Rocha T, Castro M A, Guarda-Nardini L, Manfredini D
Escola Superior De Tecnologia de Saude, University of Coimbra, Coimbra, Portugal.
Section of Dentistry and Maxillofacial Surgery, Hospital of Treviso, Treviso, Italy.
J Oral Rehabil. 2017 Feb;44(2):81-88. doi: 10.1111/joor.12470.
The presence of body posture changes among patients with temporomandibular disorders (TMD) has been a controversial topic in dentistry. Based on that, the aim of this study was to assess postural features of pain-free subjects with internal derangement of the temporomandibular joint (TMJ), viz. disc displacement, when compared to subjects with normal disc position. A total of 21 subjects with unilateral, pain-free TMJ disc displacement (DD) and 21 subjects without any TMD signs of symptoms were assessed for body posture changes by means of posturographic evaluation of several body segments and postural balance reactions through the centre of mass during jaw movements using a balance platform. Posturographic measurements showed the absence of any significant differences between the two groups in any of the outcome parameters. Similarly, all balance platform responses to mandibular movements were not different between groups. There are no significant differences in body posture between subjects with and without unilateral disc displacement in the temporomandibular joint. Such observations, indicating a well-preserved postural balance in the presence of TMJ internal derangement, put into serious question the potential influence of TMJ disorders on whole body posture and viceversa.
颞下颌关节紊乱病(TMD)患者身体姿势的变化一直是牙科领域颇具争议的话题。基于此,本研究旨在评估颞下颌关节(TMJ)内部紊乱即盘移位的无痛受试者与盘位置正常的受试者相比的姿势特征。通过使用平衡平台对几个身体部位进行姿势描记评估以及在颌运动过程中通过质心进行姿势平衡反应,对21名单侧无痛TMJ盘移位(DD)的受试者和21名无任何TMD症状体征的受试者的身体姿势变化进行了评估。姿势描记测量结果显示,两组在任何结果参数上均无显著差异。同样,两组之间所有对下颌运动的平衡平台反应也无差异。颞下颌关节单侧盘移位的受试者与无盘移位的受试者在身体姿势上无显著差异。这些观察结果表明,在存在TMJ内部紊乱的情况下姿势平衡良好,这严重质疑了TMJ疾病对全身姿势的潜在影响,反之亦然。