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儿童牙列错合对身体姿势和足部姿势的影响:一项横断面研究。

Influence of Dental Malocclusion on Body Posture and Foot Posture in Children: A Cross-Sectional Study.

作者信息

Pérez-Belloso Ana Juana, Coheña-Jiménez Manuel, Cabrera-Domínguez Maria Eugenia, Galan-González Antonio Francisco, Domínguez-Reyes Antonia, Pabón-Carrasco Manuel

机构信息

Department of Podiatry, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, 41009 Sevilla, Spain.

Department of Podiatry, University of Sevilla, 41009 Sevilla, Spain.

出版信息

Healthcare (Basel). 2020 Nov 14;8(4):485. doi: 10.3390/healthcare8040485.

Abstract

The number of studies that investigate the correlations between the temporomandibular system and body posture, postural control, or the distribution of plantar pressure has recently been increasing. However, most of the existing information is not conclusive. Therefore, the study objective was to evaluate if the features of dental malocclusion are correlated with body posture alterations at the lower limb level. This is a multicentre cross-sectional study with 289 children (8-14 years). Angle's molar relation was analysed at the dental level. The postural control and the plantar pressure distribution were recorded via a force platform. Correlation and inferential analysis between the Angle class and the foot's biomechanics were tested. The centre of gravity is anteriorised in Angle's Class II in both the molar class ( ≤ 0.001) and the canine class ( ≤ 0.001). Likewise, a relationship was observed between the contact surface and Angle's classes, being higher in class III than in II ( ≤ 0.001). The plantigrade phase is shortened in Angle's Class III. A relationship was found between Angle's Class II and a forward movement of the centre of gravity. No relationship was found between the Foot Posture Index and the truncated scaphoid height and the dental classification. An evident relationship between the gait typology and dental malocclusion was not found.

摘要

近年来,研究颞下颌系统与身体姿势、姿势控制或足底压力分布之间相关性的研究数量不断增加。然而,现有的大多数信息尚无定论。因此,本研究的目的是评估牙合畸形特征是否与下肢水平的身体姿势改变相关。这是一项针对289名儿童(8至14岁)的多中心横断面研究。在牙齿层面分析了安氏磨牙关系。通过测力平台记录姿势控制和足底压力分布。测试了安氏分类与足部生物力学之间的相关性和推断性分析。在磨牙类(≤0.001)和尖牙类(≤0.001)中,安氏II类的重心均向前移。同样,观察到接触面与安氏分类之间存在关系,III类高于II类(≤0.001)。安氏III类的站立相缩短。发现安氏II类与重心向前移动之间存在关系。未发现足姿势指数与舟骨截断高度及牙齿分类之间存在关系。未发现步态类型与牙合畸形之间存在明显关系。

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