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次最大紧咬时咬合接触对颈部肌肉活动的影响。

Influence of occlusal contact on cervical muscle activity during submaximal clenching.

作者信息

So K, Komiyama O, Arai M, Kawara M, Kobayashi K

机构信息

Department of Complete Denture Prosthodontics, Nihon University School of Dentistry at Matsudo, Chiba, Japan.

出版信息

J Oral Rehabil. 2004 May;31(5):417-22. doi: 10.1111/j.1365-2842.2004.01265.x.

Abstract

The aim of this study was to clarify the relationship between changes in the occlusal contact area and cervical muscle activity. A decreases in the occlusal contact area using bite planes (stage 1: full contact bite plane, stage 2: bilateral molar removed from contact, and stage 3: bilateral molar and premolar removed from contact) was experimentally simulated in seven subjects (aged 23-25 years) with normal dentition, and muscle activity of the sternocleidomastoid muscle (SCM) and trapezius muscle (TRM) during 50 and 10% of maximum voluntary contraction (MVC) was measured by surface electromyography. The SCM activity during 50% MVC was stage 1: 31.2 +/- 9.4 microV and stage 3: 35.3 +/- 12.3 microV. The TRM activity during 50% MVC was stage 1: 15.2 +/- 0.7 microV and stage 3: 18.3 +/- 2.9 microV. At the 50% MVC, stage 3 showed significant differences in comparison with stage 1 (P < 0.05, anova). These findings suggested that the sternocleidomastoid and TRM play roles in the exertion of occlusal force, and decreases in the occlusal contact area influence the amount of SCM and TRM activity.

摘要

本研究的目的是阐明咬合接触面积变化与颈部肌肉活动之间的关系。在7名(年龄23 - 25岁)牙列正常的受试者中,通过实验模拟使用咬合平面时咬合接触面积的减小(阶段1:全接触咬合平面,阶段2:双侧磨牙脱离接触,阶段3:双侧磨牙和前磨牙脱离接触),并通过表面肌电图测量胸锁乳突肌(SCM)和斜方肌(TRM)在最大自主收缩(MVC)的50%和10%时的肌肉活动。在50%MVC时,SCM的活动情况为:阶段1:31.2±9.4微伏,阶段3:35.3±12.3微伏。在50%MVC时,TRM的活动情况为:阶段1:15.2±0.7微伏,阶段3:18.3±2.9微伏。在50%MVC时,与阶段1相比,阶段3显示出显著差异(P < 0.05,方差分析)。这些发现表明,胸锁乳突肌和斜方肌在咬合力的发挥中起作用,咬合接触面积的减小会影响胸锁乳突肌和斜方肌的活动量。

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