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多通道表面肌电图检测健康男性吞咽不同物质时下颌下肌的活动情况

Examination of Submandibular Muscle Activity During Swallowing of Different Materials by Multichannel Surface Electromyography in Healthy Males.

作者信息

Kato Hirotaka, Nozue Shinji, Ihara Yoshiaki, Sunakawa Atsumi, Hirano Kojiro, Minoura Akira, Kokaze Akatsuki, Murakami Kouzou, Ito Yoshinori, Watanabe Toshio

机构信息

Department of Oral Functional Rehabilitation Medicine, Showa University Graduate School of Dentistry, Tokyo, JPN.

Division of Oral Functional Rehabilitation Medicine, Department of Oral Health Management, School of Dentistry, Showa University, Tokyo, JPN.

出版信息

Cureus. 2024 Nov 13;16(11):e73644. doi: 10.7759/cureus.73644. eCollection 2024 Nov.

Abstract

Introduction Surface electromyography (sEMG), a widely used noninvasive technique for assessing muscle activity, measures muscle activity during swallowing. However, changes in the activity of each swallowing-related muscle, depending on the materials swallowed, remain unclear. Therefore, we investigated changes in muscle activity in the submandibular region using a seven-channel sEMG when swallowing different materials. Materials and methods This study included 38 healthy males (mean age = 38 years, standard deviation (SD) = 15.6 years). A seven-channel sEMG assessed and recorded submandibular muscle activity while participants swallowed saliva, 5 mL of water, and a capsule. The rising time (milliseconds (ms)), duration (ms), peak amplitude (millivolts (mV)), and integration (mV × ms) during swallowing were calculated from the sEMG recordings. Statistical analyses were performed using JMP Pro 16 (SAS Institute, Cary, NC). A one-way analysis of variance analyzed muscle activity for the different materials swallowed, and a t-test compared the muscle activities of each electrode. Bonferroni correction was applied, and p-values < 0.017 were considered statistically significant. Results No significant differences were observed in the rising time and duration of muscle activity between the different materials swallowed in any channel. However, significant differences in peak amplitude were found between the swallowed materials in certain channels: center-middle channel: saliva versus water, p = 0.0004; capsule versus water, p = 0.008; right-rear channel: saliva versus water, p = 0.0002; and left-rear channel: saliva versus water, p = 0.0005. Additionally, a significant difference in integration between the swallowed materials was observed in the center-middle channel (saliva versus water, p = 0.0035). Conclusion Our findings suggest that muscle activity in the submandibular center to the posterior region changes when different materials are swallowed.

摘要

引言

表面肌电图(sEMG)是一种广泛用于评估肌肉活动的非侵入性技术,可测量吞咽过程中的肌肉活动。然而,根据吞咽物质的不同,各吞咽相关肌肉活动的变化仍不清楚。因此,我们使用七通道sEMG研究了吞咽不同物质时下颌下区域的肌肉活动变化。

材料与方法

本研究纳入了38名健康男性(平均年龄 = 38岁,标准差(SD) = 15.6岁)。当参与者吞咽唾液、5毫升水和一粒胶囊时,用七通道sEMG评估并记录下颌下肌肉活动。从sEMG记录中计算吞咽过程中的上升时间(毫秒(ms))、持续时间(ms)、峰值幅度(毫伏(mV))和积分(mV×ms)。使用JMP Pro 16(SAS Institute,北卡罗来纳州卡里)进行统计分析。单向方差分析用于分析吞咽不同物质时的肌肉活动,t检验用于比较每个电极的肌肉活动。应用Bonferroni校正,p值 < 0.017被认为具有统计学意义。

结果

在任何通道中,吞咽不同物质时肌肉活动的上升时间和持续时间均未观察到显著差异。然而,在某些通道中,吞咽物质之间的峰值幅度存在显著差异:中央中间通道:唾液与水,p = 0.0004;胶囊与水,p = 0.008;右后通道:唾液与水,p = 0.0002;左后通道:唾液与水,p = 0.0005。此外,在中央中间通道中观察到吞咽物质之间的积分存在显著差异(唾液与水,p = 0.0035)。

结论

我们的研究结果表明,吞咽不同物质时,下颌下中央至后部区域的肌肉活动会发生变化。

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