Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effect of The Forward Head Posture on The Maximum Mouth Opening of The Temporomandibular Joint, The Muscle Activity and The Asymmetry Rate of The Temporalis and Masseter

머리전방자세가 턱관절의 최대 개구량과 관자근 및 깨물근의 근활성도와 비대칭률에 미치는 영향

  • Yang, Yong-Pil (Department of Physical Therapy, Dongshin University) ;
  • Seo, Dong-yel (Department of Physical Therapy, Dongshin University)
  • 양용필 (동신대학교 물리치료학과) ;
  • 서동열 (동신대학교 물리치료학과)
  • Received : 2021.01.20
  • Accepted : 2021.03.05
  • Published : 2021.03.31
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Abstract

This study examined the effects of the forward head posture on the maximum mouth opening of the jaw joint and the muscle activity and asymmetry of the temporalis and masseter. The craniovertebral angle was measured in 50 subjects (23.10±2.73 years) who met the selection requirements of the study. The maximum mouth opening, muscle activity, and muscle asymmetry were measured by reducing 0%, 10%, and 20%. As the craniovertebral angle decreased, the maximum mouth opening decreased (p<.001), the muscle activity of the right and left temporalis decreased (p<.001), and the muscle activity of the left temporalis also decreased. (p<.01). The asymmetry rate of the added muscles of the left and right temporalis, left and right temporalis, and masseter increased according to the change in condition (p<.01). The results of this study are expected to help establish a treatment strategy and comprehensive diagnosis for the temporomandibular joint and present a theoretical basis of manual therapy and therapeutic exercises used for the treatment of TMD.

본 연구는 머리전방자세가 증가함에 따른 턱관절의 최대 개구량, 관자근과 깨물근의 근활성도, 근육의 비대칭률에 미치는 영향을 알아보고자 진행하였다. 연구 참가자들의 머리척추각을 측정하여, 연구의 선정요구를 충족시키는 머리 척추각이 50° 이상인 대상자 50명(23.10±2.73세)을 선정하였다. 머리전방자세를 증가시키기 위해 머리척추각을 0%, 10%, 20%를 감소시켜 Control I, Control II, Control III으로 설정하였다. 각 조건에 따른 턱관절의 최대 개구량, 관자근과 깨물근의 근활성도와 비대칭률의 변화를 측정하였다. 연구 결과, 머리척추각의 감소에 따라 최대 개구량은 유의하게 감소하였다(p<.001). 조건 변화에 따른 근활성도 변화를 측정한 결과, 오른쪽 관자근과 깨물근 및 왼쪽 관자근의 근활성도는 감소하였으며(p<.001), 왼쪽 깨물근의 근활성도도 감소하였다(p<.01). 조건 변화에 따른 근육의 좌우 비대칭률을 측정한 결과 좌우 관자근의 비대칭률, 좌우 관자근과 깨물근을 더한 근육의 비대칭률은 증가하였다(p<.01). 본 연구 결과는 턱관절 부위에 대한 치료 전략과 종합적 진단을 세우고, 턱관절 장애 치료를 위해 사용된 도수치료와 치료적 운동의 이론적 근거를 제시하는 데 도움이 될 것으로 사료된다.

Keywords

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