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成人的牙合与姿势控制

Dental occlusion and postural control in adults.

作者信息

Tardieu Corinne, Dumitrescu Michel, Giraudeau Anne, Blanc Jean-Luc, Cheynet François, Borel Liliane

机构信息

Faculté d'Odontologie, Université de la Méditerranée, 27, Boulevard Jean Moulin, 13385 Marseille Cedex 5, France.

出版信息

Neurosci Lett. 2009 Jan 30;450(2):221-4. doi: 10.1016/j.neulet.2008.12.005. Epub 2008 Dec 6.

Abstract

We studied the influence of a dental occlusion perturbation on postural control. The tests were performed in three dental occlusion conditions: (Rest Position: no dental contact, Maximal Intercuspal Occlusion: maximal dental contact, and Thwarted Laterality Occlusion: simulation of a dental malocclusion) and four postural conditions: static (stable platform) and dynamic (unstable platform), with eyes open and eyes closed. A decay of postural control was noted between the Rest Position and Thwarted Laterality Occlusion conditions with regard to average speed and power indexes in dynamic conditions and with eyes closed. However, the head position and stabilization were not different from those in the other experimental conditions, which means that the same functional goal was reached with an increase in the total energetic cost. This work shows that dental occlusion differently affects postural control, depending on the static or dynamic conditions. Indeed, dental occlusion impaired postural control only in dynamic postural conditions and in absence of visual cues. The sensory information linked to the dental occlusion comes into effect only during difficult postural tasks and its importance grows as the other sensory cues become scarce.

摘要

我们研究了牙合干扰对姿势控制的影响。测试在三种牙合条件下进行:(休息位:无牙接触;最大牙尖交错位:最大牙接触;以及偏侧干扰牙合:模拟牙颌畸形)和四种姿势条件下进行:静态(稳定平台)和动态(不稳定平台),分别在睁眼和闭眼状态下。在动态条件且闭眼时,观察到休息位和偏侧干扰牙合条件之间在平均速度和功率指标方面姿势控制有所下降。然而,头部位置和稳定性与其他实验条件下并无差异,这意味着在总能量消耗增加的情况下达到了相同的功能目标。这项研究表明,牙合对姿势控制的影响因静态或动态条件而异。实际上,牙合仅在动态姿势条件且无视觉线索时会损害姿势控制。与牙合相关的感觉信息仅在困难的姿势任务中起作用,并且随着其他感觉线索变得稀缺,其重要性会增加。

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