Relationship between craniomandibular disorders and poor posture.
The purpose of this research was to show that a relationship between craniomandibular disorders (CMD) and postural abnormalities has been repeatedly postulated, but still remains unproven. This study was intended to test this hypothesis. Twenty-five CMD patients (mean age 28.2 years) were compared with 25 gender and age matched controls (mean age 28.3 years) in a controlled, investigator-blinded trial. Twelve postural and ten muscle function parameters were examined. Measurements were separated into three subgroups, consisting of those variables associated with the cervical region, the trunk in the frontal plane, and the trunk in the sagittal plane. Within these subgroups, there was significantly more dysfunction in the patients, compared to control subjects (Mann-Whitney U test p < 0.001, p < 0.05, p < 0.01). Postural and muscle function abnormalities appeared to be more common in the CMD group. Since there is evidence of the mutual influence of posture and the craniomandibular system, control of body posture in CMD patients is recommended, especially if they do not respond to splint therapy. Whether poor posture is the reason or the result of CMD cannot be distinguished by the data presented here.
Nicolakis
P
P
Department of PM&R, University of Vienna, AKH WIEN Währinger Gürtel 18-20, A-1090 Austria, Europe. Peter.Nicolakis@akh-wien.ac.at
Nicolakis
M
M
Piehslinger
E
E
Ebenbichler
G
G
Vachuda
M
M
Kirtley
C
C
Fialka-Moser
V
V
D000328:Adult; D016022:Case-Control Studies; D002574:Cervical Vertebrae / Q000503:physiopathology; D017271:Craniomandibular Disorders / Q000150:complications* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000503:physiopathology; D008297:Male; D009135:Muscular Diseases / Q000150:complications; D009334:Neck Muscles / Q000294:innervation / Q000503:physiopathology; D010388:Pelvis / Q000503:physiopathology; D011187:Posture; D013121:Spinal Curvatures / Q000150:complications*; D018709:Statistics, Nonparametric; D013904:Thoracic Vertebrae / Q000503:physiopathology