Alghadir Ahmad H, Zafar Hamayun, Iqbal Zaheen A
Funct Neurol. 2015 Jan-Mar;30(1):53-7.
Studies in the literature show that jaw and neck regions are linked anatomically, biomechanically and neurologically. Voluntary clenching has been shown to improve muscle strength and performance of various motor tasks. Information from the neck sensory-motor system is reported to be important for posture. Hence it is reasonable to believe that activation of the jaw sensory-motor system has the potential to modulate posture. In a sample of 116 healthy subjects, we compared center of gravity (COG) velocity during quiet standing on a foam surface during three test positions: i) resting jaw, ii) open jaw, and iii) clenching; these were tested in two conditions: with eyes open and with eyes closed. The COG velocity decreased significantly during clenching in comparison to both open and resting jaw positions (p<0.0001). This suggests that the jaw sensory-motor system can modulate postural mechanisms. We conclude that jaw clenching can enhance postural stability during standing on an unstable surface in both the presence and absence of visual input in healthy adults and suggest that this should be taken into consideration in treatment and rehabilitation planning for patients with postural instability.
文献研究表明,颌部与颈部区域在解剖学、生物力学和神经学方面相互关联。研究显示,自主咬紧牙关可增强肌肉力量并改善各种运动任务的表现。据报道,来自颈部感觉运动系统的信息对姿势很重要。因此,有理由相信激活颌部感觉运动系统有可能调节姿势。在116名健康受试者的样本中,我们比较了在三种测试姿势下在泡沫表面安静站立时的重心(COG)速度:i)颌部放松,ii)张嘴,以及iii)咬紧牙关;这些姿势在两种条件下进行测试:睁眼和闭眼。与张嘴和颌部放松姿势相比,咬紧牙关时COG速度显著降低(p<0.0001)。这表明颌部感觉运动系统可以调节姿势机制。我们得出结论,在健康成年人中,无论有无视觉输入,咬紧牙关都可以增强在不稳定表面站立时的姿势稳定性,并建议在姿势不稳定患者的治疗和康复计划中应考虑到这一点。