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Kraniomandibuläres System und Wirbelsäule

Funktionelle Zusammenhänge mit der Zervikal- und Lenden-Becken-Hüft-Region

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Zusammenfassung

Die Hypothese einer funktionellen Beziehung zwischen dem kraniomandibulären System und anderen Körperregionen ist umstritten. Ziel dieser Pilotstudie war deshalb zu untersuchen, ob ein Zusammenhang zwischen dem kraniomandibulären System, dem kraniozervikalen System und der Lenden-Becken-Hüft-Region besteht. Um diese Hypothese zu testen, wurde die Prävalenz und die Lokalisation von Dysfunktionen der HWS und der Sakroiliakalgelenke (SIG) prospektiv in einem experimentellen Setting ermittelt. Bei 20 gesunden Studenten wurde die Okklusion künstlich verändert. Die obere Halswirbelsäule (HWS, C0–C3) und die SIG wurden vor, während und nach dieser Okklusionsänderung untersucht.

Während des Vorliegens der Okklusionsänderung wurden funktionelle Auffälligkeiten in beiden Untersuchungsregionen gefunden, die Veränderungen waren statistisch signifikant. Es könnte deshalb von Bedeutung sein, bei Patienten mit kranimandibulärer Dysfunktion (CMD) die Zervikal- und Sakroiliakalregion in die klinische Untersuchung mit einzuschließen.

Abstract

The hypothesis of a functional coupling between the muscles of the craniomandibular system and the muscles of other body areas is still controversial. The purpose of this pilot study was to test this hypothesis, examining whether there is a relationship between the craniomandibular system, the craniocervical system and the sacropelvic region. The prevalence and localization of dysfunction of the cervical spine and the sacroiliac joint were examined in a prospective, experimental trial. In 20 healthy students the habitual occlusion was artificially altered. The upper cervical spine (C0–C3) and the sacroiliac joint were examined before, during and after this change to the occlusion. The primary outcome in these experimental conditions was the occurrence of hypomobile functional abnormalities.

During the period of altered occlusion functional abnormalities were detected in both spinal regions examined, and these changes were statistically significant. The most logical inference to be drawn from these findings is probably that a complementary examination of these areas could be useful in patients with craniomandibular dysfunction.

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Authors and Affiliations

  1. Abteilung für Physikalische Medizin und Rehabilitation, Medizinische Hochschule Hannover

    M. Fink & K. Wähling

  2. Abteilung für Zahnärztliche Prothetik, Medizinische Hochschule Hannover

    H. Tschernitschek & M. Stiesch-Scholz

  3. Abteilung für Physikalische Medizin und Rehabilitation, OE 8300, Medizinische Hochschule Hannover, 30625 , Hannover

    M. Fink

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  1. M. Fink
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  4. K. Wähling
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Fink, M., Tschernitschek, H., Stiesch-Scholz, M. et al. Kraniomandibuläres System und Wirbelsäule. Manuelle Medizin 41, 476–480 (2003). https://doi.org/10.1007/s00337-003-0243-y

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