MULTIDISCIPLINARY APPROACH OF CAUSAL IMBALANCES OCLUZAL-POSTURE REHABILITATION

Aim of the study This report aimed to assess the nonpainfull and currative effect of the electropuncture technique complemented by massage and active proprioceptive postural kinetotherapy of causal occlusion-posture imbalances accompanied by acute or chronic pain. This research provide an insight into the report of evidence available for the analgesic, uses of TENS in pathologies of the stomatognathic apparatus that induce postural defects. Malocclusion correction correlated with postural rehabilitation with non-invasive and non-drug methods, without adverse effects, including electropuncture (TENS) applied in conjunction with proprioceptive kinetotherapy techniques, massage and psychotherapy is the path to the success of occlusion-postural rehabilitation with significant results both on painful suffering and on the correction of malocclusions and global postural imbalances. Material and methods The forty-for patients ranged in age from 20 to 50 years, came to the rehabilitation center accusing important pain and functional impotence at various levels: temporo-mandibular, occlusal, postural, sole etc. Patients received clinical consultation, occlusal, postural and plantar evaluation, occluzal, postural and plantar analysis with the posturograph device receiving diagnostics of malocclusion overlapped with postural imbalances like kyphosis, scoliosis, genu varum, genu valgum, flat foot or claw foot and even psychotherapy. Group P1 received only orthodontic dental treatment to correct the occlusion. Group P2 received in addition to orthodontic treatment to correct the occlusion the complete non-invasive postural rehabilitation treatment including transcutaneous electrical neurostimulation (TENS), massage, proprioceptive kinetoterapy and psychotherapy. Results La finalul tratamentului aplicat complet, holistic si tenace, am constat rezultate notabile relevate la Group P2 (who benefited from electroneurostimulation therapy and psychotherapy in addition to kinetotherapy and massage) fata de Group P1 (who only benefit from the stomatologically approach) prin atenuarea semnificativa si chiar eradicarea durerii resimtite la nivelul articulatiei temporo-mandibulare, a zonei cervicale, toracale si lombare, reducerea dezechilibrelor de curbura si posturale ale coloanei vertebrale, corectarea dezechilibrelor de arcurire la nivelul talpilor, dupa caz. In plus, we obtained physiological mobility angles of the temporomandibular joint, muscle relaxation on paravertebral and abdominal hypertonic areas, muscle toning on hypotonic areas, efficient, operational muscle strength, so that the muscles are able to support physiologically correct posture, physiological posture at the umeral, pelvis, knee level as well as plantar flatfoot rehabilitation, patients finally approaching a plantar arch at the limit of physiological values. Conclusions The multidisciplinary collaboration regarding both diagnosis and treatment has an effect and proves its effectiveness in the context of the existence of occlusal and global postural imbalances. The increased incidence and prevalence of global postural imbalances induced by daily static professional, family, recreational activities requires opting for holistic and multidisciplinary integrative treatments.