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Influence of the presence of Temporomandibular Disorders on postural balance in the elderly

Oltramari-Navarro Paula Vanessa Pedron, Yoshie Marjorie Takei, da Silva Rubens Alexandre, Ferreira-Conti Ana Cláudia de Castro, Navarro Ricardo de Lima, do Moraes Marchiori Luciana Lozza et Parron Fernandes Karen Barros. (2017). Influence of the presence of Temporomandibular Disorders on postural balance in the elderly. CoDAS, 29, (2),

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URL officielle: http://dx.doi.org/10.1590/2317-1782/20172016070

Résumé

Purpose: To investigate the influence of the presence of Temporomandibular Disorders (TMD) on postural balance in elderly individuals.

Methods: The study sample consisted of 150 elderly: 103 women (67.7±5.0 years) and 47 men (69.3±5.5 years). Evaluation of the presence and severity of TMD included an anamnesis questionnaire, an evaluation of the temporomandibular joint (TMJ), and a muscular examination, which allowed the division of the elderly into 2 groups: G1 (experimental, n=95), with TMD; G2 (control, n=55), without TMD. Postural balance was assessed by means of the one-leg stance test (OLST) on a force platform (BIOMEC400), thus permitting the following measurements: center of foot pressure (COP); mean sway velocity (MV) and frequency (MF) of COP in both the anteroposterior (VAP and FAP) and medial/lateral (VML and FML) directions. The statistical analysis of data was performed using independent t-test, Variance Analysis, and Chi Square test (α=5%).

Results: Presence of TMD was observed in 63.3% of the individuals (Group 2), with different degrees of severity (mild: 42.7%, moderate: 14.7%, severe: 6%). Significantly higher TMD was observed for women (73.8%) compared with men (40.4%) (p=0.0002). No significant difference was found in between the groups for all balance parameters, e.g., presence and severity of TMD, presence of pain to palpation of TMJ and of masticatory and cervical muscles.

Conclusion : The presence and severity of TMD, in addition to the presence of pain to palpation of TMJ and masticatory and cervical muscles did not alter the variables related to postural balance in this population.

Type de document:Article publié dans une revue sans comité d'évaluation
Volume:29
Numéro:2
Date:2017
Sujets:Sciences de la santé
Sciences de la santé > Sciences de l'activité physique et réadaptation
Sciences de la santé > Sciences de l'activité physique et réadaptation > Physiothérapie
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Unité d'enseignement en physiothérapie
Mots-clés:Temporomandibular Joint Disorder, Temporomandibular Joint, postural balance, the aged, aging, troubles de l'articulation temporomandibulaire, articulation temporomandibulaire, équilibre postural, personnes âgées, vieillissement
Déposé le:04 oct. 2017 01:15
Dernière modification:04 oct. 2017 01:15
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