Relationship Between Dental Trauma and Orthostatic Balance in Children.

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Dental Traumatology Pub Date : 2024-09-24 DOI:10.1111/edt.12995
Abelardo Nunes Lunardelli, Daniel Fernandes Martins, Sandra Espíndola Lunardelli, Luiz Gustavo Teixeira Martins, Afonso Shiguemi Inoue Salgado, Frederic Jean François Viseux, Robert Schleip, Eliane Traebert, Jefferson Traebert
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Abstract

Background: Dental trauma (DT) and falls have shown to be associated. On the other hand, postural balance is associated with falls and depends on the integration of the body's regulatory systems. The aim of this study was to investigate the potential relationship between DT and alteration of orthostatic balance in children.

Methods: This was a population-based case-control study involving 296 six-year-old schoolchildren. The case group included children with previous history of DT. The control group included children with no previous history of DT. Stabilometric measurements were the main exposure of this study. Logistic regression analyzes were performed to estimate potential differences in terms of chance of occurrence.

Results: The cases reviewed showed a 4.37 times chance of reduced balance in the measurement of the anteroposterior trajectory speed of the orthostatic center of pressure (COP), when children had their eyes closed. It also presented a chance of 3.06 times reduced balance in the measurement of the orthostatic center of pressure latero-lateral sway, with children with open eyes and stepping on a foam pad, and 4.00 times of reduced balance in the width of the latero-lateral sway of the orthostatic center of pressure, with children with open eyes and stepping on a foam pad.

Conclusion: Children with previous history of DT showed a higher chance of experiencing a reduced orthostatic balance in different conditions when compared to children without the occurrence of trauma.

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儿童牙外伤与正张力平衡之间的关系
背景:牙外伤(DT)与跌倒有关联。另一方面,姿势平衡也与跌倒有关,并取决于身体调节系统的整合。本研究的目的是调查儿童牙外伤与正位平衡改变之间的潜在关系:这是一项基于人群的病例对照研究,涉及 296 名六岁学龄儿童。病例组包括曾患 DT 的儿童。对照组包括以前没有 DT 病史的儿童。稳定度测量是本研究的主要暴露指标。研究人员进行了逻辑回归分析,以估计发生几率方面的潜在差异:所审查的病例显示,在测量正立压力中心(COP)的前后轨迹速度时,当儿童闭眼时,平衡能力下降的几率为 4.37 倍。此外,在睁开眼睛并踩在泡沫垫上测量正压中心侧向摇摆时,平衡性降低的几率为 3.06 倍;在睁开眼睛并踩在泡沫垫上测量正压中心侧向摇摆宽度时,平衡性降低的几率为 4.00 倍:结论:与未受过外伤的儿童相比,有过DT病史的儿童在不同条件下出现正压平衡能力下降的几率更高。
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来源期刊
Dental Traumatology
Dental Traumatology 医学-牙科与口腔外科
CiteScore
6.40
自引率
32.00%
发文量
85
审稿时长
6-12 weeks
期刊介绍: Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.
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