Laboratorio Integrativo de Biomecánica y Fisiología del Esfuerzo (LIBFE), Escuela de Kinesiología, Facultad de Medicina, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Santiago, Chile.
Laboratorio Integrativo de Biomecánica y Fisiología del Esfuerzo (LIBFE), Escuela de Kinesiología, Facultad de Medicina, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Santiago, Chile.
Arch Oral Biol. 2018 Jun;90:130-137. doi: 10.1016/j.archoralbio.2018.03.010. Epub 2018 Mar 26.
To compare the frequency or spectral components between different regions of the superficial masseter in young natural dentate and total edentulous older adults rehabilitated with removable prostheses and fixed-implant support. A secondary objective was to compare these components between the three groups.
21 young natural dentate and 28 edentulous (14 with removable prostheses and 14 with fixed-implant support) were assessed. High-density surface electromyography (sEMG) was recorded in four portions of the superficial masseter during submaximal isometric bites. Spectral components were obtained through a spectral analysis of the sEMG signals. An analysis of mixed models was used to compare the spectral components.
In all groups, the spectral components of the anterior portion were lower than in the posterior region (p < 0.05). Both edentulous groups showed lower spectral components and median frequency slope than the natural dentate group (p < 0.05). The removable prostheses group showed the greatest differences with natural dentate group.
There were significant differences in the spectral components recorded in the different regions of the superficial masseter. The lower spectral components and fatigability of older adults rehabilitated with prostheses could be a cause of a greater loss of type II fibers, especially in the removable prostheses group.
比较年轻自然牙列和全口无牙老年患者佩戴可摘义齿和固定义齿修复后,咀嚼肌浅层不同区域的频率或频谱成分。次要目的是比较这三组之间的这些成分。
评估了 21 名年轻自然牙列和 28 名无牙(14 名佩戴可摘义齿,14 名佩戴固定义齿)患者。在亚最大等长咬合期间,在咀嚼肌浅层的四个部分记录高密度表面肌电图(sEMG)。通过对 sEMG 信号进行频谱分析获得频谱成分。采用混合模型分析比较频谱成分。
在所有组中,前部的频谱成分均低于后部(p<0.05)。两组无牙患者的频谱成分和中位频率斜率均低于自然牙列组(p<0.05)。可摘义齿组与自然牙列组差异最大。
在咀嚼肌浅层的不同区域记录的频谱成分存在显著差异。佩戴义齿修复的老年患者频谱成分较低且易疲劳,可能是 II 型纤维大量丢失的原因,尤其是在可摘义齿组。