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The Predictive Value of Gross
Motor Development, Posture and Upper Quadrant Stability for TMD in
Children and Young Adults: A Preliminary Study
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Leah Nof,
PT, PhD1
Rebecca S. Rosenthal, PT,
JD2
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1. Professor, Nova Southeastern University, Department of Physical Therapy
2. Assistant Professor, Nova Southeastern University, Department of Physical
Therapy
Citation:
Nof, L., Rosenthal, R. The predictive value of gross motor
development, posture and upper quadrant stability for TMD in children and
young adults: A preliminary study.
The Internet Journal of Allied Health Sciences and
Practice. January 2005. Volume 3 Number 1.
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ABSTRACT
Purpose:
This study investigated the relationship of onset of independent
walking, upper quadrant stability and head posture and their value as
predictors of temporomandibular dysfunction (TMD).
Method: Quasiexperimental nonequivalent posttest design
study of
forty-seven subjects, ages 9 to 29, who were
symptomatic or asymptomatic for TMD. Age of independent walking was
recorded; temporomandibular joint (TMJ) function was examined;
strength of upper quadrant musculature was tested; scapulae distances
from corresponding spinous processes were measured; and standing
posture was assessed. Results: Significant differences in age of onset of
walking, rhomboid strength, scapulae distance from the spinous
processes, and head posture were found between groups of subjects
presenting with symptomatic and asymptomatic TMD. Age of walking,
scapulae distance and forward head posture correctly predicted
presence or absence of TMD in 81% of study subjects.
Conclusions: Early independent walking may negatively
affect scapular stabilization, contributing to excessive forward head
posturing, and later onset of TMD. Further research is indicated. |
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Keywords and
terms:
temporomandibular dysfunction, TMD, temporomandibular joint, TMJ,
forward head posture, upper quadrant stability, Early independent
walking |
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