Stabilometry platform benefits in diagnosis and occlusal orthosis treatment of occluso-postural deficiency: preliminary study on 30 patients

J. Combadazou, Antonin Hennequin, M. Benichou, Capucine Roumiguié, Florent Destruhaut
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Abstract

The posture can be defined as edifying and active in the maintaining of the different body parts in the space and translates the way the body challenges different situations and reacts toward the outside world. The posture is the convergence of muscular activity (tonic and phasic) and is related to a cranio-cervico-mandibular balance. On an anthropologic plan, postural stability is a flexible concept due to many ways for a human being to maintain around his balanced position. The posture aims to allow the movement of a body segment whereas it stabilizes the others segments and insures the maintaining of the erected station and fights against gravity. Regarding the literature there is no real consensus on a link between dental occlusion and posture when using measuring instrument to evaluate it. The different studies are contradictory. During the Milan consensus conference in 1997, it has been reported that there was no scientific proof to support a link between occlusion and posture [1]. Perinetti in 2006, has shown on a 26 patient’s cohort, with the help of posturography, the lack of postural modifications when the occlusion was changing [2]. Mandredini, et al. [3] has demonstrated throughout a systematic review that different techniques and posturoraphic devices failed to detect an association between body posture and dental occlusion. In some cases a link was detected, but it couldn’t be statistically significant [4]. The most complete evaluation published concludes that the utility of instruments such as surface electromyography, kinesigraphy, stabilometry platform and other postural devices is still weak on dentistry techniques [5].
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稳定测量平台在咬合姿势缺陷诊断和矫形治疗中的应用:30例患者的初步研究
姿势可以定义为在空间中保持身体不同部位的启发性和主动性,并转化身体挑战不同情况和对外界反应的方式。姿势是肌肉活动(强直性和相性)的收敛,与颅颈下颌平衡有关。在人类学的计划中,姿势稳定性是一个灵活的概念,因为一个人有很多方法来保持他的平衡姿势。这种姿势的目的是允许身体部分的运动,同时稳定其他部分,并确保维持直立的车站和对抗重力。就文献而言,在使用测量仪器评估牙合时,对牙合与姿势之间的联系并没有真正的共识。不同的研究是相互矛盾的。在1997年米兰共识会议期间,有报道称没有科学证据支持咬合与姿势之间的联系[1]。Perinetti(2006)在26例患者队列中,通过体位摄影显示,当咬合发生改变时,体位没有改变[2]。Mandredini等[3]通过一项系统综述证明,不同的技术和姿势摄影设备未能检测到身体姿势和牙合之间的关联。在某些情况下,检测到链接,但不可能具有统计显著性[4]。已发表的最完整的评估结论是,表面肌电图、运动学、稳定测量平台和其他姿势设备等仪器在牙科技术上的应用仍然薄弱[5]。
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