Dorosz Tomasz, Mańko Aleksandra, Ginszt Michał
Department of Rehabilitation and Physiotherapy, Medical University of Lublin, 20-093 Lublin, Poland.
J Clin Med. 2024 Feb 5;13(3):920. doi: 10.3390/jcm13030920.
The presented narrative review aims to present the impact of therapeutic methods on the masticatory muscle activity measured using surface electromyography (sEMG) in patients with temporomandibular disorders (TMDs). Original interventional studies with baseline data for diagnosed TMD groups with full-text articles in English published in scientific journals in the last ten years were included in the evaluation process. The following narrative review considered only clinical, controlled, and randomized studies. Articles that included the following parameters were qualified for this review: adult participants, diagnosis of temporomandibular disorder, the presence of a musculoskeletal dysfunction, no other severe comorbidities, use of therapeutic interventions, and sEMG measurement before and after the intervention. Ten papers were accepted and analyzed for the final evaluation in the presented review. Several studies using surface electromyographic examination prove the effectiveness of various therapies to normalize the bioelectrical activity of the masticatory muscles, either reduction during rest or increase during a functional task in patients diagnosed with temporomandibular disorders. This narrative review shows the influence of manual and physical treatments on electromyographic masticatory muscle activity, including soft tissue mobilization, transcutaneous electrical nerve stimulation, low-level laser therapy, and moist heat therapy. Changes in masticatory muscle activity coincided with changes in TMD-associated pain and range of mandibular mobility.
本叙述性综述旨在阐述治疗方法对颞下颌关节紊乱病（TMD）患者咀嚼肌活动的影响，咀嚼肌活动通过表面肌电图（sEMG）进行测量。评估过程纳入了过去十年发表在科学期刊上的、具有诊断TMD组基线数据且全文为英文的原始干预性研究。以下叙述性综述仅考虑临床、对照和随机研究。符合本综述条件的文章需包含以下参数：成年参与者、颞下颌关节紊乱病诊断、存在肌肉骨骼功能障碍、无其他严重合并症、使用治疗干预措施以及干预前后的sEMG测量。本综述最终接受并分析了10篇论文进行评估。多项使用表面肌电图检查的研究证明，对于诊断为颞下颌关节紊乱病的患者，各种疗法在使咀嚼肌生物电活动正常化方面是有效的，无论是在休息时降低还是在功能任务时增加。本叙述性综述展示了手法治疗和物理治疗对咀嚼肌肌电图活动的影响，包括软组织松动术、经皮电刺激神经疗法、低强度激光疗法和湿热疗法。咀嚼肌活动的变化与TMD相关疼痛及下颌活动范围的变化相一致。
