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12至48个月儿童咀嚼功能的发育:肌电图模式的纵向研究

Development of chewing in children from 12 to 48 months: longitudinal study of EMG patterns.

作者信息

Green J R, Moore C A, Ruark J L, Rodda P R, Morvée W T, VanWitzenburg M J

机构信息

Department of Speech and Hearing Sciences, University of Washington, Seattle 98105-6246, USA.

出版信息

J Neurophysiol. 1997 May;77(5):2704-16. doi: 10.1152/jn.1997.77.5.2704.

Abstract

Developmental changes in the coordinative organization of masticatory muscles were examined longitudinally in four children over 49 experimental sessions spanning the age range of 12-48 mo. Electromyographic (EMG) records were obtained for right and left masseter muscles, right and left temporalis muscles, and the anterior belly of the digastric. Two independent analytic processes were employed, one that relied on identification of onset and offset of muscle activation and a second that used pairwise cross-correlational techniques. The results of these two analyses, which were found to be consistent with each other, demonstrated that the basic chewing pattern of reciprocally activated antagonistic muscle groups is established by 12 mo of age. Nevertheless, chewing efficiency appears to be improved through a variety of changes in the chewing pattern throughout early development. Coupling of activity among the jaw elevator muscles was shown to strengthen with maturation, and the synchrony of onset and offset of these muscles also increased. Coactivation of antagonistic muscles decreased significantly with development. This decrease in antagonistic coactivation and increase in synchrony among jaw elevators, and a parallel decrease in EMG burst duration, were taken as evidence of increased chewing efficiency. No significant differences in the frequency of chewing were found across the ages studied. Additional considerations include the appropriateness of this coordinative infrastructure for other developing oromotor skills, such as speech production. It is suggested that the relatively fixed coordinative framework for chewing exhibited by these children would not be suitable for adaptation to speech movements, which have been shown to rely on a much more variable and adjustable coordinative organization.

摘要

在49次实验过程中,对4名年龄在12至48个月的儿童进行了纵向观察,研究咀嚼肌协调组织的发育变化。记录了左右咬肌、左右颞肌和二腹肌前腹的肌电图(EMG)。采用了两种独立的分析方法,一种依赖于识别肌肉激活的开始和结束,另一种使用成对交叉相关技术。这两种分析结果相互一致,表明相互激活的拮抗肌群的基本咀嚼模式在12个月大时就已建立。然而,在早期发育过程中,咀嚼效率似乎通过咀嚼模式的各种变化得到了提高。随着成熟,颌骨提升肌之间的活动耦合增强,这些肌肉开始和结束的同步性也增加。拮抗肌的共同激活随着发育显著降低。拮抗肌共同激活的减少、颌骨提升肌之间同步性的增加以及肌电图爆发持续时间的平行减少,被视为咀嚼效率提高的证据。在所研究的年龄组中,咀嚼频率没有显著差异。其他需要考虑的因素包括这种协调结构对于其他正在发展的口面部运动技能(如语音产生)的适用性。有人认为,这些儿童表现出的相对固定的咀嚼协调框架不适用于适应语音运动,因为语音运动已被证明依赖于更加可变和可调节的协调组织。

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