Postural stability in subjects with temporomandibular disorders and healthy controls: A comparative assessment

J Electromyogr Kinesiol. 2017 Dec:37:21-24. doi: 10.1016/j.jelekin.2017.08.006. Epub 2017 Aug 31.

Abstract

Purpose of the study: The influence of the stomatognathic apparatus on body posture is a continuously discussed topic with contrasting results. The aim of this study is to analyze differences in postural stability between subjects with and without myogenous TMD.

Methods: 25 subjects affected by myogenous TMD according with DC/TMD (6 males, 19 females; mean age 31.75±6.68years) and a healthy control group of 19 subjects (4 Males, 15 Females; mean age 27.26±3.85years) were enrolled in the study. Both groups underwent a posturo-stabilometric force platform exam under different mandibular and visual conditions. Sway area and sway velocity of the COP (Center Of foot Pressure) posturo-stabilometric parameters were evaluated and compared applying Mann-U-Whitney statistical test.

Results: The sway area and sway velocity parameters resulted statistically significantly higher in the TMD group (sway area p<0.01; sway velocity p<0.05) in mandibular maximum intercuspation and rest positions with eyes open.

Conclusions: This study demonstrates a significant difference in body postural stability between subjects with myogenous TMD and healthy controls. In particular, sway area and sway velocity postural parameters are increased in these subjects.

Keywords: Mandible; Masticatory muscles; Postural balance; Posture; Temporomandibular joint disorders.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Mandible / physiology
  • Masticatory Muscles / physiology*
  • Muscle, Skeletal / physiology
  • Postural Balance / physiology*
  • Posture / physiology
  • Single-Blind Method
  • Temporomandibular Joint Disorders / diagnosis
  • Temporomandibular Joint Disorders / physiopathology*