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健康患者以及患有关节和/或肌肉病变患者的下颌位置及张口度测定:一项使用三维电磁关节造影术和表面肌电图的初步研究

Determination of Mandibular Position and Mouth Opening in Healthy Patients and Patients with Articular and/or Muscular Pathology: A Pilot Study with 3D Electromagnetic Articulography and Surface Electromyography.

作者信息

Cerda Camila, Lezcano María Florencia, Marinelli Franco, Alarcón Josefa, Fuentes Ramón

机构信息

Master Program in Dental Science, Dental School, Universidad de La Frontera, Temuco 4780000, Chile.

Cybernetics Laboratory, Department of Bioengineering, Facultad de Ingeniería, Universidad Nacional de Entre Ríos, Oro Verde 3100, Argentina.

出版信息

J Clin Med. 2023 Jul 21;12(14):4822. doi: 10.3390/jcm12144822.

Abstract

UNLABELLED

Temporomandibular disorders (TMDs) are a group of pathologies that affect the temporomandibular joint and its related structures, producing intracapsular and muscular pathologies. The aim of this study is to describe, by electromagnetic articulography (EMA) and simultaneous electromyography (sEMG), the mandibular postural position and mouth opening in healthy patients and with articular and/or muscular pathology.

MATERIALS AND METHODS

A pilot study was conducted with a sample of sixteen participants aged 18 years or older who attended the TMDs and Orofacial Pain Polyclinic of the University of La Frontera due to TMDs. The physiological inoculation space was evaluated from the mandibular postural position (MPP) with swallowing command and without command, in both healthy patients and patients with articular, muscular, and mixed TMDs, measured simultaneously with EMA and sEMG. An angular measurement of the oral opening was also performed with the data obtained.

RESULTS

The physiological inoculation space was obtained from the determination of the MPP through the procedures with swallowing command and without command, and different mouth opening degrees were evaluated.

CONCLUSIONS

Simultaneous position and sEMG records can be produced from EMA, and different characterization variables such as the vertical distance, Euclidean distance, and angle can be obtained.

摘要

未标注

颞下颌关节紊乱病(TMDs)是一组影响颞下颌关节及其相关结构的病理学疾病,会产生关节囊内和肌肉方面的病变。本研究的目的是通过电磁关节造影(EMA)和同步肌电图(sEMG)来描述健康患者以及患有关节和/或肌肉病变患者的下颌姿势位置和张口情况。

材料与方法

对16名18岁及以上因颞下颌关节紊乱病就诊于拉弗龙特拉大学颞下颌关节紊乱病与口面部疼痛综合门诊的参与者进行了一项初步研究。在健康患者以及患有关节、肌肉和混合性颞下颌关节紊乱病的患者中,通过吞咽指令和无指令情况下从下颌姿势位置(MPP)评估生理间隙,并同时用EMA和sEMG进行测量。还对获得的数据进行了张口角度测量。

结果

通过吞咽指令和无指令程序确定MPP,从而获得生理间隙,并评估了不同的张口程度。

结论

EMA可同时记录位置和sEMG,并可获得诸如垂直距离、欧几里得距离和角度等不同的特征变量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27ba/10381668/cb2a2398187b/jcm-12-04822-g001.jpg

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