Department of Prosthodontics, Erlangen University Hospital, Glueckstrasse 11, Erlangen, 91054, Germany, Province Bavaria.
Department of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander-University of Erlangen, Waldstrasse 6, Erlangen, 91054, Germany.
Head Face Med. 2024 Sep 13;20(1):49. doi: 10.1186/s13005-024-00450-0.
The relationship between posture and temporomandibular disease (TMD) is unclear. The aim of our study was to determine the influence of manual therapy (MT) on posture in TMD patients compared with healthy subjects.
MATERIAL/METHOD: After consideration of inclusion and exclusion criteria, 30 subjects were included. These were divided into two groups: group A comprised 15 healthy subjects and group B 15 patients with present proven TMD disease. Rasterstereographic images were taken at different times. Group A subjects were scanned twice within half a year and group B before initiation as well as after the first MT and after completion of the prescribed MT. The different posture variables were calculated using DIERS Formetric software.
To illustrate the differences between the two groups, 10 different postural variables were examined. Significant differences between the two groups were observed in pelvic tilt, surface rotation, and kyphotic apex. Pelvic tilt: mean = 7.581, p-value = 0.029; surface rotation: mean = 3.098, p = 0.049; and mean kyphotic apex = 11.538 and 11.946, respectively, with p-values of 0.037 and 0.029, respectively.
MT leads to a change in posture in TMD patients. This could influence the course of TMD treatment.
姿势与颞下颌关节紊乱病（TMD）之间的关系尚不清楚。我们的研究目的是确定与健康受试者相比，手动疗法（MT）对 TMD 患者姿势的影响。
材料/方法：在考虑了纳入和排除标准后，纳入了 30 名受试者。这些受试者被分为两组：A 组包括 15 名健康受试者，B 组包括 15 名患有 TMD 疾病的患者。在不同时间拍摄了光栅立体图像。A 组受试者在半年内扫描了两次，B 组受试者在开始 MT 治疗之前、第一次 MT 治疗后以及完成规定的 MT 治疗后进行了扫描。使用 DIERS Formetric 软件计算了不同的姿势变量。
为了说明两组之间的差异，检查了 10 个不同的姿势变量。两组之间在骨盆倾斜、表面旋转和后凸顶点方面观察到显著差异。骨盆倾斜：平均值=7.581，p 值=0.029；表面旋转：平均值=3.098，p=0.049；后凸顶点平均值分别为 11.538 和 11.946，p 值分别为 0.037 和 0.029。
MT 导致 TMD 患者的姿势发生变化。这可能会影响 TMD 治疗的过程。
