Ono Y
Nihon Hotetsu Shika Gakkai Zasshi. 1989 Jun;33(3):639-53. doi: 10.2186/jjps.33.639.
The purpose of this study was to investigate electromyography of the inferior heads of lateral pterygoid muscles in experimental displacement of mandible, and its clinical application for reproduction and diagnosis of mandibular position. In the experiments, the mandibular position was changed in vertical and horizontal directions and muscle activity of the inferior heads was analyzed quantitatively. The results obtained were as follows: 1. Muscle activity of inferior heads was increased with amount of the displacement in anterior direction, and reached to great increase in 1.0 mm and 2.0 mm displacement of mandible. 2. No definite tendency of ipsilateral inferior heads was shown in lateral displacement of mandible. 3. Muscle activity of contralateral inferior heads in lateral displacement was increased with amount of the displacement, and 3 muscles showed great increase in 1.0-2.0 mm displacement of mandible. 4. As vertical increase was less than 2.0 mm, muscle activity of the inferior heads was decreased as to that of intercuspal contact position. 5. Muscle activity of the inferior heads in retruded position showed a little increased, but evidently as to that of intercuspal contact position. 6. Increasing patterns of muscle activities in anterior displacement were different from in contralateral displacement. 7. In anterior mandibular position an ability of presuming a mandible displacement over the limits of 1.0 mm from intercuspal contact position was suggested using muscle activity of inferior head as an index, and in lateral mandibular position that over the limits of 1.5 mm suggested.
本研究旨在探讨下颌骨实验性移位时翼外肌下头的肌电图,及其在重现和诊断下颌位置中的临床应用。在实验中,下颌位置在垂直和水平方向上发生改变,并对翼外肌下头的肌肉活动进行定量分析。所得结果如下:1. 翼外肌下头的肌肉活动随向前移位量增加而增强,在下颌骨移位1.0毫米和2.0毫米时大幅增加。2. 下颌骨向外侧移位时,同侧翼外肌下头未显示出明确的趋势。3. 下颌骨向外侧移位时,对侧翼外肌下头的肌肉活动随移位量增加而增强,在1.0 - 2.0毫米下颌骨移位时,3块肌肉大幅增加。4. 当垂直方向增加小于2.0毫米时,翼外肌下头的肌肉活动相对于牙尖交错接触位有所降低。5. 后退位时翼外肌下头的肌肉活动略有增加,但明显低于牙尖交错接触位。6. 向前移位时肌肉活动的增加模式与对侧移位时不同。7. 在下颌前位,建议以翼外肌下头的肌肉活动为指标,推测下颌骨相对于牙尖交错接触位超过1.0毫米的移位;在下颌侧位,建议推测超过1.5毫米的移位。