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[Comparative study of masticatory muscles in the suncus and the mouse].

The external forms of head of the adult suncus and mouse resemble each other, but those of their newborns differ. In the newborn suncus, the upper view of external form of the head is narrow in width and long antero-posteriorly as is the cranial bone, but the adult form is almost triangular in shape based on the posterior portion of the head. In contrast, the external forms of the newborn and the adult are similar in the mouse. The postnatal changes of external form seem to be related to the development of the masticatory muscles in the suncus. Therefore, the present report comparatively studied the development of the masticatory muscles in suncus and mouse. To examine the developmental change of the volume of muscles on two animals, serial sections from fetus through adult were prepared by a commonly used staining method. Muscle volume was determined by the number of voxcels obtained from an image processor. Endplates stained by AchE staining and the course of muscle fibers of the masseter and temporal muscle (especially the MT1-temporal muscle in suncus) were also studied in the two animals. Ten measuring points on each craniofacial bone related with muscle growth were selected and the lengths between each point were measured to confirm the development of the musculoskeletal system in suncus. In suncus, the suncus masticatory muscles, both MT1-temporal and masseter muscle, were shown to have a multipinnate structure. This type of structure increases the physiological cross-sectional area to increase the masticatory force. The direction of these muscles, as a whole, run anteroposteriorly in this animal. Comparing the growth patterns between newborn and adult, the volumes of temporal and masseter muscle increase in the suncus more than those of in the mouse. The diameters of the temporal and masseter muscle fibers increase greatly after birth in the suncus in comparison with those of the mouse, though the fetus and newborn of both animals have approximately the same diameters. The differences in external forms of the head between newborn and adult in the suncus in comparison with those in the mouse may be caused by the greater increase in the volumes of temporal and masseter muscle, resulting in a remarkable increase in the forces of muscular contractions in the suncus. Postnatal dry weight of each masticatory muscle was measured in the suncus. The weights of the MT1-temporal and masseter muscle increased more than those of other muscles, especially from 14 days through 28 days. The results obtained here thus may be closely correlated to the growth of the diameters of muscle fibers. The whole parietal bone was not covered with the MT1-temporal muscle at 7 days after birth, but was covered at 14 days. Sagittal and nuchal crests were not observed at the former stage but was clearly evident at the latter in the suncus. In the suncus, the length and width of the MT1-temporal muscle became larger in the second week after birth than in the later weeks. In the suncus, during from 7 days through 14 days after birth the growth rate of the portion between Etf and Dwp was enhanced compared to that of other portions. In this term the length of the MT1-temporal muscle also grew noticeably. The distance between Etf and Dwp corresponds to the length of MT1-temporal muscle at the ventral portion. The growth between Etf and Dwp precedes that of muscle volume in the suncus. In conclusion, the developmental change of the cranial bone between Etf and Dwp precedes that of the masticatory muscles in the suncus. The formation of the well-developed sagittal and nuchal crests and the expansion of muscle attachment may well have led to the increase of muscle volume. As a result, the difference of external forms of head between newborn and adult in the suncus has been shown clearly to be due to the developmental changes of the volume of each masticatory muscle from 14 days through adult after birth, while such a difference is not seen in mouse.

Animals↗

Relationship in hypoplasia between the masticatory muscles and the craniofacial skeleton in hemifacial microsomia, as determined by 3-D CT imaging.

The purpose of this study, based on three-dimensional (3-D) computed tomographic (CT) reconstructions, was to evaluate the relation between underdevelopment of masticatory muscles and hypoplasia of the craniofacial skeleton in hemifacial microsomia (HFM). In 25 patients with HFM and 19 control patients the volumes of the masseter, the temporal, and the medial-pterygoid and lateral-pterygoid muscles were measured on the basis of CT scans, using three-dimensional segmentation and voxel addition. The size and shape of the craniofacial structures were classified, using three-dimensional imaging based on CT scans. Contiguous 1.5-mm computed tomography scans were made with a Philips Tomoscan 350 and processed by a Cemax 1500X 3-D workstation. Using the Pearson product moment correlation coefficient, the Pruzansky/Kaban classification system, the new Craniofacial Deformity Scoring System, Cranial Deformity Scoring System, and Mandibular Deformity Scoring System (MDS) demonstrated correlation coefficients with the "masseter muscle percentage" varying from 0.71 to 0.81 (P < 0.05), with the medial pterygoid muscle percentage correlation coefficient varying from 0.43 to 0.56 (P < 0.05), with the lateral pterygoid muscle percentage correlation coefficient varying from 0.55 to 0.61 (P < 0.05), and with the temporal muscle percentage correlation coefficient varying from 0.67 to 0.84 (P < 0.05). The normal right/left difference in volume of the masticatory muscles of the control patients, calculated as a percentage of the total, demonstrated small differences of 3.4% to 4.8%. Bony malformations are associated with underdevelopment of the masseter and the temporal muscles, and demonstrate a tendency toward a clear relationship. The degree of muscular underdevelopment of the different muscles of mastication in one patient could vary widely. The normal right/left difference of the masticatory muscles of the control patients is minimal. The volume of the masticatory muscles of the non-affected side does not demonstrate a compensatory effect in patients with HFM.

Analysis of Variance↗

The histochemistry of reactive masticatory muscle hypertrophy.

There are two types of hypertrophy of the muscles of mastication in man: reactive hypertrophy, the more common form; and nonreactive enlargements-myositic, genetic, myopathic, and idiopathic. Reactive hypertrophy develops when the masticatory muscle workload is increased by local bone and dental disorders; such triggers are not powerful but act over long periods, thus demanding increased endurance. Exercise for endurance has a greater effect on the muscles of mastication than it has on the large muscles of the limbs; these react solely by stimulating the oxidative metabolism of type 1 fibers, whereas masticatory muscle reacts structurally by hypertrophy and progressive type 1 fiber predominance. Eventually enzyme instability of type 1 fibers and end stage atrophy of type 2 fibers may appear. Unexpectedly, lesions have also been found in control masticatory muscle, in particular type 2 fiber specific atrophy like that seen in long-standing acquired autoimmune myasthenia gravis. It is suggested that the adverse lesions in hypertrophied and control masticatory muscle are the consequence of post-activation fatigue.

Adult↗

[Changes of masticatory muscle activity after surgical orthodontic treatment for skeletal mandibular protrusion].

The purpose of this study was to analyze the recovery process of masticatory muscle activity after mandibular set-back osteotomy. The subjects were 11 adult patients with skeletal mandibular protrusion. They received surgical orthodontic treatment and attained a stable occlusion. E. M. G. recordings of clenching and habitual jaw movement were taken from the temporalis anterior, posterior, and masseter muscles with surface electrodes before preoperative orthodontic treatment just before surgery, and 6 months, 1 year and over 5 years after surgery. The parameters of E. M. G. analysis were 70% of the maximum voltage, the buildup time from the onset of activity to 70% of the maximum voltage and the time difference of the onset of activity in reference muscles. The results were as follows: 1. The initial level of E. M. G. activity was related to the rate of recovery following surgery. 2. Differences in masticatory muscle activity were reflected in the activity levels of the respective muscles during the recovery period. 3. A fairly complete recovery of E. M. G. activity was attained about ten months after surgery. 4. The time from the onset of activity to attaining 70% of the maximum voltage became progressively shorter. 5. The time difference of the onset of activity in reference to muscles decreased. It was I concluded that masticatory muscle activity could well adapt to the newly surgically-established maxillomandibular skeletal relationship.

Adolescent↗

[The study of the relationships between the masticatory muscles activity and the craniofacial morphology in mandibular prognathism].

Facial asymmetry is usually manifested in mandibular prognathism. This is probably because of the intervention of masticatory muscles in some way or another. Functional factors of masticatory muscles are also believed to be responsible for the relapse of facial disharmony even after surgical orthodontic treatment. In the present study, cephalometric analysis was made on a total of 43 patients with mandibular prognathism. The functional activity of their masticatory muscles was measured quantitatively by using electromyography. The data thus obtained were analyzed with respect to their bearings on the morphological points of reference given on posteroanterior cephalogram. Our findings are as follows: 1) At the time of maximal clenching with a bite splint, differences in the activity of left and right masseter muscles had a significantly positive correlation with the deviations from the point Menton on the frontal image, and a significantly negative correlation with the angles of the mandibular ramus to the median line on the frontal view. However, no relation was established between the activity of the masseter muscles and that of the temporal muscles on either side. 2) At the time of maximal clenching in central occlusion, differences in the activities of the masseter muscles on both sides were significantly and positively correlated with the deviations from the point Menton on the frontal image, and significantly and negatively correlated with the angles of the mandibular ramus to the median line. Also a negative correlation was noted between the differences in the activity of temporal muscles on both sides and the deviations from the point Menton. 3) These results suggest that the larger the deflection of the mandible, the larger the activity of the masseter muscle on the deflective side.

Cephalometry↗

An electromyographic evaluation of the bilateral symmetry and nature of masticatory muscle activity in jaw deformity patients during normal daily activities.

This study was designed to investigate the nature of masticatory muscle activity and the balance in the bilateral symmetry of the masticatory muscle activity in jaw deformity patients. Fifteen patients (19.9 +/- 5.3 years) with lateral shift of the mandible caused by transverse craniofacial deformity and 15 controls (28.6 +/- 1.9 years) were used as the subjects in this study. Surface electromyographic (EMG) activities were recorded from the bilateral masseter and anterior temporal muscles during daytime (142 min, including mealtime) and sleep (142 min). The averaged rectified EMG values were normalized with reference to the EMG amplitude induced by a 98-N bite force. Bilateral symmetry of masseter and anterior temporal muscle activities was examined using an asymmetry index (AI) for both the controls and the patients. The normalized activities of the masseter and anterior temporal muscles during normal daily activities were lower in patients than in the controls. Asymmetry indices in patients were significantly greater during usual daytime activities and sleep for the anterior temporal muscle and significantly smaller during sleep for the masseter muscle as compared with the controls. The results show that masticatory muscle activity is lower in these jaw deformity patients in association with more prominent asymmetry of anterior temporal muscle activity than in the controls. It is suggested that these findings are highly relevant to occlusal interference and instability because of malocclusion and lateral mandibular deviation.

Adult↗

[Masticatory muscle activity during exertion of the back].

PURPOSE: The lower jaw is considered to be fixed during body exercise. However, its mechanism remains to be elucidated. The present study investigated masticatory muscle activity during of the back. METHODS: The subjects were 9 healthy dentulous patients. The maximum back strength of the patients was measured with a back-dynamometer. Muscle activities of the temporal, masseter and digastric muscles during exertion of the back and mastication of peanuts were measured. Muscle activities of the temporal and masseter muscle during maximum voluntary clenching and that of the digastric muscles during exertion of resistance against forced mouth opening were also measured, and maximum voluntary muscle activities were obtained. The relative percentage of each masticatory muscle against maximum voluntary activity was calculated from the data obtained, and muscle activities during exertion of the back, mastication of peanuts and maximum muscle activity were compared. RESULTS: Muscle activities of the temporal, masseter and digastric muscles during exertion of back muscles against maximum voluntary muscle activity were 32.1%, 26.4% and 97.4% respectively. Muscle activities of these muscles during mastication of peanuts against maximum voluntary muscle activity were 40.7%, 36.0% and 17.3% respectively. CONCLUSIONS: Muscle activities during exertion of the back were 30% in the temporal and masseter muscle, and approximately 100% in the digastric muscles. The result suggests that the digastric muscles play a key role in fixing the mandible in all masticatory muscles including jaw-opening and closing muscles. People exert back strength not only in sports but also in daily life. This study demonstrates the stronger involvement of the digastric muscles in fixation of the mandible during exercise than during strong clenching. The results are of interest in terms of mandibular position, occlusal contact and the load on the temporomandibular joint (TMJ) since there is no wide mouth opening.

Adult↗

Tendon entheses of the human masticatory muscles.

Tendons attach to the limb skeleton via chondral-apophysary or periosteal-diaphysary entheses. It was the aim of the present study to investigate the tendon entheses of the temporal, the masseter, as well as the medial and lateral pterygoid muscles, considering the biomechanics and the mode of osteogenesis at the attachment sites. The origin and insertion zones of the four masticatory muscles were studied histologically and by polarization light microscopy in six halves of human heads. Contrary to the limb skeleton no causal relationship between the histological structure of the tendon entheses and the osteogenic mode of the bone areas involved was observed in the masticatory muscles that were studied. Based on the histological findings, a purely structural classification of the tendon attachments irrespective of the osteogenesis is therefore proposed that is applicable to the entire skeleton. It is possible to distinguish between tendon entheses inserting into periosteum, into bone or into fibrocartilage. Tendon attachments with periosteal insertion are found at the temporal plane, the retromolar triangle, zygomatic arch, lateral pterygoid plate, in the caudal zone of the pterygoid fovea of the neck of mandible as well as major portions of the ramus and angle of the mandible. The attachment zones in which collagen fibrils of tendons insert into the bone via the periosteum correspond in their structure to plane periosteal-diaphysary insertions into the diaphyses of long bones. Attachment zones to the bone are present at the inferior temporal line, the base of the coronoid process, the caudal surface of the zygomatic arch, the cranial zones of the pterygoid fovea of the neck of the mandible as well as at circumscribed areas of the ramus and angle of the mandible. In these zones the collagen fibers of the tendon insert immediately into the bone without any mediation of other tissues. The entheses resemble those of circumscribed periosteal-diaphysary attachments to long bones. Fibrocartilaginous entheses occur at the coronoid process, the cranialmost portions of the pterygoid fovea of the neck of the mandible as well as in circumscribed areas of the medial and lateral facets of the angle of the mandible. The structures of these attachment sites are comparable to chondral-apophysary tendon attachments. As for masticatory muscles, the described forms of tendon entheses occur at the same time in the majority of the attachment sites. From the structure of the three types of tendon entheses it is possible to conclude that they fulfill a biomechanical function similar to that of the limb skeleton, namely adapting the different elasticity moduli of bone and tendon tissues. From a technical perspective they can be considered to act as an "angle and stretching brake".

Aged↗

Masticatory muscle activity in myotonic dystrophy patients.

The aim of the study was to compare the masticatory pattern and the activity of the masticatory muscles of a group of myotonic dystrophy patients with those of a group of healthy individuals. The electromyographic (EMG) activity of the temporal and the masseter muscles was measured in the resting position, during maximal clenching, and while the patient was chewing five peanuts until swallowing. It was found that the patients had approximately 3 times less EMG activity in the masticatory muscles during maximal clenching. During chewing the patients had approximately half the activity in the anterior temporal and the masseter muscles, while the activity of the posterior temporal muscle did not differ significantly from that in healthy individuals. No differences were found in the muscle activity in the resting position or in the speed of chewing between the groups. The patients needed more time and more chewing cycles to bring the five peanuts to the swallowing threshold, but possibly this was an effect of the lower number of antagonizing teeth. Myotonic dystrophy thus influences the masticatory muscles, reducing their activity both at a maximal and a functional level.

Adult↗

[The effect of deture relining on the electromyogram of masticatory muscles in complete denture wearers].

The aim of present study is to assess the effect of complete denture relining on the electromyogram of masticatory muscles. The electromyography and the computer-EMG system were used for collecting and processing bilateral masseter and anterior temporal muscles activities before and after denture relining. The results showed that the mean myoelectric potentials of the masticatory muscles was increased during chewing and maximal biting when the dentures were relined. The conclusion was that the level of the masticatory muscle activity was increased when a clinically acceptable occlusal vertical dimension was obtained by using relining method.

Adult↗

Positional relationships between the masticatory muscles and their innervating nerves with special reference to the lateral pterygoid and the midmedial and discotemporal muscle bundles of temporalis.

For an accurate assessment of jaw movement, it is crucial to understand the comprehensive formation of the masticatory muscles with special reference to the relationship to the disc of the temporomandibular joint. Detailed dissection was performed on 26 head halves of 14 Japanese cadavers in order to obtain precise anatomical information of the positional relationships between the masticatory muscles and the branches of the mandibular nerve. After complete removal of the bony elements, the midmedial muscle bundle in all specimens and the discotemporal muscle bundle in 6 specimens, derivatives of the temporalis, which insert into the disc were observed. On the anterior area of the articular capsule and the disc of the temporomandibular joint, the upper head of the lateral pterygoid, the midmedial muscle bundle of temporalis and the discotemporal bundle of temporalis were attached mediolaterally, and in 3 specimens the posterosuperior margin of the zygomaticomandibularis was attached to the anterolateral area of the disc. It is suggested that these muscles and muscle bundles contribute to various mandibular movements. Although various patterns of the positional relationships between the muscles and muscle bundles and the their innervating nerves are observed in the present study, relative positional relationships of the muscles and muscle bundles and of nerves of the mandibular nerve are consistent. A possible scheme of the developmental formation of the masticatory muscles based on the findings of the positional relationships between the muscles and the nerves is presented.

Female↗

Lack of 'acid reversal' of myofibrillar adenosine triphosphatase in masticatory muscle fibres of rhesus monkeys.

Myofibrillar adenosine triphosphatase (ATPase) activity was demonstrated in sections of masseter and temporalis muscles and of selected limb muscles of adult rhesus monkeys. Incubations were performed either with no pre-treatment or after prior incubation in alkaline media (pH 10.2-10.4) or acidic media (pH 3.8-4.6). Without pre-treatment, fibres having high or low ATPase activity were observed in limb and masticatory muscles. Following alkaline pre-incubation the difference between high and low ATPase of limb muscle fibres is accentuated, whereas pre-incubation in acidic media (pH 4.3) results in inhibition of high and potentiation of low ATPase activities ('acid reversal'). While pre-incubation of masticatory muscle sections at pH 10.2 accentuates differences in ATPase activity, pre-incubation at pH 10.4 abolishes ATPase activity. In contrast, masticatory muscle fibres showed no reversal of ATPase activity following acidic pre-incubation (pH 4.3). Pre-incubation at pH 3.8 abolished the ATPase activity of both limb and masticatory muscle fibres. The biochemical basis for the differences in ATPase histochemistry between masticatory and limb muscles is not known.

Adenosine Triphosphatases↗

The association of occlusal factors with masticatory muscle tenderness in 10- to 19-year old Turkish subjects.

The aims of this study were (1) to investigate the relationship between occlusal factors and masticatory muscle tenderness among 10- to 19-year-old (mean 14 years eight months) Turkish subjects and (2) to identify possible sex differences between them. The sample consisted of 716 individuals (355 male and 361 female subjects). Tenderness with palpation of masseter and temporalis muscles and functional manipulation of lateral and medial pterygoid muscles was registered. The examiners recorded the Angle classification bilaterally for molars, presence of anterior and posterior crossbites, excessive overjet, open and deep bites, functional shift, and severity of anterior crowding. Associations between the occlusal factors and muscle tenderness according to sex were evaluated with chi-square analysis. Statistically significant associations were found between masticatory muscle tenderness and all the investigated occlusal factors except posterior crossbite and functional shift. Masseter, medial, and lateral pterygoid muscle tenderness was higher in female subjects. Medial and lateral pterygoid muscle tenderness in Class I cases and masseter and medial pterygoid muscle tenderness in Class II, division 1 malocclusion cases were higher in female subjects (P < .05). In open-bite cases, medial pterygoid muscle tenderness (P < .05), in deep-bite cases, masseter (P < .01) and medial pterygoid (P < .05) muscle tenderness, and in excessive overjet cases, masseter muscle tenderness (P < .05) were also higher in female subjects. These results suggest that greater masticatory muscle tenderness in female subjects may contribute to the greater prevalence of temporomandibular disorders in them.

Adolescent↗

The effects of treatment on masticatory muscle activity and mandibular posture in myofascial pain-dysfunction patients.

The purpose of this study was to evaluate tonic masticatory muscle activity and the postural rest position of the mandible, pre- and post-treatment, in patients with TM disorders. Forty-one patients diagnosed as suffering from myofascial pain-dysfunction (MPD) were evaluated, with electromyography (EMG) used to measure the muscle activity of the masseteric and anterior temporal areas at rest. Postural rest position was assessed by measurement of interocclusal distance. Twenty-three asymptomatic subjects were also tested as controls. Treatment for the pain group emphasized cognitive awareness of dysfunctional orofacial behavior and biofeedback training of the masseteric area to teach masticatory muscle relaxation. The pre-treatment EMG values of both the masseteric and anterior temporal areas were significantly higher for the pain group than for the control group. Post-hoc division of the pain group into successful and unsuccessful subgroups was made on the basis of the degree of symptom improvement. EMG activity decreased significantly in the masseters of both subgroups, but only the unsuccessful subgroup showed a significant decrease in anterior temporal activity following therapy. Interocclusal distance was significantly increased in both subgroups. These results suggest that tonic masticatory muscle activity may be elevated in MPD patients. They also suggest that a decrease in EMG activity in the masseter and anterior temporalis muscles and an opening of the postural rest position of the mandible may accompany completion of psychophysiological therapy, but these changes do not correspond directly with the outcome of that therapy.

Adult↗

Denervation atrophy of the masticatory muscles in a patient with nasopharyngeal cancer: MR examinations before and after radiotherapy.

We report on a patient with denervation atrophy of the masticatory muscles due to nasopharyngeal cancer who received therapeutic irradiation. Magnetic resonance imaging has significantly contributed to aid diagnosis of this pathology. Masticatory muscle atrophy should be a definitive finding of perineural invasion caused by head and neck tumors. Radiologists should be familiar with this appearance to avoid confusion with tumor invasion of the muscle.

Carcinoma, Squamous Cell↗

Comparing condylar positions achieved through bimanual manipulation to condylar positions achieved through masticatory muscle contraction against an anterior deprogrammer: a pilot study.

STATEMENT OF PROBLEM: The condylar position can vary depending on several factors. One factor is the influence of occluding teeth. If the influence from occluding teeth could be eliminated, it might be possible to evaluate the condylar position obtained from masticatory muscle contraction. PURPOSE: The purpose of this pilot study was to determine the placement of the condyles by contracted masticatory muscles without influence from occluding teeth. MATERIAL AND METHODS: For a group of 11 participants, 3 dentists were assigned, in turn, to fabricate a centric relation interocclusal record using bimanual manipulation on each member of the group. After obtaining the centric relation interocclusal records using bimanual manipulation, the records were stored in room temperature water. Subsequently, each of the 11 patients had an anterior deprogrammer fabricated and were given instructions to wear the anterior deprogrammer for 60 minutes. The anterior deprogrammer was designed with the contacting surface perpendicular to the arc of close of the mandibular incisors. In addition, the anterior deprogrammer was relined to eliminate any movement under force, and the occluding surface of the deprogrammer was free of any indentations. After wearing the deprogrammer, 4 interocclusal records (3 in a reclined position and 1 in an upright position to ensure the condylar position did not change in the upright position) were made by having the patient squeeze and close into a properly adapted, trimmed, and warmed interocclusal record. The condylar position in centric relation recorded in interocclusal records using bimanual manipulation was compared to the condylar position recorded by the contraction of the masticatory muscles against an anterior deprogrammer using a condylar position indicating device. The data were analyzed with a 2-independent-samples test of proportions, alpha=.05 (1-tail). RESULTS: The condylar positions obtained using bimanual manipulation repeated the condylar position within the 0.11-mm tolerance of the Centri-Check instrument in 33 out of 33 opportunities (100%). The condylar positions obtained by using the anterior deprogrammer technique repeated the condylar position within the 0.11-mm tolerance of the Centri-Check in 43/44 opportunities (97.7%). The sample size used in this pilot study was not large enough to detect a very small actual difference (5 percentage points or less) between the 2 methods, should such a difference exist. CONCLUSION: The results of this pilot study indicate that, without influence from occluding teeth, the contraction of the masticatory muscles places the condyles into the same position as centric relation.

Centric Relation↗

Proprioceptive innervation of the masticatory muscles in Pinché.

This study of the masticatory muscles of the primate showed that the temporal muscle contained 107 muscle spindles, 45 in the horizontal portion and 62 in the vertical portion; the masseter muscle contained 70, 58 in the profundus portion and 12 in the superficial portion; the medial pterygoid muscle contained 15; the lateral pterygoid muscle contained 6; and the zygomaticomandibular muscle contained 9. The muscle spindles were located around the coronoid process and mandibular ramus.

Animals↗

Transcutaneous electrical nerve stimulation (TENS): its short-term and long-term effects on the masticatory muscles.

In an electromyographic study on subjects with no functional disturbances of the masticatory muscles, the duration of the post-therapeutic effects of transcutaneous electrical nerve stimulation (= TENS) on the superficial masseter and anterior temporal muscle was analyzed. The myoelectric signals were registered from 20 healthy volunteers in 3 different mandibular positions. The recordings were performed before a 20-minute TENS application with the J-4 Myomonitor and continued with a sequence of follow-up registrations with increasing interval to the initial stimulation. The EMG signals underwent computer-aided analysis and were evaluated by determining the integrated values as a parameter of muscle activity, and after Fourier transformation by 7 describing parameters of the power spectrum (e.g. mean power frequency = MPF). A detailed analysis of variance of all data was used to investigate significant changes of the parameters during the observation period. Muscular response to TENS includes a decrease in muscular activity (= reduction in integrated EMG signals) and a shift in the power spectrum to higher frequencies (increase in MPF). These changes were statistically highly significant for both analyzed muscles and for all different mandibular exercises. As these reactions to TENS are contrary to muscle fatigue, the results can be interpreted as indicating that this type of therapy stimulates a change in the biochemical and physiological muscular conditions, which leads to muscle relaxation. Electromyographically, the post-therapeutic effect lasted for 2 hours in case of normal masticatory muscle activity but for more than 7 hours in case of low muscular loading. The alterations of the integrated EMG values were more persistent than those of the parameters of the power spectrum.

Adult↗