scholarly journals The Effect of Clenching and Occlusal Instability on Body Weight Distribution, Assessed by a Postural Platform

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Konstantinos X. Michalakis ◽  
Savvas N. Kamalakidis ◽  
Argiris L. Pissiotis ◽  
Hiroshi Hirayama

The purpose of this research project was to investigate whether or not clenching and occlusal instability of Angle’s Class I malocclusion have an effect on body weight distribution in healthy adult subjects. Twenty adults (fourteen males and six females, ages 27-40, mean age 31.7 years, SD 3.32) were included in this study. The MatScan (Tekscan Inc., Boston, MA) system was used to measure the body weight distribution changes of the subjects. Four body weight distribution measurements were taken for each subject while (1) the mandible was in the rest position (no tooth contact) (RES), (2) subject was clenching (maximum intercuspation of the teeth with heavy occlusal forces) (CL), (3) subject was clenching on the right side (with 1 mm disocclusion on the left side) (CLR), and (4) subject was clenching on the left side (with 1 mm disocclusion on the right side) (CLL). The lateral and the anteroposterior body weight distribution changes during the different clenching conditions (both sides, right, and left) were compared to those at which the mandible was at the rest position. The statistical significance of these results was tested with a Chi-Squared test (p<0.05). Based on the findings of the present study it was concluded that clenching and occlusal instability are associated with lateral body weight distribution changes.

2020 ◽  
Vol 39 (1) ◽  
Author(s):  
D. Ohlendorf ◽  
K. Kerth ◽  
W. Osiander ◽  
F. Holzgreve ◽  
L. Fraeulin ◽  
...  

Abstract Background The aim of this study was to collect standard reference values of the weight and the maximum pressure distribution in healthy adults aged 18–65 years and to investigate the influence of constitutional parameters on it. Methods A total of 416 healthy subjects (208 male / 208 female) aged between 18 and 65 years (Ø 38.3 ± 14.1 years) participated in this study, conducted 2015–2019 in Heidelberg. The age-specific evaluation is based on 4 age groups (G1, 18–30 years; G2, 31–40 years; G3, 41–50 years; G4, 51–65 years). A pressure measuring plate FDM-S (Zebris/Isny/Germany) was used to collect body weight distribution and maximum pressure distribution of the right and left foot and left and right forefoot/rearfoot, respectively. Results Body weight distribution of the left (50.07%) and right (50.12%) foot was balanced. There was higher load on the rearfoot (left 54.14%; right 55.09%) than on the forefoot (left 45.49%; right 44.26%). The pressure in the rearfoot was higher than in the forefoot (rearfoot left 9.60 N/cm2, rearfoot right 9.51 N/cm2/forefoot left 8.23 N/cm2, forefoot right 8.59 N/cm2). With increasing age, the load in the left foot shifted from the rearfoot to the forefoot as well as the maximum pressure (p ≤ 0.02 and 0.03; poor effect size). With increasing BMI, the body weight shifted to the left and right rearfoot (p ≤ 0.001, poor effect size). As BMI increased, so did the maximum pressure in all areas (p ≤ 0.001 and 0.03, weak to moderate effect size). There were significant differences in weight and maximum pressure distribution in the forefoot and rearfoot in the different age groups, especially between younger (18–40 years) and older (41–65 years) subjects. Discussion Healthy individuals aged from 18 to 65 years were found to have a balanced weight distribution in an aspect ratio, with a 20% greater load of the rearfoot. Age and BMI were found to be influencing factors of the weight and maximum pressure distribution, especially between younger and elder subjects. The collected standard reference values allow comparisons with other studies and can serve as a guideline in clinical practice and scientific studies.


2006 ◽  
Vol 96 (4) ◽  
pp. 330-343 ◽  
Author(s):  
Vern L. Houston ◽  
Gangming Luo ◽  
Carl P. Mason ◽  
Martin Mussman ◽  
Maryanne Garbarini ◽  
...  

Accurate, consistent measurement of foot-ankle geometry is essential for the design and manufacture of well-fitting, functional, comfortable footwear; for the diagnosis of certain biomechanical disorders; and for consistent longitudinal monitoring and assessment of pedorthic treatment outcomes. We sought to formulate a basic set of measures characterizing the principal geometric dimensions of the foot, to investigate how these measures vary with increasing weightbearing, and to explore the implications of weightbearing changes in pedal geometry for orthopedic footwear design and manufacture. The right feet of 40 healthy men aged 22 to 71 years were scanned using the Department of Veterans Affairs Pedorthics Optical Digitizer in neutral alignment, sequentially bearing 0%, 10%, 25%, 50%, and 100% of the subjects’ body weight. With support of the full body weight, the following mean changes in the pedal parameters were observed: heel-to-toe length, 1.5%; ball width, 4.3%; maximum heel width, 4.8%; and instep height, –9.3%. On average, 71% of the changes sustained in the pedal parameters at full weightbearing occurred when, or before, 25% of the body weight was applied. (J Am Podiatr Med Assoc 96(4): 330–343, 2006)


Author(s):  
Mohammad Hasil Tamzil ◽  
Budi Indarsih

The study was designed to determine the size of some body parts of the Super Kampong chicken and its relationship with body weight. The study was conducted at the Teaching Farm of Animal Science Faculty, University of Mataram, in Lingsar Village, West Lombok. The study used 60 male and 96 female Super Kampong chickens which were maintained intensively. The variables observed were body weight, head circumference, neck length, wing length, back length, chest circumference, chest width, upper and lower thigh length, metatarsus length, metatarsus circumference, and third finger length. Measurements were made for each individual bird at 13 weeks of age using yarn then measured with a tape measure, while the dimension of chest width was assigned  by measuring the distance between the right and right sides of the chest using calipers. The results found that the body parts that had the biggest contribution to the body weight of the Super Kampong chickens at 13 weeks old were the size of the lower thigh length in the male chicken and the size of the chest circumference in the female chicken.


2021 ◽  
Vol 66 (No. 2) ◽  
pp. 58-65
Author(s):  
ES Souza ◽  
BW Minto ◽  
JP Sales Luis ◽  
M Nobile ◽  
BT Lins ◽  
...  

The aim of this study was to evaluate the postoperative temporal changes in the tibial plateau angle (TPA) after a tibial plateau levelling osteotomy (TPLO) in dogs. The TPA of thirty-two dogs were measured before surgery (TPA<sub>1</sub>), immediately after the TPLO (TPA<sub>2</sub>), and later at the healing of the osteotomy site (TPA<sub>3</sub>). Three observers carried out three TPA measurements for each patient at the time of the evaluation. TPA changes were observed over the bone healing (2.05 ± 3.05°); however, no statistical significance was noted when comparing TPA<sub>3</sub> and TPA<sub>1</sub>. There were no statistical differences in the inter-observer measurements among TPA<sub>1</sub>, TPA<sub>2</sub>, and TPA<sub>3</sub> (P &gt; 0.05). The comparison between the preoperative TPA<sub>1</sub> and the rock back showed a low positive correlation (S = 4 735.9, P = 0.471 5, r = 0.131 976 9). There was also a low positive correlation between the body weight (kg) and the change in the TPA during the bone healing (S = 4 581.8, P = 0.381, r = 0.160 234 7). Although changes in the TPA have been observed over the time of the bone healing, they were not influenced by the preoperative and postoperative TPA, or by the body weight. The magnitude of the variation in the TPA is not determined by the previous inclination or by the degree of rotation in the plateau.


2003 ◽  
Vol 24 (6) ◽  
pp. 500-505 ◽  
Author(s):  
Raja Dhalla ◽  
Jeffrey E. Johnson ◽  
Jack Engsberg

Hypotheses/Purpose: Total contact casting (TCC) has been shown to promote the healing of plantar neurotrophic ulcers by reducing plantar pressures and has become the established treatment standard by which all others are measured. The purpose of this study was to determine if terminal cast devices (cast shoes and heels) significantly affect the amount of plantar pressure reduction when used with a total contact cast. Methods/Results: Plantar pressures were measured in the right feet of 28 healthy adult volunteers using the Novel EMED PEDAR system (Novel GmbH, Munich, Germany) for six conditions: athletic shoe (i.e., control), TCC alone, TCC with a conventional cast shoe (EBI, Parsipanny, NJ), TCC with a custom rigid rocker cast shoe (NPS, St. Louis, MO), TCC with a rubber rocker heel (Cast Walker, DM Systems Inc., Evanston, IL), and TCC with a traditional flat rubber heel (Zimmer, Warsaw, IN). Peak plantar pressures were recorded from the forefoot, midfoot, and hindfoot. Analysis of variance (ANOVA) was used to determine statistical significance. The greatest reductions in forefoot plantar pressures compared to the athletic shoe control were seen in the TCC with the conventional cast shoe and the TCC with the rigid rocker shoe; a mean plantar pressure reduction of 30% was observed for both conditions ( p <.001). Significant midfoot plantar pressure reductions ( p <.001) were achieved with the TCC alone, TCC with the conventional cast shoe, TCC with the rigid rocker heel, TCC with the flat rubber heel, and TCC with the rubber rocker heel. Mean reductions were 42%, 51%, 47%, 40%, and 46%, respectively. While athletic shoe peak hindfoot pressures were only reduced by 15% by TCC alone, the addition of the rubber rocker heel to TCC reduced athletic shoe pressures by 32% and the addition of the flat rubber heel to TCC reduced athletic shoe pressures by 29%. The reductions with TCC and the heels were both significant when using the athletic shoe as the control ( p <.001) and the TCC alone as the control ( p <.05). Conclusion: Plantar pressure reduction with TCC can be augmented with the addition of a terminal cast device and the effects shown in this study are significantly different than previously reported. These results suggest that terminal cast devices should be chosen according to location of the neuropathic ulcer. In this study, forefoot pressures were reduced the most with TCC and either the conventional cast shoe or the rigid rocker shoe. The authors therefore recommend these combinations for forefoot ulcers. TCC alone or combined with any of the terminal devices proved equally effective for midfoot plantar pressure reduction. Hindfoot ulcers should be treated with TCC and the rubber rocker heel or the flat rubber heel as these provided the best hindfoot pressure reductions.


2011 ◽  
Vol 27 (3) ◽  
pp. 1193-1200 ◽  
Author(s):  
M. Zujovic ◽  
N. Memisi ◽  
V. Bogdanovic ◽  
Z. Tomic ◽  
N. Maksimovic ◽  
...  

The paper presents results of investigation of milk yield by lactation, by order, and mother's body weight on growth rate of kids of the domestic Balkan goat. Daily weight gains of 376 single kids (168 male and 208 female), in three monthly intervals, and their final body weight at 90 days of age were established. Variability of analyzed traits was presented using descriptive statistics parameters, and differences of growth traits for weight gain of kids resulting from the effect of milk yield of female goats by order of lactation were investigated by single analysis of variance. The effect of independent variables, mothers' milk yield and body weight, on body weight of kids was tested using multiple regression analysis. During the entire suckling period, established average values for kids body weight differed significantly (P<0.001), increasing from the 1st toward later lactations. At 90 days of age the lowest values were established in kids from the youngest mothers (11.86 kg), while for kids of mothers in the fourth or later lactations these values were higher (13.93 kg). Coefficients of determination indicate that the variability percentage for individual growth traits of kids was in the 0.08 - 0.17 interval, indicating its significance. Both "b" coefficients (b1 and b2) are positive and statistically highly significant, except for coefficient b2 in the analysis of body weight of kids at birth. The positive sign and high statistical significance indicate a pronounced effect of mother's milk yield and body weight on the body weight of kids up to 90 days of age.


2021 ◽  
Vol 18 (3) ◽  
pp. 263-267
Author(s):  
D. N. Bobkov ◽  
R. V. Rozhivanov ◽  
I. I. Vityazeva

Background: Considering the influence of visceral obesity on male infertility, the investigation of ejaculate quality indicators under obesity treatment is relevant.Objective: Evaluation of ejaculate quality indicators by obesity treatment with liraglutide in andrologically healthy men with infertility and post-pubertal visceral obesity.Methods: Infertile men with post-pubertal alimentary visceral obesity were included in a pilot observational prospective study. All patients were given recommendations for body weight loss (hypocaloric diet, daily aerobic physical activity) as well as an average daily dose of liraglutide 2.4 [2.4; 3.0] mg. Evaluation of waist circumference, antioxidant activity of ejaculate, spermogram was carried out initially and after 6 months. The differences were considered statistically significant at p <0.005.Results: The body weight decrease was -11.7 [12.4; 11.0]%, the waist circumference decrease was 8 [12; 7] cm. In dynamics, increased content of living sperm in ejaculate from 92 [90; 95]% to 95 [92; 98]%, morphologically normal forms from 5 [3; 6]% to 6 [3; 8]%, mobility of A + B from 25 [15; 36] to 35 [19; 52]%, seminal antioxidant capacity, a decrease in reactive oxygen forms in the neat ejaculate were statistically significant. Increasing the sperm count in 1 ml and decreasing reactive oxygen forms in the washed ejaculate did not reach statistical significance.Conclusion: Ejaculate quality indicators improved by the complex obesity therapy with liraglutide in young andrologically healthy men with postpubertal visceral obesity.


2013 ◽  
Vol 29 (2) ◽  
pp. 277-286 ◽  
Author(s):  
Zoran Ilic ◽  
A. Jevtic-Vukmirovic ◽  
M.P. Petrovic ◽  
V. Caro-Petrovic ◽  
B. Milosevic ◽  
...  

Estrus synchronization methods was use to control the reproductive traits of sheep, as well as bringing more females at the same stage of estrus and ovulation. According to the points mentioned above, the aim of the present study was to investigate and compare mating method and influence of fixed factors on birth and weaning weight of lambs. Statistical analysis showed that exist difference in the body weights between genotypes of lambs. In the first group, the difference in weight of lambs at birth, regardless of mating method was not significant (P> 0.05), while in the second group, the difference was slightly significant (P <0.05). As for the birth type, sex and within the same genotype, there was a statistical significance (P <0.05) between singles obtained naturally, between the triplets obtained naturally and between triplets received hormonal method. All the differences between body weight at 30 days (mating method, sex and birth type under the same genotype) were statistically significant (P <0.05).The determined differences in the body weights at 60 days (sex, mating method and type of birth under the same genotype) were statistically significant (P <0.05). The results showed that the differences (mating method, sex and type of birth under the same genotype) were statistically significant (P <0.05), except in between body weight at 90 days in twins among two genotypes obtained by natural method, which were not statistically significant (P> 0.05).


2019 ◽  
Vol 185 (3-4) ◽  
pp. 336-340 ◽  
Author(s):  
Jesse DeLuca ◽  
Daniel Selig ◽  
Lucas Poon ◽  
Jeffrey Livezey ◽  
Thomas Oliver ◽  
...  

Abstract Introduction Personalized medicine is the right treatment, to the right patient, at the right dose. Knowledge of genetic predisposition to variable metabolism and distribution of drugs within the body is currently available as pharmacogenomic testing and is one of the pillars of personalized medicine. Pharmacogenomic testing is growing. It has become part of guidelines for dosing on FDA labels and has been used by health care organizations to improve outcomes and reduce adverse events. Additionally, it has been FDA approved for direct-to-consumer purchase and has been cause of concern of patient self-dosing and medication changes. Presumably in the near future, pharmacogenomics will be impressed upon the military health system (MHS) provider from either a top-down, command requested, or from a bottom-up, patient requested, approach. To date, widespread implementation of pharmacogenomic testing does not seem to be established within the MHS. This survey sheds light on the knowledge, exposure, use, comfort, and interest among family medicine providers in the MHS. It compares similar results in other national and international surveys and compares results among a small subset of residents to staff. Materials and Methods The questions were part of a larger survey conducted by the Clinical Investigations Committee of the Uniformed Services Academy of Family Physicians (USAFP) at the USAFP 2019 annual meeting. The study received approval from the Uniformed Services University Institutional Review Board. Submitted questions were written using multiple choice, fill-in, five-point Likert scale, and best answer. Direct results are reported as well as chi-square statistics for categorical data with statistical significance to attain a P-value of &lt; 0.05. Results Among the 532 USAFP-registered conference attendees eligible to complete the survey, 387 attendees responded to the survey, for a response rate of 72.7%. Some results included were a knowledge question in which 37% of respondents answered correctly. Less than half of respondents agreed that they could define pharmacogenomics, and resident respondents were more likely to have received teaching in graduate medical education. Additionally, 12% of providers responded to being exposed to direct-to-consumer results, and 28% of those exposed were influenced to change medications, while 14% were influenced to change medications on multiple occasions. Chi-square comparisons resulted in statistically significant direct relationships to exposure to direct to consumer testing, previous training, and confidence of those that answered the knowledge question correctly. Conclusions This survey establishes a baseline for the possible needs associated with implementation of a pharmacogenomic program, and it argues an actionable level for the use of pharmacogenomics among the patient population within the MHS.


Author(s):  
Jianjia Jiang ◽  
Lu Lin ◽  
Pin Chen

Objective: To evaluate the efficacy and treatment satisfaction of dapagliflozin and liraglutide in T2DM patients with glucose poorly controlled after triple therapy. Methods: In addition to the original therapeutic regimen, dapagliflozin (n=83) and liraglutide (n=89) once a day were added, respectively. Height, body weight, waist circumference, and blood pressure were recorded. FBG, 2hPBG, HbA1c, fasting C-peptide, HOMA-IR, blood lipid, eGFR, BUA and DTSQ were detected before the treatment and after 24 weeks of treatment. Results: At the end of 24 weeks of treatment, a follow-up visit was completed for 79 patients in the dapagliflozin group and 77 patients in the liraglutide group. The body weight of the patients in the dapagliflozin group and the liraglutide group decreased significantly (P< 0.05). The HbA1c level in the dapagliflozin group decreased from 8.96 ± 1.23% to 7.03 ±0.74% (P< 0.01), more than that in the liraglutide group, namely, from 8.99 ± 1.34% to 7.24 ±0.77% (P< 0.01). After 12 weeks of treatment, eGFR in the dapagliflozin group first decreased and then increased after 12 weeks of treatment. The percentages of patients achieving combined endpoints in the two groups were of no statistical significance (P=0.204). And there were mild adverse events in both groups. Conclusion: The add-on treatment of dapagliflozin and liraglutide had promising clinical outcomes in patients with T2DM and poorly controlled glucose after triple therapy, which include the improvement in blood glucose, insulin resistance, SBP, and renal function. However, the overall treatment satisfaction was higher in the dapagliflozin group.


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