Introduction: Human posture is linked to a certain stable anatomic position between head, body, and upper and lower limbs. Posturology is the science for the human posture. The connections between the vestibular, ocular, stomatognathic, postural, and proprioceptive systems are studied due to their muscular chains interconnections.
Aim: The present research aims to study the characteristics of the body’s balance in patients with vestibular disorders and orthodontic malocclusions, utilizing the PODATA platform.
Materials and Methods: A total of 83 patients in the time period November–July 2022 were included. All patients filled out written informed consent forms in order to participate. The study received approval by the Medical University of Varna’s Ethics Committee. Patients were also provided with questionnaires in order to assess their symptoms. An ENT specialist and a dentist examined all patients. Patients were divided into several diagnostic groups.
Results: When examined on the platform, patients shifted the center of gravity (CoG) of the body more often backwards and to the right side. Most patients with a shift of CoG backwards and to the right had a temporomandibular disorder (TMD) on the left side. Female patients were more affected than male ones. In patients who also had a vestibular disorder, CoG of the body was more often shifted backwards and to the right. Thirty-one had a malocclusion. Patients with a change of the middle line and deep bite were the most prevalent and they shifted CoG backward and to the right or only backwards.
Conclusion: The presented study confirmed that there is a connection between the postural, stomatognathic and vestibular systems. Disorders in either of the systems results in consecutive changes in the others.
Bricot B. Total postural reprogramming. Santa Monica: Dux Lucis Books; 2008.
Julià-Sánchez S, Álvarez-Herms J, Cirer-Sastre R, Corbi F, Burtscher M. The influence of dental occlusion on dynamic balance and muscular tone. Front Physiol. 2020;10:1626. doi: 10.3389/fphys.2019.01626.
Carini F, Mazzola M, Fici C, Palmeri S, Messina M, Damiani P, et al. Posture and posturology, anatomical and physiological profiles: overview and current state of art. Acta Biomed. 2017;88(1):11-6. doi: 10.23750/abm.v88i1.5309.
Zurita-Hernandez J, Ayuso-Montero R, Cuartero-Balana M, Willaert E, Martinez-Gomis J. Relationship between unilateral posterior crossbite and human static body posture. Int J Environ Res Public Health. 2020;17(15):5303. doi: 10.3390/ijerph17155303.
Milkov M, Stoykov M. Importance of otorhinolaryngology and vestibulogy for posture and balance of the human body. Varna Med Forum. 2021;10(Suppl 1):142-8. doi: 10.14748/vmf.v10i2.7892.
Julià-Sánchez S, Álvarez-Herms J, Cirer-Sastre R, Corbi F, Burtscher M. The influence of dental occlusion on dynamic balance and muscular tone. Front Physiol. 2020;10:1626. doi: 10.3389/fphys.2019.01626.
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(1):63-9. doi: 10.1016/j.jtumed.2020.10.009.
Cuccia A, Caradonna C. The relationship between the stomatognathic system and body posture. Clinics (Sao Paulo). 2009;64(1):61-6. doi: 10.1590/s1807-59322009000100011.
Šidlauskienė M, Smailienė D, Lopatienė K, Čekanauskas E, Pribuišienė R, Šidlauskas M. Relationships between Malocclusion, Body Posture, and Nasopharyngeal Pathology in Pre-Orthodontic Children. Med Sci Monit. 2015;21:1765-73. doi: 10.12659/MSM.893395.
Macedo C, Gazzola JM, Ricci NA, Doná F, Ganança FF. Influence of sensory information on static balance in older patients with vestibular disorder. Braz J Otorhinolaryngol. 2015;81(1):50-7. doi: 10.1016/j.bjorl.2014.11.004.
Isaia B, Ravarotto M, Finotti P, Nogara M, Piran G, Gamberini J, Biz C, Masiero S, Frizziero A. Analysis of Dental Malocclusion and Neuromotor Control in Young Healthy Subjects through New Evaluation Tools. J Funct Morphol Kinesiol. 2019;4(1):5. doi: 10.3390/jfmk4010005.
Valcheva Z, Arnautska H, Mineva D. The relationship between the position of the hyoid bone and the head posture in mouth-breathing children. J Union Sci Varna Med Ecol Series. 2021;26(1):71-6. doi: 10.14748/isuvsme.v26i1.8116.
Maurer-Grubinger C, Avaniadi I, Adjami F, Christian W, Doerry C, Fay V, et al. Systematic changes of the static upper body posture with a symmetric occlusion condition. BMC Musculoskelet Disord. 2020;21(1):636. doi: 10.1186/s12891-020-03655-x.
Stancker TG, de Oliveira Silva AC, Neto HP, Rodrigues CDA. Malocclusion influence on balance and posture: a systematic review. Man Ther Posturology Rehabil J. 2015;1-6. doi: 10.17784/mtprehabJournal.2015.13.320.
Milkov M, Stoykov M, Arnautska H, Peev S, Petrova D. Important interrelations between posturology, vestibular disorders and dentistry. Int Bull Otorhinolaryngol. 2020;16(4):29-32. doi: 10.14748/orl.v16i4.7734.
Perinetti G, Contardo L, Silvestrini-Biavati A, Perdoni L, Castaldo A. Dental malocclusion and body posture in young subjects: a multiple regression study. Clinics (Sao Paulo). 2010;65(7):689-95. doi: 10.1590/S1807-59322010000700007.
Sambataro S, Bocchieri S, Cervino G, La Bruna R, Cicciù A, Innorta M, et al. Correlations between Malocclusion and Postural Anomalies in Children with Mixed Dentition. J Funct Morphol Kinesiol. 2019;4(3):45. doi: 10.3390/jfmk4030045.
Valcheva Z, Arnautska H, Milkov M, Ivanova G, Atanasova I. Determining the main reasons for difficult nasal breathing among children with primary and mixed dentition. J Union Sci Varna Med Ecol Series. 2019;24(1):90-4. doi: 10.14748/isuvsme.v24i1.6199
Isaia B, Ravarotto M, Finotti P, Nogara M, Piran G, Gamberini J, et al. Analysis of dental malocclusion and neuromotor control in young healthy subjects through new evaluation tools. J Funct Morphol Kinesiol. 2019;4(1):5. doi: 10.3390/jfmk4010005.
Saddu SC, Dyasanoor S, Valappila NJ, Ravi BV. The evaluation of head and craniocervical posture among patients with and without temporomandibular joint disorders--a comparative study. J Clin Diagn Res. 2015;9(8):ZC55-8. doi: 10.7860/JCDR/2015/12830.6343.
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