Temporomandibular joint (TMJ) function on selected postural variables with analysis of changes in equivalent reactions

Zuzanna Broczkowska, Arkadiusz Żurawski, Zbigniew Śliwiński

Zuzanna Broczkowska, Arkadiusz Żurawski, Zbigniew Śliwiński – Temporomandibular joint (TMJ) function on selected postural variables with analysis of changes in equivalent reactions –  Fizjoterapia Polska 2024; 24(5); 267-278

DOI: https://doi.org/10.56984/8ZG020CBV25

Abstract Introduction. The position and tensions in the temporomandibular joint directly affect the cervical spine by changing the position of the cervical lordosis through a direct connection between the TMJ joint and the C0-C1 segment. According to the theory of tensegrity occurring in the human body, a change in the position in one segment can affect the other areas of the body. Changes in the tension of the structures in the joint can therefore affect the parameters of the equilibrium reactions. In the current literature review, there is little research on the relationship between the temporomandibular joint and balance. Study aim. The aim of the study was to analyze the influence of the temporomandibular joint position on the parameters of cervical spine lordosis depth, body posture and balance reactions in a group of young adults. Methods and materials. A total of 43 people aged 18-26 were examined. The tests were conducted in a static form using the DIERS posture lab system in three settings: TMJ joint in a neutral position, TMJ with maximum jaw tension and opening in maximum possibilities. People with orthodontic appliances and people whose jaw opening range was limited (less than the width of their four fingers) were excluded from the study. Parameters used for analysis: Depth of cervical lordosis [mm], Amount of head protraction [mm], Trunk inclination, Depth and angle of lumbar lordosis, Pelvic inclination, pelvic rotation, and variables defining parameters of equivalent reactions and variables defining parameters of equivalent reactions: Left foot load [%], Right foot load [%], Forefoot load [%], Heel load [%], Maximum left foot pressure [N], Maximum right foot pressure [N], Left foot contact area [cm2], Right foot contact area [cm²], Lateral movement COP (max) [mm], Total lateral movement COP [mm], Total front/back movement COP [mm], COP area. Statistica program was used for statistical analysis. Tests for normality distribution (Shapiro-Wilk), Chi-square test were performed, and correlations were examined with Spearman’s test. Results. Studies conducted on a group of young adults may suggest the influence of the temporomandibular joint position on changes in equivalent changes. The results of descriptive statistics show significant changes in the average results, including around foot load or COP surface. The highest average results were observed in the case of opening the TMJ joint, where deviations in the area of equivalent reaction changes showed the highest average results. The results of both descriptive statistics and correlations did not show significant differences between the joint position and trunk variables. The differences between the was minimal. Conclusions. Changes in the position and tension of the temporomandibular joint affect the position of the cervical spine and balance parameters. For the position with open TMJ positioning, there is a correlation with the variables of the contact area of the right and left foot with the ground. There are no changes in body posture. It cannot be stated that the position of the temporomandibular joint significantly affects the variables of body posture.
Key words temporomandibular joint, spine, balance, DIERS
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Analysis of lumbar lordosis on selected balance parameters in men

Zuzanna Broczkowska, Arkadiusz Żurawski, Kamil Markowski, Zbigniew Śliwiński

 

Zuzanna Broczkowska, Arkadiusz Żurawski, Kamil Markowski, Zbigniew Śliwiński– Analysis of lumbar lordosis on selected balance parameters in men –  Fizjoterapia Polska 2024; 24(3); 158-167

DOI: https://doi.org/10.56984/8ZG020AB2L

Abstract:
Introduction. Scientific research indicates the impact of increased lumbar lordosis on selected parameters of static foot load and changes in balance reactions in different age groups. According to the authors, pelvic displacement towards nutation directly influences the increase in lumbar lordosis, thereby affecting the previously mentioned parameters.
Aim. The aim of the study was to analyze selected balance parameters in a group of men based on the relationship with their lumbar lordosis depth.
Materials and Methods. The study was conducted from January to October 2023 at the Collegium Medicum of the Jan Kochanowski University in Kielce. The study group consisted of students from the Collegium Medicum, aged 18‑26 years. A total of 81 men were examined. The study was carried out in a static form using the Diers Posture Lab system. The parameters included in the statistical analysis were: “Lordosis angle,” “Pelvic inclination,” “Lateral movement (max.) CoP,” “Total lateral movement CoP,” “COP area,” “Total front/back movement CoP.” The analysis also considered Harzmann parameters: “Lateral deviation VP‑DM (rms),” “Surface rotation (rms),” “Pelvic obliquity,” “Pelvic twist,” “Torso deviation from vertical VP‑DM,” as well as parameters determining foot load: “Rear force distribution [%],” “Front force distribution [%],” “Left side force distribution [%],” “Right side force distribution [%],” “Maximum left side pressure [N],” “Maximum right side pressure [N],” “Left foot contact area [cm2],” “Right foot contact area [cm2]” in a group of young adults (students of medical and health sciences). Statistical analysis was performed using Statistica Stat Soft 21. Normality tests (Shapiro‑Wilk) and correlation tests using Spearman’s test were conducted.
Results. No statistically significant correlation was found between the lordosis angle and balance reactions, as well as pelvic inclination in the group of young adult men.
Conclusions. Increased lumbar lordosis in young adult men does not directly affect the examined parameters of balance reactions.

Keywords:
lumbar lordosis, balance, pelvis

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