Effectiveness and cost-effectiveness of Chuna manual therapy for temporomandibular disorder: A randomized clinical trial

Summary of Chuna Manual Therapy for TMJ Disorders

The study investigates how effective and cost-effective Chuna manual therapy (CMT) is for treating temporomandibular joint disorders (TMD), specifically myofascial TMD.

Study Overview

A clinical trial was conducted from 2018 to 2019 with 80 patients suffering from TMJ pain for over three months. Patients were split into two groups:

  • CMT Group: Received eight sessions of Chuna manual therapy over four weeks.
  • Usual Care Group: Received standard physical therapy for the same duration.

Key Findings

After 26 weeks, the study measured:

  • Pain Reduction: The CMT group showed a decrease in pain, though not statistically significant at week 5.
  • Function and Quality of Life: Significant improvements were noted in specific measures, such as the EuroQoL-VAS and Jaw Functional Limitation Scale.
  • Cost-Effectiveness: CMT was $338 cheaper overall compared to usual care, despite being $150 more expensive per session.
  • Quality-Adjusted Life Years (QALY): The CMT group had a slightly higher QALY.

Practical Implications

The study suggests that CMT can be a cost-effective treatment for TMD, improving patients’ function and quality of life. This could support the expansion of health insurance coverage for Chuna therapy in Korea.

Next Steps for Clinics and Patients

To implement these findings:

  • Define Measurable Outcomes: Set clear goals for effectiveness and cost-effectiveness.
  • Select AI Tools: Choose AI solutions that fit clinical needs.
  • Implement Step by Step: Start with a pilot project and track results using AI tools.

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