Manual therapy, prescribed exercises or both vs placebo
Mean pain intensity (Numeric Rating Scale 0–10) · lateral elbow pain
1 finding from 1 review
- no estimate extracted1 study · 23 participantsLow
Findings
What do systematic reviews say?
86 questions · 86 findings · 4 reviews
No studies found 33 · 38.4%GRADE not reported 4 · 4.7%Very low 7 · 8.1%Low 26 · 30.2%Moderate 4 · 4.7%High 12 · 14%
Manual therapy, prescribed exercises or both vs no intervention or minimal intervention
Health‐related quality of lifefScale: SF‐36 (0 to 100, 100 indicates perfect health) · lateral elbow pain
1 finding from 1 review
- no estimate extracted2 studies · 113 participantsLow
Manual therapy, prescribed exercises or both vs no intervention or minimal intervention
Global assessment of treatment success · lateral elbow pain
Manual therapy, prescribed exercises or both showed no clear difference in participant‐reported treatment success compared with minimal or no intervention (low certainty).
1 finding from 1 review
- RR 1.36 [0.96, 1.93]6 studies · 770 participantsLow
Manual therapy, prescribed exercises or both vs no intervention or minimal intervention
Overall withdrawals · lateral elbow pain
It is very uncertain whether manual therapy, prescribed exercises or both changes proportion of overall withdrawals compared with minimal or no intervention (very low certainty).
1 finding from 1 review
- RR 0.86 [0.66, 1.12]12 studies · 1147 participantsVery low
Manual therapy, prescribed exercises or both vs no intervention or minimal intervention
Proportion with any adverse event · lateral elbow pain
It is very uncertain whether manual therapy, prescribed exercises or both changes proportion with any adverse event compared with minimal or no intervention (very low certainty).
1 finding from 1 review
- RR 3.69 [0.98, 13.97]6 studies · 457 participantsVery low
Manual therapy, prescribed exercises or both vs no intervention or minimal intervention
Proportion with a serious adverse event · lateral elbow pain
The review found no eligible studies for this question.
1 finding from 1 review
- no estimate extractedStudies not reportedNo studies found
Manual therapy, prescribed exercises or both vs placebo
DisabilityScale: 0 to 100 (0 is no disability) · lateral elbow pain
1 finding from 1 review
- no estimate extracted1 study · 23 participantsLow
Manual therapy, prescribed exercises or both vs placebo
Quality of life · lateral elbow pain
The review found no eligible studies for this question.
1 finding from 1 review
- no estimate extractedStudies not reportedNo studies found
Manual therapy, prescribed exercises or both vs placebo
Global assessment of treatment success · lateral elbow pain
The review found no eligible studies for this question.
1 finding from 1 review
- no estimate extractedStudies not reportedNo studies found
Manual therapy, prescribed exercises or both vs placebo
Proportion of withdrawals · lateral elbow pain
The review found no eligible studies for this question.
1 finding from 1 review
- no estimate extractedStudies not reportedNo studies found
Manual therapy, prescribed exercises or both vs placebo
Proportion with adverse events · lateral elbow pain
The review found no eligible studies for this question.
1 finding from 1 review
- no estimate extractedStudies not reportedNo studies found
Manual therapy, prescribed exercises or both vs placebo
Proportion with a serious adverse event · lateral elbow pain
The review found no eligible studies for this question.
1 finding from 1 review
- no estimate extractedStudies not reportedNo studies found
Manual therapy, prescribed exercises or both vs no intervention or minimal intervention
PainScale: VAS (0 to 10, 0 is no pain) · lateral elbow pain
1 finding from 1 review
- no estimate extracted12 studies · 1023 participantsLow
Manual therapy, prescribed exercises or both vs no intervention or minimal intervention
DisabilityScale: 0 to 100 (0 is no disability) · lateral elbow pain
1 finding from 1 review
- no estimate extracted10 studies · 732 participantsLow
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Range of mandibular motion · People with temporomandibular disorders (TMD)
Occlusal splint showed no clear difference in range of mandibular motion compared with physical therapy (ultrasound, exercise, sensorimotor training,…; GRADE not reported.
1 finding from 1 review
- Occlusal interventions for managing temporomandibular disorders 2024 · Cochrane All outcomesShort term (3 months) · Disc displacement with reduction (DDwR)MD -0.33 [-3.31, 2.65]1 study · 40 participantsGRADE not reported
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Self-reported joint pain when chewing · People with temporomandibular disorders (TMD)
The review found no eligible studies for this question.
1 finding from 1 review
- Listed in Summary of findings 3 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies found
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Recurrence · People with temporomandibular disorders (TMD)
The review found no eligible studies for this question.
1 finding from 1 review
- Listed in Summary of findings 3 as 'Not reported'; this outcome was not reported by any included study for this comparison.0 studiesNo studies found
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Depression · People with temporomandibular disorders (TMD)
Occlusal splint showed no clear difference in depression compared with physical therapy (ultrasound, exercise, sensorimotor training,…; GRADE not reported.
1 finding from 1 review
- Occlusal interventions for managing temporomandibular disorders 2024 · Cochrane All outcomesShort term · Disc displacement with reduction (DDwR)MD -0.25 [-0.52, 0.02]1 study · 60 participantsGRADE not reported
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Severity of joint noise · People with temporomandibular disorders (TMD)
It is very uncertain whether occlusal splint changes severity of joint noise compared with physical therapy (ultrasound, exercise, sensorimotor training,… (very low certainty).
1 finding from 1 review
- Occlusal interventions for managing temporomandibular disorders 2024 · Cochrane All outcomesLong term (4 months) · Mixed TMDMD 5.92 [0.18, 11.66]1 study · 20 participantsVery low
Occlusal splint vs Physical therapy (ultrasound, exercise, sensorimotor training, laser, TENS, manual therapy)
Participant satisfaction or quality of life · People with temporomandibular disorders (TMD)
Occlusal splint led to lower participant satisfaction or quality of life compared with physical therapy (ultrasound, exercise, sensorimotor training,…; GRADE not reported.
1 finding from 1 review
- Occlusal interventions for managing temporomandibular disorders 2024 · Cochrane All outcomesShort term (1 month) · Mixed TMDMD -7.56 [-14.50, -0.63]2 studies · 75 participantsGRADE not reported