The correlation study on mandibular deviation and cervical vertebrae posture in patients with mandibular asymmetry

Background: To explore the degree of skeletal mandibular deviation and the change of mandible position in patients with mandibular deformity and its correlation with cervical posture in patients with jaw deformity using CBCT and to provide the reference for clinical diagnosis and treatment planning. Methods: CBCT images from 30 adult patients with skeletal mandibular deviation and 30 adult individuals with facial symmetry were analyzed and imported in Invivo 5 to reconstruct a 3D hard-tissue surface model. A reference frame was set up and 20 measurements of the mandible and cervical vertebrae were performed to calculated. The difference between the three-dimensional position of the mandible and the posture of cervical spine were analyzed in patients with mandibular asymmetry and normal people. Results: Compared with the normal maxillofacial symmetry groups, there were significant differences in the degree of skeletal mandibular asymmetry and cervical deviation in the mandibular deviation groups(P ＜ 0.05). A strong positive, linear correlation was found in patients with mandibular deviation between the deviation of the mandible and cervical vertebrae posture. Conclusion: There is an inherent correlation between the occurrence of mandibular deviation and the deflection of cervical posture, and they interact on each other. The deformity of mandible affects the three-dimensional posture of the cervical vertebra and can cause different degrees of cervical deflection. The degree of mandible deviation and cervical vertebrae posture in patients with mandibular asymmetry are greater than those in individuals with facial symmetry. Compared with the patients with normal jaw, the deformity among the patients with skeletal mandibular asymmetry has a tendency to tilt forward and bend forward. The abnormal posture of the cervical spine will also affect the three-dimensional position of the mandible, causing the lower 1/3 of the face to appear facial asymmetry with the deflection of the head and neck posture.

Quantitative Analysis of Body Posture and Its Correlation With Cervical Posture in Various Malocclusions

BACKGROUND: Considering that malocclusions can cause cervico-mandibular and cervico-cranial disorders, the aim of this study is to investigate whether there are significant differences in posture in subjects with skeletal class I, class II and skeletal class III malocclusion METHODS: A clinical study conducted on 90 subjects with Angle`s class I, II, III skeletal malocclusion. Standardized Casts of the subjects were used to analyze the tooth characteristics. Lateral cephalograms were used to assess cervical posture through cervical skull Rocabado analysis. A customized force platform with pressure sensors were used for posture analysis. RESULTS: There is a difference in body posture in subjects with skeletal class I, class II and class III malocclusion and a positive correlation between body posture and cervical posture is found in subjects with these classes of skeletal malocclusion. Subjects with class I malocclusion were found to have a normal cervical and body posture. Strain values from the force platform showed equal distribution of strain on both the feet. Subjects with class II malocclusion were found to have a forward cervical posture with the forward lean of body posture. Subjects with class III skeletal malocclusion were found to have a backward cervical posture with the posterior lean of body posture. CONCLUSION: The results suggest that different classes of malocclusion present with an alteration in cervical and body posture. Correction of the malocclusion or an intervention plan for the prevailing malocclusion should be done as early as possible which can be used to correct the posture thereby restoring the equilibrium of the body.

Design, Validity, and Reliability of a New Test, Based on an Inertial Measurement Unit System, for Measuring Cervical Posture and Motor Control in Children with Cerebral Palsy

Objective: The aim of this study was to design and propose a new test based on inertial measurement unit (IMU) technology, for measuring cervical posture and motor control in children with cerebral palsy (CP) and to evaluate its validity and reliability. Methods: Twenty-four individuals with CP (4–14 years) and 24 gender- and age-matched controls were evaluated with a new test based on IMU technology to identify and measure any movement in the three spatial planes while the individual is seated watching a two-minute video. An ellipse was obtained encompassing 95% of the flexion/extension and rotation movements in the sagittal and transversal planes. The protocol was repeated on two occasions separated by 3 to 5 days. Construct and concurrent validity were assessed by determining the discriminant capacity of the new test and by identifying associations between functional measures and the new test outcomes. Relative reliability was determined using the intraclass correlation coefficient (ICC) for test–retest data. Absolute reliability was obtained by the standard error of measurement (SEM) and the Minimum Detectable Change at a 90% confidence level (MDC90). Results: The discriminant capacity of the area and both dimensions of the new test was high (Area Under the Curve ≈ 0.8), and consistent multiple regression models were identified to explain functional measures with new test results and sociodemographic data. A consistent trend of ICCs higher than 0.8 was identified for CP individuals. Finally, the SEM can be considered low in both groups, although the high variability among individuals determined some high MDC90 values, mainly in the CP group. Conclusions: The new test, based on IMU data, is valid and reliable for evaluating posture and motor control in children with CP.

1215 Improving Sleep Disorders And Chronic Neck Pain By Adjusting Height Of The Pillow Through Cervical Posture Management

Introduction Recent studies have suggested that chronic musculoskeletal system pain, including chronic neck pain, accounts for approximately 70% of all sleeping disorders. Simultaneously, sleeping disorders increase pain sensitivity and create a vicious cycle of chronic neck pain. Patients with chronic pain experience a variety of somatic symptoms (e.g., Stomach or bowel problems, Back pain, Pain in your joints, headaches, chest pain, shortness of breath, dizziness, fatigue, and Trouble sleeping) that are difficult to treat. However, treatment of both neck chronic pain and sleeping disorders through cervical posture management by adjusting height of the pillow used while sleeping has yet to be considered. Methods Patients who visited our hospital with chief complaints of chronic neck pain were rated according to the Numerical Rating Scale (NRS) and were asked to answer the Somatic Symptom Scale-8 (SSS-8), to ascertain the degree of somatic symptoms. Out of all the patients, only 84 scored at least 8 out of 32 in the SSS-8. Based on the individual results of the 84 respondents, they were given customized pillows to be used for 3 months. The pillows were adjusted using the SSS method developed at our clinic. We adjusted the height of the pillow by 5mm increments to check the cervical inclination angle at approximately 15 degrees in supine position, lateral position with the center line from face to neck at left-right symmetry and finally confirming smooth turning over. The respondents performed NRS and SSS-8 after 2 weeks and 3 months of using the pillow. Results The results of this study showed that at 0 weeks / 2 weeks / 3 months. NRS score was 6.8 / 5.1 / 4.1 (p <0.01), and the overall SSS-8 score was 13.2 / 9.9 / 8.2 (p <0.01), showed a marked improvement. By symptom, all symptoms except Stomach or bowel problems showed significant improvement. Trouble sleeping showed the highest improvement at 2.6 / 1.7 / 1.3 (p <0.01). Conclusion Chronic neck pain and sleeping disorders improved in the patients. These results suggested that cervical posture management by adjusting height of the pillow is an effective treatment method. Support None