OWN - Quintessenz Verlags-GmbH CI - Copyright Quintessenz Verlags-GmbH OCI - Copyright Quintessenz Verlags-GmbH TA - J CranioMand Func JT - Journal of Craniomandibular Function IS - 1868-4149 (Print) IP - 3 VI - 14 PST - ppublish DP - 2022 PG - 223-238 LA - en TI - Manual therapy in the treatment of myofascial pain related to temporomandibular disorders FAU - Almeida de Melo, Laércio AU - Almeida de Melo L FAU - Bezerra de Medeiros, Annie Karoline AU - Bezerra de Medeiros A FAU - Pinto Campos, Maria De Fátima Trindade AU - Pinto Campos M FAU - Bastos Machado de Resende, Camila Maria AU - Bastos Machado de Resende C FAU - Seabra Barbosa, Gustavo Augusto AU - Seabra Barbosa G FAU - Oliveira de Almeida, Erika AU - Oliveira de Almeida E CN - OT - exercise therapy OT - myofascial pain OT - myofascial pain syndromes OT - systematic review OT - temporomandibular joint disorders AB - Aim: To evaluate the effectiveness of manual therapy in the treatment of myofascial pain related to temporomandibular disorders. Methods: Randomized clinical trials were searched in the Cochrane Library, MEDLINE, Web of Science, Scopus, LILACS, and SciELO databases using the following keywords: temporomandibular joint disorders; craniomandibular disorders; myofascial pain syndromes; myofascial pain; exercise therapy; myofunctional therapy; physical therapy modalities; clinical trial; prospective studies; and longitudinal studies. Studies using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and manual therapy for myofascial pain were included. All studies were evaluated using the Cochrane Risk of Bias tool. Results: Five studies were included in the present review. Of 279 total patients, 156 were treated with manual therapy only or manual therapy with counseling. Manual therapy was efficient for pain relief in all studies evaluated; however, manual therapy was not better than counseling or botulinum toxin. Conclusions: Manual therapy was better than no treatment in one study and better than counseling in another study; however, manual therapy combined with counseling was not statistically better than counseling alone, and manual therapy alone was not better than botulinum toxin. Manual therapy combined with home therapy was better than home therapy alone in one study. Further studies are required due to the inconclusive data and poor homogeneity found in this review. AID - 3320665