Gizem ERGEZEN, Mustafa ŞAHİN, Zeliha Candan ALGUN

Investigation of the Relationship between Temporomandibular Disorder and Postural Analysis

INTRODUCTION: Muscular and ligamentous structures connect the temporomandibular joint (TMJ) to the cervical region to form a functional unit. Changes in one of the two regions, either TMJ or cervical spine, may affect the other region due to changes in the muscle segment. Our aim is to evaluate and compare whether individuals with temporomandibular disorders differ from healthy individuals in the global postural alignment by objective evaluation method. METHODS: Group 1 (N=30) consist of mixed type temporomandibular disorder (TMD), Group 2 (N=30) consist of healthy temporomandibular joint, totally 60 individuals between the ages of 18-35 were included in this study. Posture Screen Mobile® (PSM) and New York Posture Scale (NYPS) were used for assessment of posture and Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) for diagnosis of TMD and healthy joints. DISCUSSION AND CONCLUSION: It may be beneficial to consider that some postural disorders can be caused by TMD or that TMD can lead to this posture. Being careful about postural alignment in these patients may be important in terms of multidisciplinary approach to TMD patients for proper treatment program and prevention of possible disorders.

Temporomandibular Bozukluk ve Postüral Analiz Arasındaki İlişkinin İncelenmesi

GİRİŞ ve AMAÇ: Kas ve ligamentöz yapılar temporomandibular eklemi (TME) servikal bölgeye bağlayarak fonksiyonel bir birimoluşturur. İki bölgeden birinde, TME veya servikal omurgada meydana gelen değişiklikler, kas segmentindeki değişiklikler nedeniyle diğer bölgeyi etkileyebilir. Amacımız, temporomandibular bozukluğu olan bireylerin global postural dizilimde sağlıklı bireylerden bir farklılık gösterip göstermediğini objektif değerlendirme methodu ile değerlendirip karşılaştırmaktır. YÖNTEM ve GEREÇLER: Grup 1 (N = 30) mixed tip temporomandibular bozukluktan (TMD), Grup 2 (N = 30) sağlıklı temporomandibular eklemden oluşmakta olup, 18-35 yaşları arasında toplam 60 kişi çalışmaya alındı. Postürü değerlendirmek için PostureScreen Mobile® (PSM) ve New York Postür Skalası (NYPS), sağlıklı eklem ve temporomandibular disfonksiyon tanısı için ise Temporomandibular BozukluklardaAraştırma Teşhis Kriterleri (RDC / TMD) kullanıldı. BULGULAR: Sagital düzlemde diz translasyonu Grup 1’de daha yüksekti (p

PDF

___

1. VisscherCM,BoerWDE,Lobbezoo F,HabetsLLMH. Isthere a relationship between head posture and crandiomandibular pain? J Oral Rehabil. 2002; 29(11):1030-1036. https://doi.org/10.1046/j.1365-2842.2002.00998.x

2. LeResche L, Saunders K, Von Korff MR, Barlow W, Dworkin SF.Use of exogenous hormones and risk oftemporomandibular disorder pain. Pain. 1997; 69(1-2):153-60. https://doi.org/10.1016/S0304-3959(96)03230-7

3. Nomura K, Vitti M, de Oliveira AS, Chaves TC, Semprini M, siéssere S, et al. Use of the fonseca’s questionnaire to assess the prevalence and severity of temporomandibular disorders in brazilian dental undergraduates. Braz Dent J. 2007; 18(2):163-7. https://doi.org/10.1590/S0103-64402007000200015

4. Valentić-peruzović M. Temporomandibular DisordersProblems in Diagnostic. 2010; 2:11-32. 4

5. Rocabado M. Biomechanical relationship of the cranial, cervical, and hyoid regions: A discussion. J Craniomandib Pract. 1983; 1(3):61-6. https://doi.org/10.1080/07345410.1983.11677834

6. Kitsoulis P, MariniA, Iliou K, Galani V, ZimpisA, Kanavaros P, et al. Signs and symptoms of temporomandibular joint disorders related to the degree of mouth opening and hearing loss. BMC Ear, Nose Throat Disord. 2011; 11(1):1-8. https://doi.org/10.1186/1472-6815-11-5

7. Cesar Munhoz W, Pasqual Marques A. Body Posture Evaluations In Subjects with Internal Temporomandibular Joint Derangement. Cranio® [Internet]. 2009; 27(4):231- 42. Available from: http://www.tandfonline.com/doi/ full/10.1179/crn.2009.034

8. Hong SW, Lee JK, Kang JH. Relationship among Cervical Spine Degeneration, Head and Neck postures, and Myofascial Pain in Masticatory and Cervical Muscles in Elderly with Temporomandibular Disorder. Arch Gerontol Geriatr [Internet]. 2019 https://doi.org/10.1590/S1807-59322009000100007

9. Chaves TC, deAndrade e Silva TS, Monteiro SAC, Watanabe PCA, Oliveira AS, Grossi DB. Craniocervical posture and hyoid bone position in children with mild and moderate asthma and mouth breathing. Int J Pediatr Otorhinolaryngol. 2010; 74(9):1021-7. https://doi.org/10.1016/j.ijporl.2010.05.031

10. Nicolakis P, Nicolakis M, Piehslinger E, Ebenbichler G, Vachuda M, Kirtley C, et al. Relationship between Craniomandibular Disorders and Poor Posture. Cranio. 2000; 18(2):106-12. https://doi.org/10.1080/08869634.2000.11746121

11. Sonnesen L, Bakke M, Solow B. Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. Eur J Orthod. 2001; 23(2):179-92. https://doi.org/10.1093/ejo/23.2.179

12. Câmara-Souza MB, Figueredo OMC, Maia PRL, Dantas IS, BarbosaGAS.Cervicalpostureanalysisindentalstudentsand itscorrelationwithtemporomandibulardisorder.Cranio.2018 Mar; 36(2):85-90. doi: 10.1080/08869634.2017.1298226. Epub 2017 Mar 8. PMID: 28274183.

13. Matheus RA, Ramos-Perez FMDM, Menezes AV, Ambrosano GMB, Haiter-Neto F, Bóscolo FN, et al. The relationship between temporomandibular dysfunction and head and cervical posture. J Appl Oral Sci. 2009; 17(3):204-8. https://doi.org/10.1590/S1678-77572009000300014

14. Visscher CM, Lobbezoo F, de Boer W, van der Zaag J, Naeije M. Prevalence of cervical spinal pain in craniomandibular pain patients. Eur J Oral Sci [Internet]. 2001; 109(2):76-80. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/11347659. https://doi.org/10.1034/j.1600-0722.2001.00996.x

15. Munhoz WC, Marques AP, Siqueira JTT de. Radiographic evaluation of cervical spine of subjects with temporomandibular joint internal disorder. Braz Oral Res [Internet]. 2004; 18(4):283-9. Available from: http:// www.scielo.br/scielo.php?script=sci_arttext&pid=S1806- 83242004000400002&lng=en&nrm=iso&tlng=en. https://doi.org/10.1590/S1806-83242004000400002

16. Zonnenberg AJJ, Van Maanen CJ, Oostendorp RAB, Elvers JWH. Body posture photographs as a diagnostic aid for musculoskeletal disorders related to temporomandibular disorders (TMD). Cranio. 1996; 14(3):225-32. https://doi.org/10.1080/08869634.1996.11745972

17. Saito ET, Akashi PMH, de Camargo Neves Sacco I. Global BodyPostureEvaluationinPatientswithTemporomandibular Joint Disorder. Clinics (Sao Paulo). 2009; 64(1):35-9. https://doi.org/10.1590/S1807-59322009000100007

18. Munhoz WC, Marques AP, De Siqueira JTT. Evaluation of body posture in individuals with internal temporomandibular joint derangement. Cranio. 2005; 23(4):269-77. https://doi.org/10.1179/crn.2005.038

19. Munhoz WC, Marques AP. Body posture evaluations in subjects with internal temporomandibular joint derangement. Cranio - J Craniomandib Pract. 2009; 27(4):231-42. https://doi.org/10.1179/crn.2009.034

20. RochaCP, Croci CS, Caria PHF. Isthere relationship between temporomandibular disorders and head and cervical posture? A systematic review. J Oral Rehabil. 2013; 40(11):875-81. https://doi.org/10.1111/joor.12104

21. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May; 39(2):175-91. doi: 10.3758/bf03193146. PMID: 17695343.

22. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009 Nov; 41(4):1149-60. doi: 10.3758/BRM.41.4.1149. PMID: 19897823.

23. Souza JA, Pasinato F, Corrêa ECR, Maria A, Silva T. Global Body Posture and Plantar Pressure Distribution in Individuals With and Without Temporomandibular Disorder: A Preliminary Study. J Manipulative Physiol Ther [Internet]. 2014; 37(6):407-14. Available from: http://dx.doi. org/10.1016/j.jmpt.2014.04.003

24. Szucs KA, Brown EVD. Rater reliability and construct validity of a mobile application for posture analysis. J Phys Ther Sci. 2018; 30(1):31-6. https://doi.org/10.1589/jpts.30.31

25. Arnold CM, Beatty B, Harrison E, Olszynski W. The reliability of five clinical postural alignment measures for women with osteoporosis. Physiother Canada. 2000; 52(287- 294).

26. Hennessey L, Watson AW. Flexibility and posture assessment in relation to hamstring injury. Br J Sports Med [Internet]. 1993; 27(4):243-6. Available from: http://www.pub medcentral.nih.gov/articlerender. fcgi?artid=1332012&tool=pmcentrez&rendertype=abstract https://doi.org/10.1136/bjsm.27.4.243

27. Watson AWS, Mac Donncha C. A reliable technique for the assessment of posture: assessment criteria for aspects of posture. j Sport med phys fitnes. 2000; 40:260-70.

28. McRoberts LB, Cloud RM, Black CM. Evaluation of the New York Posture Rating Chart for Assessing Changes in Postural Alignment in a Garment Study. Cloth Text Res J. 2013; 31(2):81-96. https://doi.org/10.1177/0887302X13480558

29. Steenks M, de Wijer A. Validity of the Research Diagnostic Criteria for Temporomandibular Disorders Axis I in clinical and research settings. J Orofac Pain. 2009; 23(1):9-16.

30. Mike TJ, Samuel FD, Lloyd A. Reliability of clinical temporomandibular disorder diagnoses.Pain. 2005; 118(1- 2): 61-69. https://doi.org/10.1016/j.pain.2005.07.018

31. Kurkcu M. (Translation in Turkish) Research Diagnostic Criteria for Temporomandibular Disorders. Journal of CraniomandibularDisorders:Facial&OralPain,1992.http:// www.rdc-tmdinternational.org/TMDAssessmentDiagnosis/ RDCTMD/Translations/Turkish.aspx

32. Chaves TC, Turci AM, Pinheiro CF, Sousa LM, Grossi DB. Static body postural misalignment in individuals with temporomandibular disorders:Asystematic review. Brazilian J Phys Ther. 2014; 18(6):481-501. https://doi.org/10.1590/bjpt-rbf.2014.0061

33. Iunes DH, Carvalho LCF, Oliveira AS, BevilaquaGrossi D. Craniocervical posture analysis in patients with temporomandibular disorder. 2009; 13(1):89-95. https://doi.org/10.1590/S1413-3555200900500001

34. UritaniD,KawakamiT,InoueT,KiritaT.CharacteristicsofUpper Quadrant Posture of Young Women with Temporomandibular Disorders. J Phys Ther Sci [Internet]. 2014; 26(9):1469- 72. Available from:http://jlc.jst.go.jp/DN/JST.JSTAGE/ jpts/26.1469?lang=en&from=CrossRef&type=abstract https://doi.org/10.1589/jpts.26.1469

35. Bakalkin G, Larygin K, Kobylianskiĭ A, Samovilova N. Postural asymmetry induction by factors of the right and left hemispheres. Dokl Akad Nauk SSSR. 1981; 260(5):1271-5.

36. Previc FH. The relationship between eye dominance and head tilt in humans. Neuropsychologia. 1994; 32(10):1297- 303. https://doi.org/10.1016/0028-3932(94)90111-2

37. Souza JA, Pasinato F, Corrêa ECR, Maria A, Silva T. Global Body Posture and Plantar Pressure Distribution in Individuals With and Without Temporomandibular Disorder: A Preliminary Study. J Manipulative Physiol Ther [Internet].2014; 37(6):407-14. Available from: http://dx.doi. org/10.1016/j.jmpt.2014.04.003

38. Bonato L, Quinelato V, De Felipe Cordeiro P, De Sousa E, Tesch R, Casado P. Association between temporomandibular disorders and pain in other regions of the body. J Oral Rehabil. 2016; 44(1):9-15. https://doi.org/10.1590/bjpt-rbf.2014.0061