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Range of Motion of the Cervical Spine in Patients with Craniomandibular Disorders

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Abstract


For diagnosis and treatment evaluation of Craniomandibular disorders, it is an essential step to observe and measure the range of motion (ROM) of both temporomandibular joint and cervical spine. Today, assessment of range of motion is probably the most commonly used evaluative technique in physical therapy for a patients with muscular, neurologic, or skeletal disability. As a result, it appears that the quality of the measurement is often taken for granted.
The purpose of this study were to determine normal values for cervical active range of motion obtained with a cervical-range-of-motion (CROM) instrument on patients with Craniomandibular disorders, and to examine the relationship between the mobility of temporomandibular joint and of cervical spine.
Measurements were made on 46 patients and 37 healthy subjects, classified into experimental group and control group, respectively. Measurements were taken by one dentist with regard to mandibular and cervical mobility. The obtained data were processed and analyzed by SAS statistical package program.
The conclusion of this study were as follows :
1) Controls had a greater ROM than did experimentals for maximum mouth opening, Forward head posture, Rounded shoulder, and Corrected posture but CMI palpation index were greater in experimental than controls.
2) In case of comparing controls and experimentals by sex, there were not significant differences between two groups in both sex.
3) In case of comparing males and females in each group, males had a greater mouth opening range while females showed a greater neck muscle palpation index in control group. However, there were not differences between sex in experimental group.
4) In case of comparing two groups by age, similar findings were appeared.
5) Among items measured for Forward head posture, Rounded shoulder, and Corrected posture, there were generally highly significant correlationship.

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