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颞下颌关节紊乱病患者头部姿势的评估:一项横断面研究。

Evaluation of head posture in patients with temporomandibular joint disorders: a cross-sectional study.

作者信息

Ozmen Elif Esra, Unuvar Bayram Sonmez

机构信息

Karamanoglu Mehmetbey University, Department of Oral and Maxillofacial Surgery - Karaman, Turkiye.

Konya Ticaret Odası Karatay University, Faculty of Health Sciences, Department of Audiology - Konya, Turkiye.

出版信息

Rev Assoc Med Bras (1992). 2025 May 2;71(3):e20241474. doi: 10.1590/1806-9282.20241474. eCollection 2025.

DOI:10.1590/1806-9282.20241474
PMID:40332263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12051955/
Abstract

OBJECTIVE

This study evaluated head posture in patients with temporomandibular joint disorders and explored the effects of postural changes on clinical parameters.

METHODS

In total, 81 individuals diagnosed with temporomandibular joint disorders participated in this cross-sectional prospective study. Demographics, pain status, head posture, and jaw movement data were collected. Head posture was assessed using the Posture Screen Mobile application.

RESULTS

Results indicated moderate negative correlations between pain and mouth opening (rho=-0.437, p<0.001) and maximum mouth opening (rho=-0.427, p<0.001). Anterior translation showed weak positive correlations with mouth opening and maximum mouth opening, while right lateral translation exhibited a weak positive correlation with pain (rho=0.264, p=0.017). Posterior angulation showed weak significant correlations with pain, mouth opening, and maximum mouth opening.

CONCLUSION

These findings suggest that head posture has a significant influence on temporomandibular joint disorder symptoms. Treatment strategies addressing postural abnormalities may help alleviate symptoms and enhance the quality of life in temporomandibular joint disorder patients.

摘要

目的

本研究评估了颞下颌关节紊乱症患者的头部姿势,并探讨了姿势变化对临床参数的影响。

方法

共有81名被诊断为颞下颌关节紊乱症的个体参与了这项横断面前瞻性研究。收集了人口统计学、疼痛状况、头部姿势和下颌运动数据。使用姿势筛查移动应用程序评估头部姿势。

结果

结果表明,疼痛与张口度(rho=-0.437,p<0.001)和最大张口度(rho=-0.427,p<0.001)之间存在中度负相关。前移位与张口度和最大张口度呈弱正相关,而右侧侧方移位与疼痛呈弱正相关(rho=0.264,p=0.017)。后倾角与疼痛、张口度和最大张口度呈弱显著相关。

结论

这些发现表明,头部姿势对颞下颌关节紊乱症症状有显著影响。针对姿势异常的治疗策略可能有助于缓解症状并提高颞下颌关节紊乱症患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/131c/12051955/566ba0bd13a0/1806-9282-ramb-71-03-e20241474-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/131c/12051955/566ba0bd13a0/1806-9282-ramb-71-03-e20241474-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/131c/12051955/566ba0bd13a0/1806-9282-ramb-71-03-e20241474-gf01.jpg

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PLoS One. 2024 Aug 26;19(8):e0308988. doi: 10.1371/journal.pone.0308988. eCollection 2024.
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Effect of pain on cranio-cervico-mandibular function and postural stability in people with temporomandibular joint disorders.疼痛对颞下颌关节紊乱症患者颅颈下颌功能及姿势稳定性的影响。
Korean J Pain. 2024 Apr 1;37(2):164-177. doi: 10.3344/kjp.23301.
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Analysis of Cervical Range of Motion in Subjects Affected by Temporomandibular Disorders: A Controlled Study.
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Medicina (Kaunas). 2023 Dec 25;60(1):37. doi: 10.3390/medicina60010037.
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Treatment of Chronic Neck Pain in Patients with Forward Head Posture: A Systematic Narrative Review.前倾头位患者慢性颈痛的治疗:系统叙述性综述
Healthcare (Basel). 2023 Sep 22;11(19):2604. doi: 10.3390/healthcare11192604.
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