Murray G M, Klineberg I J
Arch Oral Biol. 1984;29(7):537-49. doi: 10.1016/0003-9969(84)90075-x.
A device for imparting reproducible chin taps was employed to evoke monosynaptic jaw-closing reflexes in subjects without (group A) and with (group B) overt muscle-joint pain dysfunction. Latency, duration and amplitude values obtained were consistent within an individual at constant tap force at a single-recording session but varied among subjects. Latency differences between sides were greater in subjects exhibiting mild to moderate dysfunction (group B) than in group A, but there were not corresponding differences in duration and amplitude. Stimuli were delivered in 5 subjects whilst the jaw was firmly held at postural jaw position with the aid of acrylic resin indices secured with adhesive to the maxillary and mandibular teeth. Recordable reflex responses were evoked in the masseter muscles of one subject only, indicating that vibration alone was not an adequate stimulus consistently to evoke a jaw-closing reflex at postural jaw position. Spindle stretch is needed, unless postural motoneurone excitability is at a sufficiently high level. Reproducible jaw-closing reflexes were evoked following standardized stimuli; subtle variations in motoneurone excitability, such as reflected by differences in jaw-jerk latency between sides, may then become apparent.
使用一种能产生可重复颏部轻叩的装置,在无明显肌肉关节疼痛功能障碍的受试者(A组)和有明显肌肉关节疼痛功能障碍的受试者(B组)中诱发单突触闭口反射。在单次记录过程中,在恒定的叩击力下,个体获得的潜伏期、持续时间和振幅值是一致的,但受试者之间存在差异。表现出轻至中度功能障碍的受试者(B组)两侧之间的潜伏期差异大于A组,但在持续时间和振幅方面没有相应差异。在5名受试者中,当借助用粘合剂固定在上颌和下颌牙齿上的丙烯酸树脂定位器将下颌牢固地保持在姿势性下颌位置时,施加刺激。仅在一名受试者的咬肌中诱发了可记录的反射反应,这表明仅振动不是在姿势性下颌位置持续诱发闭口反射的充分刺激。需要梭内肌牵张,除非姿势性运动神经元兴奋性处于足够高的水平。在标准化刺激后诱发了可重复的闭口反射;运动神经元兴奋性的细微变化,如两侧下颌反射潜伏期的差异所反映的,可能会变得明显。