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Does altered mandibular position and dental occlusion influence upper cervical movement: A cross-sectional study in asymptomatic people.

Identifieur interne : 001166 ( PubMed/Curation ); précédent : 001165; suivant : 001167

Does altered mandibular position and dental occlusion influence upper cervical movement: A cross-sectional study in asymptomatic people.

Auteurs : Francis Grondin [France] ; Toby Hall [Australie] ; Harry Von Piekartz [Allemagne]

Source :

RBID : pubmed:27847242

Abstract

Gross mandibular position and masticatory muscle activity have been shown to influence cervical muscles electromyographic activity. The purpose of this study was to investigate the influence of three different mandible positions including conscious occlusion, tongue tip against the anterior hard palate (Palate tongue position) and natural resting position (Rest), on sagittal plane cervical spine range of motion (ROM) as well as the flexion-rotation test (FRT) in asymptomatic subjects.

DOI: 10.1016/j.math.2016.06.007
PubMed: 27847242

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pubmed:27847242

Le document en format XML

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<name sortKey="Grondin, Francis" sort="Grondin, Francis" uniqKey="Grondin F" first="Francis" last="Grondin">Francis Grondin</name>
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<nlm:affiliation>Laboratory of Anatomy, Bordeaux University Hospital, Hôpital Pellegrin, Place Amélie-Raba-Léon, 33076, Bordeaux, France. Electronic address: grondin.fran@yahoo.fr.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<name sortKey="Hall, Toby" sort="Hall, Toby" uniqKey="Hall T" first="Toby" last="Hall">Toby Hall</name>
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<nlm:affiliation>School of Physiotherapy and Exercise Science, Curtin University, P.O. Box U1987, Perth, WA, 6845, Australia. Electronic address: halltm@netspace.net.au.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>School of Physiotherapy and Exercise Science, Curtin University, P.O. Box U1987, Perth, WA, 6845</wicri:regionArea>
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<name sortKey="Von Piekartz, Harry" sort="Von Piekartz, Harry" uniqKey="Von Piekartz H" first="Harry" last="Von Piekartz">Harry Von Piekartz</name>
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<nlm:affiliation>University of Applied Science, Department of Rehabilitation, Osnabrück, Germany. Electronic address: h.von-Piekartz@hs-osnabrueck.de.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<div type="abstract" xml:lang="en">Gross mandibular position and masticatory muscle activity have been shown to influence cervical muscles electromyographic activity. The purpose of this study was to investigate the influence of three different mandible positions including conscious occlusion, tongue tip against the anterior hard palate (Palate tongue position) and natural resting position (Rest), on sagittal plane cervical spine range of motion (ROM) as well as the flexion-rotation test (FRT) in asymptomatic subjects.</div>
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<Title>Musculoskeletal science & practice</Title>
<ISOAbbreviation>Musculoskelet Sci Pract</ISOAbbreviation>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Gross mandibular position and masticatory muscle activity have been shown to influence cervical muscles electromyographic activity. The purpose of this study was to investigate the influence of three different mandible positions including conscious occlusion, tongue tip against the anterior hard palate (Palate tongue position) and natural resting position (Rest), on sagittal plane cervical spine range of motion (ROM) as well as the flexion-rotation test (FRT) in asymptomatic subjects.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">An experienced single blinded examiner evaluated ROM using an Iphone in 22 subjects (7 females; mean age of 29.91years, SD 5.44).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Intra-rater reliability for range recorded was good for the FRT with ICC (intraclass correlation) 0.95 (95% CI: 0.88-0.98) and good for sagittal plane cervical ROM with ICC 0.90 (95% CI: 0.77-0.96). A repeated measures ANOVA determined that mean ROM recorded during the FRT differed significantly between assessment points (F(1.99, 41.83) = 19.88, P < 0.001). Bonferroni Post hoc tests revealed that both conscious Occlusion and Palate tongue position elicited a significant large reduction in ROM recorded during the FRT from baseline (p < 0.01). Despite this, one activation strategy did not influence ROM more than the other. An additional repeated measures ANOVA determined that mean sagittal cervical ROM did not significantly vary between assessment points (F(2, 42) = 8.18, P = 0.08).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This current study provided further evidence for the influence of the temporomandibular region on upper cervical ROM. Results suggest that clinicians should focus on the natural mandible rest position when evaluating upper cervical mobility.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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