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[一组颅下颌疾病患者的心理测量和心理功能研究]

[Psychometric and psychofunctional studies of a group of patients with craniomandibular disorders].

作者信息

Pecorari E, Schierano G, Gassino G, Carossa S

机构信息

Cattedra di Protesi Dentaria, Università degli Studi di Torino.

出版信息

Minerva Stomatol. 1992 Dec;41(12):549-55.

PMID:1301489
Abstract

The base myoelectric of masticatory muscles, and their response to stressor, was studied in a group of patients affected with craniomandibular disorders (CMD) and in a control group. Patients suffering from craniomandibular disorders were affected by at least two of these three groups of symptoms: 1) articular and/or muscular pain; 2) articular noise; 3) alteration of mandibular mobility. The psychofunctional investigation was as follows: in order to measure the base myoelectric activity of the masticatory muscles and their response to stress, the Myotron 222 two-channel electromyographs were used, so as to record the activity of four muscles contemporaneously. The research was conducted on the masseter and anterior fascia of the temporal muscles, which are the most readily accessible of the elevator muscles. A non-specific stressor (shot pistol) was administered to the subjects after the base myoelectric level had been established. These factors were evaluated on the electromyograms: base activity before the stressor; the shape of the response to the stressor; the recovery time after the stressor. The minimum activity before the stressor was usually measured as the minimum activity the subject was able to maintain for roughly one minute. The psychometric investigation used "Minnesota Multiphasic Personality Inventory" (MMPI); this is a nonprojective personality test widely used in clinical psychology. The base level of myoelectric activity was higher in patients affected with craniomandibular disorders than in healthy patients, who generally had low initial values.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在一组患有颅下颌疾病(CMD)的患者和一个对照组中,研究了咀嚼肌的基础肌电活动及其对应激源的反应。患有颅下颌疾病的患者受到这三组症状中至少两组的影响:1)关节和/或肌肉疼痛;2)关节弹响;3)下颌运动改变。心理功能调查如下:为了测量咀嚼肌的基础肌电活动及其对应激的反应,使用了Myotron 222双通道肌电图仪,以便同时记录四块肌肉的活动。研究针对咬肌和颞肌前筋膜进行,它们是最容易触及的升颌肌。在确定基础肌电水平后,对受试者施加非特异性应激源(发令手枪)。在肌电图上评估这些因素:应激源之前的基础活动;对应激源反应的形状;应激源后的恢复时间。应激源之前的最小活动通常测量为受试者能够维持约一分钟的最小活动。心理测量调查使用了“明尼苏达多相人格问卷”(MMPI);这是一种在临床心理学中广泛使用的非投射性人格测试。患有颅下颌疾病的患者的肌电活动基础水平高于健康患者,健康患者通常初始值较低。(摘要截短于250字)

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