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PubMed1985

Electromyographic study of human jaw-closing muscle endurance, fatigue and recovery at various isometric force levels.

The effect of a sustained isometric clenching, at various force levels or maximum voluntary bite-force levels, was evaluated on normal jaw-function subjects. Surface electromyographic (EMG) recordings of the masseter and temporalis were taken and bite force was measured using an intra-oral force transducer placed unilaterally in the 2nd premolar-1st molar region. Subjects sustained isometric force at the 25, 50, 75 and 100 per cent force level. Maximal bite force and EMG contraction levels were measured before, during and after these sustained isometric tasks. Subjects showed no change in their brief maximal contraction or force levels during or after various fatigue-inducing isometric tasks. The findings suggested a lack of contractile failure in the jaw-closing muscles. Pain intolerance rather than neuromuscular fatigue is the limiting factor of a sustained submaximal or even maximal clenching effort.

Adult↗
PubMed1987

A comparison of electromyography recorded parallel and transverse to the fibres of the anterior and posterior temporalis muscle in man.

Electrical activity recorded during voluntary clenching by platinum hook intra-cutaneous electrodes was significantly higher (p less than 0.01) when the electrodes were placed parallel to the muscle fibres than across the fibres. The correlation between the parallel and transverse EMG recordings was highly significant (p less than 0.001).

Action Potentials↗
PubMed1990

Computer-assisted estimation of lines of action of human masticatory muscles reconstructed in vivo by means of magnetic resonance imaging of parallel sections.

The orientation of these lines of action was estimated in 9 healthy subjects, by reconstructing the muscle shape from a series of parallel sections obtained by MRI. In order to gain insight into sources of error, the lines of action of the masseter and medial pterygoid were estimated from two mutually perpendicular series of sectional images. Average results were compared with anatomical data from the literature. The results indicated that the accuracy of the estimate was principally dependent on the reliability of the reconstructions; the average accuracy of the estimated orientations was about 5 degrees.

Adult↗
PubMed1993

Bilateral asymmetries in the jaw-jerk reflex activity in man.

In order to investigate whether there are bilateral differences in the sensitivity of the mandibular stretch (jaw-jerk) reflex between patients with a myogenous craniomandibular dysfunction (CMD) and healthy controls free from signs and symptoms of CMD, jaw-jerk reflexes were elicited under standardized conditions in two groups of 10 gender- and age-matched subjects. The reflexes were recorded bilaterally from the masseter and the anterior temporal muscles by means of bipolar surface electromyogram (EMG). Reflex amplitudes at a mandibular displacement of exactly 80 microns and at a background muscle activity of exactly 12% maximum voluntary contraction were determined from relations between reflex amplitude and jaw displacement. These were obtained at a visually controlled, constant clenching level. For both groups, comparisons were made between reflex amplitudes from the right- and the left-hand side. In CMD patients with predominantly unilateral jaw muscle pain, comparisons were also made between the pain and non-pain sides. Although significant side asymmetries were found in many individuals, no significant differences were found among bilateral asymmetries in reflex sensitivity between patients and controls. No influence of pain side on the asymmetries was found. It was concluded that neuromuscular factors do not cause significant bilateral differences in the sensitivity of the jaw-jerk reflex between patients with myogenous CMD and controls. In a control experiment, in which eight healthy control subjects participated, the influence of a possible asymmetry in jaw displacement on the reflex sensitivity was evaluated. To achieve this, reflexes were elicited not only by means of a bilaterally imposed mandibular load, but also by means of loading via a unilateral bite-fork, so that an equal, constant jaw displacement could be imposed successively on both sides of the mandible. As no significant differences were found in bilateral asymmetries in reflex sensitivity between unilateral and bilateral mandibular loading, the influence of a possible asymmetrical jaw displacement on side asymmetries in the jaw-jerk reflex sensitivity is negligible in our experimental model.

Adult↗
PubMed1993

The effect of four jaw relations on electromyographic activity in human masticatory muscles.

Significant differences were found in the electromyographic (EMG) activation between the masseter and temporalis muscles for the leaf gauge (LG), manually manipulated (CR) and neuromuscular (NM) bite positions during maximal static clench. The LG position consistently demonstrated the lowest EMG activity, while the NM position displayed the highest degree of muscle activity. Similarly, the ratio of the masseter/temporalis EMG activity during maximal clench was lower for the LG and CR positions and highest for the NM position. These data indicate that the NM position produced the greatest total muscle recruitment, with more masseter involvement during maximal clench, and enabled the subjects to generate greater clenching forces in the NM position as compared to the LG and CR positions.

Adult↗
PubMed1994

Administration of human chorionic gonadotropin affects sleep-wake phases and other associated behaviors in cycling female rats.

We investigated the possible effects of human chorionic gonadotropin (hCG) on sleep-wake phases and other associated behaviors controlled by the medial preoptic area, cerebral cortex and hippocampus. Chronic epidural electroencephalographic (EEG) and temporal muscle electromyographic (EMG) electrodes were placed in cycling female rats. After a week of recovery, rats were injected intraperitoneally at 3.00 pm on the day of proestrus with either saline or highly purified hCG or indomethacin or hCG plus indomethacin. Three hours after injection, EEG, EMG and behavioral activities were recorded for 3.5 h. The administration of hCG increased high and low amplitude sleep, resting phase and decreased active awake phase, walking, sniffing and chewing as compared to the controls. While the administration of indomethacin alone had no effect, coadministration inhibited hCG effects. Medial preoptic area, cerebral cortex and hippocampus contain immunostaining for LH/hCG receptors. The administration of hCG resulted in an increase of immunoreactive PGD2 and a decrease of PGE2 in median preoptic area, cerebral cortex and hippocampus as compared to the controls. In summary, hCG administration affects sleep-wake phases and other associated behaviors in rats which can collectively be described as decreased activity. These effects are probably mediated by increasing PGD2 and decreasing PGE2 in areas of brain which control these activities. The above findings may be relevant to pregnant women who experience decreased activity when hCG is present in the circulation and cerebrospinal fluid.

Alprostadil↗
PubMed1995

Distal tibial mononeuropathy in diabetic and nondiabetic rats reared on wire cages: an experimental entrapment neuropathy.

Using electrophysiological recordings, we studied a distal tibial mononeuropathy that involves the hind foot of rats reared in cages with wire grid flooring. In an initial set of experiments, serial sciatic-tibial motor conduction recordings were made in smaller or larger rats reared in cages with wire grid or sawdust flooring. Electrophysiological features of the neuropathy were loss in the amplitude of the distal tibial nerve M potential recorded over hind limb foot muscles, temporal dispersion of the potential, often into multiple peaks, and a prolonged distal latency of the response. The changes in M amplitude were more apparent in larger rats with a greater body weight. In a second series of experiments we studied sciatic-tibial conduction over 16 weeks in nondiabetic rats and rats rendered diabetic with streptozotocin raised and wire grid or plastic flooring. Tibial mononeuropathy developed in both wire grid-reared groups, but there was evidence that it appeared earlier in diabetic rats. Electrophysiological changes of distal mononeuropathy also obscured the expected slowing of sciatic-tibial motor conduction velocity from diabetics. Tibial mononeuropathy in rats reared on wire grid flooring may be a useful animal model of human entrapment neuropathy but its presence can confound studies of experimental neuropathy. Rats used in studies of experimental neuropathy should be housed in plastic cages with sawdust or shavings flooring.

Analysis of Variance↗
PubMed1992

Predicted and observed shapes of human mandibular condyles.

A mathematical model based on linear programming was used to study the directions of the joint forces used to maintain the human jaw in three-dimensional static equilibrium when producing bite forces of 100 N to a maximum of 1000 N down the long axis of a central incisor, first premolar, first molar and third molar. Seven different versions of the model were studied. The two simplest versions minimized the total muscle tension and the total joint load, respectively. Assuming that the joint force direction must be normal to some part of the articular surface of the condyle, neither version produced directions consistent with the observed shapes of human condyles. The other five versions minimized different combinations of muscle tensions and joint loads. Two of these versions produced joint force directions compatible with the shapes of condyles. Both minimized total muscle tension plus the (vertical) joint load on the back of the condyle. The results suggest that joint mechanoreceptors (probably non-directional) as well as muscle receptors contribute to the neuromuscular control of bite forces. Our results are consistent with some recent observations [Marshall and Tatton, Exp. Brain Res. 83, 137-150 (1990)] of the cat knee joint.

Biomechanical Phenomena↗
PubMed1983

Analysis of jaw movements in patients with temporomandibular joint click.

Although TMJ click is common, its relationship to subjective and objective evaluation and the position of the click within the envelope of motion is not fully understood. This study attempted to correlate these entities in 21 patients. Although specific conclusions are difficult to make from this study, the findings suggest the following: The most important etiologic factors in the click are bruxism, clenching, an occlusal slide from centric relation to centric occlusion of more than 1 mm, and lateral deviation. The most important clinical sign of TMJ clicking is palpable soreness in the lateral pterygoid and temporal muscles. Over 50% of patients with a click have bilateral click. A click occurs least often in retruded closing movement (7%) and most often in habitual movement (37%). Although it appears that closure in the retruded position may avoid click, further evaluation of the presence of click in retruded opening movement is indicated. A mean mandibular lateral deviation of 2.2 mm anteriorly is observed at the time of click.

Adult↗
PubMed1990

Treatment of myofascial pain-dysfunction syndrome with occlusal equilibration.

Fifty-three patients with a diagnosis of chronic myofascial pain-dysfunction syndrome were treated with occlusal equilibration to establish complete anterior guidance. In approximately 5 to 7 days after treatment, most myofascial pain dysfunction symptoms disappeared and complete symptom resolution was usually attained within 3 weeks. The common symptoms all patients had were (1) pain and fatigue in the masseter and temporal muscles, (2) nocturnal bruxism, (3) jaw tension on waking up, and (4) difficulty chewing some foods. All patients had an absence of true anterior guidance with molar interferences in all excursive movements. Many patients had previously undergone orthodontic therapy and had "ideal" vertical tooth relationships. Treatment consisted of occlusal equilibration to remove all posterior interferences and establish anterior guidance. Three appointments, 1 week apart, were alloted for treatment. Major symptom reduction occurred after the first appointment. Four-year follow-ups reveal no recurrence of chronic symptoms after treatment completion.

Adolescent↗
PubMed1980

Further histochemical studies on masticatory muscles.

This paper describes a histochemical and histographic analysis of the masticatory muscles obtained from 78 early autopsy samples from subjects from 4 days to 87 years old. Five groups of muscles have been stuied: the temporalis, the medial and lateral pterygoid, the superficial bundle of the masseter and the mylohyoideus. All adult muscles have consistently shown a markedly increased number oftype II fibres and a disparity in the size of the two main fibre types, the average diameter of type II fibres being about half that of type I fibres. Fibres of intermediate size and stain were observed with myofibrillar ATPase at pH 9.40. A negative relation between the percentage of type II fibres and intermediate fibres was found, but not between the percentage of type I fibres and of intermediate fibres. Another negative relation was found between the number and the size of type II fibres, again not present in type I nor in intermediate fibres. In children, from 6 days old, an increased number of type II fibres and a definite disparity in the size of the two main fibre types were found. Intermediate fibres were present on the 17th day. Up to the age of 13 years, their diameter was greater than that of type I fibres. The analysis of the distribution and size modifications of the various fibre types seems to indicate a progressive adaptation of the masticatory muscles. This adaptation of the fibres to the successive reactions and to the various movements of the masticatory system is then discussed.

Adaptation, Physiological↗
PubMed1984

Moyamoya disease associated with bilateral occlusion of the vertebral artery.

An unusual case of moyamoya disease associated with bilateral occlusion of the vertebral artery is reported. This case shows several embryologic collateral channels, which are typical of moyamoya disease, around the brainstem, that is, a transdural anastomosis between the superior cerebellar artery and the posterior meningeal artery, a leptomeningeal anastomosis between the superior cerebellar artery and the posterior inferior cerebellar artery, and moyamoyalike collateral vessels via primitive lateral anastomotic channels of Padget . Bilateral encephalomyosynangiosis (temporal muscle graft) were performed. Postoperatively, no ischemic attacks have developed for 6 years.

Adolescent↗
PubMed1993

Changes in cranial and rectal temperature, blood pressure and arterial blood gas during and after unilateral and bilateral forebrain ischemia in Mongolian gerbils.

Transient forebrain ischemia was produced by occluding the common carotid arteries, either unilaterally or bilaterally, in Mongolian gerbils under halothane anesthesia. After 20-min ischemia, the cranial temperature measured in the temporal muscle decreased compared to the preischemic level, the decrease being larger after the bilateral than after the unilateral occlusion. After recirculation, cranial temperature recovered promptly to the preischemic level in the unilateral group, while it was elevated to above the preischemic level in the bilateral group. The rectal temperature also decreased with a similar time course. During 30-min ischemia, the blood pressure of both groups increased to above the preischemic level, the increase being larger in the bilateral group than in the unilateral group. After recirculation, blood pressure of the unilateral group recovered promptly to the preischemic level, while that of the bilateral group decreased to below the preischemic level. When forebrain ischemia was produced immediately after cessation of halothane inhalation, blood pH, PaO2 or PaCO2 did not change significantly from the control level. However, these values showed larger variation in the bilateral group than in the unilateral group. Unilateral occlusion in preselected gerbils provided a good model of transient brain ischemia, giving rise to uniform experimental results.

Animals↗
PubMed1995

A case of isolated pure trigeminal motor neuropathy.

Isolated trigeminal neuropathy after cranial trauma is exceptional. A 40-year-old woman was found to have unilateral trigeminal motor paralysis with muscle atrophy, unaccompanied by sensory involvement and without affecting other cranial nerves. She developed this deficit immediately after head trauma.

Adult↗