Subscribe to RSS
DOI: 10.1055/s-2004-832248
© Georg Thieme Verlag Stuttgart · New York
Einfluss okklusaler Veränderungen auf die Funktion der Wirbelsäule
Influence of Occlusal Interferences on Spinal FunctionPublication History
Publication Date:
23 August 2004 (online)
![](https://www.thieme-connect.de/media/zwr/20040708/lookinside/thumbnails/10.1055-s-2004-832248-1.jpg)
Zusammenfassung
Ob Okklusionsstörungen zu funktionellen Störungen der Zervikalregion sowie darüber hinausgehend auch zu Dysfunktionen kaudaler Wirbelsäulenabschnitte führen können, ist Gegenstand kontroverser Diskussionen.
In einer experimentellen Versuchsanordnung wurde deshalb an 20 gesunden Studenten mit einer künstlich veränderten Okklusion untersucht, ob ein solcher Zusammenhang zwischen dem kraniomandibulären System, dem kraniozervikalen System und der Lenden-Becken-Hüft-Region besteht.
Die Ergebnisse weisen auf funktionelle Wechselwirkungen zwischen Okklusionsstörungen und funktionellen Veränderungen der Wirbelsäule hin.
Summary
Functional impairment of the cervical region and disturbances of caudal spine segments as a consequence of malocclusion are largely unknown so far.
Therefore, in an experimental setting the effects of artificially impaired occlusion on the cranio-mandibular, cranio-cervical and lumbo-scaro-pelvic systems were examined in 20 healthy volunteers. The results indicate a functional interdependency between malocclusion and spinal disorders.
Schlüsselwörter
CMD - kraniomandibuläres System - Halswirbelsäule - Sakroiliakalgelenk - Lenden-Becken-Hüft-Region
Key Words
Occlusion - TMD - Craniomandibulary System - Cervical Spine - Sacroiliac Joint
Literatur
- 1 Al-Abbasi H, Mehta NR, Forgione AG, Clark RE. The effect of vertical dimension and mandibular position on isometric strength of the cervical flexors. Cranio. 1999; 17 85-92
- 2 Bland JH. Disorders of the cervical spine. Diagnosis and medical management. Philadephia, London: W. B. Saunders Company 1994
- 3 Cibulka MT, Koldehoff R. Clinical usefulness of a cluster of sacroiliac joint tests in patients with and without low back pain. J Orthop Sports Phys. 1999; 29 83-89
- 4 Clark GT. Examining temperomandibular disorder patients for craniocervical dysfunction. J Craniomandib Prac. 1983; 2 55-63
- 5 Clark GT, Green EM, Dornan MR, Flack VF. Craniocervical dysfunction levels in a patient sample from a temporomandibular joint clinic. J Am Dent Assoc. 1987; 115 251-256
- 6 De Wijer A, Steenks MH, de Leeuw JR, Bosman F, Helders PJ. Symptoms of the cervical spine in temperomandibular and cervical spine disorders. J Oral Rehabil. 1996; 23 742-750
- 7 De Wijer A, Steenks MH, Bosman F, Helders PJ, Faber J. Symptoms of the stomatognathic system in temperomandibular and cervical spine disorders. J Oral Rehabil. 1996; 23 733-741
- 8 dos Santos J Jr, Nowlin TP. The effect of splint therapy on TMJ position measured by the Gerber Resiliency Test. J Oral Rehabil. 1992; 19 663-670
- 9 Eriksson PO, Häggman-Henrikson B, Nordh E, Zafar H. Coordinated mandibular and head-neck movements during rhythmic jaw activities in man. J Dent Res. 2000; 79 1378-1384
- 10 Ferrario VF, Sforza C, Dellavia C, Tartaglia GM. Evidence of an influence of asymmetrical occlusal interferences on the activity of the sternocleidomastoid muscle. J Oral Rehabil. 2003; 30 34-40
- 11 Fink M, Tschernitschek H, Stiesch-Scholz M. Asymptomatic cervical spine dysfunction (CSD) in patients with internal derangement of the temporomandibular joint. Cranio. 2002; 20 192-197
- 12 Frisch H. Programmierte Untersuchung des Bewegungsapparates. Berlin, Heidelberg: Springer. 2001; 8
- 13 Fuentes R, Freesmeyer W, Henriquez J. Influence of body posture in the prevalence of craniomandibular dysfunction. Revista Médica de Chile. 1999; 127 1079-1085
- 14 Greenman PE. Lehrbuch der osteopathischen Medizin. Stuttgart: Haug 2000
- 15 Grieve GP. Common vertebral joint problems. London: Churchill Livingstone 1988: 501-509
- 16 Hülse M, Losert-Bruggner B. Der Einfluss der Kopfgelenke und/oder der Kiefergelenke auf die Hüftabduktion. Manuelle Medizin. 2002; 40 97-100
- 17 Jull G, Bogduk N, Marsland A. The accuracy of manual diagnosis for cervical zyga pophysial joint pain syndromes. Med J Aust. 1988; 148 233-236
- 18 Jull G, Zito G, Trott P. et al. . Inter-examiner reliability to detect painful upper cervical joint dysfunction. Aust Physiother. 1997; 43 129
- 19 Kokmeyer DJ, Van der Wurff P, Aufdemkampe G, Fickenscher TC. The reliability of multitest regimens with sacroiliac pain provocation tests. J Manipulative Physiol Ther. 2002; 25 42-48
- 20 Korr IM. Proprioceptors and somatic dysfunction. J Amer Osteop Assoc. 1975; 74 638-650
- 21 Nicolakis P, Nicolakis M, Piehslinger E. et al. . Relationship between craniomandibular disorders and poor posture. Cranio. 2000; 18 106-12
- 22 Okeson JP. Orofacial Pain. Guidelines for assessment, diagnosis, and management. Chicago: Quintessenz 1996
- 23 Rocabado M. Biomechanical relationship of the cranial, cervical, and hyoid regions. J Craniomandibular Pract. 1983; 1 61-66
- 24 Rocabado M. Physical Therapy and dentistry: An overview. J Craniomandib Prac. 1983; 4 46-51
- 25 Sachse J, Schildt-Rutloff K. Wirbelsäule. München: Urban und Fischer. 2000; 4
- 26 Sandmark H, Nisell R. Validity of five common manual neck pain provoking tests. Scand J Rehabil Med. 1995; 27 131-136
- 27 Shimazaki T, Motoyoshi M, Hosoi K, Namura S. The effect of occlusal alteration and masticatory imbalance on the cervical spine. Eur J Orthod. 2003; 25 457-63
- 28 Slipman CW, Sterenfeld EB, Chou LH, Herzog R, Vresilovic E. The predictive value of provocative sacroiliac joint stress maneuvers in the diagnosis of sacroiliac joint syndrome. Arch Phys Med Rehabil. 1998; 79 288-292
- 29 Strachan WF, Robinson MJ. New osteopathic research ties leg disparity to malocclusion. Osteo News. 1965; 6 1-4
- 30 Toussaint R, Gawlik CS, Rehder U, Ruther W. Sacroiliac joint diagnostics in the Hamburg Construction Workers Study. J Manipulative Physiol Ther. 1999; 22 139-143
- 31 Valentino B, Fabozzo A, Melito F. The functional relationship between the occlusal plane and the plantar arches. An EMG study. Surg Radiol Anat. 1991; 13 171-174
Korrespondenzadresse
PD Dr. med. Matthias Fink
FA Physikalische und Rehabilitative Medizin Spezielle Schmerztherapie - Naturheilverfahren
Abteilung für Physikalische Medizin und Rehabilitation
Medizinische Hochschule Hannover
30625 Hannover
Email: fink.matthias@mh-hannover.de