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慢性颞下颌疼痛患者与压力相关的肌电图反应。

Stress-related electromyographic responses in patients with chronic temporomandibular pain.

作者信息

Flor Herta, Birbaumer Niels, Schulte Willi, Roos Rainer

机构信息

Department of Clinical and Physiological Psychology, University of Tübingen, TübingenF.R.G. Dipartimento di Psicologia Generale Universita Degli Studi, PadovaItaly Outpatient Department of Oral Surgery and Paradontology, Dental Center, University of Tübingen, TübingenF.R.G.

出版信息

Pain. 1991 Aug;46(2):145-152. doi: 10.1016/0304-3959(91)90069-A.

Abstract

Surface electromyographic (EMG) recordings from the right and left masseter and the left biceps muscle during stress and non-stress imagery were obtained from patients with temporomandibular myofascial pain and dysfunction syndrome (MPDS), temporomandibular joint disorder (TMJD), chronic low back pain (CBP) and healthy controls (HC). Both the MPDS and the TMJD groups displayed significantly more masseter EMG reactivity to the stressful imagery than the CBP and HC groups. The 2 dental groups did not differ significantly from each other. The MPDS patients indicated more life stress and gave higher aversiveness ratings during the experiment. These findings are discussed with respect to the validity of the TMJD and MPDS distinction.

摘要

在应激和非应激意象期间,从患有颞下颌肌筋膜疼痛和功能障碍综合征(MPDS)、颞下颌关节紊乱(TMJD)、慢性下腰痛(CBP)的患者以及健康对照(HC)中获取左右咬肌和左二头肌的表面肌电图(EMG)记录。MPDS组和TMJD组在应激意象时咬肌的EMG反应性均显著高于CBP组和HC组。两个牙科组之间无显著差异。MPDS患者在实验中表现出更多的生活压力,并给出了更高的厌恶评分。针对TMJD和MPDS区分的有效性对这些发现进行了讨论。

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