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Inhibition of motor unit firing during experimental muscle pain in humans.

Electromyographic activity was recorded in the masseter muscle to investigate whether the firing characteristics of single motor units (SMUs) were affected by muscle pain. Capsaicin was injected into the masseter to induce pain. The interspike interval (ISI) and recruitment threshold of SMUs were measured while subjects performed isometric contractions at 5, 7.5, 10, 15, and 20% of maximum voluntary contraction. All subjects were able to maintain a stable isometric force during pain, but the mean ISI was significantly increased without changing the recruitment threshold. In all the experimental conditions, the firing frequency increased with increasing force, and SMUs recruited at low force fired at higher rates for all force levels. These results suggest that acute stimulation of nociceptive muscle afferents inhibits SMU activity without changing recruitment order in the homonymous muscle.

Action Potentials↗

Traumatic myositis ossificans in masticatory muscles.

3 cases of traumatic myositis ossificans circumscripta, located within the masticatory muscles are presented. Two of the lesions involved the masseter muscle, and exceptionally, 1 involved the temporalis muscle. Three pathognomonic histological zones, permitting the differential diagnosis of myositis ossificans from sarcomatous lesions, are described, and treatment incorporating ideally early surgical intervention with wide excisional biopsy of the lesion is stressed.

Adolescent↗

The volume of muscles of mastication in patients receiving mandibular contouring surgery: a comparative study.

PURPOSE: As the management of prominent mandibular angle and masseter muscle hypertrophy becomes increasingly popular, proper understanding of the volumetric component of the related structures becomes important but is currently lacking. MATERIALS AND METHODS: Three-dimensional computed tomographic (CT) scans of 18 female and eight male adult patients with square-face appearance were used for volumetric measurement of the osseous hemi-mandible, masseter, medial and lateral pterygoid muscles. CT scans of 28 female and 17 male adult patients without square-face appearance were selected from the imaging laboratory archive to serve as controls. RESULTS: Compared with the sex-matched controls, the square-faced patients had significantly higher volume of the osseous hemi-mandible as well as the masseter and medial pterygoid muscles. There was no significant difference in the volume of the lateral pterygoid muscle between the two groups. This study confirms a significantly greater volume in the osseous mandible and masseter muscle in patients complaining of square-face appearance. The implication of this information on treatment is discussed.

Adult↗

Heteronymous H-reflex in temporal muscle motor units.

An electric stimulation of the masseteric nerve elicits a heteronymous H-reflex in the temporal muscle. The characteristics of this reflex response were investigated by analysis of the firing probability changes of single motor units. Eleven healthy subjects participated in the experiments. The heteronymous H-reflex of the temporal muscle was electrically elicited by stimulation of the masseteric nerve at 120% of the intensity needed for the maximal masseteric M-wave. From 8 to 24 motor units were sampled from the temporal muscle of each subject. Peri-stimulus time histograms of motor unit recordings were built with a 0.5-ms bin width. The mean firing probability was calculated for the 20 ms preceding the stimulus. The firing probability was considered increased when it exceeded the mean by 3 standard deviations. Of 104 sampled motor units, 40 motor units showed a significant increase of the firing probability, which lasted 1 ms or less in 29 of them. In 12 out of 16 motor units, a significant increase of firing probability also persisted at a lower stimulation intensity (120% of the threshold needed to elicit a masseteric M wave). These data indicate that: (1) some temporal muscle motor units are modulated by afferents from the masseter muscle, (2) the heteronymous H-reflex has a monosynaptic component, and (3) there might be a more complex than just monosynaptic organization serving the heteronymous temporal H-reflex. For the latter conclusion regarding synaptic wiring, however, PSTH studies like the present one can offer only indirect evidence, and this question could be better studied in animals.

Adult↗

Turns and averaging as static and dynamic measures of masseter EMG activity.

Surface EMG records from human masseter muscles were analyzed at various fractions of the maximum voluntary contraction (MVC). Frequencies of turns, or reversals of signal direction, and integrated or average rectified values were compared as quantitative measures of this type of data. Averaged signals were useful for within-study comparisons or for revealing dynamic changes in EMG during excitation or inhibition. However, averaged values depend strongly on signal amplitude (and thus on electrode characteristics and muscle size), and are not easily transferable between studies. Turns frequencies increased with contraction up to 75% MVC, and were less dependent on signal amplitude than were averages. Turns frequencies may thus be useful for quantitative comparisons between studies or between different muscles.

Arm↗

Influence of balanced occlusion and canine guidance on electromyographic activity of elevator muscles in complete denture wearers.

Electromyographic recordings were made from the anterior temporal and masseter muscles during maximal voluntary clenching with complete dentures in the intercuspal position and in the laterotrusive jaw position with balanced occlusion and canine guidance. The different pattern of activity of the two muscles in the laterotrusive occlusal schemes studied suggests that their motoneuron pools receive different inputs. The lower activity in both muscles with canine guidance suggests that canine guidance may be a significant factor for preventing parafunctional activity in edentulous patients.

Aged↗

Symmetry of mandibular muscle activity as an index of coordinative strategy.

Electromyographic activity of bilateral mandibular muscle pairs in humans was studied during several tasks: mastication, voluntary oscillation of the jaw, and speech production, as a replication and extension of an earlier investigation by Moore, Smith, and Ringel (1988). The synchrony of activity within and across these paired muscles (masseter, medial pterygoid, and the anterior belly of the digastric) was evaluated by statistical comparison of zero-lag cross-correlation coefficients between all possible pairs. Paired comparisons were classified and combined according to anatomical and biomechanical properties into comparisons of homologous pairs (e.g., synchrony of activity in right masseter with left masseter), ipsilateral synergists (e.g., right masseter with right medial pterygoid), contralateral synergists (e.g., right masseter with left medial pterygoid), ipsilateral antagonists (e.g., right masseter with right digastric), and contralateral antagonists (e.g., right masseter with left digastric). Statistical comparison of the coactivation within muscle groups (across tasks) and across these muscle groups (within tasks) revealed significantly different groups of coactivated groups for each of the three tasks studied. The grouping of these muscles into coactivated groups always included homologous pairs among those most synchronously active. During mastication, homologous pairs and ipsilateral synergists were coactivated to a degree significantly greater than either of the antagonistic groups or the contralateral synergists. During voluntary oscillation of the jaw, coactive muscle groups were shown to be primarily the homologous pairs; synergists were coactivated to a significantly lesser degree, and antagonistic muscles were reciprocally active. During speech production, only homologous pairs emerged as a highly coactive group, although synergists and antagonistic pairs were coactive to a lesser degree. This finding was interpreted as a further indication of the coordinative plasticity among mandibular muscles, and as a demonstration of the vast differences in the apparent coordinative strategies for speech and nonspeech tasks. Speculation regarding the root of these differences is focused on the differences in kinematic and force-generating requirements of each task.

Adult↗

Symptoms and signs of temporomandibular disorders in patients with fibromyalgia and local myalgia of the temporomandibular system. A comparative study.

Symptoms and signs of temporomandibular disorders (TMD) in 46 patients were investigated and compared with those in 20 healthy individuals. Twenty-three patients had fibromyalgia (FM) and 23 had local myalgia (LM). Facial pain was assessed with a visual analogue scale, and a clinical examination was performed, including maximum voluntary mouth opening, temporomandibular joint sounds, tenderness to digital palpation in the masticatory muscles, pressure pain threshold and tolerance level of the superficial masseter muscle, intramuscular temperature, and maximum voluntary bite force. There was a difference in the number of tender muscles between the groups. Pressure pain threshold and tolerance levels were lower in the FM than in the LM group, whereas both showed lower values than a control group (C). The intramuscular temperature and maximum voluntary mouth opening were lower in the patient groups than in the C group. TMJ sounds showed a difference between all three groups. In conclusion, this study shows that FM patients frequently have TMD and indicates several differences between patients with FM and LM with regard to clinical variables.

Adult↗

Acute bilateral trigeminal neuropathy associated with nervous system lymphosarcoma in a dog.

A nine-year-old dog presented with clinical signs consistent with bilateral trigeminal neuropathy. Multicentric lymphoma was diagnosed, and neoplastic lymphocytes were identified in the cerebrospinal fluid. Electromyography revealed spontaneous activity in temporal and masseter muscles. Histopathological examination demonstrated neoplastic cell invasion of temporal and masseter myofibers and of multiple peripheral nerves, including the trigeminal nerve. Central nervous system pathology consisted primarily of spinal root and leptomeningeal lymphoid cell infiltration with relative sparing of spinal cord and brain parenchyma.

Animals↗

Functional relationships between the masseter and sternocleidomastoid muscle activities during gum chewing:.

The purpose of this study was to investigate the functional relationship between masseter muscle (MM) and sternocleidomastoid muscle (SCM) activities and between mandibular and head movements during mastication, under experimental muscle fatigue. The sample consisted of 12 adults with individually normal occlusion. The subjects were asked to chew gum at three different times: before maximum clenching, immediately after maximum clenching, and 3 minutes after maximum clenching. At these times, we examined the activity of the MM and SCM as well as the movement of the mandible and head. The activity and movement were simultaneously measured using both electromyography and the motion capture system. The MM activity time after clenching was significantly shorter than that before clenching, whereas the SCM activity time was significantly longer after clenching. There was no significant difference in the changes of three-dimensional distance of the mandibular movement between the respective times. On the other hand, the changes in the three-dimensional distance of head movement after clenching increased when compared with before clenching. Furthermore, the difference in the time of MM and SCM activity onset and of mandibular and head movement onset after clenching was shorter than that before clenching. A functional relationship exists between the MM and SCM activities and between mandibular and head movements during mastication.

Adult↗

Malocclusion and masticatory muscle activity: a comparison of four types of malocclusion.

Electromyographic activities of the temporalis and masseter muscles during mastication were measured in patients who visited this clinic for orthodontic treatment of progenia. The results obtained were compared with those previously obtained in patients with other types of malocclusion and relationships between types of malocclusion and activities of the masticatory muscles were examined. Several interesting results were obtained, including: 1) the muscle activities were significantly higher in patients with deep bite than in patients with any other types of malocclusion and 2) inefficient mastication patterns, evidenced by higher temporalis muscle activities on the balancing side than on the working side, were most frequently observed in patients with edge bite. These results indicate that the clinical evaluation of masticatory muscle activities may be useful in improving orthodontic treatment and in determining a proper retention period after the treatment. The results also suggest that orthodontic treatment should include some type of dynamic myofunctional therapy in addition to the correction of static structural abnormalities.

Child↗

[Frequency spectrum and integral value of electromyographic recordings of the masseter and temporal muscles in correlation with muscle length].

In 15 children and 15 adults the influence of muscle length on the EMG-recordings of the anterior temporal and superficial masseter muscles was investigated. Myoelectric activity was measured by surface electromyography during maximal clenching in habitual occlusion. The quantitative EMG analysis was performed by means of a computer program which allowed calculation of a) the integrated value and b) the mean frequency of the power spectrum (MPF) from the raw signal after Fourier transformation. Muscle length was determined with the aid of lateral cephalometric films. Using a correlation analysis this investigation revealed the following results: Under standardized functional conditions short muscles work with a higher activity and a higher MPF than long muscles. In children as well as in adults muscle activity and MPF show close negative correlations with the parameter "muscle length". These relations are directly proportional.

Adult↗

Influence of the sagittal advancement of mandibulae on myofibrillar ATPase activity and myosin heavy chain content in the masticatory muscles of pigs.

Endurance muscle stress leads to polymorphic expression of myosin heavy chains (MyHC). Histochemical and electrophoretic analyses were performed on different masticatory muscles (masseter, temporal, geniohyoid and medial pterygoid) of 10 weeks old pigs after 28 days of chronic sagittal advancement of the mandibulae. The differentiation between fiber types was investigated histochemically with the myofibrillar ATPase (mATPase) method and by immunohistochemistry. Expression of different MyHC isoforms was also assessed by means of immunoblotting with monoclonal antibodies. The results of both methods were compared. Chronic sagittal advancement of the mandibulae led to an increase in the cross-sectional area of type I fibers and type I MyHC in the anterior part of the masseter, the distal part of the temporal and the medial pterygoid muscle. In the present study, clear differentiation between type I and type II muscle fibers in all histological analyses was possible. However, mATPase classification of subtypes of type II fibers may lead to misinterpretations. Additionally, a direct correlation between the type I MyHC concentration and the type I fibers was seen in enzyme histochemical and immunohistochemical staining. The defined cross section of fibers is important for the histological investigation in small muscles. The immunoblot method seems to be more sensitive and less subjective for measurement of muscle changes. It can be concluded that the immunoblot method used for measuring the MyHC content is a valid alternative for fiber typing in small muscles as it is less time-consuming and more sensitive than qualitative histochemistry.

Adenosine Triphosphatases↗

Characterization of human oro-facial and masticatory muscles with respect to fibre types, myosins and capillaries. Morphological, enzyme-histochemical, immuno-histochemical and biochemical investigations.

This study provides a comparative characterization of four human oro-facial muscles, one masticatory muscle (the masseter) and two limb muscles, with respect to muscle fibre types, myosin isoforms and capillary supply. Enzyme-histochemical methods were used to evaluate the myofibrillar ATPase fibre type composition. Immuno-histochemical techniques were used to determine the expression of myosin heavy chain (MHC) isoforms in the different fibre types. The contents of MHCs and myosin light chains (MLC) in different muscles were analysed with electrophoretic methods. In addition, the capillary bed of the muscles was evaluated using both enzyme- and immuno-histochemical techniques. The fibre type compositions of the oro-facial and masseter muscles were found to be qualitatively and quantitatively different from each other and from those of limb muscles. In general, the oro-facial muscles contained a predominance of unusually high oxidative type II fibres, with a staining reaction for ATPase in between that of type IIA and type IIB fibres, termed type IIAB. In fact, one of the oro-facial muscles, the zygomatic minor, showed the highest type II fibre proportion ever reported in humans. This fibre type pattern is in contrast to that of the masseter muscle, which contains a majority of type I fibres, small diameter low oxidative type IIB fibres and a significant proportion of ATPase-intermediately stained fibres, termed IM, and IIC. Inter- and intra-muscular variability in fibre size and shape was considerable in both the oro-facial and masseter muscles. The oro-facial muscles were devoid of muscle spindles. The immuno-histochemical and biochemical analyses showed a characteristic myosin composition of each muscle. Notably, the results indicated the presence of a previously undetected fast MHC isoform in the oro-facial muscles, tentatively termed "fast F". The masseter contained unusual myosin isoforms, such as fetal and alpha-cardiac MHCs, and unique combinations of MHC isoforms which were not found in the limb or oro-facial muscles. The type IM and IIC fibres co-expressed slow and fast A MHCs in the oro-facial and limb muscles, but slow and a "fast B like" MHC in the masseter. Individual fibres in the oro-facial and limb muscles contained one or two MHC isoforms, whereas individual fibres in the masseter co-expressed up to four different MHC isoforms. On the basis of their pattern of expression of MHC isoforms, up to five fibre types could be distinguished in the oro-facial and limb muscles and eight in the masseter.(ABSTRACT TRUNCATED AT 400 WORDS)

Adenosine Triphosphatases↗

Relationships between jaw pain and jaw muscle contraction level: underlying factors and treatment effectiveness.

EMG representations of jaw muscle contraction levels were measured in dental patients with TMJ problems in addition to history and physical evidence of bruxing and clenching, TMJ problems alone, bruxing and clenching, and no pain. Patients with TMJ problems plus bruxing/clenching had EMG levels similar to those with clenching and bruxing problems alone. These levels were far higher than those in the groups with similarly low TMJ problems alone and with no pain. The pain groups were normal for anxiety level and life stress. Although a third of the patients produced a conversion V pattern on the MMPI, no effect was seen on treatment effectiveness. All but a few of the mixed TMJ problem/bruxism/clenching patients and of the bruxism/clenching patients showed considerable reduction in pain through use of treatment oriented toward muscle tension awareness and relaxation. The group with TMJ problems and normal masseter muscle tension made little progress.

Anxiety↗

Masticatory muscle function in patients treated for condylar fractures of the mandible.

The activity of the temporal and masseter muscles and of the upper lip was examined by electromyography in five adults and in five children who had sustained uni- and bilateral fractures of the mandibular condyle. Electromyographic recordings were done in the postural position of the mandible, during maximal bite in the intercuspal and retruded mandibular positions, during chewing and swallowing of peanuts and during swallowing of water. In the children, who were examined on three occasions after the trauma, a reduced muscle activity was found shortly after the trauma, but it had normalized at follow-up examination 1 year after the injury. The adults, who were examined 4-6 years after the trauma, had, in general, normal muscle function. In subjects with a unilateral fracture, no difference in muscle activity was found between the two sides. An enlarged distance between the retruded and intercuspal positions of the mandible did not, in these subjects, seem to influence the muscle activity during the functions studied.

Adolescent↗

Deep thermometry of temporomandibular joint and masticatory muscle regions.

A study was designed to measure noninvasively the deep temperature of the temporomandibular joint (TMJ) region and corresponding regions of the masticatory muscles at rest. With a transcutaneous probe, the deep thermometry of the right and left anterior (Ta) and the posterior portion (Tp) of the temporal muscles, the mid-portion of the superficial belly of the masseter muscles (Mm), and the TMJ regions were measured. In 20 normal male subjects, the deep temperature of the Ta region (mean 36.342 degrees C), the Tp region (mean 36.345 degrees C), and the TMJ region (mean 36.06 degrees C) was higher than that of the Mm region (mean 35.897 degrees C) at rest. In addition, no differences in the deep temperature were observed between the right and left Ta, Tp, Mm, and TMJ regions at rest. All of the normal subjects showed differences between the right and left TMJ region of less than 0.3 degrees C. In 10 patients with craniomandibular disorders, however, eight patients showed differences of more than 0.3 degrees C between the asymptomatic and asymptomatic TMJ region. Because of high sensitivity and specificity, the deep thermometry measurements can provide useful non-invasive information.

Adolescent↗

Myotonic dystrophy: limited electromyographic abnormalities in 2 definite cases.

Two women, aged 37 and 38, with definite myotonic dystrophy are presented. Neither patient had clinical myotonia although both experienced intermittent jaw tightness. Electromyographic (EMG) myotonia was seen only in the masseter muscle in one and in the masseter and flexor pollicis longus muscle in the other patient. The detection rate of EMG-myotonia in clinically normal heterozygotes increases if distal, proximal and cranial nerve innervated muscles are examined.

Adult↗