Prevalence of temporomandibular disorders in musicians: A systematic review and meta‐analysis

Objective To determine the prevalence of temporomandibular disorders (TMD) in musicians. Materials and methods Electronic database searches and a manual search were performed. Qualitative and quantitative analysis including risk of bias was performed for studies that met the inclusion criteria. A me...

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Veröffentlicht in:Journal of oral rehabilitation 2021-05, Vol.48 (5), p.632-642
Hauptverfasser: Campos, Larissa Gabriely Nogueira, Pedrosa, Bianca Higino, Cavalcanti, Renata Veiga Andersen, Stechman‐Neto, José, Gadotti, Inae Caroline, de Araujo, Cristiano Miranda, Taveira, Karinna Veríssimo Meira
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container_issue 5
container_start_page 632
container_title Journal of oral rehabilitation
container_volume 48
creator Campos, Larissa Gabriely Nogueira
Pedrosa, Bianca Higino
Cavalcanti, Renata Veiga Andersen
Stechman‐Neto, José
Gadotti, Inae Caroline
de Araujo, Cristiano Miranda
Taveira, Karinna Veríssimo Meira
description Objective To determine the prevalence of temporomandibular disorders (TMD) in musicians. Materials and methods Electronic database searches and a manual search were performed. Qualitative and quantitative analysis including risk of bias was performed for studies that met the inclusion criteria. A meta‐analysis of proportions with a random effects model was performed, and heterogeneity was explored according to the moderating variable through subgroup analysis and metaregression. The certainty of the evidence was assessed using the GRADE tool. Results A total of 13 articles were included for the meta‐analysis. Pooled prevalence estimate was 52.8% (CI 95%; 33.4%‐71.7%) for wind instruments, 53.9% (CI 95%; 42.4%‐65.2%) for string instruments and 53.9% (CI 95%; 23.5%‐82.7%) for string and wind instruments. The average time of use of the musical instrument explained 82.38%, the heterogeneity between the sizes of the effects observed in the analysis (R2 = 82.38%; P 
doi_str_mv 10.1111/joor.13150
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Materials and methods Electronic database searches and a manual search were performed. Qualitative and quantitative analysis including risk of bias was performed for studies that met the inclusion criteria. A meta‐analysis of proportions with a random effects model was performed, and heterogeneity was explored according to the moderating variable through subgroup analysis and metaregression. The certainty of the evidence was assessed using the GRADE tool. Results A total of 13 articles were included for the meta‐analysis. Pooled prevalence estimate was 52.8% (CI 95%; 33.4%‐71.7%) for wind instruments, 53.9% (CI 95%; 42.4%‐65.2%) for string instruments and 53.9% (CI 95%; 23.5%‐82.7%) for string and wind instruments. The average time of use of the musical instrument explained 82.38%, the heterogeneity between the sizes of the effects observed in the analysis (R2 = 82.38%; P &lt; .0001). For prevalence of TMD, the GRADE criteria were considered very low. Conclusion The overall combined prevalence of TMD in musicians was approximately 53.9%, and musicians who use their instruments daily and for a long period of time may have a higher prevalence of TMD. Clinical significance Due to the high prevalence of TMD in musicians, health professionals must be careful not to underestimate signs and symptoms and correctly diagnose these cases.</description><identifier>ISSN: 0305-182X</identifier><identifier>EISSN: 1365-2842</identifier><identifier>DOI: 10.1111/joor.13150</identifier><identifier>PMID: 33474771</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Dentistry ; Humans ; Medical personnel ; Meta-analysis ; Musical instruments ; musicians ; Prevalence ; systematic review ; Temporomandibular disorders ; Temporomandibular Joint Disorders - epidemiology ; Temporomandibular Joint Disorders - etiology ; Wind ; Wind instruments</subject><ispartof>Journal of oral rehabilitation, 2021-05, Vol.48 (5), p.632-642</ispartof><rights>2021 John Wiley &amp; Sons Ltd</rights><rights>2021 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2021 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3570-5c61355679562e24044318bd37564da2a61ee8724fe680b4063e8d9dc33273f23</citedby><cites>FETCH-LOGICAL-c3570-5c61355679562e24044318bd37564da2a61ee8724fe680b4063e8d9dc33273f23</cites><orcidid>0000-0003-0580-0683 ; 0000-0001-9339-0199 ; 0000-0002-0259-2420 ; 0000-0001-9028-8252 ; 0000-0002-3953-4881 ; 0000-0001-6978-4083 ; 0000-0003-1325-4248</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjoor.13150$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjoor.13150$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33474771$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Campos, Larissa Gabriely Nogueira</creatorcontrib><creatorcontrib>Pedrosa, Bianca Higino</creatorcontrib><creatorcontrib>Cavalcanti, Renata Veiga Andersen</creatorcontrib><creatorcontrib>Stechman‐Neto, José</creatorcontrib><creatorcontrib>Gadotti, Inae Caroline</creatorcontrib><creatorcontrib>de Araujo, Cristiano Miranda</creatorcontrib><creatorcontrib>Taveira, Karinna Veríssimo Meira</creatorcontrib><title>Prevalence of temporomandibular disorders in musicians: A systematic review and meta‐analysis</title><title>Journal of oral rehabilitation</title><addtitle>J Oral Rehabil</addtitle><description>Objective To determine the prevalence of temporomandibular disorders (TMD) in musicians. Materials and methods Electronic database searches and a manual search were performed. Qualitative and quantitative analysis including risk of bias was performed for studies that met the inclusion criteria. A meta‐analysis of proportions with a random effects model was performed, and heterogeneity was explored according to the moderating variable through subgroup analysis and metaregression. The certainty of the evidence was assessed using the GRADE tool. Results A total of 13 articles were included for the meta‐analysis. Pooled prevalence estimate was 52.8% (CI 95%; 33.4%‐71.7%) for wind instruments, 53.9% (CI 95%; 42.4%‐65.2%) for string instruments and 53.9% (CI 95%; 23.5%‐82.7%) for string and wind instruments. The average time of use of the musical instrument explained 82.38%, the heterogeneity between the sizes of the effects observed in the analysis (R2 = 82.38%; P &lt; .0001). For prevalence of TMD, the GRADE criteria were considered very low. Conclusion The overall combined prevalence of TMD in musicians was approximately 53.9%, and musicians who use their instruments daily and for a long period of time may have a higher prevalence of TMD. Clinical significance Due to the high prevalence of TMD in musicians, health professionals must be careful not to underestimate signs and symptoms and correctly diagnose these cases.</description><subject>Dentistry</subject><subject>Humans</subject><subject>Medical personnel</subject><subject>Meta-analysis</subject><subject>Musical instruments</subject><subject>musicians</subject><subject>Prevalence</subject><subject>systematic review</subject><subject>Temporomandibular disorders</subject><subject>Temporomandibular Joint Disorders - epidemiology</subject><subject>Temporomandibular Joint Disorders - etiology</subject><subject>Wind</subject><subject>Wind instruments</subject><issn>0305-182X</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90MtKAzEUBuAgitbLxgeQgBsRRnNP6q6IV4SKKLgL6cwZSJmZ1KSjdOcj-Iw-idGqCxeezdl85-fwI7RLyRHNczwNIR5RTiVZQQPKlSyYEWwVDQgnsqCGPW6gzZSmhBDDpV5HG5wLLbSmA2RvIzy7BroScKjxHNpZiKF1XeUnfeMirnwKsYKYsO9w2ydfetelEzzCaZEyd3Nf4pzh4QXnK9zC3L2_vrnONYvk0zZaq12TYOd7b6GH87P708viZnxxdTq6Kcr8ESlkqSiXUumhVAyYIEJwaiYV11KJyjGnKIDRTNSgDJkIojiYaliVnDPNa8a30MEydxbDUw9pblufSmga10Hok2VCDzVXSg0z3f9Dp6GP-d-sJKVGUGNEVodLVcaQUoTazqJvXVxYSuxn7fazdvtVe8Z735H9pIXql_70nAFdghffwOKfKHs9Ht8tQz8AydCNcA</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Campos, Larissa Gabriely Nogueira</creator><creator>Pedrosa, Bianca Higino</creator><creator>Cavalcanti, Renata Veiga Andersen</creator><creator>Stechman‐Neto, José</creator><creator>Gadotti, Inae Caroline</creator><creator>de Araujo, Cristiano Miranda</creator><creator>Taveira, Karinna Veríssimo Meira</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0580-0683</orcidid><orcidid>https://orcid.org/0000-0001-9339-0199</orcidid><orcidid>https://orcid.org/0000-0002-0259-2420</orcidid><orcidid>https://orcid.org/0000-0001-9028-8252</orcidid><orcidid>https://orcid.org/0000-0002-3953-4881</orcidid><orcidid>https://orcid.org/0000-0001-6978-4083</orcidid><orcidid>https://orcid.org/0000-0003-1325-4248</orcidid></search><sort><creationdate>202105</creationdate><title>Prevalence of temporomandibular disorders in musicians: A systematic review and meta‐analysis</title><author>Campos, Larissa Gabriely Nogueira ; Pedrosa, Bianca Higino ; Cavalcanti, Renata Veiga Andersen ; Stechman‐Neto, José ; Gadotti, Inae Caroline ; de Araujo, Cristiano Miranda ; Taveira, Karinna Veríssimo Meira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3570-5c61355679562e24044318bd37564da2a61ee8724fe680b4063e8d9dc33273f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Dentistry</topic><topic>Humans</topic><topic>Medical personnel</topic><topic>Meta-analysis</topic><topic>Musical instruments</topic><topic>musicians</topic><topic>Prevalence</topic><topic>systematic review</topic><topic>Temporomandibular disorders</topic><topic>Temporomandibular Joint Disorders - epidemiology</topic><topic>Temporomandibular Joint Disorders - etiology</topic><topic>Wind</topic><topic>Wind instruments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Campos, Larissa Gabriely Nogueira</creatorcontrib><creatorcontrib>Pedrosa, Bianca Higino</creatorcontrib><creatorcontrib>Cavalcanti, Renata Veiga Andersen</creatorcontrib><creatorcontrib>Stechman‐Neto, José</creatorcontrib><creatorcontrib>Gadotti, Inae Caroline</creatorcontrib><creatorcontrib>de Araujo, Cristiano Miranda</creatorcontrib><creatorcontrib>Taveira, Karinna Veríssimo Meira</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Campos, Larissa Gabriely Nogueira</au><au>Pedrosa, Bianca Higino</au><au>Cavalcanti, Renata Veiga Andersen</au><au>Stechman‐Neto, José</au><au>Gadotti, Inae Caroline</au><au>de Araujo, Cristiano Miranda</au><au>Taveira, Karinna Veríssimo Meira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of temporomandibular disorders in musicians: A systematic review and meta‐analysis</atitle><jtitle>Journal of oral rehabilitation</jtitle><addtitle>J Oral Rehabil</addtitle><date>2021-05</date><risdate>2021</risdate><volume>48</volume><issue>5</issue><spage>632</spage><epage>642</epage><pages>632-642</pages><issn>0305-182X</issn><eissn>1365-2842</eissn><abstract>Objective To determine the prevalence of temporomandibular disorders (TMD) in musicians. Materials and methods Electronic database searches and a manual search were performed. Qualitative and quantitative analysis including risk of bias was performed for studies that met the inclusion criteria. A meta‐analysis of proportions with a random effects model was performed, and heterogeneity was explored according to the moderating variable through subgroup analysis and metaregression. The certainty of the evidence was assessed using the GRADE tool. Results A total of 13 articles were included for the meta‐analysis. Pooled prevalence estimate was 52.8% (CI 95%; 33.4%‐71.7%) for wind instruments, 53.9% (CI 95%; 42.4%‐65.2%) for string instruments and 53.9% (CI 95%; 23.5%‐82.7%) for string and wind instruments. The average time of use of the musical instrument explained 82.38%, the heterogeneity between the sizes of the effects observed in the analysis (R2 = 82.38%; P &lt; .0001). For prevalence of TMD, the GRADE criteria were considered very low. Conclusion The overall combined prevalence of TMD in musicians was approximately 53.9%, and musicians who use their instruments daily and for a long period of time may have a higher prevalence of TMD. Clinical significance Due to the high prevalence of TMD in musicians, health professionals must be careful not to underestimate signs and symptoms and correctly diagnose these cases.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33474771</pmid><doi>10.1111/joor.13150</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-0580-0683</orcidid><orcidid>https://orcid.org/0000-0001-9339-0199</orcidid><orcidid>https://orcid.org/0000-0002-0259-2420</orcidid><orcidid>https://orcid.org/0000-0001-9028-8252</orcidid><orcidid>https://orcid.org/0000-0002-3953-4881</orcidid><orcidid>https://orcid.org/0000-0001-6978-4083</orcidid><orcidid>https://orcid.org/0000-0003-1325-4248</orcidid></addata></record>
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subjects Dentistry
Humans
Medical personnel
Meta-analysis
Musical instruments
musicians
Prevalence
systematic review
Temporomandibular disorders
Temporomandibular Joint Disorders - epidemiology
Temporomandibular Joint Disorders - etiology
Wind
Wind instruments
title Prevalence of temporomandibular disorders in musicians: A systematic review and meta‐analysis
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