Postural balance in the comprehensive rehabilitation of adolescents with cleft lip and palate and maxillofacial anomalies: A literature review
- Authors: Botsarova S.А.1,2, Semyonov M.G.1, Vissarionov S.V.1
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Affiliations:
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 12, No 1 (2024)
- Pages: 89-99
- Section: Scientific reviews
- Submitted: 01.08.2023
- Accepted: 24.01.2024
- Published: 29.03.2024
- URL: https://journals.eco-vector.com/turner/article/view/567935
- DOI: https://doi.org/10.17816/PTORS567935
- ID: 567935
Cite item
Abstract
BACKGROUND: Patients with cleft lip and palate experience significant jaw relationship disorders and pathological bite formation, leading to changes in the motor activity of chewing muscles and postural balance disturbances. Most studies on postural control are conducted on patients with skeletal dentofacial anomalies and deformities without cleft lip and palate. The state of postural balance in children with cleft lip and palate requiring long-term complex medical rehabilitation, including bone-reconstructive operations on the jaw bones, remains poorly understood.
AIM: To analyze publications dedicated to the evaluation of postural balance in adolescents with cleft lip and palate combined with jaw relationship disorders and pathological bite formation.
MATERIALS AND METHODS: The article includes an analysis and review of several studies that investigated the state of postural balance in adolescents with cleft lip and palate, particularly at the final stages of growth and formation of the musculoskeletal system. Scientific articles published in various medical journals, monographs, dissertations, and materials from scientific symposiums related to this topic were used in the literature review. PubMed, Medline, Scopus, Web of Science, and RSCI were searched without language restrictions. The search depth was 23 years, and 64 studies were selected.
RESULTS: The article analyzes literature data related to theories of the mechanism of mutual influence between postural balance and the dentofacial apparatus (disorders and pathological bite formation). The state of postural balance is influenced by various factors, including the craniosacral system and anomalies of the cervical spine. Patients with cleft lip and palate, hemifacial microsomia, and other craniofacial dysostoses with growth disorders of jaw bones experience an imbalance in the entire “descending” chain, causing postural disturbances, increased plantar pressure, increased foot rigidity, and changes in photogrammetry indicators, which should be considered when developing an individual rehabilitation program for these patients. The treatment of these patients without considering postural balance disorders can lead to temporomandibular joint pathologies, unstable results of the conservative orthodontic treatment of bite pathologies, and bone-reconstructive operations on jaws.
CONCLUSIONS: The study highlights the ways of adaptation of the musculoskeletal system in the presence of occlusal relationship disorders and emphasizes the need to evaluate this influence comprehensively for the treatment of these patients. The limitations of the presented studies should be emphasized: insufficient sample size, lack of control groups and prospective studies, limited types of examination, and lack of studies dedicated to more severe anomalies of craniofacial development.
Full Text
About the authors
Sofia А. Botsarova
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov
Email: sofhik01@mail.ru
ORCID iD: 0000-0002-4675-8517
SPIN-code: 4930-8561
MD, PhD student
Russian Federation, Saint Petersburg; Saint PetersburgMikhail G. Semyonov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: sem_mikhail@mail.ru
ORCID iD: 0000-0002-0803-1923
SPIN-code: 2603-1085
MD, PhD, Dr. Sci. (Med.), Professor
Russian Federation, Saint PetersburgSergei V. Vissarionov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Author for correspondence.
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
SPIN-code: 7125-4930
MD, PhD, Dr. Sci. (Med.), Professor, Corresponding Member of RAS
Russian Federation, Saint PetersburgReferences
- Reconstructive surgeries for various anomalies, deformations of the jaws and bite. In: Abolmasov NG, Abolmasov NN. Orthodontics: a textbook. Moscow: Medicine; 2008. (In Russ.)
- Andreeva OV. Staged rehabilitation of children with congenital cleft of an upper lip and palate. Bulletin of Chuvash University. 2012;(3):269–275. EDN: PIEOKD
- Stepanova YuV, Tsyplakova MS. The main directions in the complex rehabilitation of children with cleft lip and palate. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2013;1(1):36–43. EDN: SJFIDV doi: 10.17816/PTORS1136-43
- Chuikin SV, Topolnitsky OZ. Treatment of congenital cleft lip and palate. Moscow: Moscow Publishing House; 2017. EDN: YUOSHB
- Postnikov MA, Trunin DA, Malkina VD, et al. Osteopathic correction in combined therapy of patients with dentomaxillofacial anomalies. Russian Osteopathic Journal. 2018;(1–2):91–99. EDN: USRSCU
- Donina ZhA, Aleksandrova NP. The ventilatory response to hypercapnia during head-down tilt. Russian Journal of Physiology. 2010;96(11):87–94. EDN: OJLIJD
- Akhmadeeva LR, Weizman BA, Kharisova EM, et al. Using stabilometric data for prognosis of falls in the elderly in-patients of neurology ward. Ural Medical Journal. 2013;(1):47–50. EDN: PWWLUJ
- Pajala S, Era P, Koskenvuo M, et al. Contribution of genetic and environmental effects to postural balance in older female twins. J Applied Physiol. 2004;96(1):308–315. doi: 10.1152/japplphysiol.00660.2003
- Voityatskaya IV. Anatomical and physiological rationale for the scope and tactics of treatment of dental patients with reduced occlusion [dissertation]. Saint Petersburg; 2016. EDN: HLEUKG (In Russ.)
- Lopushanskaya TA. Pathogenetic substantiation of the diagnostic and treatment algorithm for patients with temporomandibular joint pain dysfunction syndrome [dissertation]. Belgorod; 2019. EDN: RXZFQH (In Russ.)
- Nikityuk IE, Semenov MG, Botsarova SA. Impaired supporting function of the feet in adolescents with congenital cleft lip and palate with a mesial ratio of dentition. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2022;10(3):255–270. EDN: BMJZIR doi: 10.17816/PTORS106389
- Nikityuk IE. Differences in the supporting function of the feet in children with congenital and acquired pathologies of the jaw bones. In: Turner Readings: an annual scientific and practical conference dedicated to current issues of childhood traumatology and orthopedics, Saint Petersburg, October 07–08, 2021. Saint Petersburg: National Medical Research Center for Pediatric Traumatology and Orthopedics named after G.I. Turner; 2021. P. 131–135. EDN: WDETYE
- Nikityuk IE, Semenov MG, Yurova DO, et al. Impaired supporting function of the feet in adolescents with congenital cleft lip and palate with a mesial ratio of dentition. The Dental Institute. 2020;(2):54–56. EDN: HAPSFO
- Munhoz WC, Hsing WT. Interrelations between orthostatic postural deviations and subjects’ age, sex, malocclusion, and specific signs and symptoms of functional pathologies of the temporomandibular system: a preliminary correlation and regression study. Cranio. 2014;32(3):175–186. doi: 10.1179/0886963414Z.00000000031
- Tardieu C, Dumitrescu M, Giraudeau A, et al. Dental occlusion and postural control in adults. Neurosci Lett. 2009;450(2):221–224. doi: 10.1016/j.neulet.2008.12.005
- Pérez-Belloso AJ, Coheña-Jiménez M, Cabrera-Domínguez ME, et al. Influence of dental malocclusion on body posture and foot posture in children: a cross-sectional study. Healthcare. 2020;8(4):485. doi: 10.3390/healthcare8040485
- Amaricai E, Onofrei RR, Suciu O, et al. Do different dental conditions influence the static plantar pressure and stabilometry in young adults? Plos ONE. 2020;15(2). doi: 10.1371/journal.pone.0228816
- Cuccia A, Caradonna C. The relationship between the stomatognathic system and body posture. Clinics. 2009;64(1):61–63. doi: 10.1590/S1807-59322009000100011
- Bracco P, Deregibus A, Piscetta R. Effects of different jaw relations on postural stability in human subjects. Neurosci Lett. 2004;356(3):228–230. doi: 10.1016/j.neulet.2003.11.055
- Sakaguchi K, Mehta NR, Abdallah EF, et al. Examination of the relationship between mandibular position and body posture. Cranio. 2007;25(4):237–249. doi: 10.1179/crn.2007.037
- Marchena-Rodríguez A, Moreno-Morales N, Ramírez-Parga E, et al. Relationship between foot posture and dental malocclusions in children aged 6 to 9 years: a cross-sectional study. Medicine. 2018;97(19). doi: 10.1097/MD.0000000000010701
- Perinetti G, Contardo L, Silvestrini-Biavati A, et al. Dental malocclusion and body posture in young subjects: a multiple regression study. Clinics. 2010;65(9):689–695. doi: 10.1590/S1807-59322010000700007
- Iacob SM, Chisnoiu AM, Buduru SD, et al. Plantar pressure variations induced by experimental malocclusion – a pilot case series study. Healthcare. 2021;9(5):599. doi: 10.3390/healthcare9050599
- Scharnweber B, Adjami F, Schuster G, et al. Influence of dental occlusion on postural control and plantar pressure distribution. Cranio. 2017;35(6):358–366. doi: 10.1080/08869634.2016.1244971
- Isaia B, Ravarotto M, Finotti P, et al. Analysis of dental malocclusion and neuromotor control in young healthy subjects through new evaluation tools. J Funct Morphol Kinesiol. 2019;4(1):5. doi: 10.3390/jfmk4010005
- Cabrera-Domínguez ME, Domínguez-Reyes A, Pabón-Carrasco M, et al. Dental malocclusion and its relation to the podal system. Front Pediatr. 2021;9. doi: 10.3389/fped.2021.654229
- Myers T. Anatomy trains: myofaszia leleitbahnen (für manual- und bewegungstherapeuten). Berlin: Elsevier Health Sciences; 2015.
- Khoroshilkina FYa. Poor posture due to malocclusion. Orthodent-Info. 2000;(1–2):40–47. (In Russ.)
- Upledger JE, Vredwood JD. Craniosacral therapy. Part 1. Saint Petersburg: Northern Star; 2010.
- Tsimbalistov AV, Lopushanskaya TA, Khudonogova EYa, et al. Dynamics of stabilometric characteristics at the stages of orthodontic treatment of distal occlusion in patients with disorders of the musculoskeletal system. Orthodontics. 2005;(3):21–24.
- Bugrovetskaya OG, editor. Functional anatomy and biomechanics of the temporomandibular joint. Pathobiomechanical changes in dysfunction and their treatment using manual therapy methods: textbook. Moscow: MEDPRACTIKA; 2006. EDN: QKONUV
- Basieva EV. Clinical and functional rationale for the use of complex orthodontic and osteopathic treatment in patients with dentoalveolar anomalies [dissertation]. Saint Petersburg; 2022. EDN: VWZLNL
- Michalakis KX, Kamalakidis SN, Pissiotis AL, et al. The effect of clenching and occlusal instability on body weight distribution, assessed by a postural platform. Biomed Res Int. 2019;2019. doi: 10.1155/2019/7342541
- Julià-Sánchez S, Álvarez-Herms J, Cirer-Sastre R, et al. The influence of dental occlusion on dynamic balance and muscular tone. Front Physiol. 2020;10. doi: 10.3389/fphys.2019.01626
- Pacella E, Dari M, Giovannoni D, et al. The relationship between occlusion and posture: a systematic review. Webmedcentral Orthodontics. 2017;8(11). Available from: http://www.webmedcentral.com
- Moon HJ, Lee YK. The relationship between dental occlusion/temporomandibular joint status and general body health: part 1. Dental occlusion and TMJ status exert an influence on general body health. J Altern Complement Med. 2011;17(11)995–1000. doi: 10.1089/acm.2010.0739
- Souza JA, Pasinato F, Correa EA, et al. Global body posture and plantar pressure distribution in individuals with and without temporomandibular disorder: a preliminary study. J Manip Physiol Ther. 2014;37(6)407–414.
- Ferrillo M, Marotta N, Giudice A, et al. Effects of occlusal splints on spinal posture in patients with temporomandibular disorders: a systematic review. Healthcare. 2022;10(4):739. doi: 10.3390/healthcare10040739
- Nowak M, Golec J, Wieczorek A, et al. Is there a correlation between dental occlusion, postural stability and selected gait parameters in adults? Int J Environ Res Public Health. 2023;20(2):1652. doi: 10.3390/ijerph20021652
- Saccucci M, Tettamanti L, Mummolo S, et al. Scoliosis and dental occlusion: a review of the literature. Scoliosis. 2011;6:1–15. doi: 10.1186/1748-7161-6-15
- Sforza C, Tartaglia GM, Solimene U, et al. Occlusion, sternocleidomastoid muscle activity, and body sway: a pilot study in male astronauts. Cranio. 2006;24(9):43–49. doi: 10.1179/crn.2006.008
- Michelotti A, Buonocore G, Manzo P, et al. Dental occlusion and posture: an overview. Prog Orthod. 2011;12(1):53–58. doi: 10.1016/j.pio.2010.09.010
- Ishizawa T, Xu H, Onodera K, et al. Weight distributions on soles of feet in the primary and early permanent dentition with normal occlusion. J Clin Pediatr Dent. 2005;30(2):165–168. doi: 10.17796/jcpd.30.2.8x4727137678061m
- Semenov MG, Maricheva ON, Stetsenko AG, et al. CT diagnostics of children with deformities and anomalies of the facial skull and the cervical spine. The Dental Institute. 2016;(4):52–55. EDN: XQTUWJ
- Berrocal C, Terrero-Pérez Á, Peralta-Mamani M, et al. Cervical vertebrae anomalies and cleft lip and palate: a systematic review and meta-analysis. Dentomaxillofac Radiol. 2019;48(8). doi: 10.1259/dmfr.20190085
- Santos G, Ickow I, Job J, et al. Cone-beam computed tomography incidental findings in individuals with cleft lip and palate. Cleft Palate Craniofac J. 2020;57(4):404–411. doi: 10.1177/1055665619897469
- Karsten A, Sideri M, Spyropoulos M. Morphologic anomalies of upper cervical vertebrae in swedish children born with nonsyndromic cleft lip and/or palate compared to Swedish children without cleft. Cleft Palate Craniofac J. 2019;56(6):751–758. doi: 10.1177/1055665618808621
- Sergeev TV. The influence of complex postural influences on transient processes in the human cardiovascular system [dissertation]. Saint Petersburg; 2018. EDN: AWKVRH (In Russ.)
- Buldt AK, Murley GS, Butterworth P, et al. The relationship between foot posture and lower limb kinematics during walking: a systematic review. Gait Posture. 2013;38(3):363–372. doi: 10.1016/j.gaitpost.2013.01.010
- Baldini A, Nota A, Tripodi D, et al. Evaluation of the correlation between dental occlusion and posture using a force platform. Clinics. 2013;68(1):45–49. doi: 10.6061/clinics/2013(01)OA07
- Cuccia AM. Interrelationships between dental occlusion and plantar arch. J Bodyw Mov Ther. 2011;15(2):242–250. doi: 10.1016/j.jbmt.2010.10.007
- Maurer C, Holzgreve F, Erbe C, et al. Influence of dental occlusion conditions on plantar pressure distribution during standing and walking – a gender perspective. Med Eng Phys. 2021;88:47–53. doi: 10.1016/j.medengphy.2020.12.011
- Pomarino D, Pomarino A. Plantar static pressure distribution in healthy individuals: Percentiles for the evaluation of forefoot loading. Foot Ankle Spec. 2014;7(4):293–297. doi: 10.1177/1938640014528973
- Šidlauskienė M, Smailienė D, Lopatienė K, et al. Relationships between malocclusion, body posture, and nasopharyngeal pathology in pre-orthodontic children. Med Sci Monit. 2015;18:1765–1773. doi: 10.12659/MSM.893395
- Stancker TG, Silva AC, Neto HP, et al. Malocclusion influence on balance and posture: a systematic review. Man Ther Posturology Rehabil J. 2015;13:320. doi: 10.17784/mtprehabjournal.2015.13.320
- Gangloff P, Louis JP, Perrin PP. Dental occlusion modifies gaze and posture stabilization in human subjects. Neurosci Lett. 2000;293(3):203–206. doi: 10.1016/S0304-3940(00)01528-7
- Petrikas IV, Bulanov VI, Kurochkin AP. Interdependence of occlusal relationships and human postural balance (literature review). In: Modern dentistry: problems, tasks, solutions: materials of the interregional scientific and practical conference dedicated to the 80th anniversary of his birth and the 30th anniversary of the leadership of the department of the Honored Scientist of Russia, Professor A.S. Shcherbakov, Tver, 21–22 March 2019. Tver: Tver State Medical Academy; 2019. P. 142–144. EDN: ELMQBI (In Russ.)
- Lombardo G, Vena F, Negr P, et al. Worldwide prevalence of malocclusion in the different stages of dentition: a systematic review and meta-analysis. Eur J Paediatr Dent. 2020;21(2):115–122. doi: 10.23804/ejpd.2020.21.02.05
- Kawala B, Szumielewicz M, Kozanecka A. Are orthodontists still needed? Epidemiology of malocclusion among polish children and teenagers in last 15 years. Dent Med Probl. 2009;46:273–278.
- Bugrovetskaya OG, Yurov VV. Manual diagnostics and manual therapy for dysfunction of the temporomandibular joint. Reflexotherapy. 2003;(3):13–15. (In Russ.)
- Medlicott MS, Hаrris SR. А systemаtic review of the effectiveness of exercise, mаnuаl therаpy, electrotherаpy, relаxаtion trаining, аnd biofeedbаck in the mаnаgement of temporomаndibulаr disorder. Phys Ther. 2006;86(7):955–973.
- Parshin VV. Clinical rationale for the use of myogymnastic exercises and orthopedic methods of posture correction in complex rehabilitation of patients with pathology of the temporomandibular joint and parafunction of the masticatory muscles [dissertation]. Veliky Novgorod; 2018. EDN: XBNNEX (In Russ.)
- Howat AP, Kann NJ, Barrett NWJ. Occlusion and pathology of occlusion: color atlas. Moscow: Azbuka; 2005. (In Russ.)