Abnormal Activity of Masticatory Muscles in Patients with Diagnosis of Cerebral Palsy. A Systematic Review and Meta-Analysis of Observational Studies

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dc.contributor.authorBeltramin, Rafael Zaratin
dc.contributor.authorMartimbianco, Ana Luiza Cabrera
dc.contributor.authorGonçalves, Marcela Leticia Leal
dc.contributor.authorRocha, Monise Mendes
dc.contributor.authorSilva, Soraia Micaela
dc.contributor.authorHorliana, Anna Carolina Ratto Tempestini
dc.contributor.authorSantos, Elaine Marcílio
dc.contributor.authorTurcio, Karina Helga [UNESP]
dc.contributor.authorMesquita-Ferrari, Raquel Agnelli
dc.contributor.authorFernandes, Kristianne Porta Santos
dc.contributor.authorMotta, Lara Jansiski
dc.contributor.authorBussadori, Sandra Kalil
dc.contributor.institutionUniversidade Nove de Julho (UNINOVE)
dc.contributor.institutionUniversidade Metropolitana de Santos (UNIMES)
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T13:41:54Z
dc.date.available2023-07-29T13:41:54Z
dc.date.issued2023-01-01
dc.description.abstractAims: to map and synthesize the results from studies that assessed whether individuals diagnosed with cerebral palsy (CP) have abnormal masseter and temporal muscles activation during the masticatory cycle. Methods: Six databases were searched for comparative observational studies assessing masticatory muscles activation in individuals with CP through electromyography analysis. Methodological quality was evaluated using the Joanna Briggs Critical Appraisal Checklist. Outcome data were combined in meta-analysis using the Review Manager software. Results: We included five cross-sectional studies with an overall low risk of bias. Meta-analyses showed no difference between CP and healthy individuals regarding maximum voluntary isometric contraction: right masseter (Standard mean difference [SMD] − 0.95; 95% CI −2.03 to 0.13); left masseter (SMD −0.92; 95% CI −1.93 to 0.09); right temporal (SMD −0.72; 95% CI −1.63 to 0.18); and left temporal (SMD −0.68; 95% CI −1.76 to 0.40). Electrical activity amplitude in the inactive period was superior in the CP group, and maximum bite pressure presented higher values in the control group (Mean difference [MD] − 17.38; CI 95% −26.62 to −10.15). Conclusions: Based on observational studies with a lower level of evidence, individuals with CP seem to present difficulties activating masticatory muscles. Future prospective cohort studies with rigorous methodology are still necessary to support these findings. PROSPERO register CRD42020208444.en
dc.description.affiliationPostgraduation Program in Rehabilitation Sciences Universidade Nove de Julho (UNINOVE)
dc.description.affiliationPostgraduation Program in Health and Environment Universidade Metropolitana de Santos (UNIMES)
dc.description.affiliationDentistry College Universidade Metropolitana de Santos (UNIMES)
dc.description.affiliationPostgraduation Program in Biophotonics Applied to Health Sciences Universidade Nove de Julho (UNINOVE)
dc.description.affiliationDepartment of Dental Materials and Prosthodontics São Paulo State University (UNESP) School of Dentistry–Aracatuba
dc.description.affiliationUnespDepartment of Dental Materials and Prosthodontics São Paulo State University (UNESP) School of Dentistry–Aracatuba
dc.identifierhttp://dx.doi.org/10.1080/01942638.2023.2173038
dc.identifier.citationPhysical and Occupational Therapy in Pediatrics.
dc.identifier.doi10.1080/01942638.2023.2173038
dc.identifier.issn1541-3144
dc.identifier.issn0194-2638
dc.identifier.scopus2-s2.0-85148214222
dc.identifier.urihttp://hdl.handle.net/11449/248361
dc.language.isoeng
dc.relation.ispartofPhysical and Occupational Therapy in Pediatrics
dc.sourceScopus
dc.subjectCerebral palsy
dc.subjectelectromyography
dc.subjectevidence-based practice
dc.subjectmasticatory muscles
dc.subjectsystematic review
dc.titleAbnormal Activity of Masticatory Muscles in Patients with Diagnosis of Cerebral Palsy. A Systematic Review and Meta-Analysis of Observational Studiesen
dc.typeResenha
unesp.author.orcid0000-0002-5929-3253[5]

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Artigos - Materiais Odontológicos e Prótese - FOA