Różańska-Perlińska Dorota, Potocka-Mitan Małgorzata, Rydzik Łukasz, Lipińska Patrycja, Perliński Jacek, Javdaneh Norollah, Jaszczur-Nowicki Jarosław
Medical Department, The Academy of Applied Medical and Social Sciences, 82-300 Elblag, Poland.
Institute of Humanities, Social Sciences and Tourism, Podhale State College of Applied Sciences in Nowy Targ, 34-400 Nowy Targ, Poland.
J Clin Med. 2024 Jun 13;13(12):3463. doi: 10.3390/jcm13123463.
: This study investigates the relationship between malocclusion and body posture, head posture, podal system, and gait parameters in children. : A systematic review of observational studies from 2010 to 2023 was conducted and 24 cross-sectional studies involving 6199 participants were identified. These studies were categorized into those dealing with body posture (10 studies, 3601 participants), cervical vertebral column and head posture (6 studies, 644 participants), the podal system (5 studies, 1118 participants), and gait (3 studies, 836 participants). : Evidence suggests a significant association between malocclusion and body posture, balance, podal system, and gait parameters. Notably, eight studies found a significant relationship between malocclusion and body posture, while five studies identified this relationship with the cervical vertebral column and head posture, five with the podal system, and three with gait parameters. : Overall, the quality of evidence was strong for the association between malocclusion and body posture and the podal system and moderate for head posture and gait parameters. These findings offer insights for therapists to design interventions tailored to children with malocclusion based on considerations of body posture, head posture, podal system, and gait parameters, though further longitudinal cohort studies are needed for better predictive understanding.
本研究调查了儿童错牙合畸形与身体姿势、头部姿势、足部系统和步态参数之间的关系。对2010年至2023年的观察性研究进行了系统综述,确定了24项涉及6199名参与者的横断面研究。这些研究分为涉及身体姿势的研究(10项研究,3601名参与者)、颈椎和头部姿势的研究(6项研究,644名参与者)、足部系统的研究(5项研究,1118名参与者)以及步态的研究(3项研究,836名参与者)。有证据表明错牙合畸形与身体姿势、平衡、足部系统和步态参数之间存在显著关联。值得注意的是,八项研究发现错牙合畸形与身体姿势之间存在显著关系,五项研究确定了与颈椎和头部姿势的这种关系,五项与足部系统相关,三项与步态参数相关。总体而言,错牙合畸形与身体姿势和足部系统之间关联的证据质量很强,而与头部姿势和步态参数的证据质量为中等。这些发现为治疗师提供了见解,以便他们在考虑身体姿势、头部姿势、足部系统和步态参数的基础上,为患有错牙合畸形的儿童设计量身定制的干预措施,不过还需要进一步的纵向队列研究来进行更好的预测性理解。