Tổng quan hệ thống và phân tích gộp hiệu quả của thiết bị phân tích độ rung khớp trong chẩn đoán rối loạn khớp thái dương hàm

This systematic review and meta-analysis aimed to investigate the diagnostic capability of Joint Vibration Analysis (JVA) to assess temporomandibular joint disorders (TMD). A systematic unrestricted search was done in the Pubmed, Cochrane and ScienceDirect databases until August, 2021. The eligibility criteria included studies that: (1) evaluated the efficacy of JVA in assessing patients with TMD, (2) used MRI or Arthrography as the reference standard, (3) provided sufficient accuracy outcome variables. The risk of bias was evaluated using the QUADAS-2. Meta-analyses were performed with RevMan 5.3 and Metadisc 1.4. A total of 6 studies were evaluated and only 5 qualified for meta-analyses. For the diagnosis of disc displacement with reduction (DDR), the pool sensitivity, pool specificity and summary receiver operating characteristic curve (sROC) of JVA were respectively 78%, 83%, 0.87; while those results of disc displacement without reduction (DDWR) were respectively 77%, 63%, 0.74. Only one study evaluated the efficacy of JVA in diagnosing degenerative joint disease (DJD) with a sensitivity of 76.3% and a specificity of 77.9%. We found that the diagnostic value of JVA for screening disc displacement is sufficient for its use in the decision-making in dental practice, in which subjects with suspected DDR have higher accuracy outcome than DDWR.