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Gait and posture analysis in patients with maxillary transverse discrepancy, before and after RPE.

Identifieur interne : 000405 ( Main/Exploration ); précédent : 000404; suivant : 000406

Gait and posture analysis in patients with maxillary transverse discrepancy, before and after RPE.

Auteurs : Martina Mason [Italie] ; Fabiola Spolaor [Italie] ; Annamaria Guiotto [Italie] ; Alberto De Stefani [Italie] ; Antonio Gracco [Italie] ; Zimi Sawacha [Italie]

Source :

RBID : pubmed:29452908

Descripteurs français

English descriptors

Abstract

AIM

The purpose of this study was to evaluate the effects of the rapid palatal expansion (RPE) on posture and gait analysis in subjects with maxillary transverse discrepancies.

MATERIAL AND METHODS

Forty-one patients between 6 and 12 years were divided into 3 groups: 10 control subjects (Cs), 16 patients with unilateral posterior crossbite (CbMono), 15 patients with maxillary transverse discrepancy and no crossbite (Nocb). Every subject underwent gait analysis and posturographic examination in order to evaluate the presence of balance alterations before (T0) and after (T4) RPE application. The examinations were performed through a six-cameras stereophotogrammetric system (60-120Hz, BTS S.p.A.) synchronized with two force plates (FP4060, Bertec Corp.). Romberg test was performed on a force plate, and the statokinesiogram and joint kinematics were evaluated. One-way Anova was performed among the variables after evidence of normal distribution (Levene's test for equality of variances) and Kruskal-Wallis test (P<0.05), in order to compare the three groups of subjects. While paired t-test was performed, or Kruskal-Wallis test, instead when comparing pre- and post-RPE application within the same group of subjects (P<0.05). Tamane T2 or Bonferroni correction was applied where needed.

RESULTS

The posturographic analysis reveal significant differences across the 3 population: 95% power frequency in medio-lateral and antero-posterior direction in T0, median frequency in medio-lateral direction in T0, mean power frequency in medio-lateral direction in T0. Significant differences were also registered in the three-dimensional joints kinematics variables, mainly between Cs and Cbmono in T0 and T4 and between Cbmono and Nocb in T4.

CONCLUSIONS

A detectable correlation between dental occlusion and body posture is shown in this study that confirms another benefit of the RPE. This was mainly revealed in the dynamic posture where modifications at the mandibular level affect the whole body.


DOI: 10.1016/j.ortho.2018.01.003
PubMed: 29452908


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Biomechanical Phenomena (MeSH)</term>
<term>Child (MeSH)</term>
<term>Female (MeSH)</term>
<term>Gait Analysis (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Malocclusion (physiopathology)</term>
<term>Malocclusion (therapy)</term>
<term>Palatal Expansion Technique (MeSH)</term>
<term>Photogrammetry (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Time and Motion Studies (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Analyse de démarche (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Malocclusion dentaire (physiopathologie)</term>
<term>Malocclusion dentaire (thérapie)</term>
<term>Mâle (MeSH)</term>
<term>Photogrammétrie (MeSH)</term>
<term>Phénomènes biomécaniques (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Technique d'expansion palatine (MeSH)</term>
<term>Études ergonomiques (MeSH)</term>
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<term>Malocclusion dentaire</term>
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<term>Malocclusion</term>
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<term>Child</term>
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<term>Gait Analysis</term>
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<term>Palatal Expansion Technique</term>
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<term>Mâle</term>
<term>Photogrammétrie</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>AIM</b>
</p>
<p>The purpose of this study was to evaluate the effects of the rapid palatal expansion (RPE) on posture and gait analysis in subjects with maxillary transverse discrepancies.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MATERIAL AND METHODS</b>
</p>
<p>Forty-one patients between 6 and 12 years were divided into 3 groups: 10 control subjects (Cs), 16 patients with unilateral posterior crossbite (CbMono), 15 patients with maxillary transverse discrepancy and no crossbite (Nocb). Every subject underwent gait analysis and posturographic examination in order to evaluate the presence of balance alterations before (T0) and after (T4) RPE application. The examinations were performed through a six-cameras stereophotogrammetric system (60-120Hz, BTS S.p.A.) synchronized with two force plates (FP4060, Bertec Corp.). Romberg test was performed on a force plate, and the statokinesiogram and joint kinematics were evaluated. One-way Anova was performed among the variables after evidence of normal distribution (Levene's test for equality of variances) and Kruskal-Wallis test (P<0.05), in order to compare the three groups of subjects. While paired t-test was performed, or Kruskal-Wallis test, instead when comparing pre- and post-RPE application within the same group of subjects (P<0.05). Tamane T2 or Bonferroni correction was applied where needed.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The posturographic analysis reveal significant differences across the 3 population: 95% power frequency in medio-lateral and antero-posterior direction in T0, median frequency in medio-lateral direction in T0, mean power frequency in medio-lateral direction in T0. Significant differences were also registered in the three-dimensional joints kinematics variables, mainly between Cs and Cbmono in T0 and T4 and between Cbmono and Nocb in T4.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>A detectable correlation between dental occlusion and body posture is shown in this study that confirms another benefit of the RPE. This was mainly revealed in the dynamic posture where modifications at the mandibular level affect the whole body.</p>
</div>
</front>
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<AbstractText Label="CONCLUSIONS">A detectable correlation between dental occlusion and body posture is shown in this study that confirms another benefit of the RPE. This was mainly revealed in the dynamic posture where modifications at the mandibular level affect the whole body.</AbstractText>
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   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:29452908
   |texte=   Gait and posture analysis in patients with maxillary transverse discrepancy, before and after RPE.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:29452908" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a PosturoV1 

Wicri

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