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紧咬牙和磨牙时颞肌前束和舌骨上肌群的肌电图活动

Anterior temporalis and suprahyoid EMG activity during jaw clenching and tooth grinding.

作者信息

Aldana Karina, Miralles Rodolfo, Fuentes Aler, Valenzuela Saúl, Fresno María Javiera, Santander Hugo, Gutiérrez Mario Felipe

机构信息

Oral Physiology Laboratory Biomedical Sciences Institute, Faculty of Medicine, University of Chile.

出版信息

Cranio. 2011 Oct;29(4):261-9. doi: 10.1179/crn.2011.039.

Abstract

The aim of this study was to evaluate the anterior temporalis and suprahyoid electromyographic (EMG) activity during jaw clenching and tooth grinding at different jaw posture tasks. The study included 30 healthy subjects with natural dentition and bilateral molar support, incisive protrusive guidance and bilateral laterotrusive canine guidance. Bipolar surface electrodes were located on the right anterior temporalis and suprahyoid muscles. Three EMG recordings in the standing position were performed in the following tasks: C. clenching in the intercuspal position (IP); P1. eccentric grinding from IP to protrusive edge-to-edge contact position; P2. clenching in protrusive edge-to-edge contact position; P3. concentric grinding from protrusive edge-to-edge contact position to IP; L1. eccentric grinding from IP to laterotrusive edge-to-edge contact position; L2. clenching in laterotrusive edge-to-edge contact position; L3. concentric grinding from laterotrusive edge-to-edge contact position to IP. EMG activity during protrusive and laterotrusive tasks was lower than intercuspal position in the anterior temporalis, whereas an opposite EMG pattern was observed in the suprahyoid muscles activity, excepting recorded activity in L2 (mixed model with unstructured covariance matrix). Anterior temporalis activity was higher during P3 than P1 and P2 tasks and during L3 than L1 and L2 tasks, whereas in the suprahyoid muscles, activity was higher during P1 than P2 tasks and during L1 than L2 and L3 tasks. These results could support the idea of a differential modulation of the motor neuron pools of anterior temporalis and suprahyoid muscles of peripheral and/or central origin.

摘要

本研究的目的是评估在不同颌位任务的紧咬牙和磨牙过程中颞肌前束和舌骨上肌群的肌电图(EMG)活动。该研究纳入了30名具有天然牙列、双侧磨牙支持、切牙前伸引导和双侧侧方尖牙引导的健康受试者。双极表面电极置于右侧颞肌前束和舌骨上肌群。在站立位进行了三项EMG记录,具体任务如下:C. 牙尖交错位(IP)紧咬牙;P1. 从IP到前伸边缘对边缘接触位的非对称磨牙;P2. 在前伸边缘对边缘接触位紧咬牙;P3. 从前伸边缘对边缘接触位到IP的对称磨牙;L1. 从IP到侧方边缘对边缘接触位的非对称磨牙;L2. 在侧方边缘对边缘接触位紧咬牙;L3. 从侧方边缘对边缘接触位到IP的对称磨牙。在前伸和侧方任务中,颞肌前束的EMG活动低于牙尖交错位,而在舌骨上肌群活动中观察到相反的EMG模式,但L2记录的活动除外(采用非结构化协方差矩阵的混合模型)。P3任务期间颞肌前束的活动高于P1和P2任务,L3任务期间高于L1和L2任务;而在舌骨上肌群中,P1任务期间的活动高于P2任务,L1任务期间高于L2和L3任务。这些结果可能支持外周和/或中枢起源的颞肌前束和舌骨上肌群运动神经元池存在差异调制的观点。

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