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Relation between Headache and Mastication Muscle Tone in Adolescents

机译:青少年头痛与咀嚼肌肌张力的关系

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摘要

Headache is a common problem in the population, which decreases the quality of life and makes everyday functioning difficult. It often coexists with typical symptoms of temporomandibular disorders. The objective of the study was to clarify whether there is a relationship between the presence of headache in young volunteers and the mastication muscle tone. Material and Method. Volunteers aged 18 years who underwent general dental examination, clinical evaluation, and examination using the dual-axis diagnostic system Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) form in the Polish language version participated in the study. On the basis of the examination results, these individuals were divided into three groups according to RDC results. A group of healthy individuals (axis I value 0), a group of sick individuals (axis I diagnosis Ia, IIa, or IIIa), and a group of individuals suffering from depression (axis II values 1–3) were singled out. Then, volunteers were divided into two groups: group I reporting headache and group II without any pain. In each of these individuals, the contractile activity of the masseter muscles and anterior temporal muscles was recorded bilaterally as the surface electromyographic activity (sEMG) at rest, during swallowing, and maximum clenching. The activity index ranging between +100 (activity of the masseter muscles only) and −100 (activity of the anterior temporal muscles only) was used to indicate the predominance of activity of the study muscles. Results. The statistical analysis of data showed that there was a significant relationship between the presence of headache and a change in the mastication muscle tone, expressed as the predominant activity of the temporal muscles, only in the group of sick individuals during maximum clenching. Summary. The diversity of sEMG results implies that a change in the mastication muscle tone is not a direct consequence of headache, but it has to be modified by other factors.
机译:头痛是人口中的常见问题,会降低生活质量,并使日常工作变得困难。它通常与颞下颌疾病的典型症状并存。该研究的目的是弄清年轻志愿者出现的头痛与咀嚼肌张力之间是否存在关系。材料和方法。年龄为18岁的志愿者接受了波兰语版本的双轴诊断系统《颞下颌疾病研究诊断标准》(RDC / TMD)形式的一般牙科检查,临床评估和检查。根据检查结果,根据RDC结果将这些人分为三组。挑选出一组健康个体(I轴值为0),一组患病个体(I轴诊断为Ia,IIa或IIIa)和一组患有抑郁症的个体(II轴值为1-3)。然后,将志愿者分为两组:第一组报告头痛,第二组没有疼痛。在这些个体中的每一个中,双侧记录咬肌和前颞肌的收缩活动,作为静止,吞咽和最大握紧时的表面肌电图活动(sEMG)。活动指数介于+100(仅咬肌的活动)和-100(仅前颞肌的活动)之间,以指示研究肌肉的主要活动。结果。数据的统计分析表明,只有在最大的握紧状态下,患病的人群中,头痛的存在与咀嚼肌张力的变化之间存在显着的关系,咀嚼肌张力的变化表示为颞肌的主要活动。摘要。 sEMG结果的多样性表明,咀嚼肌音调的变化不是头痛的直接结果,但必须通过其他因素进行修改。

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