Palabras clave
Función mandibular, electromiografía, control muscular.
Cómo citar
Regulación voluntaria de la actividad contráctil del músculo masetero en individuos sanos y con trastornos temporomandibulares. Un potencial test diagnóstico. (2019). Odontoestomatología, 19(30), 52-58. https://odon.edu.uy/ojs/index.php/ode/article/view/134
Resumen
El presente trabajo buscó analizar aspectos electrofsiológicos del control voluntario de la actividad contráctil del músculo masetero estudiando una nueva variable, presentada previamente por nuestro grupo. Con este objetivo se realizó un estudio comparativo entre un grupo de voluntarios sanos y
otro de pacientes con trastornos temporomandibulares. Se utilizó un sistema experimental que utilizó retroalimentación visual a tiempo real para controlar el esfuerzo contráctil del músculo masetero y se calculó para cada registro electromiográfco, el tiempo que cada individuo necesitó para controlar la trayectoria de la actividad motora. Los coefcientes de variación y los desvíos estándar fueron diferentes entre los grupos analizados (p< 0.01 y p=0.02 respectivamente). Un coefciente de variación mayor a 0.936 fue encontrado, determinando de esta manera, una especifcidad del 93.7%. Asimismo se verifcó una sensibilidad del 60%. Esta nueva variable mostró un potencial diagnóstico prometedor, con alta especifcidad. Es posible que la sensibilidad pueda aumentarse si se realizan más repeticiones para cada individuo, de modo de analizar mejor el impacto de la dispersión.
Referencias
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9. García Moreira C, Angeles F, et al. Trayectoria de la actividad masetérica durante un esfuerzo isométrico asistido por retroalimentación visual electromiografca en pacientes jóvenes normales. Rev Mex Ing Biomed, 1994; 15 (2): 259-272.
10. Zanotta G, Fernández LI, Barrios J, Kreiner M. Odontoestomatología. 2013; 15 (22): 40-45.
11. Santana Mora U, Cudeiro J, MoraBermùdez MJ, Rilo Pousa B, Ferreira Pinho JC, Otero Cepada JL, Santana Penìn U. Changes in EMG activity during clenching in chronic pain patients with unilateral temporomandibular disorders. J Electromyography Kinesiology. 2009; 19 (6): 543-549.
12. Tecco S, Tetè S, D’Attilio M, Perilloet L, Festa Fal. Surface electromyographic patterns of masticatory, neck and trunk muscles in temporomandibular joint dysfunction patients undergoing anterior repositioning splint therapy. European Journal of orthodontics. 2008; 30 (6): 592-597.
13. Amorim, C; Vasconcelos, F et al. Electromyographic analysis of masseter and anterior temporalis muscle in sleep bruxers after occlusal splint wearing. Journal of Bodywork and Movement Terapies. 2012; 16 (2): 199-203.
14. Ferrario V, Sforza C, D’Addona A, Barbini E. Electromyographic activity of human masticatory muscles in normal Young people. Statistical evaluation of reference values for clinical applications. Journal of Oral rehabilitation. 1993; 20 (3): 271-280.
15. Tartaglia G, Lodetti G, Paiva G, De Felicio CM, Sforza C. Surface electromyographic assessment of patients with long lasting temporomandibular joint disorder pain. 2011; 21 (4): 659-664.
16. Peck CC, Murray GM, Gerniza TM, Tartaglia GM, Dellavia C. How does pain affect jaw muscle activity? Te integrated pain adaptation model. Australian Dental Journal. 2008; 53 (3): 201-207.
17. Ferrario V, Sforza G, Tartaglia GM, Dellavia C. Immediate effect of a stabilization splint on masticatory muscle activity in temporomandibular disorder patients. Journal of Oral rehabilitation. 2002; 29 (9): 810-815.
18. Koutris M, Lobezoo F, Naeije M, Wang K, Svensson P, Arendt Nielsen L, Fariana D. Effects of intense chewing exercises on the mas-58 Ignacio Fernández, Marcelo Kreiner, Alejandro Francia, Guillermo Zanotta, José Piaggio ticatory sensory-motor system. Journal Dental Research. 2009; 88 (7): 658-662.
19. De Felicio C, Ferreira CL, Medeiros AP, Rodríguez Da Silva MA, Tartaglia GM, Sforza C. Electromyographic indices, orofacial myofunctional status and temporomandibular disorders severity. A correlation study. J Electromyographic Kinesiology. 2012; 22 (2): 266-272.
20. Santana Mora U, López Ratón M, Mora MJ, Cadarso Suárez C. Surface electromyography has a moderate discriminatory capacity for differentiating between healthy individuals and those with TMD: A diagnostic study. Journal of Electromyography and Kinesiology. 2014; 24 (3): 332-340.
21. Jensen R, Fuglsang Frederiksen A, Olesen J. Quantitative surface EMG of pericranial muscles: reproducibility and variability. Electroenceaphalogr Cli Neurophysiol 1993; 89 (1): 1-9.
22. Klasser GD, Okeson JP. Te clinical usefulness of surface electromyography in the diagnosis and treatment of temporomandibular disorders. J Am Dent Assoc 2006; 137 (6): 763-771.
23. Al-Saleh MA, Armijo Olivo S, Flores Mir C, Tie NM. Electromyography in diagnosing temporomandibulardisorders. J Am Dent Assoc. 2012; 143 (6): 351-362.
24. Politti F, Casellato C, Kalytczak MM; García MB, Biasotto Gonzalez DA. Characteristics of EMG frequency bands in temporomandibular disorders patients. J Electromyogr Kinesiol. 2016; 31: 119-125.
25. Choi KH, Kwon OS, Jerng UM, Lee SM, Kim LH, Jumg J. Development of electromyographic indicators for the diagnosis of temporomandibular disorders: a protocol for an assessor-blinded cross-sectional study. Integr Med Res. 2017; 6 (1): 97-104.
26. Ferreira CL, Machado BC, Borges CG, Rodríguez Da Silva MA, Sforza C, De Felicio CM. Impaired orofacial motor functions in chronic temporomandibular disorders. Jounal of Electromyography and Kinesiology. 2014; 24 (4): 565-571
2. Riva R, Sanguinetti M, Rodríguez A, Guzzetti L, Lorenzo S, Álvarez R, Massa F. Prevalencia de trastornos témporo mandibulares y bruxismo en Uruguay. Parte I. Odontoestomatología. 2011; 13 (17): 54-71.
3. De Luca, C. Te use of surface electromyography in biomechanics, Journal of Applied Biomechanics. 1997, 13 (2): 135-163.
4. Kümbüloğlu B, Saraçoğlu A, Bingöl P, Hatipoğlu A, Özcan M. Clinical study on the comparision of masticatory efciency and jaw movement before and after temporomandibular disorder treatment. Te Journal of Craniomandibular and Sleep practice. 2013; 31 (3): 190-200.
5. De FelÌcio CM, Mapelli A, Sidequersky FV, Tartaglia GM, Sforza C. Mandibular kinematics and masticatory muscles EMG in patients with short lasting TMD of mild-moderate severity. Journal of Electromiography and Kinesiology. 2013; 23 (3): 627-633.
6. García Moreira C, Angeles Medina F, Gònzalez Gòmez H, Nuño Licona A, Garcìa Ruìz J, Galicia Arias A, Rodrìguez Espinoza M. Improved automatized recording of masticatory reflexes through analysis of effort trajactory during biofeedback. Medical Progress through technology. 1994; 20 (1-2): 63-73.
7. Fernández LI, Zanotta G, Kreiner M. Estudio comparativo del complejo electromiográfco post-estímulo del músculo masetero en pacientes rehabilitados con prótesis completa bimaxilar mediante técnica piezográfca y técnica convencional. Odontoestomatología 2010; 7 (14): 45-53.
8. Kreiner M, Fernández LI, Zanotta G, Barrios JA, Radke J. Nuevo método para el registro simultáneo de reflejos inhibitorios cráneo-faciales de tres pares craneanos, utilizando retroalimentación visual a tiempo real. Cúspide 2012; 26: 14-17.
9. García Moreira C, Angeles F, et al. Trayectoria de la actividad masetérica durante un esfuerzo isométrico asistido por retroalimentación visual electromiografca en pacientes jóvenes normales. Rev Mex Ing Biomed, 1994; 15 (2): 259-272.
10. Zanotta G, Fernández LI, Barrios J, Kreiner M. Odontoestomatología. 2013; 15 (22): 40-45.
11. Santana Mora U, Cudeiro J, MoraBermùdez MJ, Rilo Pousa B, Ferreira Pinho JC, Otero Cepada JL, Santana Penìn U. Changes in EMG activity during clenching in chronic pain patients with unilateral temporomandibular disorders. J Electromyography Kinesiology. 2009; 19 (6): 543-549.
12. Tecco S, Tetè S, D’Attilio M, Perilloet L, Festa Fal. Surface electromyographic patterns of masticatory, neck and trunk muscles in temporomandibular joint dysfunction patients undergoing anterior repositioning splint therapy. European Journal of orthodontics. 2008; 30 (6): 592-597.
13. Amorim, C; Vasconcelos, F et al. Electromyographic analysis of masseter and anterior temporalis muscle in sleep bruxers after occlusal splint wearing. Journal of Bodywork and Movement Terapies. 2012; 16 (2): 199-203.
14. Ferrario V, Sforza C, D’Addona A, Barbini E. Electromyographic activity of human masticatory muscles in normal Young people. Statistical evaluation of reference values for clinical applications. Journal of Oral rehabilitation. 1993; 20 (3): 271-280.
15. Tartaglia G, Lodetti G, Paiva G, De Felicio CM, Sforza C. Surface electromyographic assessment of patients with long lasting temporomandibular joint disorder pain. 2011; 21 (4): 659-664.
16. Peck CC, Murray GM, Gerniza TM, Tartaglia GM, Dellavia C. How does pain affect jaw muscle activity? Te integrated pain adaptation model. Australian Dental Journal. 2008; 53 (3): 201-207.
17. Ferrario V, Sforza G, Tartaglia GM, Dellavia C. Immediate effect of a stabilization splint on masticatory muscle activity in temporomandibular disorder patients. Journal of Oral rehabilitation. 2002; 29 (9): 810-815.
18. Koutris M, Lobezoo F, Naeije M, Wang K, Svensson P, Arendt Nielsen L, Fariana D. Effects of intense chewing exercises on the mas-58 Ignacio Fernández, Marcelo Kreiner, Alejandro Francia, Guillermo Zanotta, José Piaggio ticatory sensory-motor system. Journal Dental Research. 2009; 88 (7): 658-662.
19. De Felicio C, Ferreira CL, Medeiros AP, Rodríguez Da Silva MA, Tartaglia GM, Sforza C. Electromyographic indices, orofacial myofunctional status and temporomandibular disorders severity. A correlation study. J Electromyographic Kinesiology. 2012; 22 (2): 266-272.
20. Santana Mora U, López Ratón M, Mora MJ, Cadarso Suárez C. Surface electromyography has a moderate discriminatory capacity for differentiating between healthy individuals and those with TMD: A diagnostic study. Journal of Electromyography and Kinesiology. 2014; 24 (3): 332-340.
21. Jensen R, Fuglsang Frederiksen A, Olesen J. Quantitative surface EMG of pericranial muscles: reproducibility and variability. Electroenceaphalogr Cli Neurophysiol 1993; 89 (1): 1-9.
22. Klasser GD, Okeson JP. Te clinical usefulness of surface electromyography in the diagnosis and treatment of temporomandibular disorders. J Am Dent Assoc 2006; 137 (6): 763-771.
23. Al-Saleh MA, Armijo Olivo S, Flores Mir C, Tie NM. Electromyography in diagnosing temporomandibulardisorders. J Am Dent Assoc. 2012; 143 (6): 351-362.
24. Politti F, Casellato C, Kalytczak MM; García MB, Biasotto Gonzalez DA. Characteristics of EMG frequency bands in temporomandibular disorders patients. J Electromyogr Kinesiol. 2016; 31: 119-125.
25. Choi KH, Kwon OS, Jerng UM, Lee SM, Kim LH, Jumg J. Development of electromyographic indicators for the diagnosis of temporomandibular disorders: a protocol for an assessor-blinded cross-sectional study. Integr Med Res. 2017; 6 (1): 97-104.
26. Ferreira CL, Machado BC, Borges CG, Rodríguez Da Silva MA, Sforza C, De Felicio CM. Impaired orofacial motor functions in chronic temporomandibular disorders. Jounal of Electromyography and Kinesiology. 2014; 24 (4): 565-571