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As an Athlete you are now in your best shape for game-time execution to succeed.
Still with that said - Can it be improved upon?
Can a Mouthguard make a Difference?
I am currently studying how a Mouthguard can be used to Improve an Athlete's Performance
On-the-Field On-the-Court On-the-Ice
to Enhance GAME TIME EXECUTION
NOTE:
There are 5 million dental injuries per year. 13-39% are oral-facial.
80-90% involve the upper 4 front teeth
Mouthguards Make Sports Safer: The risk of orofacial sports injury is 1.6–1.9 times higher when a mouthguard is not worn Labella (2010)
Dental infections in the mouth can have a detrimental effect on an athlete's performance. From toothache causing distraction, lack of sleep or missing training/competetion to impacted wisdom teeth increasing the risk of jaw fracture, it is important the athlete is free of oral disease for optimal performance.
Research suggests that 1 in 3 athletes have their performance affected by their dental health (Gallagher et al. 2018)
The objectives of following study explored the influence of the lower jaw position on athletic performance in elite athletes. The method involved a repeated measures study comparing two lower jaw positions, the athlete's normal (habitual) bite and the lower jaw position when the muscles of mastication are at physiological rest
(PRP - physiological rest bite).
Results:
On average the physiological rest bite provided an increase in:
1. lower body power 5.8%
2. upper body power 10%
3. hamstring flexibilty 14%
4. balance and stability 4.8%
over the habitual bite
Conclusion: This study provides evidence of the need for further research to confirm if the lower jaw position can be optimized for athletic performance in athletes
John Patrick Haughey, Peter Fine
BMJ Sport & Exercise Medicine 2020
Go on Internet look up:
Reference: Effects of Dental Injuries and Concussions in College Basketball, Labella, C.R, B.W. Smith, A Sigurdsson, Med. Sci. Sports Exerc., Vol 34, No 1, 2002, pp 41-44
Reference; Mouthguards in sport activities. Knapik JJ, Marshall SW, Lee RB, et al,
Sports Med,2017;37:117–44.
Reference: Mouthguard Mysteries: Can Wearing One Really Improve Performance; LER (Lower Extemity Review); Nov 2016
Reference: Can wearing a mouthguard increase your performance; Becca Borawski Jenke
Reference: The Effects Of Mouthguards On The Athletic Ability Of Professional Golfers; Ahran Poe, Ra-Kyung Yoo, Kwantae Noh, Kung-Rock Keon; Dental Traumatology; 2013; Feb; 29(1) 47-51
Reference: Physioligic Effects of Wearing Athletic Mouthpieces While Performing Various Exercises, Military Medicine, Michael F Zuppan, USAFA, BSC (Ret), Dyana L Bullinger, BS, MS, Brenda Buffington EdD, Caroline Koch, BS, Samantha Parker, BS, Steve Fragleasso, MS, Taylor Fogg, Shay Rasmussen-Woerner, BS, Volume 183, Issue Suppl_1, March-April 2018, Pages 510-515
Reference: Correlation between pulmonary functions and respiratory muscle activity in patients with forward head posture Jeong II Kang, Dae-Keun Joeng, Hyun Choi, J Phy Sci 2018 Jan; (30): 1 pg 132-135
Reference: Oral Health and Performance Impacts in Elite and Professional Athletes, Community Dental Oral Epidemiology, 2018 DEC;46(6):563-568 Julie Galagher, Paul Ashley, Aviva Petrie, Ian Needleman
Reference: Haughey JP, and Fine P, Effects of the lower jaw position on athletic performance of elite athletes. BMJ Open Sport & Exercise Medicine 2020;0:e000886. doi:10.1136/bmjsem-2020- 000886
Reference: Effectiveness of Rocabado's Technique for Subjects with Temporomandibular Joint Dysfunction - A Single Blind Study
Reference: Effectiveness of Rocabado's Technique for Subjects with Temporomandibular Joint Dysfunction - A Single Blind Study; February 2015: International Journal Of Physiotherapy 2(1) 365, Niha Siraj Mulla, K. Vinod Babu, N. Sai Kumar, Syed Rais Rizvi
I have obtained data comparing how playing with a mouthguard device compares to not wearing one
The Basic Idea is to Change the Skeletal and Muscular Physiology and their Airway Dynamics to Improve their Performance
We can only improve an athlete's performance if he/she has dysfunction in his/her Head and Neck and Occlusion that we can see as a result of Body Asymmetry
Basically it is a Tricentric Dependence related to:
1. Cranio-Vertebral Joints "OA / AA"
2. Cranio-Mandibular Joints "TMJ"
3. Dental Occlusion the "Bite"
If that is the case than we can performance enhance the sports athlete
Where do we start this process
1. We know what it looks like when your posture is out of wack and you have dysfunction in your neck and occlsion (your "bite")
2. If you stand in front of the athlete, he/she is a good candidate for this project if you will notice at least 2 of the following:
For a Right Handed Dominant Athlete
1. Head is Not Centered over Spine
Head is Tilted to the Left and Forward
2. Has a Rounding of Shoulders
3. Right Shoulder is Lower than Left
4. Right Hip is Higher than Left Hip
5. Right Knee is Higher than Left Knee
6. Rib Cage is Not Symmetrical (This decreases lung capacity and negatively affects Stamina. A decreased lung capacity also decrease oxygen to the brain. This decreases an athltete's ability to concentration and focus under stress.)
7. This Body Asymmetry, Vertebral Mal-Aligment Hinders Athletic Performance
8. FHP or Forward Head Posture
a. As the Head Progresses Forward the Muscles of the Back and Neck have to work harder to keep the chin off the chest thereby expending more energy than it needs too. It reduces the vertebral artery, the primary blood flow to the brain. The muscles and ligaments of the upper cervical vertebrae hyperextend to forward translate the cervical vertebrae. This leads to shortening of the muscles of the back of the neck as well as compression of the cervical vertebrae. So the consequences of FHP increases the workload for the many muscles attached to the cervical spine which has the job of holding up the head which leads to muscle imbalance as the body tries to adapt and find efficient ways to hold the head up for straight ahead vision.
(The Head arrives before the Rest of the Body)
b. For every inch your head moves forward it gains 10lbs in weight and can add up to 30 lbs in weight as far as the muscles
in your upper back (SCM Trapezius
Latissimus Dorsi} and
neck are concerned, because they have to work that much harder to keep the head (chin) from dropping into your chest. This also forces the suboccipital muscles (they raise the chin, are located below the occipital bone and insert on C1 and C2, the two straight rectus muscles rectus capitis posterior, rectus capitus posterior minior and the two oblique muscles obliquus capitas superior, obliquus capitas inferior) to remain in constant contraction.
c. FHP and Breathing:
1. Shape of thorax is changed by FHP. It causes expansion of the upper anterior thorax and contraction of the lower posterior thorax. These changes causes decreased respiratory function. As many of our alveoli lie in the lower posterior portions of the lungs therefore the quality and volume of oxygen is compromised.
2. FHP causes muscle imbalance. Equilibrium is necessary for normal muscle movement. Muscle imbalance will manifest in one group being overactive or too tight and one group being under active and too loose. This reduces lung capacity which leads to decreased moveability and function of the diaphragm and inefficient breathing patterns.
d. FHP in conjunction with a dysfunctional "Bite" can pull the entire spine out of alignment and may result in the loss of 30% of lung capacity because forward head posture greatly influences respiratory function by weakening the respiratory muscles. It is the result of mobility impairment in the muscles of the anterior thorax (intercostal muscles), muscles of the upper extremities originating on the thorax (Pectoralis Major, Minor, Latissimus Dorsi, Serratus Anterior), muscles of the cervical spine that attach to the Scapula and Upper Thorax ( Levator Scapulae, Sterncleidomadtoid, Scalenus - Ant,Post,Middle, Upper Trapezius) and the the muscles of the Suboccipital Region (Rectus Capitus Posterior Major and Minor, Obliquus Capitis Superior and Inferior) and Impaired Muscle performance due to stretched and weak lower cervical and upper thoracic erector spine and scapular retractor muscles ( Rhomboids, Middle Trapezius), anterior throat muscles ( Suprahyoid and Infrahyoid Muscles), and capitol flexors ( Rectus Capitus Anterior and Lateralis, Superior Oblique Longus Coli, Longus Capitus)
9. Is there a Dental Midline Shift, Crossbite, Overbite, Underbite, Tooth Crowding, Tooth Clenching and Grinding, Constricted Vaulted Palate, Overjet, Remodeling of the Condyle of the Mandible - Fossa - Eminence due to muscle malalignment, as time, load, pressure created as a result of retruding the Condyle posterior and superior from the Posterior Rotation of the Cranium, rotation of C1 - C2 with resultant Sphenoid Bone movement affecting the muscle lengths of the Medial Pterygoid Muscles and the Lateral Pterygoid Muscles. In both Habitual and Centric Relation on which side do you make contact on first?
10. Is there any TMJ Dysfunction due to FHP as a result of loss of a Skeletal Midline resulting in increased tension of the muscles of mastication Masseter, Pterygoids, Temporalis, resulting from the Posterior Rotation of Occipital Condyles and subsequent rotation of Atlas and Axis as well as Tilt of Spenoid Bone creating muscle imbalance and TMJ Dysfunction. This muscle imbalance over time, pressure, muscles either lengthen or shorten will retrude the head of the condyle posterior and superior into the Fossa resulting in changing the shape of the head of the condyle, the Fossa, the Eminence, and the Disc.
11. A Great Athlete Compensates for this by Adaptive Mechanisms which Kicks in and without Knowing to Compensate the Neck starts coming Forward. Again, we are back to the FHP Forward Head Posture Issues
12. WE TEST INITIALLY TO SEE IF WE CAN CHANGE "THE BITE" OF THE ATHLETE in .25 mm INCREMENTS TO SEE IF SHE WILL RESPOND POSTIVELY TO ONE OF OUR DOWELS. THIS WILL TELL US IF WE CAN CHANGE HIS/HER SKELETAL PHYSIOLOGY
MUSCLE PHYSIOLOGY AND AIRWAY DYNAMICS TO UTILIZE HIS/HER BODY ENERGY MORE EFFICIENTLY. THIS IS LIKE A "WOOOH" FACTOR. YOU ARE DEFINITELY NOT STRONGER THAN YOU WERE JUST 10 SECONDS AGO. WE ARE JUST TRYING TO MAKE YOU MORE ENVIRONMENTALLY SOUND.
13. THIS IS AN IMPORTANT POINT:
a. I CAN NOT I REPEAT I CAN NOT MAKE YOU ANY STRONGER THAN YOU ACTUALLY ARE BECAUSE OF ALL YOUR GAME TIME PREPARATION WRT STRENGTH AND CONDITIONING AND PRACTICE THAN YOU ACTUALLY ARE
b. ALL I AM DOING IS FINDING A FIXED JAW POSITION SO THAT THE BODY STRENGTH YOU ALREADY HAVE CAN BE DISTRIBUTED TO YOUR CORE MUSCLES MORE EFFICIENTLY. as a RESULT OF VERTEBRAL RE-ALIGNMENT for BETTER MUSCLE RECRUITMENT TO ALLOW YOU TO BE MECHANICALLY MORE EFFICIENT AND HAVE MORE STAMINA AND ENDURANCE DURING THE LAST 10 MINUTES OF THE GAMES WHEN MOST GAMES ARE WON AND LOST
HOW DOES THIS MOUTHGUARD PROJECT HYPOTHOSIS WORK:
IF AN ATHLETE HAS
CRANIO-MANDIBULAR-CERVICAL
(HEAD-NECK-C SPINE)
(OCCIPUT-C1-C2)
ISSUES (AS A RESULT OF WHEN THE BITE IS INHIBITING THE MANAGEMENT OF THE HEAD & NECK POSITION)
BY USING A MOUTHGUARD TO MANAGE OCCIPUT TO CERVICAL VERTEBRAL POSITION CAN WE ALTER SKELETAL AND MUSCULAR PHYSIOLOGY AND AIRWAY DYNAMICS TO GIVE THE ATHLETE
BETTER VERTEBRAL ALIGNMENT
BETTER MUSCLE RECRUITMENT
BETTER OXYGEN / CARBON DIOXIDE
EXCHANGE
AND AS A RESULT OF THAT
CAN WE IMPROVE THE ATHLETES
STRENGTH
FLEXIBILITY
BALANCE
RANGE OF MOTION
STAMINA AND ENDURANCE
DURING GAME TIME EXECUTION
We use a combination of a MORA TMJ Appliance Theory and a PRI MOOO MANDIBULAR OCCIPITAL OCCLUSAL ORTHODIC Splint Appliance Neutral Theory Positioning Incorprated into a Type III Mouthpiece taking into consideration:
Your Age: It works best we find if you are at least 16 1/2 years old
Dental Occlusion Malocclusion
TMJ TMD Dysfunction
Body Asymmetry - Head,Shoulder, Hip &Pelvis Position
Vertebral Alignment - Postural Chain, OA and AA Space
Muscle Recruitment - Muscles Attach To Bones
Cranio-Mandibular-Cervical Relationship as it relates to Posterior Rotation of the Cranium and Forward Head Posture
Basically what are we talking about here and what does this all mean?
1. It is all about a "FIXED JAW POSITION which is basically a PHYSIOLOGICAL REST POSITION (When all the muscles of the head and neck in their most relaxed state at rest): to Create a Skeletal Midline that is common for the Cranium, the Maxilla, the Cranio-Cervical Vertebral Joints Occiput-Atlas C1 - Axis C2 and the Mandible that allows them to all be horizontal
2. The Atlas C1 relating to Occiput and relating to Axis C2. Functioning in between the two Structures the Cranial C2 Position is dependent on a Skeletal Midline that crosses the center of the Maxilla, crosses the center of the Odontoid Process, Crosses the Spinous Process of C2 that is at the center of the body of C2 and crosses the center of the Mandible that gives us just one Skeletal Midline that passed through the Maxilla, the center of the body of C2 and the center of the Odontoid Process, that causes the Tranverse Occlussal Plane of the Mandible to become Horizontal.
3. In other words the Skeletal Midline allows:
a. the Maxilla to be Horizontal
b. the Atlas C1 to be Horizontal
c. the Axis C2 to be Horizontal
d. the Mandible to have a Horizontal Plane of Occlusion
e. Therefore they are all Parallel to each other
f. If your Bones are in Better Alignment
your Muscles at a Better Resting Length
therefore the Muscles will Functionality be
Mechanically more Efficient
g. Resulting in:
1. Better Vertebral Alignment
2. Better Muscle Recruitment
3. Improves Airway Space
4. Key point here is the Importance of the
Physiological Curvature of the C-spine in the
Maintenance of Head Posture in Space and
Relation to the Rest of the Body
FINALLY: SEE THESE VIDEOS
a. REMEMBER THE MOUTHGUARD IS THE ONLY
VARIABLE IN EACH EXERCISE
b. THE MOUTHGUARD IS WHAT IS EFFECTING THE
ANATOMY & PHYSIOLOGY
How important is Skeletal Alignment as it affects the Muscle Physiology of an athlete to help her perform better?
How Important is BETTER Vertebral Alignment to an Athlete?
How Important is FHP in Conjunction with a Dysfunctional "Bite" for the Athlete?
WATCH BELOW and SEE WHY it can be important.
A Mouthguard Is the Only Variable In Changing Her Skeletal and Muscle Physiology!
How Important Is Strength To An Athlete?
Is A Stronger Athlete Better Than A Weaker Athlete?
How Important is BETTER Vertebral Alignment to an Athlete?
How Important is FHP in Conjunction with a Dysfunctional "Bite" for the Athlete?
How Important is FHP in Conjunction with a Dysfunctional "Bite" for the Athlete?
How Important is Breathing To An Athlete?
We Will Control Your Airway Space Opening Through Our Mouthguard So That We Can Help You Breathe Easier Thorughout The Game. So When You Need To DIg Deeper During The Last 10 Minutes When Most Games Are Won Or Lost You Will Have An Advantage
How Important is BETTER Vertebral Alignment for an Athlete?
How Important is FHP in Conjunction with a Dysfunctional "Bite" for the Athlete?
How Important is FHP in Conjunction with a Dysfunctional "Bite" for the Athlete?
With respect to this Mouthguard project:
To Give Athlete A Competitive Edge
Playing At Your Optimal "FIXED JAW POSITION"
Goals: "With Mouth Device As Only Variable"
1. Can we Visually Alter the Athlete's FHP and Postural
Chain for Better Vertebral Alignment and
Muscle Recruitment
2. Can we Make a Player Stronger Functionally and More Mechanically Efficient
3. Can we Improve Athletes
Body Symmetry - Vertebral Alignment
Grip Mechanics - Stronger Muscle Recruitment
Stance Mechanics - Balance Foot to Ground Platform
Swing Mechanics - Flexibilty
Hand-Eye-Ball-Puck Coordination - Posture
Hit Ball-Puck Harder - Strength
Hit Ball-Puck Farther - Strength
Run-Skate Faster - Body Symmetry
Vertical Leaping Ability - Muscle Recruitment
Increase Pitch Velocity - Range of Motion
4. Does the Athlete Want To Wear a Mouthpiece in High School Sports Not Requiring One?
5. Are Mouthpieces Devices Results - Placebo or Real?
6. Does Athlete has any Positive or Negative comments
about wearing the Mouthpiece Device?
7. Do you feel your Performance Improved by 1-2-3-5% or Hindered your Performance
Thanks for listening
Dr Portnoy
Click here to view: What high school athletes have written
Click here to view: What Marathon Runners Say
SORRY BUT
CURRENTLY
OUR
MOUTHGUARDS/MOUTHPIECES
ARE ONLY BY REFERRAL
FROM:
ANOTHER DENTIST
or PHYSCIAN
or. CHIROPRACTOR
PRI PHYSICAL THERAPIST
PHYSICAL THERAPIST
STRENGTH AND CONDITIONING
TRAINER
PERSONAL TRAINER
CERTIFIED ATHLETIC TRAINER
(FOR ATHLETES AND PATIENTS THAT HAVE "BITE"
DYSFUNCTION RELATED TO THEIR
CRANIO-CERVICAL JOINTS, CRANIO-MANDIBULAR
TMJ JOINTS RESULTING IN ISSUES WITH THEIR
CORE BALANCE - PHYSICAL STRENGTH -
FLEXIBILITY - STAMINA & ENDURANCE
WHICH AFFECTS "GAME TIME EXECUTION"
PREVIOUS MOUTHGUARD
CLIENTS
ATHLETES RTP AFTER
CONCUSSION