Is there a relationship between head posture and craniomandibular pain?
Abstract
An often-suggested factor in the aetiology of craniomandibular disorders (CMD) is an anteroposition of the head. However, the results of clinical studies to the relationship between CMD and head posture are contradictory. Therefore, the first aim of this study was to determine differences in head posture between well-defined CMD pain patients with or without a painful cervical spine disorder and healthy controls. The second aim was to determine differences in head posture between myogenous and arthrogenous CMD pain patients and controls. Two hundred and fifty persons entered the study. From each person, a standardized oral history was taken and blind physical examinations of the masticatory system and of the neck were performed. The participants were only included into one of the subgroups when the presence or absence of their symptoms was confirmed by the results of the physical examination. Head posture was quantified using lateral photographs and a lateral radiograph of the head and the cervical spine. After correction for age and gender effects, no difference in head posture was found between any of the patient and non-patient groups (P > 0.27). Therefore, this study does not support the suggestion that painful craniomandibular disorders, with or without a painful cervical spine disorder, are related to head posture.
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A limited number of randomized controlled trials evaluate any particular physical therapy intervention.
“Few systematic reviews evaluate the efficacy of physical therapy interventions, and a limited number of randomized controlled trials (RCTs) evaluate any particular physical therapy intervention.13,21,22”
Few systematic reviews evaluate the efficacy of physical therapy interventions.
“Few systematic reviews evaluate the efficacy of physical therapy interventions, and a limited number of randomized controlled trials (RCTs) evaluate any particular physical therapy intervention.13,21,22”
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Armijo-Olivo, S., Pitance, L., Singh, V., Neto, F., Thie, N., & Michelotti, A. (2016) · Physical Therapy · doi:10.2522/ptj.20140548 · Cited by 413 · see citing works
The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis
Mahmoud, N. F., Hassan, K. A., Abdelmajeed, S. F., Moustafa, I. M., & Silva, A. G. (2019) · Current Reviews in Musculoskeletal Medicine · doi:10.1007/s12178-019-09594-y · Cited by 332 · see citing works
Silva, A. G., Punt, T. D., Sharples, P., Vilas-Boas, J. P., & Johnson, M. I. (2009) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2008.10.018 · Cited by 246 · see citing works
Assessment of forward head posture in females: Observational and photogrammetry methods
Salahzadeh, Z., Maroufi, N., Ahmadi, A., Behtash, H., Razmjoo, A., Gohari, M., & Parnianpour, M. (2014) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-130426 · Cited by 228 · see citing works
Studies comparing surrogate measures for head posture in individuals with and without neck pain
Silva, A. G., Sharples, P., & Johnson, M. I. (2010) · Physical Therapy Reviews · doi:10.1179/174328810x12647087218631 · Cited by 41 · see citing works
Lam, A. C., Liddle, L. J., & MacLellan, C. L. (2023) · Archives of Rehabilitation Research and Clinical Translation · doi:10.1016/j.arrct.2022.100242 · Cited by 14 · see citing works
“Few systematic reviews evaluate the efficacy of physical therapy interventions, and a limited number of randomized controlled trials (RCTs) evaluate any particular physical therapy intervention.(13,21,22) These reviews suggest that MT combined with other interventions improves outcomes for those with TMJ dysfunction.”
Background
- Authors
- Visscher, C. M., De Boer, W., Lobbezoo, F., Habets, L. L. M. H., & Naeije, M.
- Affiliations
- Academic Center for Dentistry Amsterdam (NL)
- Corresponding author
- Naeije, M.
- Venue
- Journal of Oral Rehabilitation
- Publisher
- Wiley
- Published
- 2002-11
- Volume
- 29
- Issue
- 11
- Pages
- 1030-1036
- ISSN
- 0305-182X (ISSN-L)
- 1365-2842
- OpenAlex
- W2088922990
- Cited by
- 137
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 6 · 2023: 7 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 7 · 2015: 11 · 2014: 10 · 2013: 11 · 2012: 12
- FWCI
- 5.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Oral Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Health Sciences › Health Professions › Medical Laboratory Technology › Occupational health in dentistry
- Keywords
- temporomandibular disorders, head posture, cervical spine pain, stomatognathic system
- MeSH terms
- Adult, Age Factors, Analysis of Variance, Arthritis, Cervical Vertebrae, Female, Head, Humans, Male, Mastication, Middle Aged, Muscular Diseases, Pain, Posture, Radiography, Sex Factors, Spinal Diseases, Case-Control Studies, Craniomandibular Disorders
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