Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20190040
Brazilian Journal of Pain
Original Article

Correlations between masticatory muscle activity, quality of life, and dysfunction severity in women with chronic temporomandibular disorder

Relação entre atividade elétrica mastigatória, qualidade de vida e gravidade da disfunção em mulheres com disfunção temporomandibular crônica

Carlos Eduardo Fassicollo; Barbara Camila Flissak Graefling; Lilian Gerdi Kittel Ries

Downloads: 0
Views: 230

Abstract

BACKGROUND AND OBJECTIVES: Assessing the possible interactions between the activity of masticatory muscles and quality of life and severity of the temporomandibular disorder can help clarify how changes in muscle activity can be associated with a chronic temporomandibular disorder in women. This study aimed to investigate the correlations between masticatory electrical activity during mandibular resting, maximum voluntary contraction, the severity of the temporomandibular disorder, and quality of life in women with chronic temporomandibular disorder and to compare these parameters with healthy asymptomatic controls.

METHODS: Sixty women, 30 with temporomandibular disorder and 30 asymptomatic, participated in this case-control observational study. Diagnostic Criteria for Temporomandibular Disorder was used to identify the presence or absence of temporomandibular disorder. The SF-36 questionnaire was used to assess the quality of life in participants, and ProTMDmulti-part-II was applied to assess the severity of signs and symptoms of temporomandibular disorder.

RESULTS: During jaw clenching, the masticatory activity of the right temporal and left masseter muscles, the symmetry of the masseter muscles, and anteroposterior coefficient were significantly smaller in the temporomandibular disorder group than in the asymptomatic group. Masticatory activity at rest, signs and symptoms of chronic temporomandibular disorder, and impairment of the quality of life were correlated using Spearman coefficient (p<0.05).

CONCLUSION: Our results contribute to findings on the associations between the masticatory activity in chronic signs and symptoms of the temporomandibular disorder, impairment in quality of life, and differences in the masticatory activity during clenching in patients with temporomandibular disorder and controls.

Keywords

Chronic pain, Electromyography, Masticatory muscles, Quality of life, Temporomandibular disorder

Resumo

JUSTIFICATIVA E OBJETIVOS: Avaliar a possível interação entre a atividade dos músculos mastigatórios com a qualidade de vida e a gravidade da disfunção temporomandibular pode ajudar a esclarecer como as alterações na atividade muscular podem estar associadas a mulheres com disfunção temporomandibular crônica. O objetivo deste estudo foi avaliar a correlação entre atividade elétrica mastigatória durante o repouso mandibular, contração voluntária máxima, gravidade da disfunção temporomandibular e qualidade de vida em mulheres com disfunção temporomandibular crônica e comparar esses parâmetros com indivíduos assintomáticos (grupo controle).

MÉTODOS: Sessenta mulheres, 30 com disfunção temporomandibular e 30 assintomáticas, participaram deste estudo observacional caso-controle. O instrumento critérios diagnósticos para disfunções temporomandibulares foi usado para detectar a presença ou ausência de disfunção temporomandibular. O questionário SF-36 foi usado para avaliar a qualidade de vida, e o ProDTMmulti parte II foi aplicado para avaliar a gravidade dos sinais e sintomas de disfunção temporomandibular. A atividade mastigatória durante o repouso mandibular e apertamento dentário foram medidos usando eletromiografia de superfície.

RESULTADOS: Durante o apertamento dentário, a atividade do músculo masseter, temporal direito e esquerdo, simetria do masseter e coeficiente anteroposterior foram significativamente menores no grupo disfunção temporomandibular em comparação ao grupo assintomático. A atividade mastigatória em repouso, sinais e sintomas de disfunção temporomandibular crônica e os prejuízos na qualidade de vida foram correlacionados conforme determinado pelo coeficiente de Spearman (p<0,05).

CONCLUSÃO: Os presentes achados contribuem para evidenciar as associações entre atividade mastigatória em sinais e sintomas crônicos de disfunção temporomandibular, comprometimento da qualidade de vida e diferenças na atividade mastigatória durante o apertamento dentário entre disfunção temporomandibular e grupo controle.

Palavras-chave

Dor crônica, Eletromiografia, Músculos da mastigação, Qualidade de vida, Síndrome da disfunção da articulação temporomandibular

References

Dworkin SF, Massoth DL. Temporomandibular disorders and chronic pain: disease or illness?. J Prosthet Dent. 1994;72(1):29-38.

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Groupdagger. J Oral Facial Pain Headache. 2014;28(1):6-27.

Peck CC, Murray GM, Gerzina TM. How does pain affect jaw muscle activity: The Integrated Pain Adaptation Model. Aust Dent J. 2008;53(3):201-7.

Ferrario VF, Tartaglia GM, Luraghi FE, Sforza C. The use of surface electromyography as a tool in differentiating temporomandibular disorders from neck disorders. Man Ther. 2007;12(4):372-9.

Lauriti L, Motta LJ, de Godoy CH, Biasotto-Gonzalez DA, Politti F, Mesquita-Ferrari RA. Influence of temporomandibular disorder on temporal and masseter muscles and occlusal contacts in adolescents: an electromyographic study. BMC Musculoskelet Disord. 2014;15:123.

Fassicollo CE, Machado BCZ, Garcia DM, de Felicio CM. Swallowing changes related to chronic temporomandibular disorders. Clin Oral Investig. 2019;23(8):3287-96.

Ries LG, Alves MC, Bérzin F. Asymmetric activation of temporalis, masseter, and sternocleidomastoid muscles in temporomandibular disorder patients. Cranio. 2008;26(1):59-64.

Ries LG, Graciosa MD, Medeiros DL, Pacheco SC, Fassicolo CE, Graefling BC. Influence of craniomandibular and cervical pain on the activity of masticatory muscles in individuals with Temporomandibular Disorder. Codas. 2014;26(5):389-94.

Pitta NC, Nitsch GS, Machado MB, de Oliveira AS. Activation time analysis and electromyographic fatigue in patients with temporomandibular disorders during clenching. J Electromyogr Kinesiol. 2015;25(4):653-7.

Ferreira CL, Machado BC, Borges CG, Rodrigues Da Silva MA, Sforza C. Impaired orofacial motor functions on chronic temporomandibular disorders. J Electromyogr Kinesiol. 2014;24(4):565-71.

Strini PJ, Strini PJ, Barbosa Tde S, Gaviao MB. Assessment of thickness and function of masticatory and cervical muscles in adults with and without temporomandibular disorders. Arch Oral Biol. 2013;58(9):1100-8.

Boderé C, Téa SH, Giroux-Metges MA, Woda A. Activity of masticatory muscles in subjects with different orofacial pain conditions. Pain. 2005;116(1-2):33-41.

De Felicio CM, Ferreira CL, Medeiros AP, Rodrigues Da Silva MA, Tartaglia GM. Electromyographic indices, orofacial myofunctional status and temporomandibular disorders severity: a correlation study. J Electromyogr Kinesiol. 2012;22(2):266-72.

Ohrbach R, Bair E, Fillingim RB, Gonzalez Y, Gordon SM, Lim PF. Clinical orofacial characteristics associated with risk of first-onset TMD: the OPPERA prospective cohort study. J Pain. 2013;14(12 Suppl):T33-50.

Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Diatchenko L, Dubner R. Psychological factors associated with development of TMD: the OPPERA prospective cohort study. J Pain. 2013;14(12 Suppl):T75-90.

Blanco-Aguilera A, Blanco-Aguilera E, Serrano-Del-Rosal R, Biedma-Velázquez L, Rodriguez-Torronteras A, Segura-Saint-Gerons R. Influence of clinical and psychological variables upon the oral health-related quality of life in patients with temporomandibular disorders. Med Oral Patol Oral Cir Bucal. 2017;22(6):e669-78.

de Godoy CH, Silva PF, de Araujo DS, Motta LJ, Biasotto-Gonzalez DA, Politti F. Evaluation of effect of low-level laser therapy on adolescents with temporomandibular disorder: study protocol for a randomized controlled trial. Trials. 2013;14:229.

Ciconelli RM, Ferraz MB, Santos W, Meinao I, Quaresma MR. Brazilian-Portuguese version of the SF-36: A reliable and valid quality of life outcome measure. Rev Bras Reumatol. 1999;39(3):143-50.

de Felicio CM, Melchior Mde O, Da Silva MA. Clinical validity of the protocol for multi-professional centers for the determination of signs and symptoms of temporomandibular disorders: Part II. Cranio. 2009;27(1):62-7.

Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000;10(5):361-74.

Ferrario VF, Sforza C, Colombo A, Ciusa V. An electromyographic investigation of masticatory muscles symmetry in normo-occlusion subjects. J Oral Rehabil. 2000;27(1):33-40.

Ferrario VF, Tartaglia GM, Galletta A, Grassi GP, Sforza C. The influence of occlusion on jaw and neck muscle activity: a surface EMG study in healthy young adults. J Oral Rehabil. 2006;33(5):341-8.

Pestana G. Data Analysis for Social Sciences - Complementarity of SPSS. 2000:269-461.

Cohen J. Statistical power analysis for the behavioral sciences. New York. 1988;2:567.

Hodges PW, Smeets RJ. Interaction between pain, movement, and physical activity: short-term benefits, long-term consequences, and targets for treatment. Clin J Pain. 2015;31(2):97-107.

Shedden Mora M, Weber D, Borkowski S, Rief W. Nocturnal masseter muscle activity is related to symptoms and somatization in temporomandibular disorders. J Psychosom Res. 2012;73(4):307-12.

Mense S. Nociception from skeletal muscle in relation to clinical muscle pain. Pain. 1993;54(3):241-89.

Ries LG, Graciosa MD, Soares LP, Sperandio FF, Santos GM, Degan VV. Effect of time of contraction and rest on the masseter and anterior temporal muscles activity in subjects with temporomandibular disorder. Codas. 2016;28(2):155-62.

Xu L, Fan S, Cai B, Fang Z, Jiang X. Influence of sustained submaximal clenching fatigue test on electromyographic activity and maximum voluntary bite forces in healthy subjects and patients with temporomandibular disorders. J Oral Rehabil. 2017;44(5):340-6.

Santana-Mora U, Martinez-Insua A, Santana-Penin U, del Palomar AP, Banzo JC, Mora MJ. Muscular activity during isometric incisal biting. J Biomech. 2014;47(16):3891-7.


Submitted date:
04/18/2019

Accepted date:
08/05/2019

5f2482310e88254b6ee56d7d brjp Articles

BrJP

Share this page
Page Sections