Investigation of the Relationship Between Temporomandibular Joint Dysfunction and Forward Head Posture, Cervical Mobility and Psychological Status in Adult Individuals

Abstract

Objectives: The aim of the study was to investigate the relationship between temporomandibular joint dysfunction (TJD) and forward head posture, cervical mobility and psychological status in adult individuals. Materials and Methods: 190 individuals (70.5% female, 29.5% male) were included in the study. The physical and demographic information of the participants were recorded. TJD symptoms and signs were evaluated with the Helkimo Clinical Craniomandibular Dysfunction Index (HCCDI), and forward head posture was assessed by measuring the craniovertebral angle with a universal modified goniometer. Cervical mobility was assessed using the Clinometer phone application. Psychological status was assessed using the Hospital Anxiety and Depression Scale. Results: The average HCCDI scores of individuals was found to be 4.45±4.02. It was determined that there was a negative correlation between cervical flexion (p=0.037, r=-0.160), extension (p=0.028, r=-0.168) and craniovertebral angle (p=0.010, r=-0.186) and HCCDI score, and a positive correlation between anxiety (p<0.001, r=0.312) and HCCDI score. It was determined that there was no relationship between right-left cervical rotations, right-left cervical lateral flexion, and depression and HCCDI scores (p>0.05). Conclusion: According to the results of this study, TJD severity increases as forward head posture increases and cervical flexion and extension joint range of motion decreases. It was also observed that the severity of TJD increased in individuals with high anxiety scores. It may be beneficial to include forward head posture, cervical mobility, and anxiety in the evaluation and treatment of individuals diagnosed with TJD.

Keywords

• anxiety
• depression
• posture
• temporomandibular joint disorders

Yetişkin Bireylerde Temporomandibular Eklem Disfonksiyonu ile İleri Baş Postürü, Servikal Mobilite ve Psikolojik Durum Arasındaki İlişkinin İncelenmesi

Abstract

Amaç: Çalışmanın amacı yetişkin bireylerde temporomandibular eklem disfonksiyonu (TMED) ile ileri baş postürü, servikal mobilite ve psikolojik durum ilişkisini araştırmaktı. Gereç ve Yöntem: Çalışmaya 190 (%70,5’i kadın, %29,5’i erkek) birey dahil edildi. Fiziksel ve demografik bilgiler kaydedildi. TMED semptom ve bulguları Helkimo Klinik Kraniomandibular Disfonksiyon İndeksi (HKKDİ) ile, ileri baş postürü universal modifiye gonyometre ile kraniovertebral açı ölçülerek değerlendirildi. Servikal mobiliteyi değerlendirmek için Clinometer telefon uygulaması kullanıldı. Psikolojik durum Hastane Anksiyete ve Depresyon Ölçeği ile değerlendirildi. Bulgular: Bireylerin HKKDİ skorları ortalaması 4,45±4,02 bulundu. Servikal fleksiyon (p=0,037, r=-0,160), ekstansiyon (p=0,028, r=-0,168) ve kraniovertebral açı (p=0,010, r=-0,186) ile HKKDİ skoru arasında negatif yönlü, anksiyete (p<0,001, r=0,312) ile HKKDİ skoru arasında ise pozitif yönlü korelasyon olduğu belirlendi. Sağ-sol servikal rotasyonlar, sağ-sol servikal lateral fleksiyonlar ve depresyon ile HKKDİ skoru arasında ilişki olmadığı belirlendi (p>0,05). Sonuç: Bu çalışmanın sonuçlarına göre, ileri baş postürü arttıkça ve servikal fleksiyon ve ekstansiyon eklem hareket açıklığı azaldıkça TMED şiddeti artmaktadır. Anksiyete skorları yüksek olan bireylerde de TMED şiddeti artmaktadır. TMED tanılı bireylerde ileri baş postürü, servikal mobilite ve anksiyetenin de değerlendirme ve tedaviye dahil edilmesi yararlı olabilir.

Keywords

• anksiyete
• depresyon
• postür
• temporomandibular eklem bozuklukları

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