Relationship between facial profile, dental occlusion's class, active movements of the temporomandibular joints and body posture

Problem of study: The close anatomical and neuronal (sensory and motor) linkage between the upper cervical spine and the craniofacial section documented in literature accounts for relationships between the jaw position and the inclination of the cervical spine. The issue of relationships between dental occlusion, body posture and temporomandibular disorders is a controversial topic in dentistry, and it is often a source of speculations. A description of the available knowledge about the physiology of the body posture–dental occlusion relationship is fundamental to discuss the possible diagnostic and therapeutic implications of the assessment of body posture in subjects with occlusal abnormalities or patients with temporomandibular disorders . As a consequence, a growing number of patients are seeking concomitant treatment for dental malocclusions and postural disorders, who firstly address questions to orthopaedists and general physicians and thereafter are referred to dentists. Unfortunately, most clinicians are often unacquainted with this topic and the current scientific evidence of causality between the two conditions is weak or absent. Object of study: relationship between dental occlusion, active movements of the temporomandibular joints and body posture. Hypothesis of study: we believe that there is relationship between dental malocclusion, facial profile, disturbed active movements of temporomandibular joints and abnormal body posture. Aim of study: to determinate relationship between dental occlusion, facial profile, active movements of temporomandibular joints and body posture. Goals of study: 1. To assess dental occlusion type of facial profile of volunteers. 2. To evaluate active movements of temporomandibular joints. 3. To assess body posture of volunteers. 4. To determinate the correlation between assessed rates. Methods and organization of study: The study involved 52 subjects. Participants were divided into two age groups: first group (n=42, 20 – 28 years) and second group (n=10, 45 – 49). 1987 W. W. K. Hoeger subjective volunteer’s posture evaluation model, where the deviation from the norm was defined by score, was chosen to use for evaluation. Also posture rated and digitally. Subjects photographs of posture were rated by software AutoCAD 2013 programme. Separate body segments were examined in frontal and sagittal plane. Separate body parts were evaluated by scores: GOOD – 5, SATISFACTORY – 3, BAD – 1. Dental occlusion was assessed according to Angle classification, and facial profile type is determined the location of the chin and upper lip against the top. The analysis of the gathered study data was processed by SPSS 19.0 computer program for Windows. Conclusions: 1. Normal facial profile type is defined in 17% of subjects. Normal dental occlusion class provides in 51% of the subjects. 2. Active movement of opening of the mouth was impaired in 67% of subjects. 3. Good posture is defined in 7% , satisfactory - 75%, and the poor - 7% of subjects. 4. No strong, statistically significant linkage between the evaluated parameters were found

Relationship between facial profile, dental occlusion's class, active movements of the temporomandibular joints and body posture

Problem of study: The close anatomical and neuronal (sensory and motor) linkage between the upper cervical spine and the craniofacial section documented in literature accounts for relationships between the jaw position and the inclination of the cervical spine. The issue of relationships between dental occlusion, body posture and temporomandibular disorders is a controversial topic in dentistry, and it is often a source of speculations. A description of the available knowledge about the physiology of the body posture–dental occlusion relationship is fundamental to discuss the possible diagnostic and therapeutic implications of the assessment of body posture in subjects with occlusal abnormalities or patients with temporomandibular disorders . As a consequence, a growing number of patients are seeking concomitant treatment for dental malocclusions and postural disorders, who firstly address questions to orthopaedists and general physicians and thereafter are referred to dentists. Unfortunately, most clinicians are often unacquainted with this topic and the current scientific evidence of causality between the two conditions is weak or absent. Object of study: relationship between dental occlusion, active movements of the temporomandibular joints and body posture. Hypothesis of study: we believe that there is relationship between dental malocclusion, facial profile, disturbed active movements of temporomandibular joints and abnormal body posture. Aim of study: to determinate relationship between dental occlusion, facial profile, active movements of temporomandibular joints and body posture. Goals of study: 1. To assess dental occlusion type of facial profile of volunteers. 2. To evaluate active movements of temporomandibular joints. 3. To assess body posture of volunteers. 4. To determinate the correlation between assessed rates. Methods and organization of study: The study involved 52 subjects. Participants were divided into two age groups: first group (n=42, 20 – 28 years) and second group (n=10, 45 – 49). 1987 W. W. K. Hoeger subjective volunteer’s posture evaluation model, where the deviation from the norm was defined by score, was chosen to use for evaluation. Also posture rated and digitally. Subjects photographs of posture were rated by software AutoCAD 2013 programme. Separate body segments were examined in frontal and sagittal plane. Separate body parts were evaluated by scores: GOOD – 5, SATISFACTORY – 3, BAD – 1. Dental occlusion was assessed according to Angle classification, and facial profile type is determined the location of the chin and upper lip against the top. The analysis of the gathered study data was processed by SPSS 19.0 computer program for Windows. Conclusions: 1. Normal facial profile type is defined in 17% of subjects. Normal dental occlusion class provides in 51% of the subjects. 2. Active movement of opening of the mouth was impaired in 67% of subjects. 3. Good posture is defined in 7% , satisfactory - 75%, and the poor - 7% of subjects. 4. No strong, statistically significant linkage between the evaluated parameters were found

Evaluation of changes in the function of cervical spine of smart device users

Background. With the growing use of smart devices, concerns have also increased about musculoskeletal problems associated with the prolonged use of smart devices (Jung et al., 2016). Prolonged and frequent use of the smart device with the severe head flexion posture could be one of the main contributing factors to the prevalence of neck and shoulders pain symptoms of smart device users (Alfaitouri, Altaboli, 2019). Purpose – determine changes in the function of cervical spine of smart device users. Methods. Twenty-six individuals participated in the study (14 females, 12 males). Dependency on smart devices, active range of motion and muscle strength of cervical spine were evaluated for the participants. Results. Active flexion, extension, left and right lateral flexion, left and right rotation range of motion of cervical spine were significantly different between individuals who are at no risk for dependency (NPrR group), at high risk for dependency (DPrR group) and individuals that are dependent (Pr group) on using smart devices. Strength of cervical spine flexor muscles was significantly lower in Pr group than NPrR group (p < 0.05). Strength of neck flexor muscles in Pr group was 6.2 ± 2.5 kg, while in NPrR group it was 9.7 ± 4.1 kg. Conclusions. Individuals that have been using smart devices for over 3 years and have dependency on smart devices have significantly lower active range of motion of the neck and neckflexor muscle strength than individuals who are at no risk of the dependency and individuals at high risk of the dependency on smart devices

Effect of mobilization with movement and kinesio taping on knee function and pain in gonarthrosis

Background. Gonarthrosis is one of the most common diseases of the mus - culoskeletal system. As the disease progresses, the patient’s social and physical activities change. Reliable and effective therapies that slow the progression of go - narthrosis have not yet been found. There is a lack of evidence that a short course of physiotherapy and exercise-based treatment is effective or of how mobilization with movement and kinesio taping affects knee function and pain. We believe that in patients with knee gonarthrosis, the positive effects of physiotherapy combined with mobilization with movement and kinesio taping on knee functions and pain will be better than in those subjects who received only traditional physiotherapy . The aim . To determine the effect of mobilization with movement and kinesio taping on knee function parameters and pain in gonarthrosis. Methods . The study included 22 people diagnosed with gonarthrosis. For the experimental group (n=11), physiotherapy exercise, mobilization with movement and kinesiotape were applied, whereas the control group (n=11) used only phy - siotherapy exercise procedures. Subjects were evaluated for pain intensity, active knee range of motion, dynamic knee joint stability and evaluation of thigh muscle strength. Results . In the experimental group, there was a significant decrease in pain af - ter 7 days and a significant difference with control group. Significant knee flexion results were recorded in the experimental group and significant knee extension results were recorded in the control group. In the experimental group, the dynamic knee joint stabilization significantly increased after 14 days. The strength of the thigh muscles was significantly increased in the experimental group after 14 days. Conclusions . The effect of mobilization with movement and kinesio taping of knee function, dynamic stability pain improving functional performance of dyna - mic stability was more significant than an exercise program lasting two weeks in subjects with knee gonarthrosis

Short and long-term effects of mobilization with movement and eccentric overload to hand pain and function in the treatment of lateral epicondylitis

Aim. To determine and compare short and long-term effects of mobilization with movement and eccentric overload to hand pain and function in the treatment of lateral epicondylitis. Problem of research & hypothesis. The eccentric overload exercises are one of the best methods in tendinopathy treatment. Mobilization with movement is largely used as an effective treatment method for lateral epicondylitis. Only the short-term effects of these methods in lateral epicondylitis are often evaluated, but no studies were found to use these methods in combination and to evaluate their long-term effects. Methods. The study included individuals (n=30) aged 30–54 years who had been diagnosed with lateral epicondylitis. Subjects were tested by assessing their perceived pain using the visual analogue scale (VAS); handgrip strength was assessed by a dynamometer. The QuickDASH questionnaire was used to assess hand function and perceived disability. Subjects were randomly divided into three groups: mobilization with movement group (n=10), eccentric overload group (n=10), and combined group (combined mobilization with movement and eccentric overload exercises) (n=10). All subjects got 10 physiotherapy procedures, short-term effect evaluated after 10 procedures of physiotherapy, long-term effect evaluated after 2, 6 and 12 weeks post treatment course. Results. Study results revealed that all treatment methods had a significant (p<0.05) effect on pain reduction, increase in handgrip strength as well as improvement in hand function and disability. In follow-up assessments at 2, 6 and 12 weeks after the treatment, the most altered indicators of pain intensity, pain-free handgrip strength and hand function were seen in the mobilization with movement group. Conclusions. An application of mobilization with movement in the treatment of lateral epicondylitis had the greatest positive effect on pain intensity, maximum handgrip strength and hand function and disability compared to mobilization with movement combined with eccentric overload and eccentric overload exercises alone. Keywords: lateral epicondylitis, mobilization with movement, eccentric overload, pain intensity, hand pain-free grip strength