The effect of different jaw positions on upper extremity performance, core endurance, and postural stability: A cross-sectional study

Year 2023, Volume: 9 Issue: 1, 1 - 6, 30.03.2023

Senem Demirdel , Gülşah Gül , Öznur Gümüş , Betül Kuz

https://doi.org/10.31459/turkjkin.1232047

Abstract

The jaw sensorimotor system has functional relationships with other parts of the body through neuroanatomical and biomechanical interactions. The aim of this study was to examine the effects of different jaw positions on upper extremity performance, core endurance, and postural stability. This cross-sectional study included 49 healthy young adults aged 18-28 years. Upper extremity performance was evaluated using the push-up test, core endurance was evaluated using the McGill’s Trunk Flexion and Extension Test and postural stability was evaluated using the Balance Error Scoring System. All assessments were made with resting jaw and clenching jaw positions. There was no significant difference in the Push-up test and Balance Error Scoring System scores in different jaw positions (p>0.05). The Mcgill trunk flexion test and extension test performance were found to be better in the clenched jaw position (p=0.017, p=0.035, respectively). The results of this study showed that jaw clenching increases core endurance time. This result should be taken into account when planning an evaluation and rehabilitation program for the core area.

Keywords

Jaw, physical functional performance, postural balance.

References

• Abdallah, E. F., Mehta, N. R., Forgione, A. G., & Clark, R. E. (2004). Affecting upper extremity strength by changing maxillo-mandibular vertical dimension in deep bite subjects. Cranio, 22(4), 268-275.
• Abdelraouf, O. R., & Abdel-Aziem, A. A. (2016). The relationship between core endurance and back dysfunction in collegiate male athletes with and without nonspecific low back pain. Int J Sports Phys Ther, 11(3), 337-344.
• Alghadir, A. H., Zafar, H., Ahmed Iqbal, Z., Anwer, S., & Iqbal, A. (2022). Effect of static and dynamic jaw positions on postural stability among people with blindness. Brain Behav, 12(9), e2645.
• Alghadir, A. H., Zafar, H., & Iqbal, Z. A. (2015). Effect of three different jaw positions on postural stability during standing. Funct Neurol, 30(1), 53-57.
• Alghadir, A. H., Zafar, H., & Iqbal, Z. A. (2020). Can jaw position affect the fine motor activity of the hand during writing? Brain Behav, 10(12), e01887.
• Ambegaonkar, J. P., Mettinger, L. M., Caswell, S. V., Burtt, A., & Cortes, N. (2014). Relationships between core endurance, hip strength, and balance in collegiate female athletes. Int J Sports Phys Ther, 9(5), 604-616.
• Bell, D. R., Guskiewicz, K. M., Clark, M. A., & Padua, D. A. (2011). Systematic review of the balance error scoring system. Sports Health, 3(3), 287-295.
• Boroojerdi, B., Battaglia, F., Muellbacher, W., & Cohen, L. (2000). Voluntary teeth clenching facilitates human motor system excitability. Clin Neurophysiol, 111(6), 988-993.
• Churei, H. (2003). Relation between teeth clenching and grip force production characteristics. Kokubyo Gakkai Zasshi, 70(2), 82-88.
• Cuccia, A., & Caradonna, C. (2009). The relationship between the stomatognathic system and body posture. Clinics, 64, 61-66.
• Cuccia, A. M. (2011). Interrelationships between dental occlusion and plantar arch. J Bodyw Mov Ther, 15(2), 242-250.
• De Souza, B. C., Carteri, R. B., Lopes, A. L., & Teixeira, B. C. (2021). Teeth clenching can modify the muscle contraction strength of the lower or upper limbs: systematic review. Sport Sci Health, 17(2), 279-290.
• Dias, A. A., Redinha, L. A., Silva, L. M., & Pezarat-Correia, P. C. (2018). Effects of dental occlusion on body sway, upper body muscle activity and shooting performance in pistol shooters. Appl Bionics Biomech, 2018, 9360103.
• Ebben, W. P., Petushek, E. J., Fauth, M. L. & Garceau, L. R. (2010). EMG analysis of concurrent activation potentiation. Med Sci Sports Exerc, 42(3), 556-562.
• Ehrlich, R., Garlick, D., & Ninio, M. (1999). The effect of jaw clenching on the electromyographic activities of 2 neck and 2 trunk muscles. J Orofac Pain, 13(2), 115-120.
• Ferrario, V. F., Sforza, C., Serrao, G., Fragnito, N., & Grassi, G. (2001). The influence of different jaw positions on the endurance and electromyographic pattern of the biceps brachii muscle in young adults with different occlusal characteristics. J Oral Rehabil, 28(8), 732-739.
• Finnoff, J. T., Peterson, V. J., Hollman, J. H., & Smith, J. (2009). Intrarater and interrater reliability of the Balance Error Scoring System (BESS). PM R, 1(1), 50-54.
• Hosoda, M., Masuda, T., Isozaki, K., Takayanagi, K., Sakata, K., Takakuda, K., . . . Morita, S. (2007). Effect of occlusion status on the time required for initiation of recovery in response to external disturbances in the standing position. Clin Biomech, 22(3), 369-373.
• Julià-Sánchez, S., Álvarez-Herms, J., Cirer-Sastre, R., Corbi, F., & Burtscher, M. (2020). The influence of dental occlusion on dynamic balance and muscular tone. Front Physiol, 10, 1626.
• Kawakubo, N., Miyamoto, J. J., Katsuyama, N., Ono, T., Honda, E.-i., Kurabayashi, T., . . . Moriyama, K. (2014). Effects of cortical activations on enhancement of handgrip force during teeth clenching: an fMRI study. Neurosci Res, 79, 67-75.
• Kibler, W. B., Press, J., & Sciascia, A. (2006). The role of core stability in athletic function. Sports Med, 36(3), 189-198.
• McGill, S. M., Childs, A., & Liebenson, C. (1999). Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil, 80(8), 941-944.
• Negrete, R. J., Hanney, W. J., Kolber, M. J., Davies, G. J., Ansley, M. K., McBride, A. B., & Overstreet, A. L. (2010). Reliability, minimal detectable change, and normative values for tests of upper extremity function and power. J Strength Cond Res, 24(12), 3318-3325.
• Negrete, R. J., Hanney, W. J., Kolber, M. J., Davies, G. J., & Riemann, B. (2011). Can upper extremity functional tests predict the softball throw for distance: a predictive validity investigation. Int J Sports Phys Ther, 6(2), 104-111.
• Reiman, M. P., & Manske, R. C. (2009). Functional testing in human performance: Human Kinetics.
• Saito, E. T., Akashi, P. M. H., & Sacco, I. d. C. N. (2009). Global body posture evaluation in patients with temporomandibular joint disorder. Clinics, 64, 35-39.
• Santos, M. S., Behm, D. G., Barbado, D., DeSantana, J. M., & Da Silva-Grigoletto, M. E. (2019). Core endurance relationships with athletic and functional performance in inactive people. Front Physiol, 10, 1490.
• Sasaki, Y., Ueno, T., Taniguchi, H., & Ohyama, T. (1998). Effect of teeth clenching on isometric and isokinetic strength of ankle plantar flexion. J Med Dent Sci, 45(1), 29-37.
• Sugawara, K., Furubayashi, T., Takahashi, M., Ni, Z., Ugawa, Y., & Kasai, T. (2005). Remote effects of voluntary teeth clenching on excitability changes of the human hand motor area. Neurosci Lett, 377(1), 25-30.
• Sugihara, D., Kawara, M., Suzuki, H., Asano, T., Yasuda, A., Takeuchi, H., . . . Komiyama, O. (2020). Mandibular jaw movement and masticatory muscle activity during dynamic trunk exercise. Dent J, 8(4), 132.
• Takada, Y., Miyahara, T., Tanaka, T., Ohyama, T., & Nakamura, Y. (2000). Modulation of H reflex of pretibial muscles and reciprocal Ia inhibition of soleus muscle during voluntary teeth clenching in humans. J Neurophysiol, 83(4), 2063–2070.
• Takahashi, T., Ueno, T., & Ohyama, T. (2003). Modulation of H reflexes in the forearm during voluntary teeth clenching in humans. Eur J Appl Physiol, 90(5-6), 651-653.
• Tomita, Y., Tanaka, Y., Sako, K., Ono, Y., & Tanaka, M. (2021). Effect of jaw clenching on postural adjustments to a predictable external perturbation. J Electromyogr Kinesiol, 57, 102512.
• Waldhelm, A., & Li, L. (2012). Endurance tests are the most reliable core stability related measurements. J Sport Health Sci, 1(2), 121-128.
• Wang, K., Ueno, T., Taniguchi, H., & Ohyama, T. (1996). Influence on isometric muscle contraction during shoulder abduction by changing occlusal situation. Bull Tokyo Med Dent Univ, 43(1), 1-12.
• Wiesinger, B., Malker, H., Englund, E., & Wänman, A. (2007). Back pain in relation to musculoskeletal disorders in the jaw-face: a matched case–control study. Pain, 131(3), 311-319.
• Yoshino, G., Higashi, K., & Nakamura, T. (2003). Changes in weight distribution at the feet due to occlusal supporting zone loss during clenching. Cranio, 21(4), 271-278.
• Zafar, H., Alghadir, A. H., Iqbal, Z. A., Iqbal, A., Anwer, S., & Alnahdi, A. H. (2020). Influence of different jaw positions on dynamic balance using Y‐balance test. Brain Behav, 10(1), e01507.