Gallo L M, Palla S
Center for Dental and Oral Medicine and Maxillofacial Surgery, University of Zurich, Switzerland.
J Oral Rehabil. 1995 Jun;22(6):455-62. doi: 10.1111/j.1365-2842.1995.tb00801.x.
Long-term electromyography with portable recorders allows the study of muscle activity in the natural environment to investigate whether muscle overuse or oral habits may contribute to initiate or perpetuate a myoarthropathy of the masticatory system. At present, little is known about the behaviour of masticatory muscles over long time periods. The aim of this preliminary study was to define parameters which allow the automatic recognition of different types of oral activities from the electromyogram form. A programme with functional and parafunctional activities was performed by four volunteers (total of 333 functional and 82 parafunctional recordings). Electromyograms of the masseter and temporal muscles were recorded by means of a self-developed portable intelligent solid state recorder. Signal mean level (mw) and dynamics (dw) within a sliding window were determined. Temporal muscle recordings allowed better discrimination between function and simulated parafunction. The average of mw for clenching was 51.4 +/- 3.5% and for tooth grinding 21.2 +/- 2% of the peak electromyogram value at maximum voluntary clench. At 0.96 s sliding window duration, clenching, tooth grinding and chewing signals had maximum separation, using dw/mw as parameters (average: 0.16 +/- 0.01 for clenching, 0.39 +/- 0.01 for teeth grinding and 0.88 +/- 0.01 for chewing).
使用便携式记录仪进行长期肌电图检查,可以在自然环境中研究肌肉活动,以调查肌肉过度使用或口腔习惯是否可能导致咀嚼系统肌关节病的发生或持续存在。目前,对于咀嚼肌在长时间内的行为了解甚少。这项初步研究的目的是确定能够从肌电图形式自动识别不同类型口腔活动的参数。四名志愿者进行了包含功能性和副功能性活动的程序(总共333次功能性记录和82次副功能性记录)。通过自行开发的便携式智能固态记录仪记录咬肌和颞肌的肌电图。确定滑动窗口内的信号平均水平(mw)和动态(dw)。颞肌记录能够更好地区分功能和模拟的副功能。紧咬时mw的平均值为最大自主紧咬时肌电图峰值的51.4 +/- 3.5%,磨牙时为21.2 +/- 2%。在滑动窗口持续时间为0.96秒时,以dw/mw为参数,紧咬、磨牙和咀嚼信号具有最大分离度(平均值:紧咬为0.16 +/- 0.01,磨牙为0.39 +/- 0.01,咀嚼为0.88 +/- 0.01)。