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Instrumental assessment of sleep bruxism: A systematic review and meta-analysis.
Cid-Verdejo, Rosana; Chávez Farías, Camilo; Martínez-Pozas, Oliver; Meléndez Oliva, Erika; Cuenca-Zaldívar, Juan Nicolás; Ardizone García, Ignacio; Martínez Orozco, Francisco J; Sánchez Romero, Eleuterio A.
Afiliación
  • Cid-Verdejo R; Faculty of Dentistry, Universidad Complutense de Madrid, Plaza de Ramón y Cajal s/n, 28040, Madrid, Spain; Department of Clinical Dentistry, Faculty of Biomedical Sciences, Universidad Europea de Madrid, Plaza de Francisco Morano s/n, 28670, Madrid, Spain. Electronic address: roscid@ucm.es.
  • Chávez Farías C; Faculty of Dentistry, Universidad Complutense de Madrid, Plaza de Ramón y Cajal s/n, 28040, Madrid, Spain.
  • Martínez-Pozas O; Interdisciplinary Group on Musculoskeletal Disorders, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670, Villaviciosa de Odón, Spain; Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Escuela Internacional de Doctorado, Universidad Rey Juan Car
  • Meléndez Oliva E; Interdisciplinary Group on Musculoskeletal Disorders, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670, Villaviciosa de Odón, Spain; Physiotherapy and Orofacial Pain Working Group, Sociedad Española de Disfunción Craneomandibular y Dolor Orofacial (SEDCYDO), 28009, Madrid, Spain; Depa
  • Cuenca-Zaldívar JN; Interdisciplinary Group on Musculoskeletal Disorders, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670, Villaviciosa de Odón, Spain; Grupo de Investigación en Fisioterapia y Dolor, Departamento de Enfermería y Fisioterapia, Facultad de Medicina y Ciencias de La Salud, Universidad de A
  • Ardizone García I; Faculty of Dentistry, Universidad Complutense de Madrid, Plaza de Ramón y Cajal s/n, 28040, Madrid, Spain.
  • Martínez Orozco FJ; Clinical Neurophysiology Department, Hospital Clínico San Carlos, 28040, Madrid, Spain.
  • Sánchez Romero EA; Interdisciplinary Group on Musculoskeletal Disorders, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670, Villaviciosa de Odón, Spain; Physiotherapy and Orofacial Pain Working Group, Sociedad Española de Disfunción Craneomandibular y Dolor Orofacial (SEDCYDO), 28009, Madrid, Spain; Depa
Sleep Med Rev ; 74: 101906, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38295573
ABSTRACT
This systematic review and meta-analysis (MA) aimed to evaluate the diagnostic validity of portable electromyography (EMG) diagnostic devices compared to the reference standard method polysomnography (PSG) in assessing sleep bruxism. This systematic review was completed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement and was registered with PROSPERO prior to the accomplishment of the main search. Ten clinical studies on humans, assessing the diagnostic accuracy of portable instrumental approaches with respect to PSG, were included in the review. Methodological shortcomings were identified by QUADAS-2 quality assessment. The certainty of the evidence analysis was established by different levels of evidence according to the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework. A meta-analysis of diagnostic test accuracy was performed with multiple thresholds per study applying a two-stage random effects model, using the thresholds offered by the studies and based on the number of EMG bruxism events per hour presented by the participants. Five studies were included. The MA indicated that portable EMG diagnostic devices showed a very good diagnostic capacity, although a high variability is evident in the studies with some outliers. Very low quality of evidence due to high risk of bias and high heterogeneity among included studies suggests that portable devices have shown high sensitivity and specificity when diagnosing sleep bruxism (SB) compared to polysomnography. The tests performed in the MA found an estimated optimal cut-off point of 7 events/hour of SB with acceptably high sensitivity and specificity for the EMG portable devices.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Polisomnografía / Bruxismo del Sueño / Electromiografía Tipo de estudio: Guideline / Systematic_reviews Límite: Humans Idioma: En Revista: Sleep Med Rev Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Polisomnografía / Bruxismo del Sueño / Electromiografía Tipo de estudio: Guideline / Systematic_reviews Límite: Humans Idioma: En Revista: Sleep Med Rev Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido