The influence of different jaw positions on the endurance and electromyographic pattern of the biceps brachii muscle in young adults with different occlusal characteristics

Abstract

To investigate the hypothesis of a functional coupling between the stomatognathic motor apparatus and the muscles of other body districts, as well as between occlusal conditions and neuromuscular performance, two groups of men (age range 20-26 years), with either normal occlusion (14 men) or malocclusion (15 men), sustained with their dominant arm a dumbbell weighing 80% of their maximum while maintaining different jaw positions: mouth open, without dental contact; mouth close, with light dental contact; maximum voluntary clench; maximum voluntary clench on two cotton rolls positioned on the posterior mandibular teeth; maximum voluntary clench on one cotton roll positioned on the right/left-side posterior mandibular teeth. Surface electromyography (EMG) of the biceps brachii muscle was performed, and the endurance time, mean root mean square (rms) potential, and mean median power frequency were computed. The mean potential and median power frequency were also computed for 2-s windows, and values as a function of time were interpolated by a linear regression analysis. Data were compared between groups and trials by using a factorial analysis of variance. The malocclusion group subjects could perform the exercise for a longer time span than the normal occlusion individuals (P < 0.005). During this endurance time their biceps brachii muscles contracted with different patterns: on average, in the malocclusion group they had a larger EMG amplitude (P < 0.005), and a shift of the power spectrum toward lower frequencies (P < 0.005). The factor 'jaw position' was significant only for the endurance time (P < 0.005). In both groups, the longest endurance time was found in the 'clench' trial, while the shortest in the 'right-side bite' trial. In conclusion, a morphologically altered occlusion does not always worsen the muscular performance of other body districts, and the use of occlusal supports (cotton rolls) is not always beneficial.

Associations between the masticatory system and muscle activity of other body districts. A meta-analysis of surface electromyography studies

“…The investigations were classified as follows: one CCT without follow-up (Ferrario et al, 2001), three NCCT without follow-up (Bergamini et al, 2008;D'Attilio et al, 2003;Wang et al, 1996), one cohort study (Ehrlich et al, 1999). None of the studies included a follow-up, although one investigation used 10-week-long antigravitary therapy (D'Attilio et al, 2003).…”

“…In one study, only male subjects (Ferrario et al, 2001) were included. In all investigations, the participants were between 20 and 30 years old (Table 4).…”

“…In all investigations, the participants were between 20 and 30 years old (Table 4). Three studies included only asymptomatic subjects, with either non-specified occlusal status (Ehrlich et al, 1999), normal occlusion and malocclusion (Ferrario et al, 2001), or subclinical malocclusion (Bergamini et al, 2008). In another study article (Wang et al, 1996), it was reported that the subjects included were never treated for TMDs; no further information regarding dental occlusion or past/current untreated TMDs was provided.…”

Biceps Brachii Muscle Fatigue During Isometric Contraction: Is Antagonist Muscle Fatigue a Key Factor?

“…1) over the longitudinal axis of the biceps brachii muscle [23] parallel to the estimated direction of muscle fibers [24]. A disposable reference electrode was applied to the forehead [25]. Before electrode placement, the skin was cleaned with ethanol.…”

Neurological influences of the temporomandibular joint

“…Modulating occlusion related proprioceptive afferents may be adopted as a way of enhancing posture regulation, balance control, oculogyric stabilization, sports performance such as shooting (Gangloff et al, 2000), the configuration of the plantar arch (Valentino et al, 2002b), physical quickness, and back strength (Ishijima et al, 1998), although the reaction may be variable depending on the individual or the stimulation factors (Ferrario et al, 2001).…”