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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1995-9-8
pubmed:abstractText
Electromyographic and clinical characteristics of 42 myogenous craniomandibular disorder (CMD) patients were related to 40 healthy control subjects. Surface EMG recordings were obtained from the masseter and the temporal muscles. The clinical examination included active maximum mouth opening, endfeel distance, active laterotrusion and lateral endfeel distance, dental abrasion, the presence of a lateral slide (RCP-ICP) and the amount of static pain. Orthopantomographic X-rays were available from 32 CMD patients for measuring the condylar and ramus asymmetry. Compared to the control group lower masseter and temporal EMG amplitudes were found for myogenous CMD patients (P < 0.001). When the activity of the temporal muscle was compared with the activity of the masseter muscle, the CMD patients showed proportionally higher temporal muscle activities than the controls (P < 0.05, 50% clenching level). CMD patients also showed smaller mandibular excursions, larger endfeel distances and more dental abrasion than controls. The temporal muscle asymmetries showed significant negative correlations with the ramus asymmetries. The lower and upper quartile of the distribution of the mean masseter EMG amplitudes were used to distinguish weak and strong muscles in patients and controls. Weak patients showed proportionally high temporal muscle activities, larger masseter and temporal muscle asymmetries, and larger endfeel distances compared to strong CMD patients. These differences were not found between weak and strong controls. In conclusion, it can be said that the electromyographic and clinical findings of the myogenous CMD patients suggest a functional difference between weak and strong patients and indicate the need for more individually designed treatment modalities for functional muscle and joint CMD problems.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0305-182X
pubmed:author
pubmed:issnType
Print
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
429-34
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1995
pubmed:articleTitle
EMG differences between weak and strong myogenous CMD patients and healthy controls.
pubmed:affiliation
Department of Craniomandibular Disorders, University of Amsterdam, The Netherlands.
pubmed:publicationType
Journal Article