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Yelken Kendirci M, Ertürk AF, Özcan I, Kendirci AŞ, Akgül T. The role of scoliosis on temporomandibular joint disease: a cross-sectional study based on ultrasonography. Clin Radiol 2024; 79:e417-e423. [PMID: 38143227 DOI: 10.1016/j.crad.2023.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 10/05/2023] [Accepted: 11/19/2023] [Indexed: 12/26/2023]
Abstract
AIM To investigate the relationship between temporomandibular disorders (TMD) and the stomatognathic system and spine through a multidisciplinary approach, utilising ultrasound to assess the temporomandibular joint. MATERIALS AND METHODS Between October 2020 and January 2021, 50 patients aged 12-18 years with adolescent idiopathic scoliosis and 50 healthy individuals were enrolled. All participants underwent clinical examinations based on the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) protocol. Additionally, ultrasound evaluations were performed of the temporomandibular joint and masseter muscles. Subsequently, the data from both groups were compared and analysed. RESULTS The mean age of participants was 14.69 ± 2.73 years in the scoliosis group (SG) and 14.68 ± 1.81 years in the control group (CG). Among scoliosis patients, a moderate negative correlation was observed between the Cobb angle (indicative of curvature severity) and mouth opening (p=0.023; r=-0.320). Furthermore, the incidence of TMD was significantly higher in the scoliosis group compared to the control group (p<0.001). Additionally, it was found that a 1-unit increase in joint space elastography value led to a 4.81-fold higher likelihood of diagnosing disc displacement with reduction (p=0.009; 95% CI: 1.47-15.73). CONCLUSION This pioneering study, the first of its kind to explore the connection between scoliosis and ultrasound-based temporomandibular joint screening, suggests that scoliosis may be a predisposing factor for TMD. Moreover, the present findings underscore the importance of joint elastography as a valuable quantitative tool in TMD diagnosis.
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Affiliation(s)
- M Yelken Kendirci
- Biruni University Faculty of Dentistry, Department of Oral and Dentomaxillofacial Radiology, İstanbul, Turkey.
| | - A F Ertürk
- Biruni University Faculty of Dentistry, Department of Oral and Dentomaxillofacial Radiology, İstanbul, Turkey
| | - I Özcan
- Biruni University Faculty of Dentistry, Department of Oral and Dentomaxillofacial Radiology, İstanbul, Turkey
| | - A Ş Kendirci
- Istanbul University, Istanbul Medical Faculty, Orthopaedics and Traumatology Department, İstanbul, Turkey
| | - T Akgül
- Istanbul University, Istanbul Medical Faculty, Orthopaedics and Traumatology Department, İstanbul, Turkey
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Li X, Shen J, Liang J, Zhou X, Yang Y, Wang D, Wang S, Wang L, Wang H, Du Q. Effect of core-based exercise in people with scoliosis: A systematic review and meta-analysis. Clin Rehabil 2020; 35:669-680. [PMID: 33356498 PMCID: PMC8076838 DOI: 10.1177/0269215520975105] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
OBJECTIVE To systematically assess the effectiveness of core-based exercise for correcting a spinal deformity and improving quality of life in people with scoliosis. DATA SOURCES The PubMed, Embase, Cochrane Library, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and Web of Science databases were searched from inception up to September 30, 2020. METHODS Clinical controlled trials were eligible if they compared the effectiveness of core-based exercise to other nonsurgical interventions in people with scoliosis. The revised Cochrane risk of bias assessment tool for randomized trials and the methodological index for non-randomized studies scale were used to assess the risk of bias. The outcomes included the Cobb angle, the angle of trunk rotation and quality of life. RevMan 5.3 was used, and intergroup differences were determined by calculating mean differences (MD) and 95% confidence intervals (CIs). RESULTS After screening 1348 studies, nine studies with 325 participants met the inclusion criteria. The exercise group had significantly lower Cobb angles (MD = -2.08, 95% CI: -3.89 to -0.28, P = 0.02) and significantly better quality of life as measured by the Scoliosis Research Society-22 questionnaire (MD = 0.25, 95% CI: 0.02 to 0.49, P = 0.03) than the control groups. However, no significant difference was observed regarding the angle of trunk rotation between groups (MD = -0.69, 95% CI: -2.61 to 1.22, P = 0.48). Furthermore, no serious adverse events were reported. The overall quality of evidence ranged from low to very low. CONCLUSION Core-based exercise may have a beneficial role in reducing the Cobb angle and improving quality of life in people with scoliosis in the short term. PROSPERO REGISTRATION NUMBER CRD42020160509 (Available at http://www.crd.york.ac.uk/prospero/).
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Affiliation(s)
- Xin Li
- Department of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.,School of Kinesiology, Shanghai University of Sport, Shanghai, People's Republic of China
| | - Jie Shen
- School of Kinesiology, Shanghai University of Sport, Shanghai, People's Republic of China
| | - Juping Liang
- Department of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Xuan Zhou
- Department of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Yuqi Yang
- Shanghai University of Medicine & Health Sciences, Shanghai, People's Republic of China
| | - Dexuan Wang
- Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Shanshan Wang
- Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Lixia Wang
- School of Kinesiology, Shanghai University of Sport, Shanghai, People's Republic of China
| | - Hong Wang
- Shanghai University of Medicine & Health Sciences, Shanghai, People's Republic of China
| | - Qing Du
- Department of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.,Department of Rehabilitation, Chongming Branch of Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China
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Sofyanti E, Boel T, Sihombing ARN. The correlation between back posture and sagittal jaw position in adult orthodontic patients. J Taibah Univ Med Sci 2020; 16:63-69. [PMID: 33603633 PMCID: PMC7858012 DOI: 10.1016/j.jtumed.2020.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 10/07/2020] [Accepted: 10/11/2020] [Indexed: 11/29/2022] Open
Abstract
Objective A debate remains in evidence-based medicine about the reciprocal interchange between dental occlusion and body postural therapy. Back posture deformity has been found to be related to trunk asymmetry as one characteristic of scoliosis that is commonly reported in occlusal development issue. This study aims to determine the correlation between back posture and sagittal jaw position in adult orthodontic patients treated at the dental hospital of Universitas Sumatera Utara. Methods This observational study was conducted on orthodontic patients who had routine orthodontic control between October 2019 and February 2020. The sagittal jaw relationship on pre-treatment cephalometry lateral-based on Steiner analysis was done with OrthoVision software. The back posture that related to cervical, thoracic, and lumbar measurement was performed using scoliometer plastic economy (Baseline®). Results From 128 patients, aged between 18 and 30 years, we found 72 patients with Class I, 41 patients with Class II, and 15 patients with Class III skeletal malocclusion. There were no significant differences of trunk asymmetry based on sagittal jaw relationship (p = 0.651). Additionally, there was no significant correlation between back posture and sagittal jaw position in Class II and Class III patients (r = 0.112, p > 0.05). Conclusion In this study, the sagittal jaw relationship had poor correlation to back posture in orthodontic adult patients due to a compensatory mechanism. The presence of temporomandibular dysfunction, sella-nasion-B point, and head posture are specific variables in a particular dento-skeletal type that should be considered in further studies.
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Affiliation(s)
- Ervina Sofyanti
- Department of Orthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Trelia Boel
- Department of Dentomaxillofacial and Radiography, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Anrice R N Sihombing
- Orthodontics Specialist Program, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
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Yoon S, Rhee MH. Effect of physical therapy scoliosis specific exercises using breathing pattern on adolescent idiopathic scoliosis. J Phys Ther Sci 2016; 28:3261-3263. [PMID: 27942163 PMCID: PMC5140843 DOI: 10.1589/jpts.28.3261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Accepted: 07/27/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study was performed to confirm physical therapy scoliosis specific exercises on adolescent idiopathic scoliosis patients. [Subject and Methods] A 15-year-old male middle school student with scoliosis. Cobb's angle, angle of rotation of the spine, and breathing pattern were measured before and after 8 weeks training. [Results] After 8 weeks training, Cobb's angle, angle of rotation of the spine, and breathing pattern were improved better. [Conclusion] These results indicate that physical therapy scoliosis specific exercises improves scoliosis curves and could provide an effective intervention and management of scoliosis.
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Affiliation(s)
| | - Min-Hyung Rhee
- Department of Rehabilitation Medicine, Pusan National University Hospital, Republic of Korea
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Zaina F, Romano M, Knott P, de Mauroy JC, Grivas TB, Kotwicki T, Maruyama T, O’Brien J, Rigo M, Negrini S. Research quality in scoliosis conservative treatment: state of the art. SCOLIOSIS 2015; 10:21. [PMID: 26279671 PMCID: PMC4537531 DOI: 10.1186/s13013-015-0046-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/10/2014] [Accepted: 07/04/2015] [Indexed: 11/10/2022]
Abstract
The publication of research in the field of conservative treatment of scoliosis is increasing after a long period of progressive decline. In 2014, three high quality and scientifically sound papers gave new strength to the conservative scoliosis approach. The efficacy of treatment over observation was demonstrated by two RCTs for bracing, and one for scoliosis-specific exercises provided by a physical therapist. It is difficult to design strong studies in this field due to the long time needed for follow up and the challenge of recruiting patients and families willing to be involved in the decision process. Nevertheless, the main methodological errors are not related to the study design but rather on the way it is performed, which very frequently affects the reliability of results. The most common errors are: selection bias, with many studies including functional rather than a true structural scoliosis; inappropriate outcome measures, utilizing parameters not related to scoliosis progression or quality of life; inappropriate follow up, reporting only immediate results and not addressing end of growth results; an incorrect interpretation of findings, with an overestimation of results; and missing the evaluation of skeletal maturity, without which results cannot be considered stable. Being aware of these errors is extremely important both for authors and for readers in order to avoid questionable practices based on inconclusive studies that could harm patients.
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Affiliation(s)
- Fabio Zaina
- />ISICO (Italian Scientific Spine Institute), Via Roberto Bellarmino 13/1 20141, Milan, Italy
- />Italian Scoliosi Study Group (GSS), Vigevano, Italy
| | - Michele Romano
- />ISICO (Italian Scientific Spine Institute), Via Roberto Bellarmino 13/1 20141, Milan, Italy
- />Italian Scoliosi Study Group (GSS), Vigevano, Italy
| | | | | | | | - Tomasz Kotwicki
- />Department of Pediatric Orthopaedics, University of Medical Sciences, Poznan, Poland
| | - Toru Maruyama
- />Department of Orthopaedic Surgery, Saitama Medical Centre, Saitama Medical University, Kawagoe, Saitama Japan
| | | | | | - Stefano Negrini
- />Deparment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
- />IRCCS Fondazione Don Gnocchi, Milan, Italy
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Silva PFDC, Biasotto-Gonzalez DA, Motta LJ, Silva SM, Ferrari RAM, Fernandes KPS, Bussadori SK. Impact in oral health and the prevalence of temporomandibular disorder in individuals with Parkinson's disease. J Phys Ther Sci 2015; 27:887-91. [PMID: 25931752 PMCID: PMC4395736 DOI: 10.1589/jpts.27.887] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Accepted: 11/07/2014] [Indexed: 12/14/2022] Open
Abstract
The aims of the present study were to investigate the prevalence of temporomandibular
disorder (TMD) in a group of patients with Parkinson’s disease (PD), and to analyze oral
health according to the severity of the disease. [Methods] Signs and symptoms of TMD were
evaluated using the Research Diagnostic Criteria for Temporomandibular Disorders, and oral
health impact was measured using the Oral Health Impact Profile. The unpaired Student’s
t-test was used to compare groups with and without TMD. Pearson’s correlation coefficients
were calculated to determine correlations between the level of functional independence and
oral health impact. Fisher’s exact test was used to test the association between TMD and
the severity of symptoms of PD. [Results] Fifty-nine individuals with PD were analyzed.
The prevalence of TMD was 20.33%. No statistically significant associations were found
between TMD and the severity of PD. Oral health impact was considered weak, but a
statistically significant difference between groups with and without TMD was found for
psychological disability (p = 0.003). No significant correlation was found between the
level of functional independence and oral health impact. [Conclusion] The prevalence of
TMD among patients with Parkinson’s disease was 20.33%. A statistically significant
difference between groups with and without TMD was found regarding the psychological
disability domain.
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