偏侧咀嚼者咀嚼肌肌电特征分析
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摘要
目的分析偏侧咀嚼者在下颌运动中的肌电特征。方法通过咀嚼肌表面肌电图(Electromyogram,EMG)检测技术,比较偏侧咀嚼和正常咀嚼人群在下颌姿势位(Mandibular Postural Position,MPP)、最大张口运动和咀嚼运动中咬肌(MM)和二腹肌前腹(DA)的肌电情况,进行统计分析。结果 (1)偏侧咀嚼组大张口运动中左二腹肌前腹(LDA)、右二腹肌前腹(RDA)平均肌电峰值低于双侧咀嚼组(P<0.05),咀嚼运动中左咬肌(LMM)平均肌电峰值低于双侧咀嚼组(P<0.05);(2)偏侧咀嚼组在MPP、最大张闭口运动和咀嚼运动中MM活动不对称指数高于双侧咀嚼组(P<0.05),MPP、咀嚼运动时DA活动对称性低于双侧咀嚼组(P<0.05)。结论长期偏侧咀嚼造成了MM和DA对称性的改变,咀嚼肌做功下降。
Objective To analyze the EMG characteristics of unilateral mastication patients in opening and closing movement.Methods By the detection technology of chewing muscle surface electromyography( EMG),EMG characteristics of mandibular postural position( MPP),maximum opening movement and chewing movement in masseter( MM) and digastric anterior( DA) were compared between those of unilateral mastication and those of the normal mastication. The results were used for statistical analysis. Results( 1) Average electrical peak of LDA and RDA at maximum opening and closing movement of the unilateral chewing group were lower than those of the bilateral chewing group( P < 0. 05). Average electrical peak of LMM during chewing of the unilateral chewing group was lower than that of the bilateral chewing group( P < 0. 05).( 2) MM movement during MPP,maximum opening and closing movement and chewing of the unilateral chewing group were higher than those of the bilateral chewing group( P < 0. 05). DA activity symmetry during MPP and chewing of the unilateral chewing group were lower than that of the bilateral chewing group( P < 0. 05). Conclusions Long- term unilateral chewing leads to symmetry changes of MM and DA,and results in declining of masticatory muscle power.
Objective To analyze the EMG characteristics of unilateral mastication patients in opening and closing movement.Methods By the detection technology of chewing muscle surface electromyography( EMG),EMG characteristics of mandibular postural position( MPP),maximum opening movement and chewing movement in masseter( MM) and digastric anterior( DA) were compared between those of unilateral mastication and those of the normal mastication. The results were used for statistical analysis. Results( 1) Average electrical peak of LDA and RDA at maximum opening and closing movement of the unilateral chewing group were lower than those of the bilateral chewing group( P < 0. 05). Average electrical peak of LMM during chewing of the unilateral chewing group was lower than that of the bilateral chewing group( P < 0. 05).( 2) MM movement during MPP,maximum opening and closing movement and chewing of the unilateral chewing group were higher than those of the bilateral chewing group( P < 0. 05). DA activity symmetry during MPP and chewing of the unilateral chewing group were lower than that of the bilateral chewing group( P < 0. 05). Conclusions Long- term unilateral chewing leads to symmetry changes of MM and DA,and results in declining of masticatory muscle power.
引文
[1]Diernberger S,Bernhardt O.Self-reported chewing side preference and its with occlusal,temporomandibular and prosthodontic factors:results from the population-based Study of Health in Pomerania(SHIP-0)[J].Oral Rehabil,2008,35(8):613-620.
[2]Barcellos DC,Gonaalves SE,Da Silva MA,et al.Prevalence of chewing side preference in the deciduous,mixed and permanent dentitions[J].J Contemp Dent Pratt,2012,12(5):339-342.
[3]毛梦莹,周玉乔,陈谦明,等.习惯性偏侧咀嚼与龋病相关性调查[J].现代预防医学,2013,5:848-849.
[4]王子娴,徐龙博,祁冬,等.偏侧咀嚼致咀嚼肌功能紊乱发病机制的研究[J].华西口腔医学杂志,2011,29(1):96-99.
[5]Iyomasa MM,De Souza Guerra C,Dias FJ.Histological and histochemical effects after occlusion alteration in suprahyoidmuscles[J].Micron,2009,40(2):239-246.
[6]Nakayama R,Nishiyama A,Kino K,et al.Influence of contributing factors in temporomandibular disorders in female college students[J].Kokubyo Gakkai Zasshi,2013,80(2):62-67.
[7]Urbano Santana-Mora1,Marian J,Mora1,et al.Temporomandbular Disorders:The Habitual Chewing Side Syndrome[J].Plo S One,2013,8(4):1-7.
[8]Al-Saleh MA,Armijo-Olivo S,Flores-Mir C,et al.Electromyography in diagnosing temporomandibular disorders[J].Am Dent Assoc,2012,143(4):351-362.
[9]Urbano Santana-Mora1,Marian J.Mora1,et al.Temporomandbular Disorders:The Habitual Chewing Side Syndrome[J].Plo S One,2013,8(4):1-7.
[10]Reinhardt R,remel T,Wehrbein H.The unilateral phenomenon,chewing,occlusion and TMD[J].Cranio,2006,24(3):166-170.
[11]Tanaka E,Detamore MS,Mercuri LG.Degenerative disorders of the temporomanndibular joint:etiology,Zdiagnosis,and treatment[J].J Dent Res,2008,87(4):296-307.
[12]杨超,王云,王邦安,等.正常牙合成人咀嚼肌表面肌电图的参数分析[J].皖南医学院学报,2011,30(5):345-350.
[13]Giraki M,Schneider C,Schafer R,et al.Correlation between stress,stress-coping and current sleep bruxism[J].Head Face Med,2010,5(5):2-6.
[14]藤琛,王云,王邦安,等.运用咬肌肌电早期诊断偏侧咀嚼的研究[J].口腔医学,2014,34(5):6-7.
[15]王云,藤琛,汪萌芽.偏侧咀嚼干预治疗改善咬肌活动不对称性的肌电分析[J].南方医科大学学报,2015,35(4):536-539.
[16]Tartaglia G M,Lodetti G,et al.Surface electromyographic assessment of patients with long lasting temporomandibular joint disorder pain[J].J Electromyogr Kinesiol,2011,21(4):659-664.
[17]Hannam AG,Stavness I.A dynamic model of jaw and hyoid biomechanics during chewing[J].Biomech,2008,41(5):1069-1076.
[2]Barcellos DC,Gonaalves SE,Da Silva MA,et al.Prevalence of chewing side preference in the deciduous,mixed and permanent dentitions[J].J Contemp Dent Pratt,2012,12(5):339-342.
[3]毛梦莹,周玉乔,陈谦明,等.习惯性偏侧咀嚼与龋病相关性调查[J].现代预防医学,2013,5:848-849.
[4]王子娴,徐龙博,祁冬,等.偏侧咀嚼致咀嚼肌功能紊乱发病机制的研究[J].华西口腔医学杂志,2011,29(1):96-99.
[5]Iyomasa MM,De Souza Guerra C,Dias FJ.Histological and histochemical effects after occlusion alteration in suprahyoidmuscles[J].Micron,2009,40(2):239-246.
[6]Nakayama R,Nishiyama A,Kino K,et al.Influence of contributing factors in temporomandibular disorders in female college students[J].Kokubyo Gakkai Zasshi,2013,80(2):62-67.
[7]Urbano Santana-Mora1,Marian J,Mora1,et al.Temporomandbular Disorders:The Habitual Chewing Side Syndrome[J].Plo S One,2013,8(4):1-7.
[8]Al-Saleh MA,Armijo-Olivo S,Flores-Mir C,et al.Electromyography in diagnosing temporomandibular disorders[J].Am Dent Assoc,2012,143(4):351-362.
[9]Urbano Santana-Mora1,Marian J.Mora1,et al.Temporomandbular Disorders:The Habitual Chewing Side Syndrome[J].Plo S One,2013,8(4):1-7.
[10]Reinhardt R,remel T,Wehrbein H.The unilateral phenomenon,chewing,occlusion and TMD[J].Cranio,2006,24(3):166-170.
[11]Tanaka E,Detamore MS,Mercuri LG.Degenerative disorders of the temporomanndibular joint:etiology,Zdiagnosis,and treatment[J].J Dent Res,2008,87(4):296-307.
[12]杨超,王云,王邦安,等.正常牙合成人咀嚼肌表面肌电图的参数分析[J].皖南医学院学报,2011,30(5):345-350.
[13]Giraki M,Schneider C,Schafer R,et al.Correlation between stress,stress-coping and current sleep bruxism[J].Head Face Med,2010,5(5):2-6.
[14]藤琛,王云,王邦安,等.运用咬肌肌电早期诊断偏侧咀嚼的研究[J].口腔医学,2014,34(5):6-7.
[15]王云,藤琛,汪萌芽.偏侧咀嚼干预治疗改善咬肌活动不对称性的肌电分析[J].南方医科大学学报,2015,35(4):536-539.
[16]Tartaglia G M,Lodetti G,et al.Surface electromyographic assessment of patients with long lasting temporomandibular joint disorder pain[J].J Electromyogr Kinesiol,2011,21(4):659-664.
[17]Hannam AG,Stavness I.A dynamic model of jaw and hyoid biomechanics during chewing[J].Biomech,2008,41(5):1069-1076.