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Sensitivity of the jaw-jerk reflex in patients with myogenous temporomandibular disorder

Identifieur interne : 00A238 ( Main/Exploration ); précédent : 00A237; suivant : 00A239

Sensitivity of the jaw-jerk reflex in patients with myogenous temporomandibular disorder

Auteurs : F. Lobbezoo [Pays-Bas] ; H. W. Van Der Glas [Pays-Bas] ; A. Van Der Bilt [Pays-Bas] ; R. Buchner [Pays-Bas] ; F. Bosman [Pays-Bas]

Source :

RBID : ISTEX:7988D22C186E3DEED922DC6593420C3170FCECFC

English descriptors

Abstract

Abstract: Changes in the activity of human jaw-elevator muscles related to the mandibular stretch (jaw-jerk) reflex could be involved in the aetiology of temporomandibular disorders (TMD). In order to investigate whether there are differences in the sensitivity of the jaw-jerk reflex between myogenous TMD patients (n = 10) and gender- and age-matched controls (n = 10), jaw-jerk reflexes were elicited under standardized conditions. By measuring the reflex with bipolar surface electromyography (EMG), reflex sensitivity was determined from relations between reflex amplitude and jaw displacement from the masseter and the anterior temporalis muscles. Reflex amplitude and background EMG activity were normalized with respect to the maximal voluntary contraction (MVC) to correct for differences in the thickness of soft tissues overlying the muscle or in electrode placement. In addition to normalization with respect to MVC, for the patients, normalization was also applied with respect to a MVC that was scaled by multiplying values by the ratio of the mean MVC of controls to the mean MVC of patients. At a constant level of background EMG activity, the reflex sensitivity can be determined from the slope (reflex gain) and x-intercept (reflex threshold) of the reflex amplitude-jaw displacement relation. No significant differences between patients and controls were found for the gain or threshold values of either the masseter or the anterior temporalis muscles with a univariate analysis of variance. It is concluded that jaw-jerk reflex sensitivity is not significantly changed in myogenous TMD patients. Therefore, the fusimotor system probably does not play a part in the perpetuating myogenous TMD.

Url:
DOI: 10.1016/0003-9969(96)00018-0


Affiliations:


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<term>Anterior temporalis</term>
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<term>Arthrogenous factors</term>
<term>Background activity</term>
<term>Background level</term>
<term>Background muscle activity</term>
<term>Bipolar surface electrodes</term>
<term>Bosman</term>
<term>Bottom trace</term>
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<term>Clenching efforts</term>
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<term>Clenching levels</term>
<term>Computer program</term>
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<term>Data points</term>
<term>Denture prosthetics</term>
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<term>Disorder</term>
<term>Displacement relation</term>
<term>Displacement relations</term>
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<term>Displacement transducer</term>
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<term>Interaction effects</term>
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<term>Linear regression analysis</term>
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<term>Lund</term>
<term>Mandibular</term>
<term>Mandibular displacement</term>
<term>Masseter</term>
<term>Masseter muscles</term>
<term>Masticatory muscles</term>
<term>Maximal</term>
<term>Mild signs</term>
<term>Motoneurones</term>
<term>Muscle afferents</term>
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<term>Myogenous temporomandibular disorders</term>
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<term>Null hypothesis</term>
<term>Oncoming stimuli</term>
<term>Oral pathophysiology</term>
<term>Oral rehab</term>
<term>Participant</term>
<term>Participant group</term>
<term>Patient group</term>
<term>Postural activity</term>
<term>Present study</term>
<term>Previous studies</term>
<term>Previous study</term>
<term>Reflex</term>
<term>Reflex amplitude</term>
<term>Reflex displacement relation</term>
<term>Reflex displacement relations</term>
<term>Reflex gain</term>
<term>Reflex sensitivity</term>
<term>Reflex threshold</term>
<term>Side effect</term>
<term>Signal processing</term>
<term>Significant differences</term>
<term>Slope value</term>
<term>Slope values</term>
<term>Soft tissues</term>
<term>Spontaneous activity</term>
<term>Square root</term>
<term>Standardized conditions</term>
<term>Surface electrodes</term>
<term>Surface recording electrodes</term>
<term>Temporalis</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Temporomandibular dysfunction</term>
<term>Threshold values</term>
<term>Transient mandibular load</term>
<term>Univariate analysis</term>
<term>University press</term>
<term>Utrecht university</term>
<term>Various muscles</term>
<term>Visual feedback</term>
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<div type="abstract" xml:lang="en">Abstract: Changes in the activity of human jaw-elevator muscles related to the mandibular stretch (jaw-jerk) reflex could be involved in the aetiology of temporomandibular disorders (TMD). In order to investigate whether there are differences in the sensitivity of the jaw-jerk reflex between myogenous TMD patients (n = 10) and gender- and age-matched controls (n = 10), jaw-jerk reflexes were elicited under standardized conditions. By measuring the reflex with bipolar surface electromyography (EMG), reflex sensitivity was determined from relations between reflex amplitude and jaw displacement from the masseter and the anterior temporalis muscles. Reflex amplitude and background EMG activity were normalized with respect to the maximal voluntary contraction (MVC) to correct for differences in the thickness of soft tissues overlying the muscle or in electrode placement. In addition to normalization with respect to MVC, for the patients, normalization was also applied with respect to a MVC that was scaled by multiplying values by the ratio of the mean MVC of controls to the mean MVC of patients. At a constant level of background EMG activity, the reflex sensitivity can be determined from the slope (reflex gain) and x-intercept (reflex threshold) of the reflex amplitude-jaw displacement relation. No significant differences between patients and controls were found for the gain or threshold values of either the masseter or the anterior temporalis muscles with a univariate analysis of variance. It is concluded that jaw-jerk reflex sensitivity is not significantly changed in myogenous TMD patients. Therefore, the fusimotor system probably does not play a part in the perpetuating myogenous TMD.</div>
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