Estudo eletromiográfico da deglutição na musculatura supra-hióidea em sujeitos classe I e III de Angle
Electromyographic study of swallowing in suprahydrof muscleature in Angle's Class I and III subjects
Mirian Hideko Nagae; Marcelo Corrêa Alves
Resumo
Objetivo: comparar a atividade elétrica do músculo supra-hióideo durante a deglutição em sujeitos com distintos padrões morfológicos e dentários.
Métodos: foram realizados registros eletromiográficos de superfície em 32 voluntários saudáveis e sem Disfunção Temporomandibular, subdivididos em dois grupos, 16 sujeitos Classes I e 16 Classe III de Angle, gênero masculino e feminino, com faixa etária entre 18 e 25 anos de idade.
Resultados: foram obtidos os valores do Root Mens Square (p< 0,05): original Classe I (15,238) e Classe III (32,550); normalizado pelo pico máximo Classe I (29,765) e Classe III (42,094); normalizado pela média Classe I (29,332) e Classe III (42,327). Período ativo do ciclo (p<0,05) Classe I (29,7648) e Classe III (42,0937); instante de máxima atividade (p>0,05) Classe I (47,6485) e Classe III (47,9437).
Conclusão: os sujeitos Classe I demonstraram uma amplitude média menor, com aumento e diminuição da atividade elétrica sincrônica e equilibrada. Os sujeitos Classe III apresentaram uma amplitude média e um período ativo maior, assincrônico e desequilibrado durante a deglutição.
Palavras-chave
Abstract
Purpose: to compare Suprahyoid musculature's electric activity during swallowing in subjects with dissimilar morphological and dental patterns.
Methods: surface Electromyography's records were taken from 32 healthy volunteers who do not have Temporomandibular Dysfunction, subdivided into two groups, Angle's 16 Class I subjects and 16 Class III subjects, males and females, aging from 18 to 25-year old.
Results: the values to Root Mens Square (p< 0.05): original Class I (15.238) e Class III (32.550); normalized by maximum peak Class I (29.765) e Class III (42.094); normalized by medium Class I (29.332) e Class III (42.327). Cycle's active period (p<0.05) Class I (29.7648) e Class III (42.0937); maximum activity instance (p>0.05) Class I (47.6485) e Class III (47.9437).
Conclusion: class I subjects showed a smaller average amplitude, with increase and decrease of synchronized and balanced electric activity. Class III subjects showed a larger average amplitude and a larger desynchronized and unbalanced period during deglutition.
Keywords
References
1. Kobayashi T, Honma K, Nakajima T, Hanada K. Masticatory function in patients with mandibular prognathism before and after orthognathic surgery. J Oral Maxillofac Surg. 1993; 51(9):997-1001.
2. 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. 2007; 33(5):341-8.
3. Maeda K, Ono T, Otsuka R, Ishiwata Y, Kuroda T, Ohyama K. Modulation of voluntary swallowing by visual inputs in humans. Dysphagia. 2004; 19(1):1-6.
4. Takeda H, Nakamura Y, Handa H, Ishii H, Hamada Y, Seto K. Examination of masticatory movement and rhythm before and after surgical orthodontics in skeletal Class III patients with unilateral posterior cross-bite. J Oral Maxillofac Surg. 2009; 67(9):1844-9.
5. Lunderberg M, Nord PG, Astrand P. Changes in masticatory function after surgical treatment of mandibular prognathism: cineradiographic study of bolus position. Acta Odontol Scand. 1974; 32:39-49.
6. Moss ML. The primacy of functional matrices in orofacial growth. Dent Pract Dent Rec. 1968; 19(2):65-73.
7. Hanawa S, Tsuboi A, Watanabe M, Sasaki K. EMG study for perioral facial muscles function during mastication. J Oral Rehabil. 2008; 35(3):159-70.
8. Moss JP, Chalmers CP. An electromyographic investigation of patients with a normal jaw relationship and a Class III jaw relationship. Am J Orthod. 1974; 66(5):538-56.
9. Souza DR, Semeghini TA, Kroll LB, Berzin F. Oral myofunctional and electromyographic evaluation of the anterior suprayoid muscles and tongue thrust in patients with Class II/1 malocclusion submitted to first premolar extraction. J Appl Oral Sci. 2007; 15(1):24-8.
10. Souza DR, Semeghini TA, Kroll LB, Berzin F. Oral myofunctional and electromyographic evaluation of the orbicularis oris and mentalis muscles in patients with Class II/1 malocclusion submitted to first premolar extraction. J Appl Oral Sci. 2008; 16(3):226-31.
11. Sabashi K, Saitoh I, Hayasaki H, Iwase Y, Kondo S, Inada E, et al. A cross-sectional study of developing resting masseter activity in different Angle classifications in adolescence. Cranio. 2009; 27(1):39-45.
12. Sforza C, Peretta R, Grandi G, Ferronato G, Ferrario VF. Soft tissue facial planes and masticatory muscle function in skeletal Class III patients before and after orthognathic surgery treatment. J Oral Maxillofac Surg. 2008; 66(4):691-8.
13. Tecco S, Caputi S, Festa F. Electromyographic activity of masticatory, neck and trunk muscles of subjects with different skeletal facial morphology: a cross-sectional evaluation. J Oral Rehabil. 2007; 34(7):478-86.
14. Tanaka K, Yamaguchi K, Tamura H, Ichida T. Changes of chewing movement before and after orthognathic surgical treatment in skeletal Class III patients. J Kyushu Dental Soc. 2007; 60(6):179-90.
15. Yamada EK, Siqueira KO, Xerez D, Koch HA, Costa MMB. A influência das fases oral e faríngea na dinâmica da deglutição. Arq Gastroenterol. 2004; 41(1):18-23.
16. Cleall JF. Deglutition: a study of form and function. Am J Orthod. 1965; 51(8):566-94.
17. Williams PL, Warwick R, Dyson M, Bannister LH. Gray anatomia 37.ed. Rio de Janeiro: Guanabara Koogan; 1995. 1252p.
18. Crary MA, Carnaby GD, Groher ME. Biomechanical correlates of surface electromyography signals obtained during swallowing by healthy adults. J Speech Lang Hear Res. 2006; 49(1):186-93.
19. Miralles R, Gutierrez C, Zucchino G, Cavada G, Carvajal R, Valenzuela S, et al. Body position and jaw posture effects on supra- and infrahyoid electromyographic activity in humans. Cranio. 2006; 24(2):98-103.
20. Junqueira PS, Campiotto AR. A investigacao da mastigacao em individuos portadores de Classe III de Angle. Pro-Fono. 1992; 4(2):29-31.
21. Moreno I, Sanchez T, Ardizone I, Aneiros F, Celemin A. Electromyographic comparisons between clenching, swallowing and chewing in jaw muscles with varying occlusal parameters. Med Oral Patol Oral Cir Bucal. 2008; 13(3):E207-13.
22. Jardini RS, Ruiz LS, Moyses MA. Electromyographic analysis of the masseter and buccinator muscles with the Pro-Fono facial exerciser use in bruxers. Cranio. 2006; 24(1):29-37.
23. Dominguez GC. Nova visao em ortodontia e ortopedia funcional dos maxilares. In: Berzin F, Nagae MH. Memoria muscular e recidivas. Sao Paulo: Santos; 2006. p. 425-31.
24. Eggensperger N, Smolka W, Rahal A, Ilzuka T. Skeletal relapse after mandibular advancement and setback in single-jaw surgery. J Oral Maxillofac Surg. 2004; 62(12):1486-96.
25. Sgobbi de Faria CR, Berzin F. Electromyographic study of the temporal, masseter and suprahoyid muscles in the mandibular rest position. J Oral Rehabil. 1998; 25(10):776-80.
26. de Mayo T, Miralles R, Barrero D, Bulboa A, Carvajal D, Valenzuela S, et al. Breathing type and body position effects on sternocleidomastoid and suprahoyid EMG activity. J Oral Rehabil. 2005; 32(7):487-94.
27. Fresno MJ, Miralles R, Valdivia J, Fuentes A, Valenzuela S, Ravera MJ, et al. Electromyographic evaluation of anterior temporal and suprahoyid muscles using habitual methods to determine clinical rest position. Cranio. 2007; 25(4):257-63.
28. Rainold A, Minetto MA. International Society of Electrophysiology and Kinesiology (ISEK). Proceedings of the XVIth Congress International Society of Electrophysiology and Kinesiology; 2006. Centro di Bioingegneria Politecnico di Torino: Torino, Italy.
29. Cram J, Kasman GS, Holtz J. Introduction to surface electromyography. Maryland: Gaithersburg, Aspen Publication; 1998. 244p.
30. De Luca CJ. Wartenweiler Conferência Comemorativa. [homepage na internet] Centro e Departamento de Pesquisa de Engenharia Biomédica Neuromuscular e Departamento de Neurologia da Universidade de Boston, 1993. Direitos autorais por Delsys Inc. 1997 [acesso em 29 maio 2009] Disponível em: URL: http://www.delsys.com
31. Logemann JA. Evaluation and treatment of swallowing disorders. Austin: Pro-ed; 1983.
32. Yang JF, Winter DA. Electromyographic amplitude normalization methods: improving their sensitivity as diagnostic tools in gait analysis. Arch Phys Med Rehabil. 1984; 65(9):517-21.
33. Jackson JA, Mathiassen SE, Dempsev PG. Methodological variance associated with normalization of occupational upper trapezius EMG using sub-maximal reference contractions. J Electromyogr Kinesiol. 2009; 19(3):416-27.
34. Morris AD, Kemp GJ, Lees A, Frostick SP. A study of the reproducibility of three different normalisation methods in intramuscular dual fine wire electromyography of the shoulder. J Electromyogr Kinesiol. 1998; 8(5):317-22.
35. Ervilha UF, Duarte M, Amadio AC. Estudo sobre procedimentos de normalização do sinal eletromiográfico durante o movimento humano. Rev Bras Fisiot. 1998; 3(1):15-20.
36. System Analysis Statistical SAS Institute Inc. The SAS System, Release 8.2 SAS Institute Inc. Cary: NC; 1991.
37. De Sá FPG. As bases fisiológicas da ortopedia maxilar. São Paulo: Santos; 1994. 40p.
38. Ash MM, Ramfjord S. Oclusão. 4. ed. Rio de Janeiro: Guanabara Koogan; 1995.
39. Nakamura Y, Katakura N. Generation of masticatory rhythm in the brainstem. Neurosci Res. 1995; 23(1):1-19.
Submitted date:
04/24/2009
Accepted date:
09/28/2009
Facebook
Twitter
LinkedIn
Mendeley
Email