Electromyographic activity of the masticatory and cervical muscles during resisted jaw opening movement.

摘要

One of the relaxation techniques that have been used by physical therapists when treating patients with temporomandibular disorders, is the agonist contract-antagonist relax technique (AC). When the AC technique is applied, a submaximal resistance to the jaw opening movement is necessary to cause relaxation of the masticatory muscles. No information about the effect of this technique on masticatory or cervical muscles has been found in the literature. Thus, the aim of this study was to evaluate the electromyographic activity of the masseter and anterior temporalis and the upper trapezius and splenius capitis during resisted jaw opening movement. A convenience sample of 30 students was used. Electromyography activity of the superficial masseter, anterior temporalis, upper trapezius and splenius capitis was registered before, during and after the application of this resistive movement to jaw opening. A two-way anova with repeated measures analysis was used to analyse data. The level of significance was at alpha = 0.05. The EMG activity of both the masticatory muscles and the cervical muscles increased during and after the application of resisted jaw opening (P < 0.05). Based on the results obtained from this study, the behaviour of all muscles analysed (masseter, anterior temporalis, splenius capitis and upper trapezius) was similar. All muscles increased their activity when the resistance to the jaw opening movement was applied. Complex muscular interactions of the supra- and infrahyoid muscles (jaw openers), masticatory muscles, and cervical muscles may exist to stabilize the craniomandibular system during resisted jaw opening.