Omuz Ağrılı Bireylerde Skapular Diskinezi, Kavrama Kuvveti, Servikal Bölge Hareketliliği ve Temporomandibular Eklem Bozukluğu Arasındaki İlişkinin İncelenmesi
Yıl 2021,
Cilt: 8 Sayı: 1, 91 - 107, 30.04.2021
Tezel Yıldırım
,
Ayşe Abit Kocaman
,
Saniye Aydoğan Arslan
,
Cevher Savcun
,
Sabiha Bezgin
,
Muhammet Ayhan Oral
,
Birol Önal
,
Kübra Özdamar
Özge Vergili
,
Dilek Keskin
,
Meral Sertel
Öz
Amaç: Omuz ağrılı bireylerde skapular diskinezi, kavrama kuvveti, servikal bölge hareketliliği ve temporomandibular eklem bozukluğu arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Çalışmaya omuz problemi olan 40 birey (28 kadın,12 erkek) alındı. Çalışmaya katılan tüm bireylerin sosyodemografik verileri kaydedildi. Bireylerin skapular diskinezileri, Skapular Yardım Testi (SYT) ile, boyun normal eklem hareketi gonyometrik ölçümlerle, kavrama kuvveti el dinamometresi ile, Temporomandibular eklem bozukluğu (TMB) Fonseca Anamnestik Anketi ile değerlendirildi. Bulgular: Omuz ağrısı olan bireylerde skapular diskinezinin varlığı ile kavrama kuvvetinin (r=0.366, p=0.020), etkilenmiş taraf omuz yönünde boyun rotasyonunun (r=0.401, p=0.010) ve lateral fleksiyonunun (r=-0.358, p=0.023), sağlam taraf omuz yönünde boyun rotasyonunun azaldığı (r=0.145, p> 0.05), Fonseca Anamnestik Anketi (r=-0.501, p=0.001) sonuçlarının arttığı belirlendi. Sonuç: Çalışmamızda omuz ağrısının skapular diskinezi ile boyun hareketleri, temporomandibular eklem ve kavrama kuvvetiyle ilişkili olduğu belirlenmiştir. Omuz ağrısı olan bireylerin değerlendirmeleri ve tedavileri sırasında boyun, skapula, temporomandibular eklem ile kavrama kuvveti etkilenimi olabileceği de düşünülmelidir.
Kaynakça
- Aggarwal, A., Gadekar, J., & Kakodkar, P. (2020). Role of myofascial release technique on
mobility and function in temporomandibular joint disorder patients with neck pain. Journal of Dental Research and Review, 7(5), 84-87.
- Ballenberger, N., von Piekartz, H., Danzeisen, M., & Hall, T. (2018). Patterns of cervical and
masticatory impairment in subgroups of people with temporomandibular disorders–an explorative approach based on factor analysis. CRANIO®, 36(2), 74-84.
- Cagnie, B., Struyf, F., Cools, A., Castelein, B., Danneels, L., & O'Leary, S. (2014). The
relevance of scapular dysfunction in neck pain: a brief commentary. journal of orthopaedic & sports physical therapy, 44(6), 435-439.
- Campos, J. A. D. B., Carrascosa, A. C., Bonafé, F. S. S., & Maroco, J. (2014). Severity of
temporomandibular disorders in women: validity and reliability of the Fonseca Anamnestic Index. Brazilian oral research, 28(1), 16-21.
- Castelein, B., Cools, A., Parlevliet, T., & Cagnie, B. (2016). Are chronic neck pain, scapular
dyskinesis and altered scapulothoracic muscle activity interrelated?: A case-control study with surface and fine-wire EMG. Journal of Electromyography and Kinesiology, 31(2): 136-43.
- Chaves, T. C., Turci, A. M., Pinheiro, C. F., Sousa, L. M., & Grossi, D. B. (2014). Static body
postural misalignment in individuals with temporomandibular disorders: a systematic review. Brazilian journal of physical therapy, 18(6), 481-501.
- Clarsen, B., Bahr, R., Andersson, S. H., Munk, R., & Myklebust, G. (2014). Reduced
glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. British journal of sports medicine, 48(17), 1327-1333.
- de Amorim, C. S. M., Gracitelli, M. E. C., Marques, A. P., & dos Santos Alves, V. L. (2014).
Effectiveness of global postural reeducation compared to segmental exercises on function, pain, and quality of life of patients with scapular dyskinesis associated with neck pain: a preliminary clinical trial. Journal of manipulative and physiological therapeutics, 37(6), 441-447.
- dos Santos Berni, K. C., Dibai-Filho, A. V., & Rodrigues-Bigaton, D. (2015). Accuracy of the
Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases. Journal of bodywork and movement therapies, 19(3), 404-409.
- Espinosa de Santillana, I. A., García-Juárez, A., Rebollo-Vázquez, J., & Ustarán-Aquino, A. K.
(2018). Frequent postural alterations in patients with different types of temporomandibular disorders. Revista de Salud Pública, 20(3), 384-389.
- Ferão, M. I. B., & Traebert, J. (2017). Prevalence of temporomandibular dysfunction in patients
with cervical pain under physiotherapy treatment. Fisioterapia em Movimento, 21(4):63-70.
- Gauer, R., & Semidey, M. J. (2015). Diagnosis and treatment of temporomandibular
disorders. American family physician, 91(6), 378-386.
- Ghodrati, M., Mosallanezhad, Z., Shati, M., Noroozi, M., Moghadam, A. N., Rostami, M., &
Nourbakhsh, M. R. (2019). Adding Temporomandibular joint treatments to routine physiotherapy for patients with non-specific chronic neck pain: a randomized clinical study. Journal of Bodywork and Movement Therapies.
- Kalsi-Ryan, S., Riehm, L. E., Tetreault, L., Martin, A. R., Teoderascu, F., Massicotte, E., ... &
Fehlings, M. G. (2020). Characteristics of Upper Limb Impairment Related to Degenerative Cervical Myelopathy: Development of a Sensitive Hand Assessment (Graded Redefined Assessment of Strength, Sensibility, and Prehension Version Myelopathy). Neurosurgery, 86(3), E292-E299.
- Kaynak, B. A., Taş S., Ünlüer, N. Ö., Yaşar, Ü., & Erdoğanoğlu, Y. (2019) Üniversite
Öğrencilerinde Temporomandibular Eklem Disfonksiyonu Prevalansının Araştırılması. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(3), 287-298.
- Kendall, F. P., McCreary, E. K., Provance, P. G., Rodgers, M., & Romani, W. A.
(1993). Muscles, testing and function: with posture and pain (Vol. 103). Baltimore, MD: Williams & Wilkins.
- Kibler, W. B., & Livingston, B. (2001). Closed-chain rehabilitation for upper and lower extremities. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 9(6), 412-421.
- Kibler, W. B., Ludewig, P. M., McClure, P. W., Michener, L. A., Bak, K., & Sciascia, A. D.
(2013). Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the ‘Scapular Summit’. British journal of sports medicine, 47(14), 877-885.
Kibler, W. B., & Sciascia, A. (2010). Current concepts: scapular dyskinesis. British journal of
sports medicine, 44(5), 300-305.
- Paralyzed Veterans of America Consortium for Spinal Cord Medicine. (2005). Preservation of
upper limb function following spinal cord injury: a clinical practice guideline for health-care professionals. The journal of spinal cord medicine, 28(5), 434.
- Merolla, G., De Santis, E., Campi, F., Paladini, P., & Porcellini, G. (2010). Infraspinatus
scapular retraction test: a reliable and practical method to assess infraspinatus strength in overhead athletes with scapular dyskinesis. Journal of Orthopaedics and Traumatology, 11(2), 105-110.
- Nomura, K., Vitti, M., Oliveira, A. S. D., Chaves, T. C., Semprini, M., Siéssere, S., ... & Regalo,
S. C. H. (2007). Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in Brazilian dental undergraduates. Brazilian dental journal, 18(2), 163-167.
- Shechtman, O., Gestewitz, L., & Kimble, C. (2005). Reliability and validity of the DynEx
dynamometer. Journal of hand therapy, 18(3), 339-347.
- Shenouda, M. M., & El-Tokhy, M. A. (2014). Efficacy of hand grip strength on supraspinatus
muscle activity in patients with shoulder impingement syndrome. Indian Journal of Physiotherapy and Occupational Therapy, 8(1), 187.
- Tate, A. R., McClure, P., Kareha, S., Irwin, D., & Barbe, M. F. (2009). A clinical method for
identifying scapular dyskinesis, part 2: validity. Journal of athletic training, 44(2), 165-173.
- van Selms, M. K., Wiegers, J. W., van der Meer, H. A., Ahlberg, J., Lobbezoo, F., & Visscher,
C. M. (2020). Temporomandibular disorders, pain in the neck and shoulder area, and headache among musicians. Journal of Oral Rehabilitation, 47(2), 132-142.
- von Piekartz, H., Pudelko, A., Danzeisen, M., Hall, T., & Ballenberger, N. (2016). Do subjects
with acute/subacute temporomandibular disorder have associated cervical impairments: a cross-sectional study. Manual therapy, 26, 208-215.
- Wiesinger, B., Malker, H., Englund, E., & Wänman, A. (2009). Does a dose-response relation
exist between spinal pain and temporomandibular disorders?. BMC Musculoskeletal Disorders, 10(1), 28.
- Zakharova-Luneva, E., Jull, G., Johnston, V., & O'Leary, S. (2012). Altered trapezius muscle
behavior in individuals with neck pain and clinical signs of scapular dysfunction. Journal of manipulative and physiological therapeutics, 35(5), 346-353.
Investigation of the Relationship Between Scapular Dyskinesis, Grip Strength, Cervical Mobility, and Temporomandibular Joint Disorders in Individuals with Shoulder Pain
Yıl 2021,
Cilt: 8 Sayı: 1, 91 - 107, 30.04.2021
Tezel Yıldırım
,
Ayşe Abit Kocaman
,
Saniye Aydoğan Arslan
,
Cevher Savcun
,
Sabiha Bezgin
,
Muhammet Ayhan Oral
,
Birol Önal
,
Kübra Özdamar
Özge Vergili
,
Dilek Keskin
,
Meral Sertel
Öz
Purpose: To investigate the relationship between scapular dyskinesis, grip strength, cervical mobility and temporomandibular joint disorders in individuals with shoulder pain. Material and Methods: 40 individuals (28 women,12 men) were included in this study. All the participants’ sociodemographic data were recorded. Scapular dyskinesis of participants were evaluated with Scapular Assistance Test, cervical range of motion with goniometric measurements, hand strength with Hand Dynamometer, Temporomandibular joint disorders (TMD) with Fonseca Anamnestic Questionnaire. Results: It was determined that passive joint movements of the cervical region, grip force, neck rotation, and neck lateral flexion to the affected side, neck rotation to the intact side, and Fonseca Anamnestic Questionaire results increased in individuals with shoulder pain with scapular dyskinesis. Conclusion: Our study showed that shoulder pain has effects on scapular dyskinesis, and neck movements, temporomandibular joint, and grip strength. It should also be considered that during the evaluations and treatments of individuals with shoulder pain, the grip force may be affected by the neck, scapula, temporomandibular joint.
Kaynakça
- Aggarwal, A., Gadekar, J., & Kakodkar, P. (2020). Role of myofascial release technique on
mobility and function in temporomandibular joint disorder patients with neck pain. Journal of Dental Research and Review, 7(5), 84-87.
- Ballenberger, N., von Piekartz, H., Danzeisen, M., & Hall, T. (2018). Patterns of cervical and
masticatory impairment in subgroups of people with temporomandibular disorders–an explorative approach based on factor analysis. CRANIO®, 36(2), 74-84.
- Cagnie, B., Struyf, F., Cools, A., Castelein, B., Danneels, L., & O'Leary, S. (2014). The
relevance of scapular dysfunction in neck pain: a brief commentary. journal of orthopaedic & sports physical therapy, 44(6), 435-439.
- Campos, J. A. D. B., Carrascosa, A. C., Bonafé, F. S. S., & Maroco, J. (2014). Severity of
temporomandibular disorders in women: validity and reliability of the Fonseca Anamnestic Index. Brazilian oral research, 28(1), 16-21.
- Castelein, B., Cools, A., Parlevliet, T., & Cagnie, B. (2016). Are chronic neck pain, scapular
dyskinesis and altered scapulothoracic muscle activity interrelated?: A case-control study with surface and fine-wire EMG. Journal of Electromyography and Kinesiology, 31(2): 136-43.
- Chaves, T. C., Turci, A. M., Pinheiro, C. F., Sousa, L. M., & Grossi, D. B. (2014). Static body
postural misalignment in individuals with temporomandibular disorders: a systematic review. Brazilian journal of physical therapy, 18(6), 481-501.
- Clarsen, B., Bahr, R., Andersson, S. H., Munk, R., & Myklebust, G. (2014). Reduced
glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. British journal of sports medicine, 48(17), 1327-1333.
- de Amorim, C. S. M., Gracitelli, M. E. C., Marques, A. P., & dos Santos Alves, V. L. (2014).
Effectiveness of global postural reeducation compared to segmental exercises on function, pain, and quality of life of patients with scapular dyskinesis associated with neck pain: a preliminary clinical trial. Journal of manipulative and physiological therapeutics, 37(6), 441-447.
- dos Santos Berni, K. C., Dibai-Filho, A. V., & Rodrigues-Bigaton, D. (2015). Accuracy of the
Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases. Journal of bodywork and movement therapies, 19(3), 404-409.
- Espinosa de Santillana, I. A., García-Juárez, A., Rebollo-Vázquez, J., & Ustarán-Aquino, A. K.
(2018). Frequent postural alterations in patients with different types of temporomandibular disorders. Revista de Salud Pública, 20(3), 384-389.
- Ferão, M. I. B., & Traebert, J. (2017). Prevalence of temporomandibular dysfunction in patients
with cervical pain under physiotherapy treatment. Fisioterapia em Movimento, 21(4):63-70.
- Gauer, R., & Semidey, M. J. (2015). Diagnosis and treatment of temporomandibular
disorders. American family physician, 91(6), 378-386.
- Ghodrati, M., Mosallanezhad, Z., Shati, M., Noroozi, M., Moghadam, A. N., Rostami, M., &
Nourbakhsh, M. R. (2019). Adding Temporomandibular joint treatments to routine physiotherapy for patients with non-specific chronic neck pain: a randomized clinical study. Journal of Bodywork and Movement Therapies.
- Kalsi-Ryan, S., Riehm, L. E., Tetreault, L., Martin, A. R., Teoderascu, F., Massicotte, E., ... &
Fehlings, M. G. (2020). Characteristics of Upper Limb Impairment Related to Degenerative Cervical Myelopathy: Development of a Sensitive Hand Assessment (Graded Redefined Assessment of Strength, Sensibility, and Prehension Version Myelopathy). Neurosurgery, 86(3), E292-E299.
- Kaynak, B. A., Taş S., Ünlüer, N. Ö., Yaşar, Ü., & Erdoğanoğlu, Y. (2019) Üniversite
Öğrencilerinde Temporomandibular Eklem Disfonksiyonu Prevalansının Araştırılması. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(3), 287-298.
- Kendall, F. P., McCreary, E. K., Provance, P. G., Rodgers, M., & Romani, W. A.
(1993). Muscles, testing and function: with posture and pain (Vol. 103). Baltimore, MD: Williams & Wilkins.
- Kibler, W. B., & Livingston, B. (2001). Closed-chain rehabilitation for upper and lower extremities. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 9(6), 412-421.
- Kibler, W. B., Ludewig, P. M., McClure, P. W., Michener, L. A., Bak, K., & Sciascia, A. D.
(2013). Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the ‘Scapular Summit’. British journal of sports medicine, 47(14), 877-885.
Kibler, W. B., & Sciascia, A. (2010). Current concepts: scapular dyskinesis. British journal of
sports medicine, 44(5), 300-305.
- Paralyzed Veterans of America Consortium for Spinal Cord Medicine. (2005). Preservation of
upper limb function following spinal cord injury: a clinical practice guideline for health-care professionals. The journal of spinal cord medicine, 28(5), 434.
- Merolla, G., De Santis, E., Campi, F., Paladini, P., & Porcellini, G. (2010). Infraspinatus
scapular retraction test: a reliable and practical method to assess infraspinatus strength in overhead athletes with scapular dyskinesis. Journal of Orthopaedics and Traumatology, 11(2), 105-110.
- Nomura, K., Vitti, M., Oliveira, A. S. D., Chaves, T. C., Semprini, M., Siéssere, S., ... & Regalo,
S. C. H. (2007). Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in Brazilian dental undergraduates. Brazilian dental journal, 18(2), 163-167.
- Shechtman, O., Gestewitz, L., & Kimble, C. (2005). Reliability and validity of the DynEx
dynamometer. Journal of hand therapy, 18(3), 339-347.
- Shenouda, M. M., & El-Tokhy, M. A. (2014). Efficacy of hand grip strength on supraspinatus
muscle activity in patients with shoulder impingement syndrome. Indian Journal of Physiotherapy and Occupational Therapy, 8(1), 187.
- Tate, A. R., McClure, P., Kareha, S., Irwin, D., & Barbe, M. F. (2009). A clinical method for
identifying scapular dyskinesis, part 2: validity. Journal of athletic training, 44(2), 165-173.
- van Selms, M. K., Wiegers, J. W., van der Meer, H. A., Ahlberg, J., Lobbezoo, F., & Visscher,
C. M. (2020). Temporomandibular disorders, pain in the neck and shoulder area, and headache among musicians. Journal of Oral Rehabilitation, 47(2), 132-142.
- von Piekartz, H., Pudelko, A., Danzeisen, M., Hall, T., & Ballenberger, N. (2016). Do subjects
with acute/subacute temporomandibular disorder have associated cervical impairments: a cross-sectional study. Manual therapy, 26, 208-215.
- Wiesinger, B., Malker, H., Englund, E., & Wänman, A. (2009). Does a dose-response relation
exist between spinal pain and temporomandibular disorders?. BMC Musculoskeletal Disorders, 10(1), 28.
- Zakharova-Luneva, E., Jull, G., Johnston, V., & O'Leary, S. (2012). Altered trapezius muscle
behavior in individuals with neck pain and clinical signs of scapular dysfunction. Journal of manipulative and physiological therapeutics, 35(5), 346-353.