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肌电图诊断范围界定颞下颌关节紊乱症及健康个体在功能性紧咬指数方面的结果。

Electromyographic Diagnostic Ranges Defining Temporomandibular Disorders and Healthy Individuals' Results in Functional Clenching Index.

作者信息

Zieliński Grzegorz, Ginszt Michał

机构信息

Department of Sports Medicine, Medical University of Lublin, 20-093 Lublin, Poland.

Department of Rehabilitation and Physiotherapy, Medical University of Lublin, 20-093 Lublin, Poland.

出版信息

J Clin Med. 2024 Dec 24;14(1):14. doi: 10.3390/jcm14010014.

Abstract

: Temporomandibular disorders (TMDs) represent a significant public health issue, among which masticatory muscle pain is the most common. Current publications increasingly indicate surface electromyography (sEMG) as an effective diagnostic tool for muscle dysfunctions that may be employed in TMDs recognition. The objective of this study was to establish reference ranges for TMDs patients with masticatory muscle pain and healthy individuals in the electromyographic Functional Clenching Index (FCI) for the temporalis muscles (TAs) and masseter muscles (MMs). This research aimed to provide an additional diagnostic tool for TMDs patients. : A total of 48 individuals ( = 30 women and = 18 men) with the muscular painful form of TMDs were recruited alongside a numerically and gender-matched control group-healthy, pain-free controls. The Functional Clenching Indexwas calculated for both groups. : Data analysis revealed statistically significant differences with a very large effect size. Healthy individuals had higher FCI scores compared to those with TMDs. The healthy group exhibited higher threshold values compared to the TMDs group. : For healthy individuals, the FCI ranges for TAs were between 58 and 145, while for MMs, between 72 and 210. Lower values may indicate muscle activation disorders and occur in patients with the painful, muscular form of TMDs. This is the first study to define reference ranges for electromyographic indices; therefore, caution is recommended, and the replication of this study on a larger and more culturally diverse sample is advised.

摘要

颞下颌关节紊乱病(TMDs)是一个重大的公共卫生问题,其中咀嚼肌疼痛最为常见。当前的出版物越来越多地表明,表面肌电图(sEMG)作为一种有效的诊断工具,可用于识别TMDs中可能存在的肌肉功能障碍。本研究的目的是建立颞肌(TAs)和咬肌(MMs)肌电图功能紧咬指数(FCI)在患有咀嚼肌疼痛的TMDs患者和健康个体中的参考范围。本研究旨在为TMDs患者提供一种额外的诊断工具。

共招募了48名患有肌肉疼痛型TMDs的个体(30名女性和18名男性),并设立了一个在数量和性别上匹配的对照组——健康、无疼痛的对照者。计算了两组的功能紧咬指数。

数据分析显示,两组之间存在具有非常大效应量的统计学显著差异。健康个体的FCI得分高于TMDs患者。与TMDs组相比,健康组表现出更高的阈值。

对于健康个体,TAs的FCI范围在58至145之间,而MMs的FCI范围在72至210之间。较低的值可能表明肌肉激活障碍,见于患有疼痛性肌肉型TMDs的患者。这是第一项定义肌电图指数参考范围的研究;因此,建议谨慎对待,并建议在更大且文化背景更多样化的样本上重复本研究。

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