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http://dx.doi.org/10.15268/ksim.2019.7.4.001

Effect of McKenzie Exercise on Temporomandibular Joint Disorder and Body Balance  

Lee, Dongjin (Dept. of Physical Therapy, Gwangju Health University)
Ji, Sungha (Rehabilitation Center, Dong Heang Convalescent Hospital)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.7, no.4, 2019 , pp. 1-11 More about this Journal
Abstract
Purpose : This study was aimed at investgating the effect of McKenzie exercise on temporomandibular joint disorder (TMJD) and body balance. Methods : Thirty subjects with TMJD were selected. They were randomly assigned to one of two groups (15 in each group) : namely the conservative treatment group and McKenzie exercise group. The conservative treatment group were treated physical therapy for 6 weeks (3 times a week). The McKenzie exercise group performed McKenzie exercise for 6 weeks (3 times a week). We measured mouth opening, pain, muscle activation and body balance before and after exercise by using the maximum mouth opening MMO), visual analog scale (VAS), electromyography and Biodex Balance System, respectively. Results : We found statistically significant differences in pain and mouth opening in the conservative treatment group and McKenzie exercise group before and after (p<.05). Conclusion : We confirmed the effect of McKenzie exercise on TMJD. Thus we thought these results could be used as basic data and reference for TMJD. But we need more study effect of McKenzie exercise on TMJD and body balance.
Keywords
body balance; McKenzie exercise; temporomandibular joint disorder;
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Times Cited By KSCI : 5  (Citation Analysis)
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1 Kim CY, Choi JD, Kim SY, et al(2011). Reliability and validity of ultrasound imaging and sEMG measurement to external abdominal oblique and lumbar multifidus muscles. PTK, 18(1), 37-46.
2 Kim KN(1999). Principles and clinical applications of electromyograph. J Korean Acad Craniomandibular Disord, 11(1), 35-46.
3 Kong BK, Kwon MS, Lee GC, et al(2013). The effects of neck exercise program for smart phone-addicts with forward head posture on cervical alignment and balance ability. J Korean Sci Integrative Med, 1(2), 81-92.   DOI
4 La Touche R, Fernandez-de-Las-Penas C, Fernandez-Carnero J, et al(2009). The effects of manual therapy and exercise directed at the cervical. spine on pain and pressure pain sensitivity in patients with myofascial temporomandibular disorders. J Oral Rehabil, 36(9), 644-652.   DOI
5 Lee HJ, Ahn BH, Kim NL, et al(2004). Physical therapy in patients with temporomandibular joint disorders. Oral Biol Res, 28(3), 11-25.
6 Lee HS, Kim YH(2018). Effects of McKenzie cervical exercise program on cervical pressure pain and balance in industrial workers. J Korean Sci Integrative Med, 6(2), 107-115.
7 Lisinski P, Wielogorka E(2005). Estimation of twenty days treatment of neck pain by McKenzie method. Chir Narzadow Ruchu Ortop Pol, 70(3), 217-221.
8 Lobbezoo F, Drangsholt M, Peck C, et al(2004). Topical review: new insights into the pathology and diagnosis of disorders of the temporomandibular joint. J Orofac Pain, 18(3), 181-191.
9 McCain JP, Sanders B, Koslin MG, et al(1992). Temporomandibular joint arthroscopy: a 6-year multicenter retrospective study of 4,831 joints. J Oral Maxillofac Surg, 50(9), 926-930.   DOI
10 Michelotti A, Buonocore G, Farella M, et al(2006). Postural stability and unilateral posterior crossbite: is there a relationship?. Neurosci Lett, 392(1-2), 140-144.   DOI
11 Pallegama RW, Ranasinghe AW, Weerasinghe VS, et al(2004). Influence of masticatory muscle pain on electromyographic activities of cervical muscles in patients with myogenous temporomandibular disorders. J Oral Rehabil, 31(5), 423-429.   DOI
12 Bae WS, Lee KC, Kim YH(2016). Comparison between McKenzie stretch exercise and scapula stability exercise on neck muscle activation in the forward head posture. J Korean Sci Integrative Med, 4(1), 13-20.
13 Bracco P, Deregibus A, Piscetta R(2004). Effects of different jaw relations on postural stability in human subjects. Neurosci Lett, 356(3), 228-230.   DOI
14 Browne PA, Clark GT, Kuboki T, et al(1998). Concurrent cervical and craniofacial pain: a review of empiric and basic science evidence. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 86(6), 633-640.   DOI
15 Nicolakis P, Nicolakis M, Piehslinger E, et al(2000). Relationship between craniomandibular disorders and poor posture. Cranio, 18(2), 106-112.   DOI
16 Nilsson IM, List T, Drangsholt M(2006). The reliability and validity of self-reported temporomandibular disorder pain in adolescents. J Orofac Pain, 20(2), 138-144.
17 Ries LG, Berzin F(2008). Analysis of the postural stability in individuals with or without signs and symptoms of temporomandibular disorder. Braz Oral Res, 22(4), 378-383.   DOI
18 Park WC(2018). Effects of Mckenzie exercise and cervical complex exercise program on VAS, NDI, EMG. Graduate school of Cha University, Republic of Korea, Master's thesis.
19 Pedroni CR, De Oliveira AS, Guaratini MI(2003). Prevalence study of signs and symptoms of temporomandibular disorders in university students. J Oral Rehabil, 30(3), 283-289.   DOI
20 Poveda Roda R, Diaz Fernandez JM, Hernandez Bazan S, et al(2008). A review of temporomandibular joint disease (TMJD). Part II: clinical and radiological semiology. Morbidity processes. Med Oral Patol Oral Cir Bucal, 13(2), E102-109.
21 Saito ET, Akashi PM, Sacco Ide C(2009). Global body posture evaluation in patients with temporomandibular joint disorder. Clinics(Sao Paulo), 64(1), 35-39.   DOI
22 Saund DS, Pearson D, Dietrich T(2012). Reliability and validityof self-assessment of mouth opening: a validation study. BMC Oral Health, Printed Online, Doi: 10.1186/1472-6831-12-48.
23 Shi Z, Guo C, Awad M(2003). Hyaluronate for temporomandibular joint disorders. Cochrane Database Syst Rev, 1, CD002970.
24 Cha YH, Kim BJ, Lim JH, et al(2010). Analysis of treatment patterns of temporomandibular disorders. J Korean Assoc Oral Maxillofac Surg, 36(6), 520-527.   DOI
25 Bogduk N, Mercer S(2000). Biomechanics of the cervical spine. I: Normal kinematics. Clin Biomech, 15(9), 633-648.   DOI
26 Cachupe WJC, Shifflett B, Kahanov L, et al(2001). Reliability of Biodex balance system measures. Meas Phys Educ Exerc Sci, 5(2), 97-108.   DOI
27 Cairns BE(2010). Pathophysiology of TMD pain-basic mechanisms and their medications for pharmacotherapy. J Oral Rehabil, 37(6), 391-410.   DOI
28 Ciancaglini R, Testa M, Radaelli G(1999). Association of neck pain with symptoms of temporomandibular dysfunction in the general adult population. Scand J Rehabil Med, 31(1), 17-22.   DOI
29 Ciuffolo F, Manzoli L, Ferritto AL, et al(2005). Surface electromyographic response of the neck muscles to maximal voluntary clenching of the teeth. J Oral Rehabil, 32(2), 79-84.   DOI
30 Clark GT, Browne PA, Nakano M, et al(1993). Co-activation of sternocleidomastoid muscles during maximum clenching. J Dent Res, 72(11), 1499-1502.   DOI
31 Falla D, Jull G, Hodges P(2004). Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine, 29(19), 2108-2114.   DOI
32 Ferreri PH, Ferreira ML, Maher CG(2006). Specific stabilization exercise for spinal and pelvic pain: a systematic review. Aust J Physiother, 52(2), 79-88.   DOI
33 Zafar H, Eriksson PO, Nordh E, et al(2000). Wireless optoelectronic recordings of mandibular and associated head-neck movements in man: a methodological study. J Oral Rehabil, 27(3), 227-238.   DOI
34 Stiesch-Scholz M, Fink M, Tschernitschek H(2003). Comorbidity of internal derangement of the temporomandibular joint and silent dysfunction of the cervical spine. J Oral Rehabil, 30(4), 386-391.   DOI
35 Shim SY, Park HJ, Lee JM, et al(2007). An overview of pain measurements. Korean J Acupunct, 24(2), 77-97.
36 Ferrario VF, Sforza C, Schmitz JH, et al(1996). Occlusion and center of foot pressure variation: is there a relationship?. J Prosthet Dent, 76(3), 302-308.   DOI
37 Visscher CM, Huddleston Slater JJ, Lobbezoo F, et al(2000). Kinematics of the human mandible for different head postures. J Oral Rehabil, 27(4), 299-305.   DOI
38 Vuillerme N, Pinsault N(2009). Experimental neck muscle pain impairs standing balance in humans. Exp Brain Res, 192(4), 723-729.   DOI
39 Wagner DR, Tatsugawa K, parker D, et al(2007). Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Alt Med Biol, 8(1), 27-31.   DOI
40 Walczynska-Dragon K, Baron S, Nitecka-Buchta A, et al(2014). Correlation between TMD and cervical spine pain and mobility: is the whole body balance TMJ related?. BioMed Res Int, Printed Online, Doi: 10.1155/2014/582414.
41 Zarb GA, Carlsson GE(1999). Temporomandibular disorders: osteoarthritis. J Orofac Pain. 13(4), 295-306.
42 Zuniga C, Miralles R, Mena B, et al(1995). Influence of variation in jaw posture on sternocleidomastoid and trapezius electromyographic activity. Cranio, 13(3), 157-162.   DOI
43 Visscher CM, De Boer W, Lobbezoo F, et al(2002). Is there a relationship between head posture and craniomandibular pain?. J Oral Rehabil, 29(11), 1030-1036.   DOI
44 Han JH, Kim JH, Jung MG, et al(2016). The correlation between forward head posture used McKenzie exerciseand plantar pressure. J KAOMT, 22(1), 65-70.
45 Fuentes Fernandez R, Carter P, Munoz S, et al(2016). Evaluation of validity and reliability of a methodology for measuring human postural attitude and its relation to temporomandibular joint disorders. Singapore Med J, 57(4), 204-208.   DOI
46 Gangloff P, Louis JP, Perrin PP(2000). Dental occlusion modifies gaze and posture stabilization in human subjects. Neurosci Lett, 293(3), 203-206.   DOI
47 Goldstein DF, Kraus SL, Williams WB, et al(1984). Influence of cervical posture on mandibular movement. J Prosthet Dent, 52(3), 421-426.   DOI
48 Igarashi N, Yamamura K, Yamada Y, et al(2000). Head movements and neck muscle activities associated with the jaw movement during mastication in the rabbit authors. Brain Res, 871(1), 151-155.   DOI
49 Israel HA(1999). Part I: The use of arthroscopic surgery for treatment oftemporomandibular joint disorders. J Oral Maxillofac Surg, 57(5), 579-582.   DOI
50 Jang HJ, Kim HH, Song CH(2011). The effects of combined exercise program for patients with chronic neck pain. Korean Soc Phys Med, 6(1), 81-92.
51 Jang JK(2013). Review of treatment of temporomandibular disorder with cervical lordosis and neck pain. Graduate school of Seoul National University, Republic of Korea, Master's thesis.
52 Jung YW(2006). Effects of McKenzie exercise on the functional recovery and forward head posture of chronic neck pain patients. J Korean Soc Phys Med, 1(1), 93-108.
53 Jung JW, Jung SC(2002). Research diagnostic criteria for temporomandibular disorders RDC-TMD. Seoul, International RDC-TMD Consortium Network, pp.1-20.