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Yurchenko M, Hubálková H, Charvát J. Selected muscle tone and asymmetry of the occlusal plane in case of intracapsular temporomandibular joint disorder. Cranio 2024; 42:267-278. [PMID: 34355675 DOI: 10.1080/08869634.2021.1964052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Objective: To discover the extent of the connection between occlusal plane asymmetry and the rest tone of the four muscle groups of the orofacial region with temporomandibular joint pathology.Methods: Eighty-seven subjects were divided into two groups. The following methods were applied: clinical examination, roentgenological examination, and electromyography. Data were evaluated and statistically analyzed.Results: The variability of occlusal plane inclination in relation to the porion plane was 0-4.6º.The tonus of masseter muscle was higher in the experimental group: 1.45 mV more than in the control group: 1.23 mV (p < 0.05).Conclusion: Asymmetry of the occlusal plane inclination was found for nearly all subjects in both groups. It can be compensated for by adaptation mechanisms and does not cause temporomandibular joint disorders. Undertaken research shows the existence of a proven correlation between TMJ disorders and the resting tonus of the masseter muscle.
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Affiliation(s)
- Maksim Yurchenko
- Charles University in Prague, 1st Faculty of Medicine, Department Of Stomatology, Prague 2, Czech Republic
| | - Hana Hubálková
- Charles University in Prague, 1st Faculty of Medicine, Department Of Stomatology, Prague 2, Czech Republic
| | - Jindřich Charvát
- Charles University in Prague, 1st Faculty of Medicine, Department Of Stomatology, Prague 2, Czech Republic
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2
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Kayabekir M, Tuncer M. Effect of teeth clenching on handgrip force in adult men: role of periodontal mechanoreceptors. Acta Neurol Belg 2023; 123:1945-1956. [PMID: 37351827 DOI: 10.1007/s13760-023-02283-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 05/05/2023] [Indexed: 06/24/2023]
Abstract
PURPOSE Voluntary teeth clenching is shown to increase the strength of muscle reflexes contributing to the improvement of postural stability. However, the interaction between the handgrip strength and teeth clenching is not yet understood. In this study, we aimed to evaluate the change in handgrip force in response to voluntary teeth clenching, and its relation to the peripheral receptors that play a central role in the control of mastication. METHODS Thirty-six healthy men were divided into two groups: aged 50-59 years, no dental prosthesis, and 53-62 years with total dental prosthesis. Each individual was given handgrip and teeth clenching instructions for five experiments: only handgrip, teeth clenching followed by handgrip without teeth clenching, teeth clenching followed by handgrip with teeth clenching, and the repetition of the last two instructions while wearing mouth guards. RESULTS Our findings showed that maximum handgrip force decreased and the resistance to fatigue increased in complete edentulous individuals using appropriate prostheses. Also, the significantly lower maximum handgrip force and higher resistance to fatigue values of the participants with dental prosthesis using a mouth guard while teeth clenching, revealed the central roles of periodontal mechanoreceptors. CONCLUSION Decreases in masticatory sensory information processes influence handgrip force values which is the most important indicator of motor function. The lack of periodontal mechanoreceptors associated with dental prosthesis usage may lead to a loss in muscle strength.
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Affiliation(s)
- Murat Kayabekir
- Department of Physiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
- Department of Physiology, Medical School, Atatürk University, 25240, Erzurum, Turkey.
| | - Meltem Tuncer
- Department of Physiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
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Jung JK, Im YG. Can the subject reliably reproduce maximum voluntary contraction of temporalis and masseter muscles in surface EMG? Cranio 2022:1-10. [PMID: 36334278 DOI: 10.1080/08869634.2022.2142234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To evaluate the repeatability of the surface EMG variables of myoelectric signals from the masseter and temporalis muscles according to three methods to induce maximum voluntary contraction (MVC) in healthy adults. METHODS Thirty healthy young subjects performed the following three MVC tasks three times each in three sessions on the same day without replacing surface electrodes: clenching the teeth (MVCIC) and biting down on two cotton rolls bilaterally with the posterior teeth (MVCBP) or first molars (MVCB6). RESULTS The intra-class correlation coefficient (ICC) of the amplitudes during the three MVC tasks ranged from 65 to 79%. The ICCs of the spectral variables ranged from 78 to 86%. The ICCs of the asymmetry index of the masseter ranged from 77 to 86%, and those of the activity index ranged from 68 to 90%. CONCLUSION The surface EMG measurements according to the three MVC methods exhibited good to excellent reproducibility.
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Affiliation(s)
- Jae-Kwang Jung
- Department of Oral Medicine, School of Dentistry, IHBR, Kyungpook National University, Daegu, Republic of Korea
| | - Yeong-Gwan Im
- Department of Oral Medicine, Dental Science Research Institute, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea
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Effects of rehabilitation with complete dentures on bite force and electromyography of jaw and neck muscles and the correlation with occlusal vertical dimension. Clin Oral Investig 2021; 25:4691-4698. [PMID: 33442778 DOI: 10.1007/s00784-021-03783-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 01/06/2021] [Indexed: 10/22/2022]
Abstract
OBJECTIVES The purpose of this study was to assess the effects of oral rehabilitation with complete dentures on bite force and electromyography of the suprahyoid and sternocleidomastoid muscles, and their correlation with occlusal vertical dimension (OVD). The research questions were "What are the effects of rehabilitation with complete dentures on bite force and electromyography of suprahyoid and sternocleidomastoid muscles, and how are they correlated with OVD?" MATERIALS AND METHODS Patients who are wearers of unsatisfactory removable complete dentures were attended in three sessions (T0, T1, and T2). At T0, while the patients still wore the old dentures, they were submitted to bite force and surface electromyographic exams of the suprahyoid and sternocleidomastoid muscles. These exams were repeated, and the OVD was measured while the patients wore their old and new prostheses, 30 days after insertion of the new prosthesis (T1). The exams were repeated 100 days after the insertion of the new prosthesis (T2). The data were submitted to the Shapiro-Wilk normality test, analysis of variance (ANOVA), and Pearson correlation and linear regression, all with 5% significance. RESULTS Fifteen patients participated in the study. No statistically significant difference was observed for bite force or electromyography in T0, T1, or T2. However, the correlation and regression tests showed important interactions between the OVD and maximum voluntary occlusal bite force, as well as the OVD and electromyography during deglutition for the suprahyoid muscles. CONCLUSION Rehabilitation did not impact bite force nor the activity of the assessed muscles (electromyography). On the other hand, OVD was shown to be an important factor for bite force, and deglutition of water after rehabilitation. CLINICAL RELEVANCE This study shows what are the influences of rehabilitation on oral functions and reinforces the importance of corrected reestablishment of OVD because it has been found to be an important factor for bite force and electromyography during deglutition.
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Pires PF, Rodrigues-Bigaton D. Evaluation of integral electromyographic values and median power frequency values in women with myogenous temporomandibular disorder and asymptomatic controls. J Bodyw Mov Ther 2018; 22:720-726. [DOI: 10.1016/j.jbmt.2017.09.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 08/28/2017] [Accepted: 09/01/2017] [Indexed: 11/26/2022]
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6
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Giannakopoulos NN, Schindler HJ, Hellmann D. Co-contraction behaviour of masticatory and neck muscles during tooth grinding. J Oral Rehabil 2018; 45:504-511. [PMID: 29761534 DOI: 10.1111/joor.12646] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/06/2018] [Indexed: 12/19/2022]
Abstract
The objective of this study was to analyse the co-contraction behaviour of jaw and neck muscles during force-controlled experimental grinding in the supine position. Twelve symptom-free subjects were enrolled in the experimental study. Electromyographic (EMG) activity of semispinalis capitis, splenius capitis and levator scapulae muscles was recorded bilaterally with intramuscular fine-wire electrodes, whereas that of sternocleidomastoideus, infrahyoidal, suprahyoidal, masseter and anterior temporalis muscles were registered with surface electrodes. EMG and force measurements were performed during tasks simulating tooth grinding on custom-made intraoral metal splints. The mean EMG activity normalised by maximum voluntary contraction (% MVC) of each of the neck muscles studied during grinding was analysed and compared with previous data from jaw clenching at identical force (100 N) and (supine) position. The occurrence of low-level, long-lasting tonic activation (LLTA) of motor units was also documented. The mean three-dimensional force vector of the grinding forces was 106 ± 74 N. In the frontal plane, the incline to the midsagittal plane ranged between 10° and 15°. In the midsagittal plane, the incline to the frontal plane was negligibly small. Posterior neck muscle activity during grinding ranged between 4.5% and 12% MVC and during clenching with 100 N between 1.8% and 9.9% MVC. Masticatory muscle activity during grinding ranged between 17% and 21% MVC for contralateral masseter and ipsilateral temporalis and between 4% and 6.5% for ipsilateral masseter and contralateral temporalis. LLTA had an average duration of 195 ± 10 seconds. The findings from this study do not support pathophysiological muscle chain theories postulating simple biomechanical coupling of neck and jaw muscles. Co-contractions of neck and masticatory muscles may instead occur as a result of complex neurophysiological interactions.
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Affiliation(s)
| | - H J Schindler
- Department of Prosthodontics, University of Würzburg, Würzburg, Germany
| | - D Hellmann
- Department of Prosthodontics, University of Würzburg, Würzburg, Germany
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Guzmán-Venegas RA, Palma FH, Biotti P JL, de la Rosa FJB. Spectral components in electromyograms from four regions of the human masseter, in natural dentate and edentulous subjects with removable prostheses and implants. Arch Oral Biol 2018; 90:130-137. [PMID: 29609053 DOI: 10.1016/j.archoralbio.2018.03.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2017] [Revised: 03/20/2018] [Accepted: 03/22/2018] [Indexed: 01/22/2023]
Abstract
OBJECTIVE To compare the frequency or spectral components between different regions of the superficial masseter in young natural dentate and total edentulous older adults rehabilitated with removable prostheses and fixed-implant support. A secondary objective was to compare these components between the three groups. DESIGN 21 young natural dentate and 28 edentulous (14 with removable prostheses and 14 with fixed-implant support) were assessed. High-density surface electromyography (sEMG) was recorded in four portions of the superficial masseter during submaximal isometric bites. Spectral components were obtained through a spectral analysis of the sEMG signals. An analysis of mixed models was used to compare the spectral components. RESULTS In all groups, the spectral components of the anterior portion were lower than in the posterior region (p < 0.05). Both edentulous groups showed lower spectral components and median frequency slope than the natural dentate group (p < 0.05). The removable prostheses group showed the greatest differences with natural dentate group. CONCLUSIONS There were significant differences in the spectral components recorded in the different regions of the superficial masseter. The lower spectral components and fatigability of older adults rehabilitated with prostheses could be a cause of a greater loss of type II fibers, especially in the removable prostheses group.
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Affiliation(s)
- Rodrigo A Guzmán-Venegas
- Laboratorio Integrativo de Biomecánica y Fisiología del Esfuerzo (LIBFE), Escuela de Kinesiología, Facultad de Medicina, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Santiago, Chile.
| | - Felipe H Palma
- Laboratorio Integrativo de Biomecánica y Fisiología del Esfuerzo (LIBFE), Escuela de Kinesiología, Facultad de Medicina, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Santiago, Chile
| | - Jorge L Biotti P
- Facultad de Odontología, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Santiago, Chile
| | - Francisco J Berral de la Rosa
- Laboratorio de Biomecánica, Kinesiología y Cineantropometría, Universidad Pablo de Olavide, Carretera de Utrera km 1, Seville, Spain
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Regalo SCH, de Lima Lucas B, Díaz-Serrano KV, Frota NPR, Regalo IH, Nassar MSP, Righetti MA, Oliveira LF, Gonçalves LMN, Siéssere S, Palinkas M. Analysis of the stomatognathic system of children according orthodontic treatment needs. J Orofac Orthop 2018; 79:39-47. [PMID: 29330612 DOI: 10.1007/s00056-017-0117-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Accepted: 11/20/2017] [Indexed: 12/18/2022]
Abstract
PURPOSE The present study evaluated electromyographic activity (EMG), masticatory performance, and tongue strength in children without and with orthodontic treatment needs. PATIENTS AND METHODS A total of 90 children were screened and divided into the following groups: Group I (no treatment needed; mean age: 8.00 ± 0.43 years; n = 26), Group II (few malocclusions, treatment needed; mean age: 8.89 ± 0.43 years; n = 28), and Group III (slight-to-borderline treatment needed; mean age: 8.44 ± 0.22 years; n = 36). Orthodontic treatment need was classified on the basis of IOTN-DHC (Index of Orthodontic Treatment Need - Dental Health Component). The electromyographic Trigno EMG Systems was used for muscle analysis and the Iowa Oral Pressure Instrument (IOPI) was used to measure tongue strength. Data were analyzed using normality tests and one-way analysis of variance with a Bonferroni post hoc test (p ≤ 0.05). RESULTS EMG in almost all mandibular movements was higher in Group III with statistically significant differences compared to position at rest: right masseter (p = 0.03); protrusion: left temporal (p = 0.02); saliva swallowing: left temporal (p = 0.05) and water swallowing: orbicularis oris mouth, right upper segment (p = 0.05). Lower masticatory performance was found in Group III, but the difference compared to Group I and II was not significant. There were no significant differences between the groups in terms of tongue strength. CONCLUSIONS Children with borderline orthodontic treatment needs show functional disorders of the stomatognathic system.
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Affiliation(s)
- Simone Cecílio Hallak Regalo
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Bárbara de Lima Lucas
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Kranya Victoria Díaz-Serrano
- Department of Pediatric Clinics, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Nicolly Parente Ribeiro Frota
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Isabela Hallak Regalo
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Mariângela Salles Pereira Nassar
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Mariah Acioli Righetti
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Lígia Franco Oliveira
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Lígia Maria Napolitano Gonçalves
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Selma Siéssere
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil
| | - Marcelo Palinkas
- Department of Morphology, Physiology and Basic Pathology, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n-Ribeirão Preto, 14040-904, São Paulo, Brazil.
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Eberhard L, Terebesi S, Giannakopoulos NN, Hellmann D, Schindler HJ, Schmitter M, Pfau D. Quantitative sensory response of the SCM muscle on sustained low level activation simulating co-contractions during bruxing. Arch Oral Biol 2017; 86:87-93. [PMID: 29202311 DOI: 10.1016/j.archoralbio.2017.09.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Revised: 07/20/2017] [Accepted: 09/24/2017] [Indexed: 11/27/2022]
Abstract
OBJECTIVE Bruxism is discussed as an etiological factor in the pathogenesis of orofacial and cervical pain. As the sternocleidomastoid muscle (SCM) is co-activated during clenching, our aim was to investigate, whether the muscle loading leads to peripheral or central sensitizations. DESIGN In twenty-one healthy female volunteers, somatosensory profiles of the SCM were recorded according to the test battery of the German Research Network on Neuropathic Pain (DFNS) prior to and after an isometric muscle exercise. QST comprised thermal and mechanical stimuli. A submaximal activation of the SCM (15% MVC) was kept for 10min in sitting position. In separate test sessions one month apart, one sham and one verum experiment were conducted in randomized order. During the muscle loading, the parameters cold detection threshold (CDT), mechanical pain sensitivity (MPS) and pressure pain treshold (PPT) were tested and experimental pain recorded by visual analogoue scales (VAS). All test sessions were performed during the follicular phase of the menstrual cycle (day 5), to avoid effects on pain perception. Data were analyzed with Repeated Measures ANOVA (SPSS 22.0) RESULTS: No significant changes were found during or after (sham) loading except for stimulus-response-function (SR, P=0.01) and PPT (P=0.02) in the sham test. No effect was observed in the verum experiment (P=0.12 up to 1.0). CONCLUSION Prolonged low level contraction of the SCM does not evoke painful sensitization. In contrast, submaximal muscle activation seems to have a protective effect corresponding to a training effect preventing sensitization.
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Affiliation(s)
- Lydia Eberhard
- Department of Prosthodontics, University of Heidelberg, Heidelberg, Germany.
| | - Sophia Terebesi
- Department of Prosthodontics, University of Würzburg, Würzburg, Germany
| | | | - Daniel Hellmann
- Department of Prosthodontics, University of Würzburg, Würzburg, Germany
| | | | - Marc Schmitter
- Department of Prosthodontics, University of Würzburg, Würzburg, Germany
| | - Doreen Pfau
- Department of Neurophysiology, Center of Biomedicine and Medical Technology Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
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Sójka A, Huber J, Hędzelek W, Wiertel-Krawczuk A, Szymankiewicz-Szukała A, Seraszek-Jaros A, Kulczyk A, Wincek A, Sobieska M. Relations between the results of complex clinical and neurophysiological examinations in patients with temporomandibular disorders symptoms. Cranio 2017; 36:44-52. [DOI: 10.1080/08869634.2017.1290907] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- Anna Sójka
- Department and Clinic of Prosthodontics, University of Medical Sciences, Poznań, Poland
| | - Juliusz Huber
- Department of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznań, Poland
| | - Wiesław Hędzelek
- Department and Clinic of Prosthodontics, University of Medical Sciences, Poznań, Poland
| | | | | | - Agnieszka Seraszek-Jaros
- Department of Bioinformatics and Computational Biology, University of Medical Sciences, Poznań, Poland
| | - Aleksandra Kulczyk
- Department of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznań, Poland
| | - Agnieszka Wincek
- Department of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznań, Poland
| | - Magdalena Sobieska
- Department of Rheumatology and Rehabilitation, University of Medical Sciences, Poznań, Poland
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Grondin F, Hall T, von Piekartz H. Does altered mandibular position and dental occlusion influence upper cervical movement: A cross-sectional study in asymptomatic people. Musculoskelet Sci Pract 2017; 27:85-90. [PMID: 27847242 DOI: 10.1016/j.math.2016.06.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2015] [Revised: 05/25/2016] [Accepted: 06/07/2016] [Indexed: 12/23/2022]
Abstract
OBJECTIVE Gross mandibular position and masticatory muscle activity have been shown to influence cervical muscles electromyographic activity. The purpose of this study was to investigate the influence of three different mandible positions including conscious occlusion, tongue tip against the anterior hard palate (Palate tongue position) and natural resting position (Rest), on sagittal plane cervical spine range of motion (ROM) as well as the flexion-rotation test (FRT) in asymptomatic subjects. MATERIALS AND METHODS An experienced single blinded examiner evaluated ROM using an Iphone in 22 subjects (7 females; mean age of 29.91years, SD 5.44). RESULTS Intra-rater reliability for range recorded was good for the FRT with ICC (intraclass correlation) 0.95 (95% CI: 0.88-0.98) and good for sagittal plane cervical ROM with ICC 0.90 (95% CI: 0.77-0.96). A repeated measures ANOVA determined that mean ROM recorded during the FRT differed significantly between assessment points (F(1.99, 41.83) = 19.88, P < 0.001). Bonferroni Post hoc tests revealed that both conscious Occlusion and Palate tongue position elicited a significant large reduction in ROM recorded during the FRT from baseline (p < 0.01). Despite this, one activation strategy did not influence ROM more than the other. An additional repeated measures ANOVA determined that mean sagittal cervical ROM did not significantly vary between assessment points (F(2, 42) = 8.18, P = 0.08). CONCLUSION This current study provided further evidence for the influence of the temporomandibular region on upper cervical ROM. Results suggest that clinicians should focus on the natural mandible rest position when evaluating upper cervical mobility.
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Affiliation(s)
- Francis Grondin
- Laboratory of Anatomy, Bordeaux University Hospital, Hôpital Pellegrin, Place Amélie-Raba-Léon, 33076, Bordeaux, France.
| | - Toby Hall
- School of Physiotherapy and Exercise Science, Curtin University, P.O. Box U1987, Perth, WA, 6845, Australia.
| | - Harry von Piekartz
- University of Applied Science, Department of Rehabilitation, Osnabrück, Germany.
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Im YG, Han SH, Park JI, Lim HS, Kim BG, Kim JH. Repeatability of measurements of surface electromyographic variables during maximum voluntary contraction of temporalis and masseter muscles in normal adults. J Oral Sci 2017. [DOI: 10.2334/josnusd.16-0434] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Affiliation(s)
- Yeong-Gwan Im
- Department of Oral Medicine, Chonnam National University Dental Hospital
| | | | - Ji-Il Park
- Department of Dental Hygiene, Gwangju Health College
| | - Hae-Soon Lim
- Department of Dental Education, School of Dentistry, Chonnam National University
| | - Byung-Gook Kim
- Department of Oral Medicine, School of Dentistry, Chonnam National University
| | - Jae-Hyung Kim
- Department of Oral Medicine, School of Dentistry, Chonnam National University
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13
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Accuracy of the surface electromyography RMS processing for the diagnosis of myogenous temporomandibular disorder. J Electromyogr Kinesiol 2015; 25:596-602. [DOI: 10.1016/j.jelekin.2015.05.004] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2013] [Revised: 05/20/2015] [Accepted: 05/21/2015] [Indexed: 11/23/2022] Open
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Ries LGK, Graciosa MD, Medeiros DLD, Pacheco SCDS, Fassicolo CE, Graefling BCF, Degan VV. Influence of craniomandibular and cervical pain on the activity of masticatory muscles in individuals with Temporomandibular Disorder. Codas 2015; 26:389-94. [PMID: 25388072 DOI: 10.1590/2317-1782/20142014040] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2014] [Accepted: 07/15/2014] [Indexed: 11/22/2022] Open
Abstract
PURPOSE This study aimed to establish the prevalence of pain in the craniomandibular and cervical spine region in individuals with Temporomandibular Disorders (TMD) and to analyze the effects of these disorders on the bilateral activation of anterior temporalis (AT) and masseter (MA) muscles during the masticatory cycle. METHODS The participants were 55 female volunteers aged 18-30 years. The presence of TMD and craniomandibular and cervical spine pain was evaluated by applying the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire and using a combination of tests for the cervical region. The muscle activity of AT and MA during the masticatory cycle was assessed using the symmetry and antero-posterior coefficient indices. RESULTS The AT activity during the masticatory cycle is more asymmetric in individuals with TMD. The craniomandibular pain, more prevalent in these individuals, influenced these results. CONCLUSION Individuals with TMD showed changes in the pattern activity of AT. The craniomandibular nociceptive inputs can influence the increase in asymmetry of the activation of this muscle.
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Affiliation(s)
- Lilian Gerdi Kittel Ries
- Center for Health Sciences, Universidade do Estado de Santa Catarina - UDESC, Florianópolis, SC, Brazil
| | - Maylli Daiani Graciosa
- Center for Health Sciences, Universidade do Estado de Santa Catarina - UDESC, Florianópolis, SC, Brazil
| | | | | | - Carlos Eduardo Fassicolo
- Center for Health Sciences, Universidade do Estado de Santa Catarina - UDESC, Florianópolis, SC, Brazil
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Giannakopoulos NN, Schindler HJ, Rammelsberg P, Eberhard L, Schmitter M, Hellmann D. Co-activation of jaw and neck muscles during submaximum clenching in the supine position. Arch Oral Biol 2013; 58:1751-60. [PMID: 24200301 DOI: 10.1016/j.archoralbio.2013.09.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2013] [Revised: 08/26/2013] [Accepted: 09/11/2013] [Indexed: 11/18/2022]
Abstract
OBJECTIVE The purpose of this study was to test the hypothesis that jaw clenching induces co-contraction and low-level long-lasting tonic activation (LLTA) of neck muscles in the supine position. DESIGN Ten healthy subjects developed various feedback-controlled submaximum bite forces in different bite-force directions in supine position. The electromyographic (EMG) activity of the semispinalis capitis, semispinalis cervicis, multifidi, splenius capitis, levator scapulae, trapezius, sternocleidomastoideus, masseter and infra/supra-hyoidal muscles was recorded. For normalization of EMG data, maximum-effort tasks of the neck muscles were performed. RESULTS Co-contractions of the posterior neck muscles varied between 2% and 11% of their maximum voluntary contraction. Different bite forces and bite-force directions resulted in significant (p<.05) activity differences between the co-contraction levels of the neck muscles. In addition, LLTA of specific neck muscles, provoked by the jaw clenching tasks, was observed. CONCLUSIONS This study demonstrated for the first time moderate co-contractions of jaw and neck muscles in the supine position under controlled submaximum jaw clenching forces. LLTA of most neck muscles was observed, outlasting clenching episodes and indicating an additional neuromuscular interaction between the two muscle groups.
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Woźniak K, Piątkowska D, Lipski M, Mehr K. Surface electromyography in orthodontics - a literature review. Med Sci Monit 2013; 19:416-23. [PMID: 23722255 PMCID: PMC3673808 DOI: 10.12659/msm.883927] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Electromyography is the most objective and reliable technique for evaluating muscle function and efficiency by detecting their electrical potentials. It makes it possible to assess the extent and duration of muscle activity. The main aim of surface electromyography is to detect signals from many muscle fibers in the area of the detecting surface electrodes. These signals consist of a weighted summation of the spatial and temporal activity of many motor units. Hence, the analysis of the recordings is restricted to an assessment of general muscle activity, the cooperation of different muscles, and the variability of their activity over time. This study presents the main assumptions in the assessment of electrical muscle activity through the use of surface electromyography, along with its limitations and possibilities for further use in many areas of orthodontics. The main clinical uses of sEMG include the diagnostics and therapy of temporomandibular joint disorders, an assessment of the extent of stomatognathic system dysfunctions in subjects with malocclusion, and the monitoring of orthodontic therapies.
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Affiliation(s)
- Krzysztof Woźniak
- Department of Orthodontics, Pomeranian Medical University of Szczecin, Szczecin, Poland
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Hellmann D, Giannakopoulos NN, Schmitter M, Lenz J, Schindler HJ. Anterior and posterior neck muscle activation during a variety of biting tasks. Eur J Oral Sci 2012; 120:326-34. [DOI: 10.1111/j.1600-0722.2012.00969.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2012] [Indexed: 11/27/2022]
Affiliation(s)
- Daniel Hellmann
- Department of Prosthodontics; University of Heidelberg; Heidelberg; Germany
| | | | - Marc Schmitter
- Department of Prosthodontics; University of Heidelberg; Heidelberg; Germany
| | - Jürgen Lenz
- Research Group Biomechanics; Institute for Mechanics; Karlsruhe Institute of Technology (KIT); Karlsruhe; Germany
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