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 OJST  Vol.2 No.2 , June 2012
Analysis of the stomatognathic system after anterior cruciate ligamentplasty
Abstract: Objective: The purpose of this study was to investigate the presence of postural imbalances, which can interfere with the mandible position and affect the actions of the stomatognathic system. Materials and Methods: Forty men, aged between 23 to 29 years, were selected and divided into two groups: Group I comprised 20 healthy individuals with no clinical postural change diagnosis; Group II, 20 individuals who had ACL surgical, unilateral with patellar tendon graft, paired individual to individual (age and weight). All of them were submitted to an electromyography in different clinical conditions. In addition, a condylar biomechanical assessment was performed through videogrametry. Results: In electromyography and videogrametry, a normal standard biomechanical was observed for both groups, however, Group GII—Ligamentplasty presented an inhibition of the masticatory muscles and decreased joint kinesthetic. Conclusion: Based on the results obtained, it was concluded that after the reconstruction of the ACL, individuals presented changes in the stomatog-nathic system.
Cite this paper: Ferreira, B. , da Silva, G. , Verri, E. , Semprini, M. , Siéssere, S. , Nepomuceno, E. , Nepomuceno, V. , de Carvalho, C. and Regalo, S. (2012) Analysis of the stomatognathic system after anterior cruciate ligamentplasty. Open Journal of Stomatology, 2, 88-94. doi: 10.4236/ojst.2012.22016.
References

[1]   Foster, T.E., Wolfe, B.L., Ryan, S., Silvestri, L. and Kaye, E.K. (2010) Does the graft source really matter in the outcome of patients undergoing anterior cruciate ligament reconstruction? An evaluation of autograft versus allograft reconstruction results: A systematic review. Ameican Journal Sports Medicine, 38, 189-199. doi:10.1177/0363546509356530

[2]   Nordin, M. and Frankel, V.H. (2003) Basic Biomechanics of the Musculoskeletal System. 3rd Edition, Lippincott Williams & Wilkins, New York.

[3]   Hirokawa, S., Solomonow, M., Lu, Y., Lou, Z. and Ambrosia, R. (1992) Anterior-posterior and rotational displacement of the tibia elicited by quadriceps contraction. American Journal Sports Medicine, 20, 299-306. doi:10.1177/036354659202000311

[4]   Keene, G.C., Bickerstaff, D., Rae, P.J. and Paterson, R.S. (1993). The natural history of meniscal tears in anterior cruciate ligament insufficiency. American Journal Sports Medicine, 21, 672-679. doi:10.1177/036354659302100506

[5]   Chu, D., LeBlanc, R., Ambrosia, P.D., Ambrosia, R.D., Baratta, R.V. and Solomonow M. (2003) Neuromuscular disorder in response to anterior cruciate ligament creep. Clinical Biomechanics, 18, 222-230. doi:10.1016/S0268-0033(03)00002-0

[6]   Fatarelli, I.F.C., Almeida, G.L. and Nascimento, B.G. (2004) ACL injury and reconstruction: A review of the biomechanics and motor control. The Journal Brazilian Physiotherapy, 8, 197-206.

[7]   Cole, K.J., Brand, R.A. and Daley, B.J. (1995) The sensitivity of joint afferents to knee translation. The Iowa Orthopaedic Journal, 15, 168-173.

[8]   Foster, T.E. and Zarins, B. (1994) Posterior cruciate ligament injuries. In: Siliski, J.M., Ed., Traumatic Disorders of the Knee, 1st Edition, Springer, Boston. doi:10.1007/978-1-4612-4310-6_16

[9]   Reider, B., Arcand, M.A., Diehl, L.H., Mroczek, K., Abluencia, A., Stroud, C.C., Palm, M., Gilbertson, J. and Staszak, P. (2003) Proprioception of the knee before and after anterior cruciate ligament reconstruction. The Journal of Arthroscopic and Related Surgery, 19, 2-12. doi:10.1053/jars.2003.50006

[10]   Berchuck, M., Andriacchi, T.P., Bach, B.R. and Reider, B. (1990) Gait adaptations by patients who have a deficient anterior cruciate ligament. The Journal of Bone and Joint Surgery, 72-A, 871-877.

[11]   Howells, B.E., Ardern, C.L. and Webster, K.E. (2011) Is postural control restored following anterior cruciate liga- ment reconstruction? A systematic review. Knee Surgery Sports Traumatology Arthroscopy, 19, 1168-1177. doi:10.1007/s00167-011-1444-x

[12]   Strini, P.J.S.A., Machado, N.A.G., Gorreri, M.C., Ferreira, A.F., Sousa, G.C. and Fernandes, N.A.J. (2009) Postural evaluation of patients with temporomandibular disorders under use of occlusal splints. Journal of Applied Oral Science, 17, 539-543. doi:10.1590/S1678-77572009000500033

[13]   Myers, T.W. (2009) Anatomy trains: Myofascial meridians for manual and movement therapists. 2nd Edition, Livingstone, Churchill.

[14]   Cram, J.R., Kasman, G.S. and Holtz, J. (1998) Introduction to Surface Electromyography. Aspen Publication, Gaithersburg.

[15]   Miranda, J.S., Marques, J.S., Mauro, M.C.F.L. and Mercadante, L.A. (2009) Method for describing the movement of the mandibular condyles by videogrametry. 18th Congresso Brasileiro de Fisioterapia, Rio de Janeiro.

[16]   Ferrario, V.F., Serrao, G., Dellavia, C., Caruso, E. and Sforza, C. (2002) Relationship between the number of occlusal contacts and masticatory muscle activity in health young adults. Clinics, 20, 91-98.

[17]   Pancherz, H. (1980) Temporal and masseter muscle acti- vity in children and adults with normal occlusion. Acta Odontologica Scandinavica, 38, 343-348. doi:10.3109/00016358009033603

[18]   Regalo, S.C., Santos, C.M., Vitti, M., Regalo, C.A., Vasconcelos, P.B., Mestriner, J.R.W., Semprini, M., Dias, F.J., Hallak, J.E. and Siéssere, S. (2008) Evaluation of molar and incisor bite force in indigenous compared with white population in Brazil. Archives Oral Biology, 53, 282-286. doi:10.1016/j.archoralbio.2007.10.003

[19]   Sbriccoli, P., Solomonow, M., Zhou, B., Lu, Y. and Sellards, R. (2005) Neuromuscular response to cyclic loading of the anterior cruciate ligament. American Journal of Sports Medicine, 33, 543-551. doi:10.1177/0363546504268408

[20]   Chong, S.S., Ouyang, G. and Tian, W.G. (1991) Power spectral analysis of electromyografic signal of mastigatory muscles at rest position and habitual clench. Journal of Prosthetic Dentistry, 65, 553-556. doi:10.1016/0022-3913(91)90299-C

[21]   Hermens, H.J., Freriks, B., Disselhorst-Klug, C. and Rau, G. (2000) Development of recommendations for SEMG sensors and sensor placement procedures. Journal Electromyography and Kinesiology, 10, 361-374. doi:10.1016/S1050-6411(00)00027-4

[22]   Ngawhirunpat, T., Hatanaka, T., Katayama, K., Yoshikawa, H., Kawakami, J. and Adachi, I. (2002) Changes in electrophysiological properties of rat skin with age. Biologi- cal and Pharmaceutical Bulletin, 25, 1192-1196. doi:10.1248/bpb.25.1192

[23]   Regalo, S.C., Vitti, M., Semprini, M., Rosa, L.B., Martinez, F.H., Santos, C.M. and Hallak, J.E. (2006) Electromyographic analysis of the masseter and temporal muscles in oralized deaf individuals. Electromyography and Clinical Neurophysiology, 46, 217-222.

[24]   Cecilio, F.A., Regalo, S.C.H., Palinkas, M., Issa, J.P.M., Siéssere, S. and Hallak, J.E.C. (2010) Aging and surface EMG activity patterns of masticatory muscles. Journal Oral Rehabilitation, 37, 248-255. doi:10.1111/j.1365-2842.2010.02051.x

[25]   Sabashi, K., Saitoh, I., Hayasaki, H., Iwase, Y., Kondo, S., Inada, E., Takemoto, Y., Yamada, C. and Yamasaki, Y. (2009) A cross-sectional study of developing resting masseter activity in different angle classifications in adolescence. Clinics, 27, 39-45.

[26]   Uha, C.I., Kovac, Z., Valentic-Peruzóvic, M., Jurétic, M., Moro, L.J. and Grzíc, R. (2003). The influence of war stress on the prevalence of signs and symptoms of temporomandibular disorders. Journal Oral Rehabilitation, 30, 211-217. doi:10.1046/j.1365-2842.2003.01030.x

[27]   Blanksma, N.G. and Van Eijden, T.M. (1995) Electromy-ographic heterogeneity in the human temporalis and masseter muscles during static biting, open/close excursions, and chewing. Journal of Dental Research, 74, 1318-1327. doi:10.1177/00220345950740061201

[28]   Cuccia, A. and Caradonna, C. (2009) The relationship between the stomatognathic system and body posture. Clinics, 64, 61-66. doi:10.1590/S1807-59322009000100011

[29]   Valeriani, M., Restuccia, D., Di Lazzaro, V., Franceschi, F., Fabbriciani, C. and Tonali, P. (1999) Clinical and neurophysiological abnormalities before and after reconstruction of the anterior cruciate ligament of the knee. Acta Neurologica Scandinavic, 99, 303-307. doi:10.1111/j.1600-0404.1999.tb00680.x

 
 
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