Rugh J D
Int Dent J. 1981 Sep;31(3):202-5.
Several forms of treatment for orofacial neuromuscular problems are based on the hypothesis that muscle hyperactivity due to psychological stress is a key factor in the aetiology. This paper reviews the evidence for this belief and describes the results of a study of muscular activity over a prolonged period by means of a portable battery powered electromyographic recording apparatus. In earlier studies of nocturnal masseter muscle activity ther was found a correlation between nocturnal bruxism and reports of stress. More recent studies covering activity for 24 hours per day have suggested that periods of muscle hyperactivity are correlated with specific daily activities but that there is great variability between patients. It is not yet possible to determine whether the patient's report of anxiety is the result or the cause of the orofacial muscular pain problem. It is evident that other parameters require evaluation.
针对口面部神经肌肉问题的几种治疗方法基于这样一种假设，即心理压力导致的肌肉过度活动是病因学中的一个关键因素。本文回顾了这一观点的证据，并描述了一项使用便携式电池供电肌电图记录设备对肌肉活动进行长期研究的结果。在早期关于夜间咬肌活动的研究中，发现夜间磨牙症与压力报告之间存在关联。最近针对每天24小时活动情况的研究表明，肌肉过度活动的时间段与特定的日常活动相关，但患者之间存在很大差异。目前尚无法确定患者的焦虑报告是口面部肌肉疼痛问题的结果还是原因。显然，其他参数也需要评估。
