Temporomandibular joint dysfunctions in the context of psychological disorders among pediatric patients

Introduction: There are many factors that affect temporomandibular joint dysfunction. These may include, among others: structural and postural disorders, bruxism, and occlusive abnormalities. In addition, an important aspect are psychological factors that, as a result of stress, can affect temporomandibular joint disorders through hyperactivity of the muscles, followed by biomechanical changes and related pain. These factors can lead to the production of neurotransmitters that disturb the balance of serotonin and catecholamines. Aim: Literature review to determine the relationship between temporomandibular joint disorders and psychological disorders in pediatric patients Material and methods: Based on the Research Gate, PubMed and Google Schoolar databases, a review of scientific papers was performed using the keywords: (temporomandibular joint), (stress, bruxism, mental disorders). Articles from the last 5 years have been analyzed. Results: Higher levels of anxiety are observed in patients with temporomandibular joint disorders. There is also a higher incidence of depression and chronic stress. Conclusions: Available literature shows the relationships between dysfunctions within the temporomandibular joint and mental disorders of the patient. However, research in this area should continue to show more detailed information regarding both the general relationship between the abovementioned aspects and the relationship between individual temporomandibular joint disorders and psychological aspects

Disorders in the temporomandibular joints in pediatric patients - frequency of physiotherapy visits

Introduction: Temporomandibular disorders can be a challenge for both clinicians and patients. It is unclear what factors are associated with prolonged conservative care and patient dissatisfaction with treatment outcomes.Material and research method: A literature review was carried out in terms of methods of physiotherapeutic treatment following disorders of temporomandibular joints in pediatric patients. This work is for reference only. The PubMed and Google Schoolar databases were analyzed. The keywords used in the search were: "physiotherapy, temporomandibular joints and children", "manual therapy, temporomandibular joints and children". The authors focused on reports published in Polish and English from the last 10 years.Results: There is a need to combine standard therapy with physiotherapy in order to accelerate the treatment process.Conclusions: Physiotherapy is highly effective and non-invasive in the treatment of stomatognathic system disorders. A physiotherapist provides a number of therapeutic treatments that improve disorders in the temporomandibular joints

Usprawnianie dziecka ze skoliozą i zespołem Ehlersa- Danlosa

Wstęp: Skoliozę określa się, jako trójpłaszczyznową wadę kręgosłupa. Często współwystępuje w chorobach przebiegających z wiotkością. Przykładem jest zespół Ehlersa-Danlosa. Brak zastosowania odpowiedniego leczenia oraz indywidualnej terapii może doprowadzić do jej progresji oraz zaburzać funkcjonowanie narządów i układów. Celem pracy było opisanie terapii pacjenta ze skoliozą i zespołem Ehlersa-Danlosa oraz porównanie wyników kąta rotacji tułowia przed i po terapii. Materiał i metody: Terapii poddano 6-letniego chłopca ze skoliozą i zespołem Ehlersa-Danlosa. Przed zastosowaniem terapii zmierzono u niego kąt rotacji tułowia skoliometrem Bunnela. Następnie rozpoczęto usprawnianie zgodnie z założeniami metody Funkcjonalnej Indywidualnej Terapii Skolioz (FITS). Po okresie 3 miesięcy powtórnie zmierzono kąt rotacji tułowia. Wyniki: Kąt rotacji tułowia w poszczególnych poziomach przed zastosowaniem opisanej terapii wynosił kolejno: C7: 5/6°S, Th6: 10°S, Th12: 9°S, S: 3°D; kąt rotacji tułowia po trzech miesiącach terapii metodą FITS: C7: 0°, Th6: 4°S, Th12: 8°S, S1: 2°D Wnioski: Terapia metodą FITS u dziecka ze skoliozą i zespołem Ehlersa-Danlosa prowadzona w okresie 3 miesięcy może prowadzić do zmniejszenia kąta rotacji tułowia. Forum Reumatol. 2017, tom 3, nr 4: 243–24

Impact of temporomandibular joint disorders on body posture

Introduction: Occlusion defects, temporomandibular joints disorders, and postural defects often occur in pediatric patients. The temporomandibular joint disorder is a term that includes a range of clinical complaints of masticatory muscles, temporomandibular joint, and related structures. They can lead to incorrect spinal positioning in the cervical spine, which may result in body posture defect. Aim: Review of literature to determine the relationship between temporomandibular joint disorders and postural defects in children. Material and methods: The PubMed, Research Gate and Google Schoolar databases were reviewed using the keywords: (temporomandibular joint, malocclusion), (postural defect). The authors have analyzed articles published in the last 5 years. Results: A forward shift of the body posture due to head protraction, increased cervical lordosis, deepening of lumbar lordosis and thoracic kyphosis occurs in malocclusion class II according to Angle'a scale. This defect affects the location of the center of gravity of the body, which is shifted forward, which causes impairment of gait stability. Whereas class III malocclusions present a shifted posture backward. These defects can cause pain in given structures. The relationship between malocclusion and postural defects can be related to speech defects. Conclusions: Available literature shows that the temporomandibular joint affects body posture. Temporomandibular joint dysfunction can affect the position of the shoulders, spine, pelvis, and limbs. It is necessary to conduct further research on this topic

EVALUATION OF THE EFFECTIVENESSOF PHYSIOTHERAPYBASED ON THE LOCATIONTHE JOINTCHANGESIN RHEUMATOID ARTHRITIS

Rheumatoid arthritis (RA) is a chronic connective tissue disease. Typical first signs of diseases are pain and edemas of small hand and foot joint, but sometimes first symptoms regard less typical place like one big joint. Pain became the barrier for normal functioning patients with RA, therefore wide range of physical therapy is needed. The aim of this study was evaluation of pain reduction in physical therapy on diseases changed joint. The study involved 50 patients with RA, where mean of age was 47,5. In this group fallowing physical therapy techniques were used: cryotherapy, ultrasound therapy, laser therapy, electrical stimulation TENS, iontophoresis, diadynamic and magnetic therapy. In studied group first signs of diseases were similar like in literature. The presented results indicate pain reduction on all treatment filled join. Used physical therapy techniques were more effective on hand joints then on foot joints

SACROILIAC JOINT SYNDROME – DESCRIPTION OF PAIN ETIOLOGY

Numerous clinical studies have supported the thesis that sacroiliac (SI) joints constitute one of the causes of spinal pain radiating to the lower limb. The pathology of SI joint has been variously defined. The majority of definitions refer to the joint structure as the potential source of pain.As far as the etiology of SI joint dysfunction is concerned, it has not been disambiguated yet.Among the main causative factors, injuries and strains of the structures surrounding the joint are noted.Joint pathology usually manifests itself by pain occurring within the area of the joint.The causes of pain may be divided into two categories: intra-articular and extra-articular.Pain caused by the SI joint may be nociceptive or neural in nature, whereaspain pattern characteristic of the joint correlates with its innervation (S2 dorsal rami) and is consistent with the localisation of radicular pain to a large extent

Assessment of motor development in children with postural asymmetry and the application of neurodevelopmental-based improvement methods

Asymetria ułożeniowa może pojawić się w okresie niemowlęcym i jest diagnozą o szerokim spektrum cech. Zbadano rozwój motoryczny pięćdziesięciorga dzieci z asymetrią ułożeniową w wieku od 0- 18m.ż w oparciu o zastosowanie skali Alberta Infant Motor Scale (AIMS). Dodatkowej ocenie poddano kształt głowy i napięcie mięśnia mostkowo - obojczykowo sutkowego. Dzieci poddano fizjoterapii za pomocą metod usprawniania opartych na neurorozwoju. Celem pracy było sprawdzenie zależności pomiędzy asyemtrią ułożeniową a rozwojem motorycznym dzieci oraz między efektami terapii a czasem rozpoczęcia i trwania rehabilitacji. Asymetria ułożeniowa wpływa na przebieg rozwoju motorycznego dziecka, dlatego wczesne wykrycie opóźnień rozwoju u dziecka, jest ważne, szczególnie jeśli chodzi o umożliwienie wczesnej interwencji i podjęcie działań terapeutycznych.Postural asymmetry (PA) may occur in infancy and is a diagnosis with a wide range of signs. The motor development of fifty PA children aged 0-18 months was investigated based on the use of the Alberta Infant Motor Scale (AIMS). Additional assessment was made to determine the head shape and sternocleidomastoid muscle (SCM) tone. The children underwent physiotherapy using neurodevelopmental-based improvement methods. This study aims to examine the relationship between PA and motor development in children and between the effects of therapy and the time of initiation and duration of rehabilitation. Postural asymmetry affects the course of a child’s motor development. Therefore, early detection of developmental delays in a child is important, especially in terms of enabling early intervention and undertaking therapeutic measures

RECOMMENDATIONS OF THE ALZHEIMER'S DISEASE INTERNATIONAL CONCERNING THE CARE OF PATIENTS WITH DEMENTIAAND THE SITUATION IN POLAND

According to data of WHO research, there are an estimated 36,5 million people with dementia worldwide. They need long-term care. The nature of this care depends on economic situation of the country - the higher developed it is, the bigger participation of institutions specialized in long-term care and smaller participation of home care. In high income countries around one-third to one-half of people with dementia are cared for in care homes. Alzheimer's Disease International (ADI) predicts that by 2030 number of patients with dementia will double and triple by 2050. This prognosis requires advanced planning, monitoring and coordination actions to improve system of long-term care. To achieve this goal, ADI recommends: promoting broad public awareness of dementia and combating stigma, identifying dementia capable support services at all stages of the disease, assessing and improving the quality of health care, social care and long-term care support and services, assessing availability and access to diagnostic services, promotion of brain health. Caregivers should be valued by society for they demanding and difficult work. Also patients should keep their autonomy and choice. 92% of suffering from dementia patents in Poland are cared at home since beginning of disease until their death. Other 8% stays at different types of home cares. There are also short-term care, daily care and ambulatory care available. The reasons of small participation of those institutions are: maladjusted to growing number of patients with dementia system of care, complicated administrative procedures, lack of money to cover up costs of care and lack of knowledge about dementia in society

The opinion of professional caregivers about the platform understAID for patients with dementia

Clinical research[Abstract] BACKGROUND: The person with dementia should be treated as an unique person regarding symptoms directly associated with dementia, such as problems with memory, hallucinations, and delusions, as well as other physical, mental, or neurological deficits. The symptoms not directly typical of dementia, such as musculoskeletal disorders or depression, should be also be considered in order to improve the quality of life of a person with dementia. That is why professional caregivers have to broaden their current knowledge not only of medical symptoms but also of the patient’s psychosocial condition and increase their inquisitiveness about the individual condition of the patient. The aim of the study was to get to know the opinion of professional caregivers about the UnderstAID platform and its usefulness for informal caregivers. MATERIAL AND METHODS: Participants in the study group consisted of professional caregivers: nurses, sociologists, psychologists, physiotherapists, and occupational therapists, all of whom specialized in geriatrics and had experience in working with people with dementia. All professional caregivers answered 24 questions that refer to positive and negative aspects of the UnderstAID platform. RESULTS: The study group of professional caregivers highly appreciated that the application could give support to caregivers (mean score of 4.78; 5 points means that they totally agreed, and 1 point means that they totally disagreed) and that a wide range of multimedia materials helped the informal caregivers to gain a better understanding of the contents (mean score of 4.78). There was a statistically significant correlation between the age of the professional caregivers and the frequency of positive opinions that the UnderstAID application gave support to caregivers of relatives with dementia (p=0.028) and the opinion that videos, photos, and pictures may help the informal caregivers to gain a better understanding of the contents (p=0.028). CONCLUSIONS: A group of professional caregivers positively assessed the UnderstAID platform. Caregivers, especially older caregivers, highly appreciated the usefulness of videos, photos, and pictures for gaining a better understanding of the contents.European Commission; AAL5/1/2013European Commission; AAL5/2/201

Dysfunctions associated with dementia and their treatment

[u]International UnderstAID project shows[/u] the role of physiotherapist in patients with dementia as divided into two branches: helping to resolve the physical problems and solving the problems related to dementia. The role of physiotherapist in dementia treatment may be divided into two branches: helping to resolve the physical problems and solving the problems related to dementia. The physical problems consider such aspects as musculoskeletal disorders, mobility dysfunction and pain. Referring to musculoskeletal problems, the interventions of physical therapists should included whole-body progressive resistance exercise training, strengthening, “range-of-motion” and stretching exercises and transfer training. Mobility disorders are associated with physical symptoms such as: rigidity, balance problem, shuffling gait. Decreased mobility can be based on unrelieved pain. These are some crucial scales which are designed to detected the pain. For instance, The Pain Assessment in Advanced Dementia. Transcutaneous Electrical Nerve Stimulation, massage or exercises can be provide to reduce the pain in patients with dementia. Physiotherapy in dementia treatment influences not only physical functions but also the maintenance or progression of cognitive abilities of demented elderly subject