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仰卧位下最大紧咬时颌颈肌肉的协同激活。

Co-activation of jaw and neck muscles during submaximum clenching in the supine position.

机构信息

Department of Prosthodontics, University of Heidelberg, Germany.

出版信息

Arch Oral Biol. 2013 Dec;58(12):1751-60. doi: 10.1016/j.archoralbio.2013.09.002. Epub 2013 Sep 20.

Abstract

OBJECTIVE

The purpose of this study was to test the hypothesis that jaw clenching induces co-contraction and low-level long-lasting tonic activation (LLTA) of neck muscles in the supine position.

DESIGN

Ten healthy subjects developed various feedback-controlled submaximum bite forces in different bite-force directions in supine position. The electromyographic (EMG) activity of the semispinalis capitis, semispinalis cervicis, multifidi, splenius capitis, levator scapulae, trapezius, sternocleidomastoideus, masseter and infra/supra-hyoidal muscles was recorded. For normalization of EMG data, maximum-effort tasks of the neck muscles were performed.

RESULTS

Co-contractions of the posterior neck muscles varied between 2% and 11% of their maximum voluntary contraction. Different bite forces and bite-force directions resulted in significant (p<.05) activity differences between the co-contraction levels of the neck muscles. In addition, LLTA of specific neck muscles, provoked by the jaw clenching tasks, was observed.

CONCLUSIONS

This study demonstrated for the first time moderate co-contractions of jaw and neck muscles in the supine position under controlled submaximum jaw clenching forces. LLTA of most neck muscles was observed, outlasting clenching episodes and indicating an additional neuromuscular interaction between the two muscle groups.

摘要

目的

本研究旨在验证以下假设,即颌骨紧咬会导致仰卧位时颈部肌肉的协同收缩和低水平持续紧张性激活(LLTA)。

设计

10 名健康受试者在仰卧位下,以不同的咬合力方向发展出各种反馈控制的亚最大咬合力。记录半棘肌、颈半棘肌、多裂肌、头夹肌、肩胛提肌、斜方肌、胸锁乳突肌、咬肌和颏下/舌骨下肌的肌电图(EMG)活动。为了对 EMG 数据进行归一化,对颈部肌肉进行了最大努力任务。

结果

颈后部肌肉的协同收缩幅度在其最大自主收缩的 2%至 11%之间变化。不同的咬合力和咬合力方向导致颈部肌肉协同收缩水平的显著差异(p<.05)。此外,还观察到由颌骨紧咬任务引起的特定颈部肌肉的 LLTA。

结论

本研究首次在控制的亚最大颌骨紧咬力下,在仰卧位时证明了颌骨和颈部肌肉的中度协同收缩。观察到大多数颈部肌肉的 LLTA,持续时间超过紧咬发作,表明两组肌肉之间存在额外的神经肌肉相互作用。

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