar inclination was significantly increased in female (effect size 0.03°, 95% CI: -0.06, 0.12, p = 0.00). Maximum mouth opening (MMO) was increased significantly in female population in comparison with males (effect size 0.65 millimetres (0.36, 1.66). Incisor displacement at MMO showed higher values for control groups compared with TMD subjects (overall effect size 0.16 millimetres (-0.37, 0.69). Evidence is still needed, considering the great variety of devices and parameters used for arthrokinematics. The present study suggests standardising outcomes, design, and population of the future studies in order to obtain more reliable and repeatable values.
摘要：
这篇综述的目的是回答以下PICO问题：“TMJ运动学参数（干预和比较）是否对无症状和TMD受试者的下颌功能（结果）评估有效？（人口）”。PubMed,Scopus,WebofScience,Embase,搜索了中央数据库。纳入标准是(1)对人类进行，（2）只有英语，（3）健康，症状性或手术改变的TMJ，(4)测量了六自由度下颌骨或TMJ(5)的动态运动学。为了评估偏差的风险，采用JoannaBriggs研究所的非随机临床研究工具.使用STATAv.17.0（Stata）进行成对荟萃分析。使用Q值和不一致性指数估计异质性。92篇文章被纳入定性综合，定量合成中的九项研究。女性髁突倾角明显增加(效应大小0.03°,95%CI：-0.06,0.12,p=0.00)。与男性相比，女性人口的最大张口（MMO）显着增加（效应大小为0.65毫米（0.36，1.66）。与TMD受试者相比，对照组在MMO处的切牙位移值较高（总体效应大小为0.16毫米（-0.37，0.69）。仍然需要证据，考虑到用于关节运动学的各种设备和参数。本研究表明，标准化的结果，设计,和人群的未来研究，以获得更可靠和可重复的价值。
