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Bridging the gap between temporomandibular disorders,static balance impairment and cervicogenic dizziness: Posturographic and clinical outcomes
Institution:1. University of Rome Tor Vergata, Department of Clinical Sciences and Translational Medicine, Italy;2. ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy;3. Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy;1. Associate Professor, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Atatürk University, Erzurum, Turkey;2. Research Assistant, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Atatürk University, Erzurum, Turkey;1. Centro Médico Ruber Internacional, Madrid, España;2. Fundación San Juan de Dios, Centro de CC de la Salud San Rafael, Universidad Antonio de Nebrija, Madrid, España;3. Madrid;1. Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Italy;2. Institute of Clinical Research, Computed Assisted Robotic Surgery Lab, Université Catholique de Louvain, Belgium;3. Institute of Applied Mechanics (Civil Engineering), Chair II Continuum Biomechanics and Mechanobiology Research Group, University of Stuttgart, Germany;4. Pain Clinic, Center for Anesthesiology, Emergency and Intensive Care Medicine, University Hospital Göttingen, Germany;5. Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, UK;1. Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, Gunma, Japan;2. Department of Special Care Dentistry, Osaka Dental University Hospital, Osaka, Japan;3. Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, Osaka, Japan;1. Section of Orthodontics, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark;2. Section of Radiology, Department of Odontology, Faculty of Health Medical Sciences, University of Copenhagen, Copenhagen, Denmark;3. Department of Radiology, Musculoskeletal Section, Rigshospitalet, Copenhagen, Denmark;4. Section of Oral Medicine (Clinical Oral Physiology), Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
Abstract:Several studies have investigated the possible influence of temporomandibular disorders (TMD) on body posture and whether cervical spine disorders, such as cervicogenic dizziness (CGD) could play an additional role in affecting static balance. The purpose of this study was to analyze static postural behavior by means of static posturography, in patients affected by either TMD or CGD alone or by both conditions, and to compare findings with a group of healthy subjects. Significant changes in posturographic parameters were found among the three groups of patients and when compared with controls. When the three study groups were compared to each other, subjects affected by a combination of TMD and CGD showed worse postural performances with respect to subjects affected by CGD or TMD alone. Correlations with self-perceived dizziness, anxiety, depression and jaw functionality, investigated by means of validated questionnaires, were found among all patient groups. These results provide new evidences for the presence of static balance alterations in patients suffering from TMD with and without associated cervical spine impairment, by using a reliable diagnostic technique. Further studies are needed in order to identify any causal relation between these two disorders.
Keywords:Temporomandibular disorders  Cervicogenic dizziness  Cervical range of motion  Posturography  Spectral analysis  Spine movement
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