Non-surgical interventions for the treatment of masticatory muscular spasticity in patients with cerebral palsy. Systematic review of randomized clinical trials

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Autor(es): dc.contributorUniversidade Nove de Julho (UNINOVE)-
Autor(es): dc.contributorUniversidade Metropolitana de Santos (UNIMES)-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorRocha, Monise Mendes-
Autor(es): dc.creatorMartimbianco, Ana Luiza Cabrera-
Autor(es): dc.creatorBeltramin, Rafael Zaratin-
Autor(es): dc.creatorHorliana, Anna Carolina Ratto Tempestini-
Autor(es): dc.creatorSantos, Elaine Marcílio-
Autor(es): dc.creatorMesquita-Ferrari, Raquel Agnelli-
Autor(es): dc.creatorFernandes, Kristianne Porta Santos-
Autor(es): dc.creatorMotta, Lara Jansiski-
Autor(es): dc.creatorTurcio, Karina Helga-
Autor(es): dc.creatorGonçalves, Marcela Leticia Leal-
Autor(es): dc.creatorBussadori, Sandra Kalil-
Data de aceite: dc.date.accessioned2025-08-21T17:19:16Z-
Data de disponibilização: dc.date.available2025-08-21T17:19:16Z-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2021-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.jbmt.2021.09.020-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/223361-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/223361-
Descrição: dc.descriptionIntroduction: Muscle disorders caused by cerebral palsy (CP) can affect oral function. The treatment for masticatory muscle spasticity is important to minimize muscle hyperactivity and preclude oral damages. Objectives: To evaluate the efficacy and safety of non-surgical interventions for the treatment of masticatory muscle spasticity in CP patients. Methods: A comprehensive search was performed in the following databases: MEDLINE, Embase, Cochrane Library, LILACS, BBO, PEDro, Clinicaltrials.gov and WHO/ICTRP, without date and language restrictions. Randomized controlled trials (RCT) evaluating non-surgical interventions were considered. Primary outcomes such as masticatory function and adverse events were planned to be assessed. The risk of bias assessment was performed using the Cochrane risk of bias tool. The certainty of the evidence was assessed using the GRADE approach. Results: Three RCT assessing the effects of botulinum toxin, functional masticatory training and neuromuscular electrostimulation (NMES) were included. Evidence with a very low certainty showed: (i) no difference between botulinum toxin and placebo regarding maximum chewing strength, chewing efficiency and global oral health scale; (ii) improvement in masticatory function in favor of functional masticatory training versus conventional exercises, and (iii) in favor of strengthening exercises plus NMES versus placebo. Conclusions: There was insufficient evidence to support the use of botulinum toxin and masticatory muscle strengthening programs alone and associated with NMES for the treatment of masticatory muscle in patients with PC. The clinical decision must be individualized, and further studies are needed to support or refute the use of different non-surgical interventions for PC. PROSPERO register number CRD42020209761.-
Descrição: dc.descriptionPostgraduation Program in Rehabilitation Sciences Universidade Nove de Julho (UNINOVE), Vergueiro Street, 235/249 – Liberdade, ZIP 01504-001-
Descrição: dc.descriptionPostgraduation Program in Health and Environment Universidade Metropolitana de Santos (UNIMES), Conselheiro Nébias Avenue – Encruzilhada, ZIP 11045-002-
Descrição: dc.descriptionPostgraduation Program in Biophotonics Applied to Health Sciences Universidade Nove de Julho (UNINOVE), Vergueiro Street, 235/249 – Liberdade, ZIP 01504-001-
Descrição: dc.descriptionDentistry College Universidade Metropolitana de Santos (UNIMES), Conselheiro Nébias Avenue – Encruzilhada, ZIP 11045-002-
Descrição: dc.descriptionDepartment of Dental Materials and Prosthodontics São Paulo State University (UNESP) School of Dentistry-
Descrição: dc.descriptionDepartment of Dental Materials and Prosthodontics São Paulo State University (UNESP) School of Dentistry-
Formato: dc.format68-73-
Idioma: dc.languageen-
Relação: dc.relationJournal of Bodywork and Movement Therapies-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectCerebral palsy-
Palavras-chave: dc.subjectMasticatory muscle-
Palavras-chave: dc.subjectMuscle spasticity-
Palavras-chave: dc.subjectSystematic review-
Título: dc.titleNon-surgical interventions for the treatment of masticatory muscular spasticity in patients with cerebral palsy. Systematic review of randomized clinical trials-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

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