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PubMed2000

Human lateral pterygoid muscle activity on the return phase of contralateral and protrusive jaw movements.

Normal function of the lateral pterygoid muscle is not well understood. The principal aim of this study was to determine whether there is a progressive decrease in lateral pterygoid activity as the condyle moves posteriorly and superiorly during the return phase of a contralateral or protrusive jaw movement, as would be expected if the muscle is involved in controlling or stabilizing the condyle during the return phase of these movements. In seven humans, electromyographic activity was recorded in the superior (SHLP) and inferior (IHLP) heads of the lateral pterygoid, the masseter, anterior temporal, posterior temporal and submandibular group of muscles, together with condylar movement, during contralateral and protrusive jaw movement. In most individuals, there was a progressive decrease in rectified and smoothed IHLP activity in relation to condylar movement during the return phase of contralateral and protrusive jaw movement. However, this pattern usually was not seen when SHLP activity was studied in relation to condylar movement. Further, there was a high correlation coefficient between condylar displacement and the rectified and smoothed IHLP and anterior temporal muscle activities during the return phase of contralateral or protrusive jaw movement, while SHLP presented a much lower correlation. For example, the mean (+/-SD) correlation coefficient between posterior condylar movement (along anteroposterior axis) and IHLP activity during the return phase of a protrusive jaw movement was -0.73+/-0.36 (for contralateral movement: -0.71+/-0.56), for the anterior temporal 0.69+/-0.21 (contralateral: 0.81+/-0.09), and for the submandibular muscles, -0. 77+/-0.15 (contralateral: -0.34+/-0.71). For the SHLP, masseter and posterior temporal, values were -0.34+/-0.61 (contralateral: -0. 48+/-0.37), -0.24+/-0.57 (contralateral: 0.16+/-0.80), and 0.16+/-0. 77 (contralateral: 0.64+/-0.14), respectively. These findings suggest an important role for the IHLP and anterior temporal in controlling the movement of the condyle to the glenoid fossa on the return phase of contralateral and protrusive jaw movements. Further studies are needed to clarify the function of the lateral pterygoid muscle during these and other jaw movements.

Adult↗
PubMed1997

Neural repair in facial paralysis: clinical and experimental studies.

Acute facial nerve injuries involving the total facial nerve (n = 202) and its segmental branches (n = 63) were repaired with a variety of neural (n = 225) and myofascial transfer (n = 40). A system for evaluating results based on facial symmetry and tone at rest, recovery of voluntary mimetic activity, synkinesis, and recovery of selective function in discrete facial nerve divisions is presented. The best results were achieved with immediate direct end-to-end neural-epineural anastomotic repairs. The least favorable results were seen with myofascial transpositions and long extratemporal rerouted autologous nerve grafts. A series of tissue culture and animal experiments were used to examine structural changes in neural repair. The requirements for successful motoneuron regeneration, causes of synkinesis and methods for nerve stump coaptation are elucidated. Tubulation experiments demonstrated the need for neurotrophic and neuropromotive factors. Problems associated with the use of autologous nerve grafts are discussed.

Anastomosis, Surgical↗
PubMed2002

Hypnorelaxation as treatment for myofascial pain disorder: a comparative study.

BACKGROUND: Hypnorelaxation has a potentially beneficial effect in the treatment of masticatory myofascial pain disorders (MPD). However, there are no data regarding the efficacy of hypnorelaxation in the treatment of MPD compared with other accepted modes of treatment (such as occlusal appliance) or with the mere effect of time. OBJECTIVE AND SUBJECTS: The purpose of the present study was to evaluate the effectiveness of hypnorelaxation in the treatment of MPD compared with the use of occlusal appliance and/or to minimal treatment. The study population consisted of 40 female patients with myofascial pain who were allocated to 1 of 3 possible treatment groups: (1) hypnorelaxation (n = 15), (2) occlusal appliance (n = 15), and (3) minimal treatment group (n = 10). RESULTS: Both active treatment modes (hypnorelaxation and occlusal appliance) were more effective than minimal treatment regarding alleviating muscular sensitivity to palpation. However, only hypnorelaxation (but not occlusal appliance) was significantly more effective than minimal treatment with regard to the patient's subjective report of pain on the Visual Analog Scale. CONCLUSION: Hypnorelaxation is an effective mode of treatment in MPD, especially with regard to some of the subjective pain parameters.

Adolescent↗
PubMed2002

Capsaicin-induced muscle pain alters the excitability of the human jaw-stretch reflex.

The pathophysiology of painful temporomandibular disorders is not fully understood, but evidence suggests that muscle pain modulates motor function in characteristic ways. This study tested the hypothesis that activation of nociceptive muscle afferent fibers would be linked to an increased excitability of the human jaw-stretch reflex and whether this process would be sensitive to length and velocity of the stretch. Capsaicin (10 micro g) was injected into the masseter muscle to induce pain in 11 healthy volunteers. Short-latency reflex responses were evoked in the masseter and temporalis muscles by a stretch device with different velocities and displacements before, during, and after the pain. The normalized reflex amplitude increased with an increase in velocity at a given displacement, but remained constant with different displacements at a given velocity. The normalized reflex amplitude was significantly higher during pain, but only at faster stretches in the painful muscle. Increased sensitivity of the fusimotor system during acute muscle pain could be one likely mechanism to explain the findings.

Adult↗
PubMed1990

[A case of long thoracic nerve palsy, with winged scapula, as a result of prolonged exertion on practicing archery].

Reports of isolated long thoracic nerve palsy are rare in Japan. We reported a case of isolated long thoracic nerve palsy, resulted from recurrent injury to the nerve. Muscle CT and electrodiagnostic study were useful for confirming diagnosis of this cases. This patient was a student aged 20 years, with nothing of importance in his family or past history. After he started practicing archery, winging of left scapula was gradually developed. Physical examination revealed weakness and atrophy of left serratus anterior muscle. There was no wasting and weakness of other should girdle muscles. Hematochemical tests were normal, except slight hyperthyroidism. Radiography and myelography of the cervical spine were normal. Muscle CT of upper thoracic level demonstrated atrophy of left serratus anterior muscle, and no abnormality were found in other muscles. Electromyogram of the left serratus anterior revealed discrete activity of reduced amplitude, and fibrillation potentials and positive sharp waves. Conduction time for left long thoracic nerve was prolonged, and amplitude of the evoked response was small and there were temporal dispersion. Muscle CT and electrodiagnostic studies were suggestive of neuroapraxia of left long thoracic nerve. Over stretching or compression during exercises may be responsible for the damage to the long thoracic nerve.

Adult↗
PubMed1992

Recurrent odontogenic keratocyst within the temporalis muscle.

Recurrence following treatment of odontogenic keratocysts is not infrequent. However, recurrence within soft tissues is rarely reported. A case of an odontogenic keratocyst recurring within the temporalis muscle is described with a brief review of the literature concerning cyst recurrence.

Humans↗
PubMed1998

Isolated unilateral temporalis muscle hypertrophy. A case report.

A case of isolated unilateral temporalis muscle hypertrophy is presented. A review of the literature revealed only one report of temporalis hypertrophy, probably caused by psychogenic muscle hyperactivity. The temporalis muscle hypertrophy in the patient described was idiopathic and its management was surgical.

Adolescent↗
PubMed1994

Spatial and temporal features of recurrent facilitation among motoneurons innervating synergistic muscles of the cat.

1. The temporal features and strength of recurrent facilitatory potentials were examined in pairs of lumbosacral motoneurons that were separated by a known distance and were identified by antidromic stimulation of muscle nerves. One motoneuron was stimulated by injecting depolarizing current pulses, and responses were recorded in the second motoneuron. The distance between motoneurons in pairs was also measured to assess the spatial distribution in strength of recurrent facilitation in motor pools. All motoneurons in these pairs innervated muscles that act as hip or ankle extensors. 2. Recurrent facilitatory potentials were found frequently among motoneurons innervating the hindlimb extensor muscles examined. Several categories of recurrent facilitatory responses were identified. One category was composed of facilitation responses that followed an inhibition response. A second category was composed of facilitation responses that were not preceded by a significant inhibition and consisted of a monophasic response. There was a considerable range of latencies in this category. 3. Responses in which recurrent facilitatory potentials were preceded by recurrent inhibitory postsynaptic potentials (RIPSPs) among close motoneuron pairs demonstrated an inverse correlation between the durations of the facilitatory and the inhibitory phases. In addition, the duration of inhibition responses without facilitation was longer on average, than the duration of inhibitory responses that were followed by facilitation. It was suggested that recurrent facilitation may restrict the time course of RIPSPs. 4. In contrast to the topographic distribution of RIPSPs described in the previous report, amplitudes of monophasic facilitations were directly correlated with the distance separating motoneurons in pairs, rather than inversely correlated as was the case for RIPSP amplitudes.(ABSTRACT TRUNCATED AT 250 WORDS)

Afferent Pathways↗
PubMed2001

Differential expression of myosin heavy-chain mRNA in muscles of mastication during functional advancement of the mandible in pigs.

Surgical and orthodontic treatment of retrognathia aims to improve orofacial function by adaptation and training of muscle capacity, which is connected with a change in muscle fibre-type proportions. The aim here was to analyse the proportion of myosin-heavy chain (MyHC) gene expression in type I (slow twitch/ST) and type IIb (fast twitch/FT) fibres during sagittal advancement of the mandible by reverse transcriptase-polymerase chain reaction (RT-PCR). The experiments were carried out on 10-week-old pigs (six test animals, six controls) over a 28-day period. Six pigs were fitted with acrylic bite blocks for sagittal advancement of the mandible. Tissue was taken from seven different regions of the masseter, temporal, medial pterygoid, and geniohyoid muscles. The 84 samples were used for histological fibre differentiation with ATPase staining and for isolation of total RNA. To measure the two MyHC isoforms, RT-PCR (in a single tube reaction with MyHC I, MyHC IIb, and GAPDH primers) was used. A significant increase was registered in the percentage of ST fibres and in mRNA from MyHC I in the anterior region of the masseter and in the posterior region of the temporal muscle of the treated animals. The proportion of ST fibres to FT fibres was increased by up to 12% after functional advancement of the mandible. The histological findings corresponded with the data for fibre mRNA generated by RT-PCR.

Acrylic Resins↗
PubMedDate not supplied

Modulation of mastication during experimental loosening of complete dentures.

PURPOSE: Suction is achieved when complete dentures are first fitted, but it fades during the months following insertion, when it is increasingly complemented by muscular denture control. The aim of this study was therefore to investigate the extent to which patterns of mastication are altered by experimental failure of physical retention. MATERIALS AND METHODS: Seven edentulous volunteers had maxillary replica dentures made, with fine tubes incorporated so that alternating positive and negative air pressure could be generated under the fitting surface. Mandibular movements, EMG, and pressure under the denture base were recorded during unilateral chewing. RESULTS: The change of physical retention passed undetected by all subjects; they continued chewing apparently undisturbed. However, during air injection, the mandibular excursions were slightly slower (nonsignificant) and demonstrated a reduced variance (P < or = .05). The muscle activity showed significantly longer bursts (P < or = .05), and peak activity occurred later in the cycle (nonsignificant). CONCLUSION: Sudden failure of denture retention seems to initiate an immediate and effective modulation of centrally generated muscular activity patterns.

Aged↗
PubMed1984

[Temporal arteritis with necrotizing angiitis of the muscles].

A 71 year old woman with typical giant-cell arteritis experienced myalgia of the legs immediately at the end of steroid therapy, 3 months after the onset of her illness. Muscle biopsy showed a focal necrotising panarteritis whereas the muscular fibres remained unchanged. The patient is now asymptomatic after 3 years' follow-up on prednisolone therapy (10 mg per day). This case demonstrates that giant cell arteritis can also involve the muscular arteries.

Aged↗
PubMed2001

Reaching-lifting-placing task during standing after stroke: Coordination among ground forces, ankle muscle activity, and hand movement.

OBJECTIVE: To investigate the coordination among hand movement, ground forces, and muscle activity in standing stroke patients reaching forward and lifting an object from a table. DESIGN: Survey. SETTING: Research laboratory. PATIENTS: Eight stroke patients and 8 persons serving as controls. MAIN OUTCOME MEASURE: Symmetry of percentage of body weight (BW) during initial standing, velocity and hand path trajectory, ankle muscle electromyography. Temporal and spatial parameters in percentage of movement time were recorded by using 2 forceplates, 3-dimensional kinematics, and surface electromyography. Motor function, sensory function, and functional performance were also assessed. RESULTS: Weight distribution during initial standing was significantly higher (57.4% +/- 8.1% BW) on the nonparetic leg. All subjects had preserved the preparatory loading phase, and after onset of hand movement loading shifted to the contralateral leg. Ankle muscle activity onset (lateral gastrocnemius [LG]) occurred after loading. In stroke subjects, LG was consistently activated first in the nonparetic leg, regardless of which arm performed the task. During paretic hand task, the reaching phase was significantly longer and the lifting phase significantly shorter compared with that of the nonparetic hand task and with that of the controls. In the paretic task, the hand path velocity was not bell-shaped; the object lifting was. CONCLUSIONS: Stroke subjects preserve the coordination between ground forces and hand movement. The lack of spontaneous use of the paretic hand is primarily caused by difficulties of planning the hand trajectory in space, as reflected by temporal and spatial parameters during task performance.

Activities of Daily Living↗
PubMed2003

Motor imagery of phasic thumb abduction temporally and spatially modulates corticospinal excitability.

OBJECTIVE: To explore the spatial and temporal characteristics of the modulation of corticospinal and segmental excitability during actual and imagined movement of a single digit. METHODS: Using transcranial magnetic stimulation (TMS), motor evoked potentials (MEPs) were evoked in abductor pollicis brevis (APB) and abductor digiti minimi (ADM) of the dominant hand in 8 subjects, while they either rested, isometrically contracted their thenar muscles in time with a 1 Hz metronome, or imagined doing so. Magnetic stimuli were delivered during the 'on' and 'off' phases of the real and imagined movements. F waves were also recorded from APB and ADM under rest and motor imagery conditions. RESULTS: It was found that both motor imagery and actual movement produced a muscle-specific, temporally modulated increase in corticospinal excitability during the task. The evidence of F-wave modulation was inconclusive. CONCLUSIONS: These results lend further support to the notion that actual movement and motor imagery modulate corticospinal excitability in a similar manner, primarily at the supraspinal level. SIGNIFICANCE: Motor imagery and actual movement appear to modulate motor cortex excitability with a similar degree of spatial and temporal resolution, which supports the use of motor imagery in the rehabilitation of motor function.

Adult↗
PubMed1992

The origin of the temporalis muscle flap.

This paper explores the origin of the temporalis muscle flap which has been attributed to Golovine, a Moscow ophthalmic surgeon, who described a forehead skin transposition flap. Small temporalis muscle transpositions were used in surgery for TMJ ankylosis, but the use of the majority of the muscle for reconstruction of facial defects was first described by Sir Harold Gillies during the 1914-18 war.

History, 19th Century↗
PubMed1996

Modification of the standard pterional approach for aneurysms of the anterior circle of Willis.

A modification of the standard pterional approach for aneurysms of the anterior circulation is described. Our technique utilizes a smaller curvilinear skin incision, splitting the temporalis and a limited craniectomy. Reduced tissue dissection results in a smoother postoperative course and improves cosmesis without compromising neurological recovery. Minimal brain retraction is required as the technique allows the surgeon to make full use of the basal opening without temporalis muscle obscuring the view.

Aneurysm, Ruptured↗