University G. D'Annunzio, Department of Oral Science, Chieti/Pescara, Italy.
J Electromyogr Kinesiol. 2011 Apr;21(2):298-310. doi: 10.1016/j.jelekin.2010.10.014. Epub 2010 Dec 8.
This study aimed to evaluate whether there is an association between facial morphology on cephalometrics and surface electromyographic (sEMG) recordings of the head, neck, and trunk muscles. Forty-seven Caucasian adult females, 18-29years of age (average: 24), underwent lateral skull radiographs in "natural head position", obtained by having the subject look at a small mirror at eye level, and sEMG recordings for the following muscles: masseter, anterior temporal, digastric, posterior cervicals, sternocleidomastoid, and upper and lower trapezius. All muscles were monitored bilaterally at mandibular rest position and during maximal voluntary clenching (MVC). The maximal bite force was also measured to check MVC. Pearson's correlation coefficient revealed significant correlations (p<0.01): (i) between the variables concerning mandibular position and size and the sEMG activity of upper trapezius at mandibular rest position; (ii) between the topographic correlation between the maxillary and mandibular bases (called skeletal class) and the sEMG activity of upper trapezius at MVC; (iii) between the sEMG activity of sternocleidomastoid and the Frankfort to mandibular plane angle; and (iv) between the sEMG activity of masseter and the anterior cranial base to mandibular plane angle. Some associations between the cephalometric variables and the sEMG activity of the head, neck, and trunk muscles were observed. No certain conclusion, however, was possible on the mechanism concerning these results. Future longitudinal studies are required.
本研究旨在评估头、颈和躯干肌肉的头影测量学和面神经肌电图(sEMG)记录之间是否存在关联。47 名 18-29 岁的白种成年女性(平均年龄 24 岁)接受了侧颅面放射检查,采用让患者平视小镜子的“自然头位”,并对面部以下肌肉进行了 sEMG 记录:咀嚼肌、颞前线、二腹肌、颈后肌、胸锁乳突肌和上、下斜方肌。所有肌肉均在下颌休息位和最大自主闭口(MVC)时进行双侧监测。还测量了最大咬合力以检查 MVC。Pearson 相关系数显示存在显著相关性(p<0.01):(i)下颌位置和大小的变量与下颌休息位时斜方肌上部的 sEMG 活动之间;(ii)上颌和下颌基底之间的拓扑相关性(称为骨骼分类)与 MVC 时斜方肌上部的 sEMG 活动之间;(iii)胸锁乳突肌的 sEMG 活动与法兰克福平面到下颌平面角之间;(iv)咀嚼肌的 sEMG 活动与前颅底到下颌平面角之间。观察到头、颈和躯干肌肉的头影测量学变量和 sEMG 活动之间存在一些关联。然而,对于这些结果的机制,还无法得出明确的结论。需要进行未来的纵向研究。