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Postural stability in subjects with temporomandibular disorders and healthy controls: A comparative assessment
Institution:1. Dental School, Vita-Salute San Raffaele University, Milan, Italy;2. Faculty of Kinesiology, University of Split, Croatia;3. University eCampus, Novedrate, Italy;1. Department of Surgical Sciences, Specialization School of Orthodontics, Dental School, University of Turin, Turin, Italy;2. Department of Surgical Sciences, Dental School, University of Turin, Turin, Italy;3. Department of Mechanics and Aerospace Engineering, Politecnico di Torino, Turin, Italy;4. Department of Surgical Sciences, Gnatology Unit, Dental School, University of Turin, Turin, Italy;5. Department of Medical Science, University of Turin, Turin, Italy;1. Laboratory of Anatomy, Bordeaux University Hospital, Hôpital Pellegrin, Place Amélie-Raba-Léon, 33076, Bordeaux, France;2. School of Physiotherapy and Exercise Science, Curtin University, P.O. Box U1987, Perth, WA, 6845, Australia;3. University of Applied Science, Department of Rehabilitation, Osnabrück, Germany;1. Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, 2500 University Drive NW, Calgary, Alberta, Canada T2N 1N4;2. Department of Orthodontics, School of Dentistry, Goethe-University of Frankfurt, Frankfurt/Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany;1. Temporomandibular Disorders and Orofacial Pain Clinic of the Oral and Maxillofacial Surgery Department, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil;2. Postgraduate Program in Dental Sciences, University of São Paulo, São Paulo, SP, Brazil;1. Service de Chirurgie Maxillo-Faciale, Sorbonne Université, APHP, Hôpital Pitié-Salpêtrière, Paris, France;2. Arts et Métiers Sciences et Technologies, Institut de Biomécanique Humaine Georges Charpak, Paris, France;3. Groupe Hospitalier Universitaire APHP – Sorbonne Université, site Pitié-Salpêtrière, Service des Pathologies du Sommeil (Département R3S), Paris, France;4. Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France;1. Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Israel;2. Department of Oral Pathology & Oral Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel;3. Department of Oral Rehabilitation, Charge of, TMD & Orofacial Pain Clinic, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel
Abstract:Purpose of the studyThe influence of the stomatognathic apparatus on body posture is a continuously discussed topic with contrasting results. The aim of this study is to analyze differences in postural stability between subjects with and without myogenous TMD.Methods25 subjects affected by myogenous TMD according with DC/TMD (6 males, 19 females; mean age 31.75 ± 6.68 years) and a healthy control group of 19 subjects (4 Males, 15 Females; mean age 27.26 ± 3.85 years) were enrolled in the study.Both groups underwent a posturo-stabilometric force platform exam under different mandibular and visual conditions. Sway area and sway velocity of the COP (Center Of foot Pressure) posturo-stabilometric parameters were evaluated and compared applying Mann-U-Whitney statistical test.ResultsThe sway area and sway velocity parameters resulted statistically significantly higher in the TMD group (sway area p < 0.01; sway velocity p < 0.05) in mandibular maximum intercuspation and rest positions with eyes open.ConclusionsThis study demonstrates a significant difference in body postural stability between subjects with myogenous TMD and healthy controls. In particular, sway area and sway velocity postural parameters are increased in these subjects.
Keywords:Posture  Postural balance  Temporomandibular joint disorders  Mandible  Masticatory muscles
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