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Relationship between craniomandibular disorders and poor posture.

P Nicolakis1, M Nicolakis, E Piehslinger

  • 1Department of PM&R, University of Vienna, AKH WIEN Währinger Gürtel 18-20, A-1090 Austria, Europe. Peter.Nicolakis@akh-wien.ac.at

Cranio : the Journal of Craniomandibular Practice
|February 24, 2001
PubMed
Summary

Craniomandibular disorders (CMD) are linked to postural abnormalities, with CMD patients showing significantly more dysfunction. Controlling body posture is recommended for CMD patients, particularly those unresponsive to splint therapy.

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Area of Science:

  • Biomedical Science
  • Orthodontics
  • Physical Therapy

Background:

  • The connection between craniomandibular disorders (CMD) and postural abnormalities is frequently suggested but lacks definitive scientific proof.
  • Investigating this relationship is crucial for understanding the multifactorial nature of CMD and developing comprehensive treatment strategies.

Purpose of the Study:

  • To investigate the potential relationship between craniomandibular disorders (CMD) and postural abnormalities.
  • To determine if individuals with CMD exhibit a higher prevalence of specific postural dysfunctions compared to a healthy control group.

Main Methods:

  • A controlled, investigator-blinded trial comparing 25 CMD patients with 25 age- and gender-matched controls.
  • Assessment of 12 postural and 10 muscle function parameters, categorized into cervical, frontal trunk, and sagittal trunk regions.

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Main Results:

  • CMD patients demonstrated significantly higher levels of dysfunction across all examined subgroups (cervical, frontal, and sagittal trunk) compared to controls (p < 0.001, p < 0.05, p < 0.01).
  • Postural and muscle function abnormalities were notably more prevalent in the group diagnosed with CMD.

Conclusions:

  • The study provides evidence supporting a higher incidence of postural and muscle function abnormalities in individuals with CMD.
  • Given the bidirectional influence between posture and the craniomandibular system, incorporating postural management into CMD treatment is advisable, especially for patients not responding to conventional splint therapy.
  • Further research is needed to elucidate whether poor posture is a cause or a consequence of CMD.