Can different occlusal positions instantaneously impact spine and body posture?

März, Karoline; Adler, Werner; Matta, Ragai Edward; Wolf, Linda; Wichmann, Manfred; Bergauer, Bastian

doi:10.1007/s00056-016-0073-x

Cited by 21 publications

(11 citation statements)

References 42 publications

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“…The stimulation of the trigeminal nerve by the artificial occlusal disturbance generates a muscular and articular chain reaction, including inclination and rotation of the occiput on the first cervical vertebra, inclination and rotation of the cervical spine, ascent of the ipsilateral scapula, and ascent of the ipsilateral posterior-superior iliac spine 4 , 5 . In the same way, using rasterstereography, März et al recently demonstrated significant alterations in the fleche lombaire in different dental occlusion conditions 35 . The two subjects manifesting unexpected responses to the PSIS test presented atypical physical conditions.…”

Section: Discussionmentioning

confidence: 84%

Influence of dental occlusion on the athletic performance of young elite rowers: a pilot study

Leroux

Maton

et al. 2018

Clinics

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OBJECTIVES:The present study aimed to assess the influence of dental occlusion on body posture and the competitive performance of young elite rowers.METHOD:Dental occlusion disturbance devices were used to simulate dental malocclusions. We assessed the influence of malocclusion on the body balance, paravertebral muscle contraction symmetry, and muscular power of young elite rowers. A nonparametric permutation test for repeated measures ANOVA, a Cochran's Q test for paired data and a paired Student's t-test were used in order to statistically evaluate the influence of artificial occlusal disturbance on each factor. A force platform and a Dyno Concept 2 machine were used as measuring instruments.RESULTS:A total of 7 members of the “Pôle France Aviron” (age range of 15-17 years) were enrolled in the study. None of the body balance parameters was significantly influenced by the artificial occlusal disturbance. The interposition of an occlusal silicone splint significantly increased the proportion of athletes presenting asymmetric muscular contractions from 14.3% to 85.7% (p=0.025) and induced a significant 17.7% decrease in the athletes' muscular power (p=0.030).CONCLUSIONS:This study shows the negative impacts of an occlusal disturbance on the athletic performance of young elite rowers. The detection of malocclusion traits by regular occlusal monitoring would be of great interest in this population.

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Section: Discussionmentioning

confidence: 84%

Influence of dental occlusion on the athletic performance of young elite rowers: a pilot study

Leroux

Maton

et al. 2018

Clinics

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“…Non-invasive imaging techniques include the DIERS Formetric examination, which may reveal abnormalities in body posture, gait cycle, balance or loading in early disease. The DIERS system is being increasingly used both for imaging posture and for non-invasive evaluation of treatment outcomes [10, [40][41][42][43]. This study used the DI-ERS Formetric 4D and pedogait systems for verifying postural abnormalities in children with back pain and known discopathy lesions.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of the use of the McKenzie and Vojta methods to treat discopathy-associated syndromes in the pediatric population

Żurawski

Kiebzak

Zmyślna

et al. 2019

Int J Occup Med Environ Health

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Objectives: This paper evaluates the efficacy of using the McKenzie and Vojta methods for patients with low back pain and the use of the DIERS Formetric 4D system as an objective diagnostic tool. Material and Methods: The study enrolled 28 patients aged 15-17 years old. The patients were hospitalized at the Department of Orthopedics and Traumatology of the Świętokrzyskie Center for Pediatrics in Kielce with a diagnosis of back pain associated with a discopathy. The patients were rehabilitated according to the McKenzie and Vojta methods. Assessment by means of the DIERS Formetric system had taken place before the first therapy session and on the day that pain was eliminated to evaluate trunk inclination, angle of thoracic kyphosis, angle of lumbar lordosis, lateral deviation, trunk torsion, surface rotation and pelvic obliquity. Pain intensity and change in pain intensity over time were assessed by means of a numerical rating scale. Results: Pain intensity was reduced to 0 over 3-12 days. The study participants demonstrated reduction in anterior trunk inclination of the mean value at 1.83°. The angle of thoracic kyphosis was also reduced by 7.95°. The angle of lordosis increased by 7.6°. The lateral spinal curvature was reduced by 8.92 mm. There was a reduction of 4.64° in trunk torsion. Surface rotation was reduced by 1.61° and pelvic obliquity was reduced by 3.78°. Conclusions: In discopathic patients, postural parameters comprising trunk inclination, angle of thoracic kyphosis, angle of lumbar lordosis, lateral deviation, trunk torsion, vertebral rotation and pelvic obliquity fail to reach Hartzmann's physiological reference ranges. A therapeutic intervention based on the Vojta and McKenzie methods may normalize the posture to physiological reference ranges and is effective in the treatment of patients with back pain. The DIERS system is an objective tool for tracing the effects of therapy in patients with back pain.

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“…Based on the study of März et al [ 10 ] the detectable change with the occlusion condition was in the range of half the standard deviation. With a chosen power of 0.8 and 23 variables in the 4 age and 2 sex groups (Bonferroni correction of multicomparison) that were of interest, this resulted in a minimal sample size of 87 per age and gender range.…”

Section: Methodsmentioning

confidence: 99%

“…To understand the link between specific occlusion condition and body posture better, investigations were initiated on immediate effects of different occlusion conditions of the body posture [ 4 , 9 – 11 , 16 – 27 ]. In a pilot study, März et al [ 10 ] could demonstrate that the fleche lombaire and the Kyphotic angle changed slightly with a symmetrical occlusal interference with cotton rolls compared to habitual bite position. Due to a high standard deviation, no compelling conclusion could be drawn, and the researcher suggested a similar protocol with a higher number of subjects.…”

Section: Introductionmentioning

confidence: 99%

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Systematic changes of the static upper body posture with a symmetric occlusion condition

Maurer-Grubinger

Avaniadi

Adjami

et al. 2020

BMC Musculoskelet Disord

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Background Temporary occlusal changes and their influence on the upper body statics are still controversially discussed. Furthermore, concrete statements on whether age- or gender-specific differences in neurophysiological reactions exist are missing. Therefore, it is the aim of this study to evaluate the immediate effects of a symmetrical occlusion blocking on the upper body posture. These effects shall be investigated for both genders and for a larger age range. Methods In this study, 800 (407f/393 m) subjects volunteered aged from 21 to 60 years. Both genders were divided into four age groups according to decades. The three-dimensional upper body posture was measured by using the rasterstereography (ABW-Bodymapper). The habitual static posture was measured in two dental occlusion conditions (a) in rest position and (b) symmetrical blocking in the bicuspid region by cotton rolls. Results A significant reduction of the trunk length (0.72 mm; p < 0.001), an increase of the lumbar (0.30°; p < 0.001) and the thoracic bending angle (0.14°; p = 0.001), a reduction of the spinal forward decline (0.16°; p < 0.001) and a reduction of the scapular distance (0.36 mm; p = 0.001) was found. Gender-specific reactions can only be recorded in scapular distance, in that regard men reduce this distance while over all age groups women did not show a significant change. Discussion Slight gender- and age-independent reactions due to a symmetric occlusion blockade are shown: A gender independent reaction of the spinal related variables in the sagittal plane (thoracic and lumbar flexion angle, trunk length, spinal forward decline). In addition, a gender specific change of the shoulder blade distance could be observed, where men reduced the distance while female did not show a change. However, since these reactions are of a minimum amount, it can be concluded that neurophysiological compensation mechanisms work equally well regardless of age and sex, and the upper body posture of healthy people changes only very slightly due to a temporarily symmetrical altered bite position.

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Can different occlusal positions instantaneously impact spine and body posture?

Cited by 21 publications

References 42 publications

Influence of dental occlusion on the athletic performance of young elite rowers: a pilot study

Influence of dental occlusion on the athletic performance of young elite rowers: a pilot study

Efficacy of the use of the McKenzie and Vojta methods to treat discopathy-associated syndromes in the pediatric population

Systematic changes of the static upper body posture with a symmetric occlusion condition

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