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Interactions between the Craniomandibular System and Cervical Spine : The influence of an unilateral change of occlusion on the upper cervical range of motion.
Title:
Interactions between the Craniomandibular System and Cervical Spine : The influence of an unilateral change of occlusion on the upper cervical range of motion.
Author:
Klemm, Stephan.
ISBN:
9783836612029
Personal Author:
Edition:
1st ed.
Physical Description:
1 online resource (98 pages)
Contents:
Interactions between the Craniomandibular System and Cervical Spine The influence of an unilateral change of occlusionon the upper cervical range of motion -- I Acknowledgement -- Table of Contents -- III Abstract -- 1. Introduction -- 2. Theoretical background -- 2.1. Embryology -- 2.1.1. Biological development and evolution of the jaw, facial and cervicalregions -- 2.1.1.1. The gill system -- 2.1.1.2. Differentiation of tissues in human gill arches -- 2.1.1.3. Gill arch innervation in humans -- 2.2. Anatomy of the human temporomandibular joint -- 2.2.1. Neuroanatomical relationships between the CMS and the upper portion ofthe CS -- 2.2.1.1. The nervus trigeminus pathway -- 2.2.1.2. The area innervated by the nervus trigeminus -- 2.2.1.3. Nervus trigeminus convergences with other areas -- 2.2.1.4. Plexus cervicalis and its relationship to the upper CS -- 2.2.2. Musculature in the CMS region -- 2.2.2.1. The CMS musculature -- 2.2.2.2. Musculature in the CS region -- 2.2.2.3. Functional interactions between the masticatory musculature and theanterior and posterior neck musculature. -- 2.2.3. Functional connections between the CMS, CS and shoulder girdle regions -- 2.2.3.1. Head posture -- 2.2.3.2. Mandibular posture -- 3. Empirical section -- 3.1. Investigations on neuronal interactions between areas innervated by the trigeminus and the innervation of the upper cervical areas. -- 3.1.1. Sensory neuronal interactions between the CMS and CS regions -- 3.1.2. Neuronal motor interactions between the CMS and CS regions -- 3.2. Craniomandibular dysfunction -- 3.2.1. Historical background for CMD -- 3.2.2. Definition and diagnostics for CMD -- 3.2.3. Overview of investigations in cases of functional impairment of the CMS. -- 3.3. Pathophysiology of the CMS and the upper CS region in humans -- 3.4. Biomechanical connections between the CCS and CMS.

4. Aims of the current study and hypotheses -- 5. Material and methods -- 5.1. Definition of the exclusion criteria -- 5.2. Sample -- 5.3. Questionnaire and clinical investigation of the CS region -- 5.3.1. Questionnaire A: Sociodemographic data, pain assessment and measurementof the maximum opening of the mouth -- 5.3.2. Questionnaire B: Determination of the exclusion criteria (B1) andquestioning of the subjects on subjectively perceived tension (B2) -- 5.4. Experimental design and measurements -- 5.4.1. Experimental design -- 5.4.2. Chronological sequence of the entire experimental design depicted using aflow chart -- 5.4.3. Description of an individual measurement -- 5.4.3.1. Introduction, fitting of the metal foil, warming up -- 5.4.3.2. Conduct of analysis of mobility in the CS -- 6. Results and interpretation -- 6.1. Demographic data -- 6.2. Intergroup comparison of demographic data -- 6.3. General evaluation of the raw data on baseline measurements -- 6.4. Evaluation of the baseline measurements for each group -- 6.5. Statistical analysis of measurements made under experimental conditions -- 6.6. Results from the questionnaires on subjective perception of tension -- 6.7. Evaluation of the hypotheses -- 7. Discussion -- 7.1. Discussion of the findings with reference to the theoretical and empiricalresearch background and their clinical relevance -- 7.2. Discussion of errors -- 7.3. Comparisons with other studies -- 8. Conclusions -- 8.1. Study design -- 8.2. Results of the current investigation -- 9. References -- Appendix.
Abstract:
This prospective, randomized, double-blind investigation evaluated the influence of a short-time artificial change of occlusion to the upper cervical spine mobility. Twenty 14-19 aged female dancers were investigated in a cross-over-design on head movement rotation in anteflexion with a three-dimensional ultrasonic measurement device, the Zebris 3D Motion Analyzer (CMS 70 P). A change of the occlusion was produced by positioning a 0.75mm foil of tin between premolar and first molar of the right side. Towards the current theory of convergence of cervical and trigeminal nerves the change of occlusion should enlarge tensions in the suboccipital muscles and consequently decrease the mobility of the upper spine. The results of this investigation are: There were no significant differences in measuring movements of the upper cervical spine in dependence of changes of the occlusion. Assessments of the probationers to the changes in tension or motion support these results.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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