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通过机械负荷诱导颞下颌关节骨关节炎后咀嚼肌活动的变化。

Jaw-muscle activity changes after the induction of osteoarthrosis in the temporomandibular joint by mechanical loading.

作者信息

Kawai Nobuhiko, Tanaka Eiji, Langenbach Geerling E J, van Wessel Tim, Sano Ryota, van Eijden Theo M G J, Tanne Kazuo

机构信息

Department of Orthodontics and Craniofacial Developmental Biology, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima, Japan.

出版信息

J Orofac Pain. 2008 Spring;22(2):153-62.

Abstract

AIMS

To examine the effect of mechanical loading on the induction of temporomandibular joint osteoarthrosis (TMJ OA).

METHODS

Mechanical stress was applied to the rat TMJ by forced jaw opening of 3 hours a day for 5 days. The electromyographic (EMG) activity of the masseter and digastric muscles was continuously monitored by radio-telemetry. It was characterized by the total time each muscle was active (duty time), the number of bursts, and the average burst length. For histologic analysis, rats were sacrificed before, immediately after, and 3 weeks after the period of forced jaw opening.

RESULTS

The condylar cartilage revealed OA-like lesions with a decrease in the number of chondrocytes immediately after forced jaw opening. Three weeks later, the OA-like lesions were repaired to some extent. After the forced jaw opening, the duty time of the masseter increased, whereas the duty time of the digastric decreased significantly (P < .01) at the 5% activity level. Three weeks later, the masseter duty time had decreased and the digastric duty time had slightly increased, returning to the levels observed before forced jaw opening.

CONCLUSION

These results suggest that mechanical overloading of the TMJ induced OA-like lesions with a simultaneous influence on jaw muscle activity, especially at the low activity level. This might imply that muscle activity adapted to reduce the effects of (forced) joint overloading.

摘要

目的

研究机械负荷对颞下颌关节骨关节炎(TMJ OA)诱导的影响。

方法

通过每天强制张口3小时,持续5天,对大鼠颞下颌关节施加机械应力。通过无线电遥测连续监测咬肌和二腹肌的肌电图(EMG)活动。其特征在于每块肌肉活跃的总时间(工作时间)、爆发次数和平均爆发长度。为了进行组织学分析,在强制张口期之前、之后立即以及之后3周处死大鼠。

结果

髁突软骨在强制张口后立即出现类似OA的病变,软骨细胞数量减少。三周后,类似OA的病变得到一定程度的修复。强制张口后,咬肌的工作时间增加,而在5%活动水平时,二腹肌的工作时间显著减少(P <.01)。三周后,咬肌的工作时间减少,二腹肌的工作时间略有增加,恢复到强制张口前观察到的水平。

结论

这些结果表明,颞下颌关节的机械过载诱导了类似OA的病变,同时对颌肌活动产生影响,尤其是在低活动水平时。这可能意味着肌肉活动进行了适应性调整,以减少(强制)关节过载的影响。

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