Meyer C, Kahn J L, Boutemi P, Wilk A
Service de Stomatologie et Chirurgie Maxillo-Faciale, C.H.U. de Strasbourg.
Rev Stomatol Chir Maxillofac. 1998 Jul;99 Suppl 1:79-85.
The purpose of this study is to determine the external forces that are brought to bear on the mandible during various masticatory exercises. An analysis is presented of a static two-dimensional mandibular model taking into account projections in the sagittal plane of the forces exerted by six muscle groups and the joint reaction. In calculating the external forces, two working hypotheses are adopted: the existence of a linear relationship between cross-sectional surface of the muscle and its maximum force of contraction; the existence of a linear relationship between the electrical signal emitted by a muscle and the force the muscle then develops. It follows that, in order to calculate, the muscle forces, there is a need to measure the intensity of masticatory effort, the cross-sectional surface and the electromyographic activity of the different muscles involved. These values are then used for working out the equations of equilibrium. Results are provided for 14 masticatory exercises effected in three different mandibular positions and compared with data from literature. Individual variations recorded in the measurement of the different parameters involved in the equilibrium equations are such that they must be taken into account for the calculation of the forces. Moreover, the functional value of the muscles appears to be closely dependent on the mandibular position with which they are associated, which is not brought out in earlier studies. Finally, intra-joint action proves to be intense, although its direction varies according not only to the mandibular position but also the type of exercise performed.
本研究的目的是确定在各种咀嚼运动中作用于下颌骨的外力。本文对一个静态二维下颌骨模型进行了分析,该模型考虑了六个肌肉群施加的力在矢状面的投影以及关节反应。在计算外力时,采用了两个工作假设:肌肉横截面积与其最大收缩力之间存在线性关系;肌肉发出的电信号与肌肉随后产生的力之间存在线性关系。因此,为了计算肌肉力,需要测量咀嚼力的强度、不同相关肌肉的横截面积和肌电图活动。然后将这些值用于推导平衡方程。给出了在三种不同下颌位置进行的14种咀嚼运动的结果,并与文献数据进行了比较。平衡方程中涉及的不同参数测量中记录的个体差异,在计算力时必须予以考虑。此外,肌肉的功能值似乎密切依赖于与之相关的下颌位置,这在早期研究中并未体现出来。最后,关节内的作用力被证明是强烈的,尽管其方向不仅随下颌位置变化,还随所进行的运动类型而变化。