Global Body Posture Evaluation in Patients with Temporomandibular Joint Disorder

Abstract

AIM: To identify the relationship between anterior disc displacement and global posture (plantar arches, lower limbs, shoulder and pelvic girdle, vertebral spine, head and mandibles). Common signs and symptoms of anterior disc displacement were also identified. INTRODUCTION: Global posture deviations cause body adaptation and realignment, which may interfere with the organization and function of the temporomandibular joint. METHODS : Global posture evaluation was performed in a group of 10 female patients (20 to 30 years of age) with temporomandibular joint disc displacement and in a control group of 16 healthy female volunteers matched for age, weight and height. Anterior disc displacement signs, symptoms and the presence of parafunctional habits were also identified through interview. RESULTS: Patients with disc displacement showed a higher incidence of pain in the temporomandibular joint area, but there were no differences in parafunctional habits between the groups. In the disc displacement group, postural deviations were found in the pelvis (posterior rotation), lumbar spine (hyperlordosis), thoracic spine (rectification), head (deviation to the right) and mandibles (deviation to the left with open mouth). There were no differences in the longitudinal plantar arches between the groups. CONCLUSION: Our results suggest a close relationship between body posture and temporomandibular disorder, though it is not possible to determine whether postural deviations are the cause or the result of the disorder. Hence, postural evaluation could be an important component in the overall approach to providing accurate prevention and treatment in the management of patients with temporomandibular disorder.

Temporomandibular disorders in cerebral palsy: literature review

“…For example, forward head posture with mandibular retrognathism may lead to posterior rotation and condyle fixation, further accentuating the TMJ's deterioration (ORTEGA, GUIMARÃES, CIAMPONI et al, 2008). Saito, Akashi and Sacco (2009) consider that postural changes may interfere not only with displacement of the articular disk, but also with painful symptomatology. However, these analyses are based on evidence and assessments of healthy individuals (KIRVESKARI, ALANEN, KARSKELA et al, 1988;MARIA, 2002;ROBINSON, 1966).…”

Influência do tratamento das desordens temporomandibulares na dor e na postura global

“…Vertical head angle change with regard to the acromion may be explained by the anterior position of the head which will lead to jaw positioning and functioning disorders, leading to increasing tension in masticatory muscles and, as a consequence, to TMD 16 . A study 17 has investigated the relationship between global posture and TMD. It has evaluated 26 patients divided in patients with anterior disk displacement and patients without TMD.…”

“…Global postural disorders cause body adaptations and realignment which may interfere with TMJ function and organization 17 . VHA angle change may be attributed to body adaptation to TMD-related pain 17 .…”

“…VHA angle change may be attributed to body adaptation to TMD-related pain 17 . For these reasons, the multidisciplinary approach to TMD management may further contribute for the quality of life of patients.…”

Temporomandibular Disorder in University Students of the <i>Parque das Rosas Campus, Universidade Estácio de Sá</i> That Practice Sports

“…Nevertheless, in some cases, the presence of TMD is asymptomatic [3] [7] [8]. Saito et al, [9] have reported a close relationship between body posture and TMD, however it is not possible to determine whether postural deviations are the cause or the result of this TMD. In addition, it is considered that the postural evaluation could be an important component in the overall approach to providing accurate prevention and treatment in the management of patients with TMD.…”