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Khan M, Zafar H, Gilani SA, Farooqui WA, Ahmad A. The effects of lumbar stabilization exercises with and without jaw movements in non-specific low back pain (A randomized controlled trial). Pak J Med Sci 2024; 40:1116-1121. [PMID: 38952498 PMCID: PMC11190411 DOI: 10.12669/pjms.40.6.9208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Revised: 02/09/2024] [Accepted: 03/03/2024] [Indexed: 07/03/2024] Open
Abstract
Objective This study aimed to investigate the added effect of jaw clenching on the efficacy of lumbar stabilization exercises to manage chronic non-specific low back pain. Methods This randomized controlled trial was conducted at the Sindh Institute of Physical Medicine and Rehabilitation (SIPM&R) Karachi from April 2021 to April 2023. Eighty patients with chronic non-specific low back pain participated in this study. Forty patients each were randomly allocated to the lumbar stability exercise (LSE) group' and the lumbar stability exercise with teeth clenching (LSETC) group. Patients in both groups performed respective exercises twice weekly for 12 weeks. The Numeric Pain Rating Scale (NPRS), Roland Morris Disability Questionnaire (RMDQ), and Pressure Biofeedback Unit (PBU) were used to assess pain, disability, and muscle endurance respectively. Data were collected at the baseline, after six weeks and 12 weeks of intervention. A p-value of <0.05 was considered statistically significant. Results Both groups showed statistically significant improvements in pain, disability, and muscle endurance. Upon further stratification, participants aged 20-30 years in the LSETC group showed significantly higher scores than the LSE group for NPRS, RMDQ, and PBU after 12 weeks. Overall, the LSETC group showed relatively higher improvement in mean scores for NPRS, RMDQ, and PBU than the LSE group. Conclusion Lumbar stabilization exercises with and without jaw movement are effective for the treatment of chronic non-specific low back pain. The addition of teeth clenching enhanced the effectiveness of lumbar stability exercises, especially in young adults. Trial Registration: Clinicaltrials.gov (NCT04801212), Prospectively registered on March 16, 2021.
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Affiliation(s)
- Muhammad Khan
- Muhammad Khan, PT, MSPT Institute of Physical Therapy & Rehabilitation, Jinnah Sindh Medical University, Karachi, Pakistan. University Institute of Physiotherapy, The University of Lahore, Lahore, Pakistan
| | - Hamayun Zafar
- Hamayun Zafar, PT, PhD Dept. of Rehabilitation Sciences, College of Applied Medical Sciences & Medical Research Chair, King Saud University Riyadh, Saudi Arabia. University Institute of Physiotherapy, The University of Lahore, Lahore, Pakistan
| | - Syed Amir Gilani
- Syed Amir Gilani, MBBS, DMRD, MPH, PhD(Ultrasound), PhD (Public Health), University Institute of Physiotherapy, The University of Lahore, Lahore, Pakistan
| | - Waqas Ahmed Farooqui
- Waqas Ahmed Farooqui, MSc, PhD School of Public Health, Dow University of Health Sciences, Karachi, Pakistan
| | - Ashfaq Ahmad
- Ashfaq Ahmad, University Institute of Physiotherapy, The University of Lahore, Lahore, Pakistan
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Allen C, Garner DP. The effects of jaw clenching and mouthpiece use on bat swing velocity in Division II athletes. J Sports Sci 2024; 42:763-768. [PMID: 38873943 DOI: 10.1080/02640414.2024.2363714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Accepted: 05/28/2024] [Indexed: 06/15/2024]
Abstract
Research assessing the effects of mouthpieces on an individual's aerobic, anaerobic, or muscular performance have attributed cited improvements to the participant's ability to jaw clench. Jaw clenching research finds positive outcomes with the task of jaw clenching with targeted muscle groups in a controlled laboratory setting. Thus, the study's goal was to determine if the addition of a mouthpiece would positively affect performance outcomes in a field-based whole-body muscle movement. Fourteen participants (8=F and 6=M) NCAA softball and baseball athletes completed 5 maximal bat swings with and without a mouthpiece in 4 conditions: no jaw clenching (NC), mouthpiece and jaw clenching (MP+C), mouthpiece only (MP), and jaw clenching only (C). Significant differences occurred in conditions, with the highest velocity noted in the combined condition of MP+C (71.9 mph) as compared to NC (67.9 mph), MP (68.6 mph), and C (70.9 mph). A repeated measures ANOVA demonstrated significant differences with bat swing velocity (F = 13.19, df 3, p < 0.0001). Pairwise comparisons revealed significant differences in MP+C with MP (p = 0.007); MP+C with NC (p = 0.001), and C with NC (p = 0.009). The results of this study provide evidence of jaw clenching's positive effects on the dynamic, whole-body explosive activity of a bat swing.
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Affiliation(s)
- Charles Allen
- Exercise Science Program, Florida Southern College, Lakeland, FL, USA
| | - Dena P Garner
- Department of Health and Human Performance, The Citadel, Charleston, SC, USA
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Kawamura J, Tanaka T, Kanno S, Osawa K, Okabayashi K, Hirano H, Shirobe M, Nagatani M, Son BK, Lyu W, Iijima K. Relationship between a gum-chewing routine and oral, physical, and cognitive functions of community-dwelling older adults: A Kashiwa cohort study. Geriatr Gerontol Int 2024; 24:68-74. [PMID: 38054384 DOI: 10.1111/ggi.14757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 09/21/2023] [Accepted: 11/15/2023] [Indexed: 12/07/2023]
Abstract
AIM As associations between oral function and general health have been reported in community-dwelling older adults, easily implementable preventive measures are urgently required. We focused on the health benefits of gum chewing, as no studies have been carried out on the impact of gum-chewing routines on the health of older adults. This cross-sectional study aimed to determine whether the gum-chewing routine is associated with oral, physical and cognitive functions in community-dwelling older adults. METHODS This study included 1617 community-dwelling older participants in a health survey carried out in 2021. The gum-chewing routine and weekly chewing time were assessed using a self-administered questionnaire. The outcome measures, including actual measurements of oral function, physical function, cognitive function, dietary intake and lifestyle, were evaluated using self-administered questionnaires or health surveys. RESULTS We analyzed 1474 (mean age 76.1 ± 5.8 years, 45% women) participants for whom all data were not missing, and 14% of them had a gum-chewing routine for more than 30 min weekly. Oral functions were significantly higher in older adults with a gum-chewing routine, and there were substantially fewer participants with oral frailty (adjusted odds ratio 0.581, 95% confidence interval 0.340-0.993). Additionally, cognitive and physical functions, including grip strength, were significantly higher in the gum-chewing routine group. CONCLUSIONS Community-dwelling older adults with a gum-chewing routine have higher oral, physical and cognitive functions. These findings indicate that a gum-chewing routine might contribute to maintaining oral function and preventing frailty. Geriatr Gerontol Int 2024; 24: 68-74.
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Affiliation(s)
- Jun Kawamura
- Institute of Gerontology, The University of Tokyo, Tokyo, Japan
- Central Research Laboratory, LOTTE CO., LTD., Tokyo, Japan
| | - Tomoki Tanaka
- Institute of Gerontology, The University of Tokyo, Tokyo, Japan
| | - Susumu Kanno
- Central Research Laboratory, LOTTE CO., LTD., Tokyo, Japan
| | - Kenji Osawa
- Central Research Laboratory, LOTTE CO., LTD., Tokyo, Japan
| | | | - Hirohiko Hirano
- Tokyo Metropolitan Institute for Geriatrics and Gerontology, Tokyo, Japan
| | - Maki Shirobe
- Tokyo Metropolitan Institute for Geriatrics and Gerontology, Tokyo, Japan
| | - Miyuki Nagatani
- Institute of Gerontology, The University of Tokyo, Tokyo, Japan
| | - Bo-Kyung Son
- Institute of Gerontology, The University of Tokyo, Tokyo, Japan
- Institute for Future Initiatives, The University of Tokyo, Tokyo, Japan
| | - Weida Lyu
- Institute of Gerontology, The University of Tokyo, Tokyo, Japan
- Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Katsuya Iijima
- Institute of Gerontology, The University of Tokyo, Tokyo, Japan
- Institute for Future Initiatives, The University of Tokyo, Tokyo, Japan
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Mesquita RNO, Taylor JL, Trajano GS, Holobar A, Gonçalves BAM, Blazevich AJ. Effects of jaw clenching and mental stress on persistent inward currents estimated by two different methods. Eur J Neurosci 2023; 58:4011-4033. [PMID: 37840191 DOI: 10.1111/ejn.16158] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 08/25/2023] [Accepted: 09/13/2023] [Indexed: 10/17/2023]
Abstract
Spinal motoneuron firing depends greatly on persistent inward currents (PICs), which in turn are facilitated by the neuromodulators serotonin and noradrenaline. The aim of this study was to determine whether jaw clenching (JC) and mental stress (MS), which may increase neuromodulator release, facilitate PICs in human motoneurons. The paired motor unit (MU) technique was used to estimate PIC contribution to motoneuron firing. Surface electromyograms were collected using a 32-channel matrix on gastrocnemius medialis (GM) during voluntary, ramp, plantar flexor contractions. MU discharges were identified, and delta frequency (ΔF), a measure of recruitment-derecruitment hysteresis, was calculated. Additionally, another technique was used (VibStim) that evokes involuntary contractions that persist after cessation of combined Achilles tendon vibration and triceps surae neuromuscular electrical stimulation. VibStim measures of plantar flexor torque and soleus activity may reflect PIC activation. ΔF was not significantly altered by JC (p = .679, n = 18, 9 females) or MS (p = .147, n = 14, 5 females). However, all VibStim variables quantifying involuntary torque and muscle activity during and after vibration cessation were significantly increased in JC (p < .011, n = 20, 10 females) and some, but not all, increased in MS (p = .017-.05, n = 19, 10 females). JC and MS significantly increased the magnitude of involuntary contractions (VibStim) but had no effect on GM ΔF during voluntary contractions. Effects of increased neuromodulator release on PIC contribution to motoneuron firing might differ between synergists or be context dependent. Based on these data, the background level of voluntary contraction and, hence, both neuromodulation and ionotropic inputs could influence neuromodulatory PIC enhancement.
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Affiliation(s)
- Ricardo N O Mesquita
- Department of Electrical Engineering, Chalmers University of Technology, Gothenburg, Sweden
- Centre for Human Performance, School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia
- Neuroscience Research Australia, Sydney, New South Wales, Australia
| | - Janet L Taylor
- Centre for Human Performance, School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia
- Neuroscience Research Australia, Sydney, New South Wales, Australia
| | - Gabriel S Trajano
- School of Exercise and Nutrition Sciences and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Aleš Holobar
- Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia
| | - Basílio A M Gonçalves
- Neuromechanics Research Group, Centre for Sport Science and University Sports, University of Vienna, Vienna, Austria
| | - Anthony J Blazevich
- Centre for Human Performance, School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia
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Nagao-Nishiwaki R, Nishimura A, Ohtsuki M, Kato T, Sudo A. Relationship between oral frailty and locomotive syndrome in working-age individuals: a cross-sectional survey of workers in Japan. BMC Oral Health 2023; 23:711. [PMID: 37794434 PMCID: PMC10548697 DOI: 10.1186/s12903-023-03453-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Accepted: 09/25/2023] [Indexed: 10/06/2023] Open
Abstract
BACKGROUND Although the relationship between oral and physical frailty in older adults has been investigated, few studies have focused on the working-age population. This study examined the relationships of the number of remaining teeth and masticatory ability, i.e., signs of oral frailty, with locomotive syndrome (LS) in the working-age population. METHODS The number of remaining teeth, masticatory ability, and presence of LS in 501 participants from four companies were examined. The relationships between the number of remaining teeth groups (≥ 20 teeth or ≤ 19 teeth) and LS and between the masticatory ability groups (high or low) and LS were examined. A binomial logistic regression analysis was conducted using LS from the stand-up test as the objective variable and the two subgroups based on the number of remaining teeth and potential crossover factors as covariates. RESULTS The analysis included 495 participants (354 males and 141 females; median age, 43 years). The median number of remaining teeth among the participants was 28, and 10 participants (2.0%) had ≤ 19 teeth. The mean masticatory ability values were 39.9 for males and 37.7 for females, and 31 participants (6.3%) had low masticatory ability. In the stand-up test, those with ≤ 19 teeth had a higher LS rate than those with ≥ 20 teeth. The odds ratio for LS in the group with ≤ 19 remaining teeth was 5.99, and the confidence interval was 1.44-24.95. CONCLUSIONS The results confirmed signs of oral frailty in the working-age population. Further, the number of remaining teeth possibly affects standing movement. Thus, oral frailty is associated with LS in the working-age population.
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Affiliation(s)
- Rie Nagao-Nishiwaki
- Department of Nursing, Faculty of Nursing, Suzuka University of Medical Science, 3500-3 Minamitamagaki-Cho, Suzuka City, Mie, 513-8670 Japan
| | - Akinobu Nishimura
- Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu City, Mie, 514-8507 Japan
| | - Makoto Ohtsuki
- Department of Clinical Nutrition, Faculty of Health Science, Suzuka University of Medical Science, 1001-1 Kishioka-Cho, Suzuka City, Mie, 510-0293 Japan
| | - Toshihiro Kato
- Department of Rehabilitation, Suzuka Kaisei Hospital, 112-1 Kou-Cho, Suzuka City, Mie, 513-8505 Japan
| | - Akihiro Sudo
- Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu City, Mie, 514-8507 Japan
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Yamada Y, Hirabayashi R, Okada Y, Yokota H, Sekine C, Edama M. Effects of remote facilitation on ankle joint movement: Focusing on occlusal strength and balance. Health Sci Rep 2023; 6:e1098. [PMID: 36778778 PMCID: PMC9898801 DOI: 10.1002/hsr2.1098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 01/23/2023] [Accepted: 01/25/2023] [Indexed: 02/05/2023] Open
Abstract
Background Remote facilitation refers to teeth occlusion-activated spinal cord activity resulting in increased trunk and limb muscle strength. Facilitation depends on dentition-related pressure during occlusion and masticatory muscle contraction strength. Aims This study aimed to clarify the neurophysiological phenomenon and mechanisms by which occlusal strength and balance affect leg muscle activity and smooth joint movement execution. Materials & Methods To examine occlusal strength, three conditions were set: no contact between teeth and Moderate- and Maximum-strength occlusion (No-bite, Moderate, and Max conditions, respectively). To assess occlusal balance, we measured occlusal forces and calculated the left-right force ratio. We designated the sides with higher and lower occlusal pressure as hypertonic and hypotonic, respectively. We assessed ankle dorsiflexion movements with joint movement and isometric tasks. Results The rate of joint development and peak ankle dorsiflexion torque were significantly higher under occlusion (moderate and max compared to No-bite conditions), and the joint movement performance time was significantly shorter under Moderate compared to No-bite conditions. The joint movement execution time change rate from No-bite to Moderate condition was significantly lower on the Hypertonic side. Joint movement function was most improved under Moderate conditions. Discussion While remote facilitation improves with higher occlusal strength, leading to increased muscle strength, there is optimal occlusion intensity in joint movement. Moreover, an occlusal balance-dependent imbalance exists in remote facilitation between the Hyper- and Hypotonic sides. Conclusion Thus, low-intensity occlusion is optimal for smooth joint movement, and unbalanced occlusion results in asymmetrical motor function facilitation.
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Affiliation(s)
- Yuki Yamada
- Institute for Human Movement and Medical SciencesNiigata University of Health and WelfareNiigataJapan
| | - Ryo Hirabayashi
- Institute for Human Movement and Medical SciencesNiigata University of Health and WelfareNiigataJapan
| | - Yoshiyuki Okada
- Department of Special Care DentistryHiroshima UniversityHiroshimaJapan
| | - Hirotake Yokota
- Institute for Human Movement and Medical SciencesNiigata University of Health and WelfareNiigataJapan
| | - Chie Sekine
- Institute for Human Movement and Medical SciencesNiigata University of Health and WelfareNiigataJapan
| | - Mutsuaki Edama
- Institute for Human Movement and Medical SciencesNiigata University of Health and WelfareNiigataJapan
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