Akbulut Ayse Selenge
Department of Orthodontics, Peri Sokak Dental Clinic, 42010 Konya, Turkey.
Diagnostics (Basel). 2023 Oct 11;13(20):3177. doi: 10.3390/diagnostics13203177.
(1) Background: The aim of the present study is to analyze the instant postural changes and changes in the dystonic contractions among patients with dystonia following the use of an intraoral device called a key integrative dynamic TMJ treatment appliance (KIDTA). (2) Methods: Twelve subjects, previously diagnosed with dystonia were enrolled. Their existing records were utilized to assess the changes in their posture and dystonic contractions. The posture analysis was conducted using a mobile application (APECS). The initial records (T0) and records acquired after the delivery of the KIDTA (T1) were utilized in the analysis. The Wilcoxon signed-rank test was performed to compare parameters between T0 and T1, with a significance level set at < 0.05. (3) Results: Based on the Wilcoxon signed-rank test, statistically significant differences in T1 compared to T0 were observed in the severity of dystonic spasms, body alignment, head shift, head tilt, shoulder alignment, shoulder angle, axillae alignment, ribcage tilt, pelvic tilt, knee angle, and tibia angle ( < 0.05). (4) Conclusions: Within the limitations of the present pilot study, an intervention to the TMJ through a KIDTA appliance seems to mitigate the severity of dystonic contractions and improve the posture with respect to certain postural parameters.
(1) 背景:本研究旨在分析肌张力障碍患者在使用一种名为关键综合动态颞下颌关节治疗矫治器(KIDTA)的口腔内装置后即刻的姿势变化以及肌张力障碍性收缩的变化。(2) 方法:招募了12名先前被诊断为肌张力障碍的受试者。利用他们现有的记录来评估其姿势和肌张力障碍性收缩的变化。使用移动应用程序(APECS)进行姿势分析。分析中使用了初始记录(T0)和在交付KIDTA后获取的记录(T1)。进行Wilcoxon符号秩检验以比较T0和T1之间的参数,显著性水平设定为<0.05。(3) 结果:基于Wilcoxon符号秩检验,在肌张力障碍性痉挛的严重程度、身体对线、头部偏移、头部倾斜、肩部对线、肩部角度、腋窝对线、胸廓倾斜、骨盆倾斜、膝关节角度和胫骨角度方面,观察到T1与T0相比有统计学显著差异(<0.05)。(4) 结论:在本初步研究的局限性内,通过KIDTA矫治器对颞下颌关节进行干预似乎可以减轻肌张力障碍性收缩的严重程度,并在某些姿势参数方面改善姿势。