Temporomandibular Joint and Cervical Spine Mobility Assessment in the Prevention of Temporomandibular Disorders in Children with Osteogenesis Imperfecta: A Pilot Study

Kulesa-Mrowiecka Małgorzata, Pihut Małgorzata, Słojewska Kinga and Sułko Jerzy
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Kulesa-Mrowiecka Małgorzata: Department of Physiotherapy, Faculty of Health Science, Institute of Physiotherapy, Medical College, Jagiellonian University, 12 Michalowskiego Str., 31-143 Krakow, Poland
Pihut Małgorzata: Prosthodontic Department, Faculty of Medicine, Institute of Dentistry, Medical College, Jagiellonian University, 4 Montelupich Str., 31-155 Krakow, Poland
Słojewska Kinga: Department of Physiotherapy, Faculty of Health Science, Institute of Physiotherapy, Medical College, Jagiellonian University, 12 Michalowskiego Str., 31-143 Krakow, Poland
Sułko Jerzy: Faculty of Medicine, Orthopedic Clinic of the University Children’s Hospital, Medical College, Jagiellonian University, 265 Wielicka Str., 30-663 Krakow, Poland

IJERPH, 2021, vol. 18, issue 3, 1-10

Abstract: Osteogenesis imperfecta is a heterogeneous group of hereditary disorders of connective tissue diseases characterized by increased bone fragility, low growth, sometimes accompanied by abnormalities within the dentine, blue sclera, and partial or total hearing impairment. The changes may affect all joints, including the cervical spine and temporomandibular joints in the future, resulting in pain. The aim of the present study was to assess whether there is a relationship between the active range of motion of the cervical spine and the mobility of temporomandibular joints due to differential diagnosis in children with osteogenesis imperfecta, and to present a prevention algorithm for temporomandibular disorders. The study involved a group of 34 children with osteogenesis imperfecta, and the control group included 23 children (age 9.1 ± 3.8 years). Data were collected through an interview based on the author’s questionnaire, and the physical examination consisted in measuring the mobility of the cervical spine using an inclinometer (Cervical Range of Motion Instrument), the Helkimo scale, and linear measurements. In children with congenital bone fragility, there were acoustic symptoms from the temporomandibular joints more often than in healthy children. A correlation was found between the mobility of the cervical spine and temporomandibular joints in the study group. In the case of detecting irregularities in the temporomandibular joints, children were ordered to perform jaw-tongue coordination exercises.

Keywords: temporomandibular disorders; osteogenesis imperfecta; cervical spine; orofacial pain; differential diagnosis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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