Campillo B, Martín C, Palma J-C, Fuentes A-D, Alarcón J-A
Department of Stomatology IV, School of Dentistry, Complutense University of Madrid, Plaza de Ramón y Cajal s/n, 28040 Madrid, Spain,
Med Oral Patol Oral Cir Bucal. 2017 May 1;22(3):e383-e391. doi: 10.4317/medoral.21631.
A necessary step to use neuromuscular analysis as diagnostic tool is to establish normal reference values for the physiological range in a healthy population. Surface electromyographic (sEMG) activity of the jaw muscles and mandibular kinematics were measured in young adults with theoretically ideal dental occlusion to determine normal reference values during different tasks. Differences between the sexes were evaluated.
Forty young adults (20 men, 20 women; mean age 22.8 ± 3.9 years) with theoretically ideal dental occlusion were selected using very restrictive criteria. sEMG activity of the anterior temporalis (AT), posterior temporalis, masseter (MA), and suprahyoid muscles were evaluated in the rest position and during swallowing, mastication, and clenching. Mandibular kinematics in the rest position and during maximum excursions were assessed. Asymmetry, activity, and torque indices and MA/AT ratios were calculated.
For all muscles, sEMG values were 1.01-3.57 µV at rest, 3.50-10.85 µV during swallowing, and 41.04-86.59 µV during mastication. During clenching, values were 230.08-243.55 µV for the AT and MA muscles. Mean total asymmetry, activity, and torque indices at rest were 20.34 %, -15.04 %, and 19.02 %, respectively; during clenching, these values were 6.14 %, -2.62 %, and 4.46 %. MA/AT ratios were near 1. Kinematic measurements during lateral excursion, protrusive and maximum opening were 7.54, 8.44, and 37.38 mm respectively; lateral mandibular shift was 1.41 mm; free way and lateral displacement at rest were 1.40 and 0.26 mm. Right MA activity during mastication and clenching was higher in men than women.
Reference values for sEMG activity and mandibular kinematics were determined. Some muscular asymmetry and torque were observed.
将神经肌肉分析用作诊断工具的一个必要步骤是为健康人群的生理范围建立正常参考值。对理论上具有理想牙合关系的年轻成年人的颌面部肌肉表面肌电图(sEMG)活动和下颌运动学进行测量,以确定不同任务期间的正常参考值。评估了性别差异。
采用非常严格的标准选取了40名理论上具有理想牙合关系的年轻成年人(20名男性,20名女性;平均年龄22.8±3.9岁)。在前颞肌(AT)、后颞肌、咬肌(MA)和舌骨上肌群的静息位以及吞咽、咀嚼和紧咬过程中评估其sEMG活动。评估静息位和最大动度时的下颌运动学。计算不对称性、活动度和扭矩指数以及MA/AT比值。
所有肌肉的sEMG值在静息时为1.01 - 3.57微伏,吞咽时为3.50 - 10.85微伏,咀嚼时为41.04 - 86.59微伏。紧咬时,AT肌和MA肌的值为230.08 - 243.55微伏。静息时平均总不对称性、活动度和扭矩指数分别为20.34%、-15.04%和19.02%;紧咬时,这些值分别为6.14%、-2.62%和4.46%。MA/AT比值接近1。侧方运动、前伸和最大开口时的运动学测量值分别为7.54、8.44和37.38毫米;下颌侧方移位为1.41毫米;静息时的自由运动和侧方移位分别为1.40和0.26毫米。男性在咀嚼和紧咬时右侧MA肌的活动高于女性。
确定了sEMG活动和下颌运动学的参考值。观察到了一些肌肉不对称性和扭矩。