Terebesi S, Giannakopoulos N N, Brüstle F, Hellmann D, Türp J C, Schindler H J
Department of Prosthodontics, Dental School, University of Heidelberg, Heidelberg, Germany.
Department of Reconstructive Dentistry and Temporomandibular Disorders, Dental School, University of Basel, Basel, Switzerland.
J Oral Rehabil. 2016 Apr;43(4):259-68. doi: 10.1111/joor.12375. Epub 2015 Dec 27.
Strategies for recruitment of masseter muscle motor units (MUs), provoked by constant bite force, for different vertical jaw relations have not previously been investigated. The objective of this study was to analyse the effect of small changes in vertical jaw relation on MU recruitment behaviour in different regions of the masseter during feedback-controlled submaximum biting tasks. Twenty healthy subjects (mean age: 24·6 ± 2·4 years) were involved in the investigation. Intra-muscular electromyographic (EMG) activity of the right masseter was recorded in different regions of the muscle. MUs were identified by the use of decomposition software, and root-mean-square (RMS) values were calculated for each experimental condition. Six hundred and eleven decomposed MUs with significantly (P < 0·001) different jaw relation-specific recruitment behaviour were organised into localised MU task groups. MUs with different task specificity in seven examined tasks were observed. The RMS EMG values obtained from the different recording sites were also significantly (P < 0·01) different between tasks. Overall MU recruitment was significantly (P < 0·05) greater in the deep masseter than in the superficial muscle. The number of recruited MUs and the RMS EMG values decreased significantly (P < 0·01) with increasing jaw separation. This investigation revealed differential MU recruitment behaviour in discrete subvolumes of the masseter in response to small changes in vertical jaw relations. These fine-motor skills might be responsible for its excellent functional adaptability and might also explain the successful management of temporomandibular disorder patients by somatic intervention, in particular by the use of oral splints.
以往尚未研究过在不同垂直颌关系下,由恒定咬合力引发的咬肌运动单位(MU)募集策略。本研究的目的是分析在反馈控制的次最大咬合力任务中,垂直颌关系的微小变化对咬肌不同区域MU募集行为的影响。20名健康受试者(平均年龄:24.6±2.4岁)参与了该研究。记录了右侧咬肌不同区域的肌内肌电图(EMG)活动。通过使用分解软件识别MU,并计算每种实验条件下的均方根(RMS)值。611个分解后的MU具有显著(P<0.001)不同的颌关系特异性募集行为,被组织成局部MU任务组。观察到在七个检查任务中具有不同任务特异性的MU。从不同记录部位获得的RMS EMG值在任务之间也有显著(P<0.01)差异。咬肌深层的总体MU募集显著(P<0.05)高于浅层肌肉。随着颌间隙增加,募集的MU数量和RMS EMG值显著(P<0.01)下降。本研究揭示了咬肌离散子体积中不同的MU募集行为,以响应垂直颌关系的微小变化。这些精细运动技能可能是其出色功能适应性的原因,也可能解释了通过躯体干预,特别是使用口腔矫治器成功治疗颞下颌关节紊乱症患者的原因。