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用于牙科实践的咀嚼肌表面肌电图。当前证据与未来发展。

Surface electromyography of the masticatory muscles for application in dental practice. Current evidence and future developments.

作者信息

Hugger A, Hugger S, Schindler H J

机构信息

Poliklinik für Zahnärztliche Prothetik, Westdeutsche Kieferklinik, Heinrich-Heine-Universität Düsseldorf.

出版信息

Int J Comput Dent. 2008;11(2):81-106.

PMID:19119545
Abstract

On the basis of well-founded clinical evaluations and taking into account special methodological recommendations, surface electromyography (EMG) enables the acquisition of valid and reliable quantitative data on the functional condition of the masticatory muscles as a "neuromuscular functional analysis". On the basis of a current review of the literature, surface EMG appears to be able to deliver additional diagnostic and therapy-relevant information. Meaningful EMG data can be gained regarding resting activity, maximum muscle activation, frequency spectrum under various loading conditions, as well as bilateral symmetry of the contraction behavior of the jaw muscles. With these parameters--completed by kinematic information on movements of the mandible--it appears to be possible under clinical conditions to assess (a) the neuromuscular chewing performance after prosthetic reconstructions, (b) to record the influence of pain on the neuromuscular system, and (c) to document the individual efffect of therapeutic interventions on temporomandibular disorders.

摘要

基于有充分依据的临床评估并考虑到特殊的方法学建议,表面肌电图(EMG)作为一种“神经肌肉功能分析”,能够获取关于咀嚼肌功能状态的有效且可靠的定量数据。基于当前的文献综述,表面肌电图似乎能够提供额外的诊断和与治疗相关的信息。可以获得关于静息活动、最大肌肉激活、各种负荷条件下的频谱以及颌肌收缩行为的双侧对称性等有意义的肌电图数据。利用这些参数——辅以关于下颌运动的运动学信息——在临床条件下似乎有可能评估:(a)假体修复后的神经肌肉咀嚼功能;(b)记录疼痛对神经肌肉系统的影响;(c)记录治疗干预对颞下颌关节紊乱症的个体效果。

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Int J Comput Dent. 2008;11(2):81-106.
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