Effect of Occlusal Stabilization Appliance on Driving Distance in Golf

교합안정장치가 전문골프선수들의 드라이버 비거리에 미치는 영향

  • Kwon, Tae-Hoon (Saehan S.A.F.E. Dental Clinic) ;
  • Shin, Sang-Wan (Department of Prosthodontics, Graduate School of Dentistry, Korea University) ;
  • Ryu, Jae-Jun (Department of Prosthodontics, Graduate School of Dentistry, Korea University) ;
  • Lee, Richard Sung-Bok (Department of Biomaterials & Prosthodontics, East-West Neo Medical Center Dental Hospital, Kyung Hee University School of Dentistry) ;
  • Ahn, Su-Jin (Department of Biomaterials & Prosthodontics, East-West Neo Medical Center Dental Hospital, Kyung Hee University School of Dentistry) ;
  • Choi, Yeo-Jin (Korean Ladies Professional Golf Association (KLPGA))
  • 권태훈 (새한세이프치과) ;
  • 신상완 (고려대학교 임상치의학대학원 보철과) ;
  • 류재준 (고려대학교 임상치의학대학원 보철과) ;
  • 이성복 (경희대학교 치의학전문대학원 보철과) ;
  • 안수진 (경희대학교 치의학전문대학원 보철과) ;
  • 최여진 (한국여자골프협회)
  • Received : 2010.04.25
  • Accepted : 2010.06.25
  • Published : 2010.06.30

Abstract

Many athletes have been using occlusal stabilization appliances to improve their performance. Few studies have examined the benefits of such an appliance in golf. We determined the effect of such appliances on the masticatory muscle activities and driving distances of professional golf players. The appliances were customized for each player and adjusted using a computerized device. The electromyographic muscle activities and driving distances with and without the appliance were measured and compared using the K7 Analyzer and the GolfAchiever II assembly. A paired t-test was used for statistical analysis. The muscle activities of the temporo-frontal and masseter muscles with the appliance were significantly more stable than those without the appliance, and the driving distances with the appliance were significantly different from those without it. Although there were intra-individual differences, professional golf players with temporomandibular disorders showed a greater improvement in performance.

현재 스포츠 치의학은 두가지 방면으로 연구가 진행되고 있는데, 하나는 부드러운 재질로 만든 마우스 가드로 스포츠 외상의 예에 관한 연구이고, 또 하나는 딱딱한 재질로 만든 교합안정장치로, 구강 기능과 전신의 운동능력과 의 상관성에 관한 연구이다. 현재 많은 프로선수들이 운동능력향상을 위해 교합안정장치를 사용해 오고 있다. 그러나 국내에서는 스포츠 치의학에 대한 관심이 적어 위와 같은 연구가 이루어져 있지 않을 뿐만 아니라 그러한 연구를 위한 기초 자료조차도 준비되어 있지 않은 실정이다. 또한 소수의 연구에서 실험 대상자의 정확한 분석과 교합 안정장치 장착 전과 후의 변화를 보여주지 못하고 있다. 이에 저자는 골프선수들의 교합분석과 턱관절분석을 시행하고, 피검자의 상태에 따른 정확한 교합안정장치를 제작하여 장치 장착 전과 후의 저작근의 근활성량의 변화와 드라이버 비거리의 변화를 측정하여 분석하였다. 그 결과 교합안정장치를 장착함으로써 저작근의 근안정이 유도되고, 드라이버 비거리가 증가되었다. 특히 측두하악장애를 지닌 골프선수일수록 교합균형장치를 사용함으로 드라이버 비거리의 향상에 도움이 될 것이라고 기대된다.

Keywords

References

  1. Forgione AG, Mehta NR, Westcott WL: Strength and bite, Part 1: An analytical review. Cranio 1991: 9:305-315.
  2. Gelb H: The relationship between jaw posture and mandibular strength in sports dentistry: A reappraisal. Cranio 1996:14:320-325.
  3. Dawson PE: Functional occlusion: From TMJ to smile design, St Louis: Mosby, 2007.
  4. Proffit WR: Malocclusion and dentofacial deformity in contemporary society. In Contemporary Orthodontics, 2nd Ed. St Louis: Mosby, 1992:12-27.
  5. Dawson PE: A classification system for occlusions that relates maximal intercuspation to the position and condition of the temporomandibular joints. J Prosthet Dent 1996:75:60-66. https://doi.org/10.1016/S0022-3913(96)90419-9
  6. Lerman MD. A revised view of the dynamics, physiology, and treatment of occlusion: A new paradigm. Cranio 2004:22:50-63.
  7. Hume PA, Keogh J, Reid D: The role of biomechanics in maximising distance and accuracy of golf shots. Sports Med 2005:35:429-49. https://doi.org/10.2165/00007256-200535050-00005
  8. Chung ST, Jun TW, Woo JH, Chung YS, Chung DJ, Eom WS, Park IR, Park ST: A study on isokinetic concentric torque of knee extensor and flexor in golf players. Exercise Science 2000:9:201-209.
  9. Azuma Y, Maehara K, Togunaga T, Hashimoto M, Ieoka K, Sakagami H: Systemic effects of the occlusal destruction in guinea pigs. In Vivo 1999:13: 519-524.
  10. Kibana Y, Ishijima T, Hirai T: Occlusal support and head posture. J Oral Rehabil 2002:29:58-63. https://doi.org/10.1046/j.1365-2842.2002.00794.x
  11. Sakaguchi K, Mehta NR, Abdallah EF, Forgione AG, Hirayama H, Kawasaki T, Yokoyama A: Examination of the relationship between mandibular position and body posture. Cranio 2007:25:237-249.
  12. Tingey EM, Buschang PH, Throckmorton GS: Mandibular rest position: A reliable position influenced by head support and body posture. Am J Orthod Dentofacial Orthop 2001:120:614-622. https://doi.org/10.1067/mod.2001.119802
  13. Abdallah EF, Mehta NR, Forgione AG, Clark RE: Affecting upper extremity strength by changing maxillo-mandibular vertical dimension in deep bite subjects. Cranio 2004:22:268-275.
  14. al-Abbasi H, Mehta NR, Forgione AG, Clark RE: The effect of vertical dimension and mandibular position on isometric strength of the cervical flexors. Cranio 1999:17:85-92.
  15. Okeson JP: Management of temporomandibular disorders and occlusion. 5th Ed. St Louis: Mosby, 2003.
  16. Cohen SG, MacAfee KA 2nd: The use of magnetic resonance imaging to determine splint position in the management of internal derangements of the temporomandibular joint. Cranio 1994:12:167-171.
  17. Okeson JP: The effects of hard and soft occlusal splints on nocturnal bruxism. Am J Dent Assoc 1987:114:788-791.
  18. Kreiner M, Betancor E, Clark GT: Occlusal stabilization appliances. Evidence of their efficacy. J Am Dent Assoc 2001:132:770-777.
  19. Carlsson GE, Egermark I, Magnusson T: Predictors of signs and symptoms of temporomandibular disorders: A 20-year follow-up study from childhood to adulthood. Acta Odontol Scand 2002:60:180-185. https://doi.org/10.1080/000163502753740214
  20. Landi N, Manfredini D, Tognini F, Romagnoli M, Bosco M: Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system. J Prosthet Dent 2004:92: 190-195. https://doi.org/10.1016/j.prosdent.2004.05.013
  21. Helkimo M: Studies on function and dysfunction of the masticatory system. Index for anamnestic and clinical dysfunction and occlusal state. Sven Tandlak Tidskr 1974:67:101-121.
  22. Hong DH, Lee SB, Choi DK: The effect of human appendage muscle strength on increase in vertical dimension from intercuspal position of mandible. J Kor Academy Stomato Func Occl 2003:19:169-183.
  23. Bates RE Jr, Atkinson WB: The effects of maxillary MORA's on strength and muscle efficiency tests. J Craniomandibular Pract. 1983:1:37-42.
  24. Kerstein RB: Combining technologies: A computerized occlusal analysis system synchronized with a computerized electromyography system. Cranio 2004:22:96-109.
  25. Williamson EH, Lundquist DO: Anterior guidance: Its effect on electromyographic activity of the temporal and masseter muscles. J Prosthet Dent 1983:49: 816-823. https://doi.org/10.1016/0022-3913(83)90356-6
  26. Manns A, Miralles R, Valdivia J, Bull R: Influence of variation in anteroposterior occlusal contacts on electromyographic activity. J Prosthet Dent 1989:61: 617-623. https://doi.org/10.1016/0022-3913(89)90288-6
  27. Kaufman A, Kaufman RS: Effects of the MORA on members of a football team. Quintessence Int Dent Dig. 1983:14:677-681.
  28. Vergan EM Jr, Groppel JL, Pfautsch EW, Ramseyer GC: The effects of a mandibular orthopedic repositioning appliance on shoulder strength. J Craniomandibular Pract. 1984:2:232- 237.
  29. Egret C, Leroy D, Loret A, Chollet D, Weber J: Effect of mandibular orthopedic repositioning appliance on kinematic pattern in golf swing. Int J Sports Med 2002:23:148-152. https://doi.org/10.1055/s-2002-20135
  30. Wallace ES, Otto SR, Nevill A: Ball launch conditions for skilled golfers using drivers of different lengths in an indoor testing facility. J Sports Sci. 2007:25:731-737. https://doi.org/10.1080/02640410601113221
  31. Chou A: How to gain 26 yards (Right Now). Golf Digest 2004:189-194.
  32. Burkett LN, Berstein AK: Strength testing after jaw repositioning with a mandibular orthopedic appliance. Physic Sports Med 1982:10:101-108.
  33. Burkett LN, Berstein AK: The Effect of mandibular position on strength, reaction time and movement time on a randomly selected population. NYS Dent J 1983:49:281-285.