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人类在不同程度的闭口和咬牙时下颌反射的变化。

Changes in jaw-jerk on different levels of jaw closure and teeth-clenching in humans.

作者信息

Fukuyama E, Fujita Y, Soma K

机构信息

First Department of Orthodontics, Faculty of Dentistry, Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

J Oral Rehabil. 2000 Nov;27(11):967-77. doi: 10.1046/j.1365-2842.2000.00580.x.

Abstract

We investigated how the jaw-jerk in the human masseter muscle is modulated in relation to the level of jaw closure (JC) and teeth clenching. Electromyographic (EMG) activity was recorded with surface electrodes. Background EMG activity of the masseter muscle was kept at three low teeth clenching levels with visual feedback. The level of JC was changed in six steps along the habitual path of closure relative to the mean maximal jaw opening during gum chewing by inserting a bite block between the upper and lower molars. The jaw-jerk was evoked by applying mechanical stimulation of about 20 N with a hammer to the bite-fork placed on the lower molars on one side in each condition of combination of a level of JC with a level of teeth-clenching. At the resting condition the excitability of the jaw-jerk increased with JC, while at weak voluntary teeth clenching it then decreased and increased again as the jaw was progressively closed. It is suggested that the excitability of the jaw-jerk would increase toward the occlusal position, which in turn would contribute to smooth masticatory movements. In addition, the mode of modulation of the jaw-jerk was studied in a subject with skeletal malocclusion.

摘要

我们研究了人类咬肌中的下颌反射如何根据下颌闭合(JC)水平和紧咬牙情况进行调节。使用表面电极记录肌电图(EMG)活动。通过视觉反馈将咬肌的背景EMG活动维持在三个较低的紧咬牙水平。通过在上、下颌磨牙之间插入咬合块,沿着相对于咀嚼口香糖时平均最大张口度的习惯性闭合路径,分六个步骤改变JC水平。在每种JC水平与紧咬牙水平组合的情况下,通过用锤子对放置在一侧下颌磨牙上的咬叉施加约20 N的机械刺激来诱发下颌反射。在静息状态下,下颌反射的兴奋性随JC增加,而在轻度自主紧咬牙时,随着下颌逐渐闭合,其兴奋性先降低然后再次升高。这表明下颌反射的兴奋性会朝着咬合位置增加,这反过来有助于咀嚼运动的平稳进行。此外,还在一名患有骨骼错牙合的受试者中研究了下颌反射的调节模式。

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