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一名职业篮球运动员的颌学姿势治疗:病例报告及牙合对运动表现作用的概述

Gnathological postural treatment in a professional basketball player: a case report and an overview of the role of dental occlusion on performance.

作者信息

Baldini Alberto, Beraldi Alessandro, Nota Alessandro, Danelon Furio, Ballanti Fabiana, Longoni Salvatore

机构信息

Department of Orthodontics, University of Rome "Tor Vergata", Italy.

出版信息

Ann Stomatol (Roma). 2012 Apr;3(2):51-8. Epub 2012 Aug 9.

Abstract

AIMS

During competitions and training many professional athletes use to wear occlusal splints to improve their sports performance. However, notwithstanding some studies concluded that achieving a balanced cranial-occlusal system could bring to an improvement of sports performances, the results are still contrasting. Probably the gnathological postural treatment of athletes has greater influence on performance when the individual suffers of Temporomandibular Joint Disfunction (TMJ) or physio-postural pathologies owing to the consequent alteration of the "tonic-postural system". This clinical case details a gnathological postural approach to a professional basketball player suffering from muscular problems related to the stomatognathic apparatus and a low back pain unresolved with the only physiotherapy, which limited her performance.

METHODS

Force platform and T-Scan III appliances were used in order to check the postural and occlusal condition of the athlete and as an aid to clinical parameters in achieving a correct splint balance.

RESULTS

After the treatment involving inserting an occlusal splint and physiotherapy sessions, the patient no longer complained of low back pain problems and the symptoms associated with the stomatognathic apparatus improved considerably. In particular, after the tests carried out on an isokinetic machine, a force increase related to the quadriceps muscles was detected when the patient was wearing the occlusal splint.

CONCLUSIONS

All athletes must however be analysed individually and carefully with clinical and instrumental analyses in order to consider the possible real effectiveness of an occlusal splint for improving postural structure and sports performance.

摘要

目的

在比赛和训练期间,许多职业运动员习惯佩戴咬合板以提高运动表现。然而,尽管一些研究得出结论,实现平衡的颅颌系统可带来运动表现的提升,但结果仍存在差异。当个体患有颞下颌关节功能紊乱(TMJ)或由于“紧张性姿势系统”的改变而出现生理姿势病理状况时,对运动员的口腔颌学姿势治疗可能对其表现产生更大影响。本临床病例详细介绍了一种针对一名职业篮球运动员的口腔颌学姿势治疗方法,该运动员患有与口颌系统相关的肌肉问题以及仅通过物理治疗无法解决的下背痛,这些问题限制了她的表现。

方法

使用测力平台和T-Scan III设备来检查运动员的姿势和咬合状况,并辅助确定正确的咬合板平衡所需的临床参数。

结果

在进行了包括插入咬合板和物理治疗课程的治疗后,患者不再抱怨下背痛问题,与口颌系统相关的症状也有了显著改善。特别是,在等速肌力测试中,当患者佩戴咬合板时,检测到股四头肌的力量有所增加。

结论

然而,所有运动员都必须进行单独且仔细的临床和仪器分析,以便考虑咬合板对改善姿势结构和运动表现的实际效果。

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