{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:37:42Z","timestamp":1786649862805,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"\n Aims:<\/jats:title>\n The aim of the study was to evaluate the effect of TMDs on craniocervical posture by assessing head\u2013shoulder angle asymmetry and craniovertebral angle (CVA).<\/jats:p>\n <\/jats:sec>\n \n Settings and Design:<\/jats:title>\n A cross-sectional study involving individuals with and without clinical signs and symptoms of temporomandibular joint disorders.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n Eighty-two participants were divided into a test group (\n n<\/jats:italic>\n = 41) with TMD signs and a control group (\n n<\/jats:italic>\n = 41). TMDs were assessed using a structured questionnaire and the Diagnostic Criteria\/TMD (2014) criteria. Postural evaluation included photographic analysis of head\u2013shoulder angle asymmetry using GNU Image Manipulation Program software and CVA measurement using a goniometer.\n <\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis Used:<\/jats:title>\n \n Independent\n t<\/jats:italic>\n -tests, Mann\u2013Whitney\n U<\/jats:italic>\n -tests, and Spearman\u2019s correlation.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n FHP was more prevalent among participants with TMD (57.5%), with a mean CVA of 49.37\u00b0 \u00b1 3.90\u00b0 compared to controls (25%), which was statistically significant (\n P<\/jats:italic>\n < 0.05). The mean asymmetry in head\u2013shoulder angle was 5.62\u00b0 \u00b1 1.32\u00b0 in the TMD group and 1.03\u00b0 \u00b1 0.89\u00b0 in the control group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n TMDs are associated with increased head\u2013shoulder asymmetry and FHP. These findings highlight the importance of postural assessment in TMD management.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jips.jips_273_25","type":"journal-article","created":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T05:02:09Z","timestamp":1760936529000},"page":"327-333","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of the effect of temporomandibular joint disorders on craniocervical posture: A cross-sectional study"],"prefix":"10.4103","volume":"25","author":[{"given":"Sanath Kumar","family":"Shetty","sequence":"first","affiliation":[{"name":"Department of Prosthodontics, Crown and Bridge, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anusha Ishwarappa","family":"Katageri","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Crown and Bridge, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Crown and Bridge, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallikarjuna","family":"Ragher","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Crown and Bridge, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uma Mayoor","family":"Prabhu","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Crown and Bridge, Yenepoya Dental College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,20]]},"reference":[{"key":"R1-20260420","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/S0304-3940(02)00578-5","article-title":"Mood states and anxiety influence abilities to maintain balance control in healthy human subjects","volume":"329","author":"Bolmont","year":"2002","journal-title":"Neurosci Lett"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1177\/154405910408300407","article-title":"Somatosensory-evoked fields for gingiva, lip, and tongue","volume":"83","author":"Nakahara","year":"2004","journal-title":"J Dent Res"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.coms.2017.09.002","article-title":"Development of the pediatric temporomandibular joint","volume":"30","author":"Bender","year":"2018","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"R4-20260420","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.jobcr.2024.04.002","article-title":"Prevalence of temporomandibular joint dysfunction among the indigenous population of India","volume":"14","author":"Saranya","year":"2024","journal-title":"J Oral Biol Craniofac Res"},{"key":"R5-20260420","doi-asserted-by":"crossref","first-page":"384","DOI":"10.15446\/rsap.v20n3.53529","article-title":"Frequent postural alterations in patients with different types of temporomandibular disorders","volume":"20","author":"Espinosa de Santillana","year":"2018","journal-title":"Rev Salud Publica (Bogota)"},{"key":"R6-20260420","first-page":"187","article-title":"The quadrant theorem","volume":"2","author":"Guzay","year":"1978","journal-title":"Basal Facts"},{"key":"R7-20260420","first-page":"37","article-title":"Dimensions of atlas and its relation with jaws rotation (CBCT scan study)","author":"Jahjah","year":"2015","journal-title":"Tishreen Univ J Res Sci Stud Health Sci Ser"},{"key":"R8-20260420","doi-asserted-by":"crossref","DOI":"10.1155\/2022\/1429932","article-title":"Cause-Effect Relationships between Painful TMD and Postural and Functional Changes in the Musculoskeletal System: A Preliminary Report","author":"Garstka","year":"2022","journal-title":"Pain Research and Management"},{"key":"R9-20260420","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.jbmt.2007.11.002","article-title":"Tensegrity principle in massage demonstrated by electro- and mechanomyography","volume":"13","author":"Kassolik","year":"2009","journal-title":"J Bodyw Mov Ther"},{"key":"R10-20260420","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1111\/joor.12104","article-title":"Is there relationship between temporomandibular disorders and head and cervical posture? 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