Assessment of mobility of the mandible and cervical spine in the stomatognathic system disorders

Magdalena Gębska, Aleksandra Szylińska, Katarzyna Weber-Nowakowska, Elżbieta Kubala, Wojciech Garczyński, Łukasz Kołodziej

M. Gębska, A. Szylińska, K. Weber-Nowakowska, E. Kubala, W. Garczyński, Ł. Kołodziej – Assessment of mobility of the mandible and cervical spine in the stomatognathic system disorders. Fizjoterapia Polska 2019; 19(2); 78-86

Abstract
Introduction. The biomechanical connection of the stomatognathic system (SS) with anatomical structures within the head, neck, shoulder girdle, and even with the whole musculoskeletal system signals the need for an interdisciplinary approach to the treatment of dysfunctions of this system.
Objective. Assessment of mobility of the temporomandibular joints and cervical spine in patients with masseter muscle pain. Determination of the relationship between the mobility of the temporomandibular joints and cervical spine. Assessment of bioelectrical activity (sEMG) of masseter muscles in patients with myogenic disorders of the stomatognathic system.
Material and methods. Fifty women (G I) aged 20 to 37 years with diagnosed myogenic disorders of the stomatognathic system and pain were studied. The following examinations were carried out: interview (questionnaire) and physical examination (examination of the stomatognathic system according to Bouman, sEMG of masseter muscles, evaluation of cervical spine mobility, numerical pain scale). The control group (G II) consisted of 50 healthy women.
Results. The level of pain intensity in the masseter muscles was close to the intensity of pain within the sternocleidomastoid muscles. In patients suffering from pain of the stomatognathic system, there was a limited range of mobility of the cervical spine. The largest difference occurred during the rotation of the head to the right and to the left. Between G I and G II, there were statistically significant differences in the values of the masseter muscle sEMG amplitude.
Conclusions. There is a relationship between the limitation of movements of the mandible (opening, lateral movements) and a decrease in the range of mobility of the cervical spine. Myogenic disorders of the stomatognathic system may lead to disturbances in the mobility of the neck.

Key words:
stomatognathic system, cervical spine, pain, masseter muscle

 

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Changes in mobility of the lumbar spine under the influence of a series of low-frequency magnetotherapy procedures – randomized single-blind study

Katarzyna Juścińska, Wojciech Garczyński, Ignacy Kłonowski, Tomasz Kowalik, Magdalena Gębska

Katarzyna Juścińska, Wojciech Garczyński, Ignacy Kłonowski, Tomasz Kowalik, Magdalena Gębska – Changes in mobility of the lumbar spine under the influence of a series of low-frequency magnetotherapy procedures – randomized single-blind study. Fizjoterapia Polska 2018; 18(3); 64-77

 

Abstract
Introduction. In the literature, we find many works emphasizing the great role of physical therapy in treatment of spinal disorders. Low-frequency magnetic field therapy is mainly used as one of many elements of complex rehabilitation.
Aim of the study. The aim of the study was to evaluate the effect of a series of low-frequency magnetotherapy procedures on the limitation of mobility of the lumbar spine, as well as to determine whether the value of BMI and the age of patients affect the obtained result of the mobility range.
Material and methods. 40 people aged 30 to 71 were examined. The mobility was measured on the first and last day of the therapy using a modified fingertip-to-floor test. It was a randomized, single-blind study. Low-frequency magnetotherapy was applied in group A and simulation of the procedure in group B. Statistical analysis was conducted in the Statistica 12 programme.
Results. Differences in results obtained before and after the series of procedures in particular groups of patients were statistically insignificant (p=NS).
Conclusion. Low-frequency magnetotherapy does not affect the mobility range of the lumbar spine. The value of the body mass index has a slight influence on the range of movements, and also there is no relation between the age of the participants in the study and the range of mobility of a given section of the spine.

Key words:
magnetotherapy, magnetic field, lumbar spine, mobility limitation

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Wybrane właściwości mechaniczne plastrów stosowanych w metodzie plastrowania dynamicznego – badanie w oparciu o pojedynczo ślepą próbę

Wojciech Garczyński

W. Garczyński – Selected mechanical properties of tapes used in kinesiology taping method – single blind test. FP 2017; 17(3); 74-81

Abstract

Introduction. Kinesiology Taping is a popular method used not only by physiotherapists and physicians, but also by trainers, due to the lack of patient involvement and the economic factor. Numerous scientific publications on kinesiotaping are based on a randomized, usually double-blind tests. Unfortunately, in most scientific articles there is no information on the tape used in the tests, which makes it impossible to repeat the test and obtain the clinical response proven by the authors.
Aim of the tests. The implication for the tests was the comparison of several types of tapes used in dynamic taping in terms of selected mechanical properties.
Material and methods. Seven types of tapes were used for the tests: Nitto Denko, Acu Top, Cure Tape, Nastara, Kinesio Tex Gold, Novama, 3NS Tex. Instron E 3000 endurance machine was used for testing of mechanical properties. Two types of tests were carried out in the tape testing: monotonic stretching test and cyclic stretching test. The obtained results were analyzed using Office Excel 2010 and Statistica 12.
Results. Nitto Denko (154.90 N) and Novama (118.41 N) tapes had the highest static strength, while Acu Top (25.19 N) and 3NS Tex (18.54 N) tapes had the lowest static strength. The results from the cyclic stretching test showed higher values of force necessary for the Nitto Denko and Novam tapes (6.78 and 19.97 N, respectively). The lowest force needed for tape stretching was shown by 3NS Tex and Nastara tapes (3.95 and 4.68 N, respectively). The level of difference between the tested tapes was statistically significant (p < 0.001).
Conclusions. The tapes available on the Polish market differ in terms of mechanical properties.

Key words:
kinesiology taping, mechanical properities, physiotherapy

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