RESUMO
The stomatognathic system is the anatomo-functional unit of the cranio-cervico-facial region. Some dysfunctions affect its motor control. The aim of this study was to analyse the clinical usefulness of the various scales and instruments used in the assessment of postural control in people with temporomandibular disorders. A systematic review was carried out by 2independent reviewers in the PubMed, Medline, Ebsco, Science Direct and PEDro databases, selecting observational studies published between January 2006 and March 2017. The risk of bias and methodological quality was analysed following Cochrane indications and the Downs and Black quality scale. Ten studies were included, of which 9used computerised platforms, one added photogrammetry and one used electromyography. Seven studies were classified as moderate quality and 3as low quality. Posturography was the most widely used assessment instrument. Methodological differences did not allow determination of their clinical implications or the relationship between balance and the presence of temporomandibular disorders.
Assuntos
Equilíbrio Postural/fisiologia , Transtornos da Articulação Temporomandibular/fisiopatologia , Eletromiografia , Humanos , Fotogrametria , Transtornos da Articulação Temporomandibular/diagnósticoRESUMO
El sistema estomatognático es la unidad anatomofuncional de la región craneocervicofacial. Existen disfunciones condicionantes en su control motor. El objetivo fue estudiar la utilidad clínica de las diferentes escalas e instrumentos empleados en la valoración del control postural en personas con trastornos termporomandibulares. Se realizó una revisión sistemática, por 2revisores independientes, en las bases de datos PubMed, Medline, Ebsco, Science Direct y PEDro, seleccionando estudios observacionales publicados entre enero de 2006 y marzo de 2017. Se analizó el riesgo de sesgo y la calidad metodológica siguiendo las indicaciones Cochrane y la escala de Downs and Black. Se incluyeron 10estudios, de los que 9emplearon plataformas computarizadas, uno sumó la fotogrametría y uno usó electromiografía. Siete estudios fueron clasificados como de calidad moderada y 3de calidad baja. La posturografía es el instrumento de valoración más utilizado. Diversidades metodológicas no permiten determinar sus implicaciones clínicas ni la relación entre el equilibrio y la presencia de trastornos temporomandibulares
The stomatognathic system is the anatomo-functional unit of the cranio-cervico-facial region. Some dysfunctions affect its motor control. The aim of this study was to analyse the clinical usefulness of the various scales and instruments used in the assessment of postural control in people with temporomandibular disorders. A systematic review was carried out by 2independent reviewers in the PubMed, Medline, Ebsco, Science Direct and PEDro databases, selecting observational studies published between January 2006 and March 2017. The risk of bias and methodological quality was analysed following Cochrane indications and the Downs and Black quality scale. Ten studies were included, of which 9used computerised platforms, one added photogrammetry and one used electromyography. Seven studies were classified as moderate quality and 3as low quality. Posturography was the most widely used assessment instrument. Methodological differences did not allow determination of their clinical implications or the relationship between balance and the presence of temporomandibular disorders
