Electromyography (EMG) Assessment of Masticactory Muscles in evaluation of Splinting and exercise of Temporomandibular Disorders (TMD)

Authors

  • Hegazy Megahed Altamimy Rheumatology, Physical medicine and rehabilitation Department faculty of medicine
  • Mohamed Sobhy Rezk Rheumatology, Physical medicine and rehabilitation Department faculty of medicine
  • Mohammed Mohammed Abdelkareem Rheumatology, Physical medicine and rehabilitation Department faculty of medicine
  • Hamdy Samy Nassr Rheumatology, Physical medicine and rehabilitation Department faculty of medicine
  • Essam Ali Taman Maxillofacial and plastic Surgery Department
  • Raafat Alghetany Mohamed Ali faculty of Medicine, Dental faculty of Medicine Alazhar University, Cairo.
  • Hossam Ibrahim Abdelhamid Radiology Department Alazhar University, Cairo.

Keywords:

Temporomandibular joint, exercise program, splint, electromyography, magnetic resonance image (MRI)

Abstract

This study assed activity of masticatory muscles by electromyography with comparing the efficacy of exercise program and different splinting methods of anterior disc dislocation. Twenty patients with anterior disc dislocation without reduction divided into two groups; one for centric splint(n=10)& the other one for the anterior repositioning splint(n=10). It was found that, there was a statistically significant decrease in mean joint pain scores through all periods in the both treatment and statistically significant difference between duration and amplitude of motor unit of anterior temporal and Masseter muscles of the two groups. There was no a significant difference between duration and amplitude of motor unit of anterior temporal and Masseter muscles of the two groups before and after treatment at three months with highly significant difference of the two groups before and after treatment at six months, on MRI, there was marked reduction of joint effusion of temporomandibular joint in both groups.

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References

Abekura H, Kotani H, Tokuyama H and Hamada T(1995) Effects of occlusal splints on the asymmetry of masticatory muscle activity during maximal clenching. J Oral Rehabil ; 22: 747.

Al-Hasson HK, IsmailAL and Ash MM(1986) Concerns of patients seeking treatment for TMJ dysfunction. J Prothet Dent;56(2)217-21.

Chung JW, Kim C and McCall WD(2002) Effect of sustained contraction on the motor unit action potentials and EMG power spectrum of the human masticatory muscles. J Dent Res.; 81:646.

Clark GT, Beemsterboer PL, Solberg WK and Rugh JD(1979)Nocturnal electromyographic evaluation of myofascial pain dysfunction in patients undergoing occlusal splint therapy. J Am Dent Assoc; 99:607.

Dimitrova NA and Dimitrov GV(2003) Interpretation of EMG changes with fatigue: fact, pitfalls, and fallacies. J Electromygr Kinesiol ; 13:13.

Dowrkin S and Massoth DL(1994)Temporomandibular disorders and chronic pain: disease or illness? J Prothet Dent ; 72:29.

Eberhard D, BantleonHP and Steger W(2002)The efficacy of anterior repositioning splint therapy studied by magnetic resonance imaging. Eur J orthod ; 24:343-52.

Ekberg E, Vallon D and Nilner(1996)Occlusal appliance therapy in the patient temporomandibular disorders. A doubled controlled study in a short term prespective. Acata odontol scand ; 56:122.

Finsterer J, Muelbacher W and Mamoli B(1998) Electromyography in myopathy. Wien Med Wochenschr ; 148-25.

Guo JM, Lei WL, Yang HY and Huang C(2016) The influences of anterior disc displacement on oral mandibular function and morphology and their biological mechanisms . Zhonghua Kou Qiang Yi Xue Za Zhi. Mar 9;51(3):189-92.

Holmgren K, Sheikholeslam A, Riise C and Kopp S(1990)The effects of an occlusal splint on the electromyographic activities of the temporal and masseter muscles during maximal clenching in patients with a habit of nocturnal bruxism and signs and symptoms of craniomandibular disorders. J Oral Rehabil ; 17:447.

Hosoki H, Uemura S, Petresson A and Rohlin M(1995)Follow up examination of temporomandibular joint disk after splint therapy by magnetic resonance imaging- a case report. J Craniomandib disorder ; 13: 193-97.

Humsi ANK, Naeije M, Hippe JA and Hansson TL(1989)The immediate effects of a stabilization splint on the muscular symmetry in the masseter and anterior temporal muscles of patients with a craniomandibular disorder. J Prosthet Dent ; 62: 339.

Kawazoe Y, Kotani H, Hamada T and Yamada S(1980) Effect of occlusal splints on electromyographic activities of masseter muscles during maximum clenching in patient with myofacial pain-dysfunction syndrome. J Prothet Dent; 43:578.

Khalifa F, Rayan FM, Al-Saadawy EG and Al-Tamimy HH(2005) Effect of maxillary stabilization splint-type on masseter muscle evaluated by electromyography and ultrasonography in patient with TMJ disorders. Sc J Az Med Fac (Girls); 26(3):737-51.

Kurita H, Ohtsuka A, Kurashina K and Kopp S(2001) A study of factors for successful splint capture of anteriorly displaced temporomandibular joint disc with disc repositioning appliance. J Oral Rehabil ; 28:651-7.

Ferrario VF, Sorfa C, Tartaglia GM and Dellavia C(2002) Immediate effect of a stabilization splint on masticatory muscle activity in temporomandibular disorder patients. J Oral Rehabil ; 29: 810-5.

Leandro L, Paula F,Fabiano P, Daniela A, Kristianne P,Raquel A and Sandra K(2013) Pattern of Electromyographic Activity in Mastication Muscles of Adolescents with Temporomandibular Disorder. J Phys Ther Sci. Oct; 25(10): 1303–130

Le Bell Y and Forssell H(1993) A two-year follow-up of temporomandibular joint disk displacement without reduction in 22 subjects. Proc Finn Dent Soc.; 89(1-2):45-50.Tanaka E, Aoyama J, Tanaka M, Murata H, Hamada T and Tanne K(2002) Dynamic properties of bovine temporomandibular joint disks with age. J Dent Res b; 81:618–622.

Lundh H, Westesson PL, Eriksson L and Brooks SL(1992)Temporomandibular joint disk displacement without reduction. Treatment with flat occlusal splint versus no treatment. Oral Surg Oral Med Oral Pathol ; 73(6):655-8.

McNeely ML, Armijo Olivo S, Magee DJ(2006)A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther, 86: 710–725.

Mongini F, Ibertis F and Manfredi A(1996)Long term results in patients with disk displacement without reduction treated conservatively. Cranio ; 14:301.

Muller-Leisse C, Augthun M, BauerW, Roth A and Gunther R(1996)Anterior disc displacement without reduction in the temporomandibular joint: MRI and associated clinical findings. J Magn Reson Imaging ; 6:769-74.

Naeije M and Hansson TL(1991)Short-term effect of the stabilization appliance on masticatory muscle activity in myogenous craniomandibular disorder patients. J Craniomandib Disorders Facial and Oral Pain ; 5: 245.

Naresh K , Akhilesh K, Arun P, Vishal V, and Shreya S(2015) Temporomandibular joint dislocation. Natl J Maxillofac Surg.Jan-Jun; 6(1): 16–20.

Sato S, Kawamura II and Motigo K(1995)Management of nonreducing temporomandibular joint disk displacement. Evaluation of three treatments. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.; 80:384.

Schellhas KP(1989) imaging of temporomandibular joint. Oral Maxillofac Surg Clin North Am; 1:13-26.

Schmitter M, Zabran M, Phu Duc JM, Henschel V and Rammelsberg P(2005) Conservative therapy in patient with anterior disc displacement without reduction using 2 common splints: randomized clinical trail. J Oral Maxillofag Surg; 63:1295-303.

Simmons H C and Gibbs S J(1995) Recapture of temporomandibular joint disks using anterior repositioning appliances: an MRI Study. J Craniomandib Pract; 13, 227.

Tuncer AB, Ergun N and Tuncer AH(2013)Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: A randomized controlled trial. J Bodyw Mov Ther, 17: 302–308.

Visser A, McCarrol RS, Oasting J and Naeije M(1994)Masticatory electromyographic activity in healthy young adults and myogenous craniomandibular disorder patients. J Oral Rehabil;21: 67.

Westesson PL and Lundh H(1989)Arthrographic and clinical characteristics of patients with disk displacement who progressed to closed lock during 6-month period. Oral Surg Oral Med Oral Pathol Oral Radiol Endod ; 67, 654.

Williamson EH(2005) Temporomandibular dysfunction and repositioning splint therapy. Prog Orthod; 6(2):206-13.

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Published

2016-07-15

How to Cite

Hegazy Megahed Altamimy, Mohamed Sobhy Rezk, Mohammed Mohammed Abdelkareem, Hamdy Samy Nassr, Essam Ali Taman, Raafat Alghetany Mohamed Ali, & Hossam Ibrahim Abdelhamid. (2016). Electromyography (EMG) Assessment of Masticactory Muscles in evaluation of Splinting and exercise of Temporomandibular Disorders (TMD). International Journal of Life Sciences, 4(2), 161–168. Retrieved from https://ijlsci.in/ls/index.php/home/article/view/1290

Issue

Vol. 4 No. 2 (2016): International Journal of Life Sciences

Section

Research Articles

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