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实验性疼痛对人类目标导向性下颌运动过程中咀嚼肌活动的影响。

Effects of experimental pain on jaw muscle activity during goal-directed jaw movements in humans.

作者信息

Sae-Lee Daraporn, Whittle Terry, Forte Anna R C, Peck Christopher C, Byth Karen, Sessle Barry J, Murray Greg M

机构信息

Jaw Function and Orofacial Pain Research Unit, Faculty of Dentistry, Westmead Hospital Centre for Oral Health, University of Sydney, Westmead, NSW, 2145, Australia.

出版信息

Exp Brain Res. 2008 Aug;189(4):451-62. doi: 10.1007/s00221-008-1439-0. Epub 2008 Jun 13.

Abstract

To study the effects of masseter muscle pain on jaw muscle electromyographic (EMG) activity during goal-directed tasks. Mandibular movement was tracked and EMG activity was recorded from bilateral masseter, and right posterior temporalis, anterior digastric, and inferior head of lateral pterygoid muscles in 22 asymptomatic subjects at postural jaw position, and during three tasks: (a) protrusion, (b) contralateral (left), (c) open jaw movement. Tasks were performed during three conditions: control (no infusion), test 1 [continuous infusion into right masseter of 4.5% hypertonic saline to achieve 30-60 mm pain intensity on 100-mm visual analog scale (VAS)], and test 2 (isotonic saline infusion; in 16 subjects only); the sequence of hypertonic and isotonic saline was randomized. The average EMG root-mean-square values at 0.5 mm increments of mid-incisor-point displacement were analysed using linear mixed effects model statistics (significance: P < 0.05). Right masseter hypertonic saline infusion resulted in significantly (P < 0.0005) more pain (mean +/- SD VAS 47.3 +/- 14.3 mm) than isotonic infusion (12.2 +/- 17.3 mm). Although there was evidence of inter-subject variation, the principal EMG findings were that the significant effects of hypertonic saline-induced pain on EMG activity varied with the task in which the muscle participated irrespective of whether the muscle was an agonist or an antagonist in the tasks. The direction of the hypertonic saline-induced pain effect on EMG activity (i.e., whether the hypertonic saline-induced EMG activity was less than or greater than control EMG activity) could change with the magnitude of jaw displacement. Hypertonic saline infusion had no significant effect on postural EMG activity in any of the recorded jaw muscles. The data suggest that under constrained goal-directed tasks, the pattern of pain-induced changes in jaw muscle EMG activity is not clear cut, but can vary with the task performed, jaw displacement magnitude, and the subject being studied.

摘要

研究咬肌疼痛对目标导向任务期间颌面部肌肉肌电图(EMG)活动的影响。在22名无症状受试者处于姿势性颌位时,以及在三项任务期间,对下颌运动进行追踪,并记录双侧咬肌、右侧颞肌后部、二腹肌前腹和翼外肌下头的EMG活动。这三项任务分别为:(a)前伸,(b)对侧(左侧),(c)开口运动。任务在三种条件下进行:对照(无输注)、试验1[向右侧咬肌持续输注4.5%高渗盐水,以在100mm视觉模拟量表(VAS)上达到30 - 60mm的疼痛强度]和试验2(等渗盐水输注;仅在16名受试者中进行);高渗盐水和等渗盐水的输注顺序是随机的。使用线性混合效应模型统计分析中切牙点位移以0.5mm增量时的平均EMG均方根值(显著性:P < 0.05)。右侧咬肌输注高渗盐水导致的疼痛(平均±标准差VAS为47.3±14.3mm)显著(P < 0.0005)高于输注等渗盐水时(12.2±17.3mm)。尽管存在个体间差异的证据,但主要的EMG研究结果是,高渗盐水诱发的疼痛对EMG活动的显著影响随肌肉参与的任务而变化,而不论该肌肉在任务中是主动肌还是拮抗肌。高渗盐水诱发的疼痛对EMG活动的影响方向(即高渗盐水诱发的EMG活动是小于还是大于对照EMG活动)可能随颌位移的大小而改变。高渗盐水输注对任何记录的颌面部肌肉的姿势性EMG活动均无显著影响。数据表明,在受限的目标导向任务中,疼痛诱发的颌面部肌肉EMG活动变化模式并不明确,而是会随执行的任务、颌位移大小以及所研究的个体而变化。

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