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    Psychoemotional state relationship with head and neck musculoskeletal system functions in 6-13 year age children with bruxism.

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    ABSTRACT Vilnius University Faculty of Medicine Department of Rehabilitation, Physical and Sports Medicine Bachelor Degree of Physiotherapy PSYCHOEMOTIONAL STATE RELATIONSHIP WITH HEAD AND NECK MUSCULOSCELETAL SYSTEM FUNCTIONS IN 6-13 YEAR AGE CHILDREN WITH BRUXISM Physiotherapy Bachelor's Thesis The Author: Inga Skirmantiene Academic advisor: PhD, lect. Inga Muntianaite Key words: bruxism, psychological problems, head position (craniovertebral angle), mandibular range of motion, deep neck flexor endurance. The aim of research work: To determine the relations of psychoemotional condition of the 6 to 13 year old children who have bruxism with their head position, mandibular range of motion and the deep neck fexor endurance. Tasks of work: 1. To determine the psychoemotional condition of the 6-13 year old children with bruxism by using the Strengths and Difficulties Questionnaire. 2. To determine and compare with normative data scores the head position, mandibular range of motion and the deep neck fexor endurance of the 6 to 13 year old children with bruxism. 3. To determine the correlative relations of the 6 to 13 year old children who have bruxism with their head position, mandibular range of motion and the deep neck fexor endurance. Materials and methods: there were 27 children with bruxism participating in the research, 16 boys and 11 girls, whose ages were 6 to 13 years old. The age of the children has been chosen in accordance with the mixed type teeth condition, the children of such age have either permanent or temporary teeth. The research has been conducted in dental clinic “Skraidenta” from 07/11/2016 to 10/04/2017. There has been a Strengths and Difficulties Questionnaire (SDQ) used in the research, as well as the application of photographic measurements of head posture, measurements of mandibular range of motion and the test of the deep neck flexor. The data analysis has been carried out by using the analytic SPSS Wind. 17.0 and Excel 2007 progr. Results: upon the evaluation of the psychoemotional problems of the 6 to 13 year old children with bruxism by the Strengths and Difficulties Questionnaire, it has been determined the average or large deviation from the norms in all scales of the questionnaire. Especially large, even 66,67 percent, deviation has been determined in the scale of “emotional problems”. Positive correlation between age and scales of “emotional” and “peer relationship” problems of Strengths and Difficulties Questionnaire was found: upon the increase of the age, there is an increasing number of emotional problems and problems with the peers (p<0,05). The head position and mandibular range of motion among the children with bruxism statistically significantly has not differed from the norms. The deep neck flexor endurance has been determined on average by 15,07s, this is almost less by half than the norm (p<0,05). There has been a negative correlation detected between the scale of the “emotional problems” of the SDQ and the head position: upon the increase of the emotional problems, the angle of the head position kept decreasing. The positive correlative relation (p<0,05) between psycholemotional problems and deep neck flexor endurance of the 6 to 13 year old children with bruxism, has been detected only in the scale of “hyperactivity” of the Strengths and Difficulties Questionnaire: upon the increase of the “hyperactivity”, there also increases the deep neck flexor endurance. Conclusions: 44,43 percent of 6 to 13 year old children with bruxism, experience psychoemotional problems. Deep neck flexor endurance between the 6 to 13 year old children with bruxism was lower by half than the norm. There have been negative correlation found between the scale of “emotional problems” of the SDQ and the head position and positive correlation between the scale of “hyperactivity” and the deep neck flexor endurance
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