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有或没有感觉反馈改变情况下的颅下颌肌肉反应模式。

Response patterns of craniomandibular muscles with and without alterations in sensory feedback.

作者信息

Nielsen I, Miller A J

机构信息

Department of Growth and Development, University of California, San Francisco, School of Dentistry.

出版信息

J Prosthet Dent. 1988 Mar;59(3):352-62. doi: 10.1016/0022-3913(88)90190-4.

Abstract
  1. Surface EMG recordings were made bilaterally from the anterior part of the temporal muscle, superficial masseter muscle, and the suprahyoid complex of muscles while tracking mandibular incisor movement in three planes. This was done in 20 normal subjects with 16 different responses. Some responses involved clenching whereas other responses occurred with actual mandibular movement. 2. Each muscle demonstrated a probability of recruitment dependent on the response that correlated with the intensity of recruitment. The higher the probability of recruitment, the greater the intensity of muscle activity. 3. The anterior temporal muscle demonstrated no statistically significant difference in any of the responses between the left and right muscles. The masseter muscle also demonstrated bilateral symmetry. 4. The anterior part of the temporal muscle was recruited in more than 60% of its trials (60% to 100%) in ipsilateral laterotrusion, retrusion, fast vertical raising, clenching on the ipsilateral or intercuspal position, and mastication. The temporal muscle was recruited in less than 60% of its trials in contralateral and incisor clenching, and less than 30% in contralateral laterotrusion, protrusion, and opening. 5. The superficial masseter muscle was recruited in more than 60% of its trials in protrusion, vertical raising, all clenches, and mastication. The masseter muscle was recruited less than 60% in retrusion, ipsilateral laterotrusion, and opening. 6. The suprahyoid group of muscles was recruited in more than 60% of its trials in protrusion, opening, and mastication. This group of muscles was recruited less than 60% of the time in clenching, lateral movements, and rapid vertical raising of the mandible. 7. Applying a maxillary splint to seven subjects significantly decreased the recruitment of the anterior temporal and masseter muscles during mastication. The splint also modified the use of the masseter muscle during protrusion so that it was less active, but increased its recruitment during contralateral clenching. The suprahyoid muscle group was unaffected by the maxillary splint. 8. These data support the concept that movement of the mandible from the intercuspal or rest position develops a coactivation pattern that will excite or inhibit a given muscle regardless of whether clenching with occlusal contacts or no occlusal contact is involved. 9. The data also demonstrate that the maxillary splint can alter the use of the jaw elevator muscles, predominantly in mastication.
摘要
  1. 在追踪下颌切牙在三个平面的运动时,从颞肌前部、咬肌浅层和舌骨上肌群双侧进行表面肌电图记录。对20名正常受试者进行了此项操作,得到16种不同反应。一些反应涉及紧咬,而其他反应则伴随实际下颌运动发生。2. 每块肌肉的募集概率取决于与募集强度相关的反应。募集概率越高,肌肉活动强度越大。3. 颞肌前部在左右肌肉的任何反应中均未显示出统计学上的显著差异。咬肌也表现出双侧对称性。4. 在同侧侧方移位、后缩、快速垂直上抬、同侧或牙尖交错位紧咬以及咀嚼时,颞肌前部在超过60%(60%至100%)的试验中被募集。在对侧紧咬和切牙紧咬时,颞肌被募集的试验次数少于60%,在对侧侧方移位、前伸和开口时,被募集的试验次数少于30%。5. 在向前伸、垂直上抬、所有紧咬以及咀嚼时,咬肌浅层在超过60%的试验中被募集。在向后缩、同侧侧方移位和开口时,咬肌被募集的试验次数少于60%。6. 在向前伸、开口和咀嚼时,舌骨上肌群在超过60%的试验中被募集。在紧咬、侧向运动和下颌快速垂直上抬时,该肌群被募集的时间少于60%。7. 对7名受试者佩戴上颌夹板后,咀嚼时颞肌前部和咬肌的募集显著减少。夹板还改变了咬肌在向前伸时的使用情况,使其活动减少,但在对侧紧咬时增加了其募集。舌骨上肌群不受上颌夹板影响。8. 这些数据支持这样的概念,即下颌从牙尖交错位或休息位的运动产生一种共同激活模式,无论是否涉及有咬合接触的紧咬或无咬合接触,该模式都会兴奋或抑制特定肌肉。9. 数据还表明,上颌夹板可改变升颌肌的使用情况,主要是在咀嚼时。

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