Could lower leg Wartenberg test be used as a predictor of restrictions in temporomandibular joint movements in CP patients

• Autorzy: Syczewska M. , Szczerbik E. , Graff K. , Olczak-Kowalczyk D. , Dąbrowska-Gontarczyk A. , Kalinowska M. , Jelonek E.

Identyfikatory

DOI

10.5277/ABB-00364-2015-02

• Języki publikacji: EN

Abstrakty

EN

Purpose: Patients with spasticity suffer not only from neurological problems but also from various dentistry problems due to spasticity of the jaw muscles. Measurements of motion in temporomandibular joints should reflect the amount of abnormal muscle tone of these muscles. The aim of this study was to find out if the measurements of temporomandibular joint movements performed with the ultrasound Zebris device are different in cerebral palsy patients than in healthy subjects; and to find out if the information on the degree of spasticity in the lower legs provided by the Wartenberg test could be used to predict the degree of spasticty in the jaw muscles. Method: Twenty five healthy subjects and 25 cerebral palsy patients participated in the study. Two types of measurements were performed: temporomandibular movements measured with Zebris device, and instrumented Wartenberg test. Results: The laterotrusion and opening movements are different in CP patients than in healthy subjects. Laterotrusion movement correlates with velocity measured during the Wartenberg test. Conclusion: This finding suggests that high spasticity in the lower legs could indicate jaw movement restrictions in CP patients.

Słowa kluczowe

EN

spasticity; temporomandibular joint; Zebris; Wartenberg test

PL

spastyczność; staw skroniowo-żuchwowy; Zebris

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2016
• Tom: Vol. 18, no. 2
• Strony: 3--7
• Opis fizyczny: Bibliogr. 10 poz., rys., wykr.

Twórcy

autor

Syczewska M.

• The Children’s Memorial Health Institute, Warsaw, Poland

autor

Szczerbik E.

• The Children’s Memorial Health Institute, Warsaw, Poland

autor

Graff K.

• The Children’s Memorial Health Institute, Warsaw, Poland
• Faculty of Rehabilitation, Józef Piłsudski University of Physical Education, Warsaw, Poland

autor

Olczak-Kowalczyk D.

• Faculty of Medicine and Dentistry, Medical University of Warsaw, Warsaw, Poland

autor

Dąbrowska-Gontarczyk A.

• Faculty of Medicine and Dentistry, Medical University of Warsaw, Warsaw, Poland

autor

Kalinowska M.

• The Children’s Memorial Health Institute, Warsaw, Poland

autor

Jelonek E.

• The Children’s Memorial Health Institute, Warsaw, Poland

Bibliografia

• [1] DOS SANTOS M.T., DE OLIVEIRA L.M., Use of cryotherapy to enhance mouth opening in patients with cerebral palsy, Spec. Care Dentist., 2004, Vol. 24, 232–234.
• [2] HAAS B.M., CROW J.L., Towards a clinical measurement of spasticity?, Physiotherapy, 1995, Vol. 81, 474–479.
• [3] JÜNGLING N., SMOLENSKI U.C., LOTH D., Investigation of reliability and validity of the three-dimensional function analysis of the temporomandibular joint, Manuelle Medizin, 2004, Vol. 42, 441–448.
• [4] KRZEMIEŃ J., BARON S., Axiographic and clinical assessment of temporomandibular joint function in patients with partial edentulism, Acta Bioeng. Biomech., 2013, Vol. 15, 19–26.
• [5] LIN X., WU W., ZHANG C., LO E.C.M., CHU C.H., DISSANAYAKA W.L., Prevalence and distribution of developmental enamel defects in children with cerebral palsy in Beijing, China, Int. J. Paediatr. Dent., 2011, Vol. 21, 23–28.
• [6] PELEGANO J.P., NOWYSZ S., GOEPFERD S., Temporomandibular joint contracture in spastic quadruplegia: efect on oral-motor skills, Dev. Med. Child. Neurol., 1994, Vol. 36, 487–494.
• [7] RUSSMAN B.S., ASHWAL S., Evaluation of the Child With Cerebral Palsy, Seminars in Pediatric Neurology, 2004, Vol. 11, 47–57.
• [8] SANTOS M.T.B.R., FERREIRA M.C.D., MENDES F.M., OLIVEIRA GUARE R., Assessing salivary osmolality as a caries risk indicator in cerebral palsy children, Int. J. Paediatr. Dent., 2014, Vol. 24, 84–89.
• [9] SYCZEWSKA M., LEBIEDOWSKA M., PANDYAN A., Quantifying repeatability of the Wartenberg pendulum test parameters in children with spasticity, J. Nuerosci. Meth., 2009, Vol. 178, 340–344.
• [10] WARTENBERG R., Pendulousness of the leg as a diagnostic test, Neurology, 1951, Vol. 1, 18–24.

Uwagi

PL

Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.