{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T20:17:22Z","timestamp":1778271442233,"version":"3.51.4"},"reference-count":64,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background and Objectives: Temporomandibular disorders (TMDs) are prevalent conditions affecting the temporomandibular joint and associated musculature, arising from a complex interplay of biomechanical, neuromuscular, and psychosocial factors. Increasing evidence supports functional interconnections among the TMJ, cervical spine, and shoulder girdle, suggesting that dysfunction in one region may influence others; however, these relationships remain incompletely understood. This study aimed to evaluate the association between scapulohumeral trauma, postural abnormalities, and TMDs, and to assess their evolution following interdisciplinary rehabilitation. Materials and Methods: A retrospective observational study with prospective follow-up was conducted in patients with scapulohumeral fractures associated with TMD and postural abnormalities. Postural parameters and the clinical features of temporomandibular disorders (TMDs) were evaluated at baseline and follow-up using a structured clinical assessment informed by the DC\/TMD framework, together with clinical examination, electromyographic analysis, and mandibular mobility measurements. Postural evaluation was performed using digital baropodometric analysis (Free Med\u2122 platform with FreeStep\u2122 software, standard Medica sensor, Rome, Italy. Patients received individualized multidisciplinary treatment, including orthopaedic rehabilitation, occlusal splint therapy, physiotherapy (twice weekly), pharmacological management, and odonto-periodontal care. Statistical analyses were performed using non-parametric tests (p &lt; 0.05). Results: Significant postural improvement was observed (p &lt; 0.01), with the proportion of patients with normal posture increasing from 0% to 22.2% and the proportion with moderate forward lean decreasing from 53.3% to 15.6%. TMD severity decreased progressively across evaluations (Friedman \u03c72 = 72.35, p &lt; 0.01). No statistically significant differences were found between treatment groups with respect to postural outcomes, although descriptive differences in TMD improvement were observed at later evaluation points. Conclusions: Interdisciplinary rehabilitation was associated with significant improvements in both postural alignment and TMD severity. Scapulohumeral trauma may be associated with alterations in TMJ function and overall posture, while multimodal therapy supports functional recovery. Further randomized controlled studies are needed to confirm these findings.<\/jats:p>","DOI":"10.3390\/jcm15103597","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T19:10:52Z","timestamp":1778267452000},"page":"3597","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Complex Oral Rehabilitation on TMJ and Postural Alterations in Patients with Scapulohumeral Fractures"],"prefix":"10.3390","volume":"15","author":[{"given":"Ovidiu","family":"Stamatin","sequence":"first","affiliation":[{"name":"Department of Oral-Implantology, Dental Prostheses Technology and Removable Dentures, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Maria Carina","family":"Balcos","sequence":"additional","affiliation":[{"name":"Surgery Department, Preventive Medicine, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tudor","family":"Hamburda","sequence":"additional","affiliation":[{"name":"Department of Odontology, Periodontology and Fixed Prosthesis, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Antonela","family":"Beldiman","sequence":"additional","affiliation":[{"name":"Department of Oral-Implantology, Dental Prostheses Technology and Removable Dentures, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vlad Stefan","family":"Proca","sequence":"additional","affiliation":[{"name":"Department of Odontology, Periodontology and Fixed Prosthesis, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Violina","family":"Budu","sequence":"additional","affiliation":[{"name":"Department of Odontology, Periodontology and Fixed Prosthesis, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liana","family":"Aminov","sequence":"additional","affiliation":[{"name":"Department of Odontology, Periodontology and Fixed Prosthesis, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura Elisabeta","family":"Checherita","sequence":"additional","affiliation":[{"name":"Department of Odontology, Periodontology and Fixed Prosthesis, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogdan Petru","family":"Bulancea","sequence":"additional","affiliation":[{"name":"Department of Oral-Implantology, Dental Prostheses Technology and Removable Dentures, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E\u015fanu Irina","family":"Mihaela","sequence":"additional","affiliation":[{"name":"Discipline of Medical Semiology, Medical Department I, Grigore T. Popa University of Medicine and Pharmacy of Ia\u0219i, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norin","family":"Forna","sequence":"additional","affiliation":[{"name":"Surgery Department, Discipline of Orthopedics in Faculty of General Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Elena","family":"S\u00eerghe","sequence":"additional","affiliation":[{"name":"1st Dental Medicine Department, Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Str. Universit\u0103\u021bii nr. 16, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"ref_1","first-page":"473","article-title":"Factors involved in the etiology of temporomandibular disorders: A literature review","volume":"88","author":"Chisnoiu","year":"2015","journal-title":"Clujul Med."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Warzocha, J., Gadomska-Krasny, J., and Mrowiec, J. (2024). 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