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咬合对颌面部及颈部肌肉活动的影响:一项针对健康年轻成年人的表面肌电图研究。

The influence of occlusion on jaw and neck muscle activity: a surface EMG study in healthy young adults.

作者信息

Ferrario V F, Tartaglia G M, Galletta A, Grassi G P, Sforza C

机构信息

Functional Anatomy Research Center (FARC), Laboratorio di Anatomia Funzionale dell'Apparato Stomatognatico (LAFAS), Dipartimento di Morfologia Umana, Facoltà di Medicina e Chirurgia, Università degli Studi, Milano, Italy.

出版信息

J Oral Rehabil. 2006 May;33(5):341-8. doi: 10.1111/j.1365-2842.2005.01558.x.

Abstract

The electromyographic (EMG) characteristics of masseter, temporalis and sternocleidomastoid (SCM) muscles during maximum voluntary teeth clench were assessed in 27 male and 35 female healthy young adults. Subjects were divided into two groups: (i) 'complete' Angle Class I (bilateral, symmetric canine and molar Class I relationships), and (ii) 'partial' Angle Class I (one to three canine/molar Class I relationships, the remaining relationships were Class II or Class III). On average, standardized muscular symmetry ranged 80.7-87.9%. During maximum voluntary teeth clench, average co-contraction of SCM muscle was 13.7-23.5% of its maximum contraction. On average, all torque coefficients (potential lateral displacing component) were >90%, while all antero-posterior coefficients (relative activities of masseter and temporalis muscles) were >85%. The average integrated areas of the masseter and temporalis EMG potentials over time ranged 87.4-106.8 muV/muV s%. Standardized contractile muscular activities did not differ between 'complete' and 'partial' Angle Class I, and between sexes (two-way analysis of variance). A trend toward a larger intragroup variability in EMG indices was observed in the subjects with 'partial' Angle Class I than in those with 'complete' Angle Class I (significant difference for the temporalis muscle symmetry, P = 0.013, analysis of variance). In conclusion, the presence of a complete or partial Angle occlusal Class I did not seem to influence the standardized contractile activities of masseter, temporalis and SCM muscles during a maximum voluntary clench. Subjects with a 'complete' Angle Class I were somewhat a more homogenous group than subjects with 'partial' Angle Class I.

摘要

在27名男性和35名女性健康年轻成年人中,评估了最大自主咬牙时咬肌、颞肌和胸锁乳突肌(SCM)的肌电图(EMG)特征。受试者分为两组:(i)“完全”安氏I类(双侧、对称的尖牙和磨牙I类关系),以及(ii)“部分”安氏I类(一至三个尖牙/磨牙I类关系,其余关系为II类或III类)。平均而言,标准化肌肉对称性范围为80.7 - 87.9%。在最大自主咬牙时,SCM肌肉的平均共同收缩为其最大收缩的13.7 - 23.5%。平均而言,所有扭矩系数(潜在侧向移位分量)均>90%,而所有前后系数(咬肌和颞肌的相对活动)均>85%。咬肌和颞肌EMG电位随时间的平均积分面积范围为87.4 - 106.8 μV/μV s%。“完全”和“部分”安氏I类之间以及性别之间的标准化收缩肌肉活动没有差异(双向方差分析)。观察到“部分”安氏I类受试者的EMG指数组内变异性有大于“完全”安氏I类受试者的趋势(颞肌肌肉对称性有显著差异,P = 0.013,方差分析)。总之,完全或部分安氏咬合I类的存在似乎不会影响最大自主咬牙时咬肌、颞肌和SCM肌肉的标准化收缩活动。“完全”安氏I类受试者比“部分”安氏I类受试者在某种程度上更具同质性。

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