Index to Chiropractic Literature
Index to Chiropractic Literature
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Saturday, March 28, 2026
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ID 28775
  Title Algorithm for temporomandibular disorders with osteopathic manipulative therapy: An expert consensus
URL https://doi.org/10.1016/j.jcm.2025.09.034
Journal J Chiropr Med. 2025 ;24(1-4):219-225
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objective: The purpose of this study was to create a consensus algorithm for the osteopathic approach to temporomandibular dysfunctions.  

Methods: A conventional Delphi method of at least 3 rounds of questionnaires was carried out by a panel of experts to reach a consensus on a flowchart algorithm for the diagnosis and treatment of temporomandibular disorders with osteopathic manipulative therapy.

Results: During the 3 rounds, a total of 7 panellists participated. Consensus was reached on 182 items (70.54% = 182/258). The algorithm has a numerical code with which the direction of each option can be followed, and a color code that shows the classification of each of the items (anamnesis, examination, observation, referral, palpation and treatment). The algorithm begins with 4 main categories: psychological aspects, exclusion criteria, physical aspects, and other issues, which are further subdivided into specific items that will be addressed according to the findings obtained during the patient visit.

Conclusion: This study created an algorithm for the osteopathic approach to temporomandibular dysfunctions.

Author Keywords: Temporomandibular Joint Disorders; Musculoskeletal Manipulations; Osteopathic Medicine; Delphi Technique; Pain; Bruxism

This abstract is reproduced with the permission of the publisher; click on the above link for free full text.

 
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