The neuromuscular approach towards interdisciplinary cooperation in medicine

Yurchenko, Maksim; Hubálková, Hana; Klepácek, I; Machoň, Vladimír; Mazánek, Jiří

doi:10.1111/idj.12057

Cited by 6 publications

(5 citation statements)

References 28 publications

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“…In the other hand, occlusion is widely interrelated to gaze stabilization (38) and balance control (39) through activating complex nervous reflexes (40). A previous study (4) observed two types of EMG responses of the masticatory muscles to changes in head position.…”

Section: Discussionmentioning

confidence: 99%

Multiparameter Electromyography Analysis of the Masticatory Muscle Activities in Patients with Brainstem Stroke at Different Head Positions

et al. 2017

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The performance of the masticatory muscle is frequently affected and presents high heterogeneity poststroke. Surface electromyography (EMG) is widely used to quantify muscle movement patterns. However, only a few studies applied EMG analysis on the research of masticatory muscle activities poststroke, and most of which used single parameter—root mean squares (RMS). The aim of this study was to fully investigate the performance of masticatory muscle at different head positions in healthy subjects and brainstem stroke patients with multiparameter EMG analysis. In this study, 15 healthy subjects and six brainstem stroke patients were recruited to conduct maximum voluntary clenching at five different head positions: upright position, left rotation, right rotation, dorsal flexion, and ventral flexion. The EMG signals of bilateral temporalis anterior and masseter muscles were recorded, and parameters including RMS, median frequency, and fuzzy approximate entropy of the EMG signals were calculated. Two-way analysis of variance (ANOVA) with repeated measures and Bonferroni post hoc test were used to evaluate the effects of muscle and head position on EMG parameters in the healthy group, and the non-parametric Wilcoxon signed rank test was conducted in the patient group. The Welch–Satterthwaite t-test was used to compare the between-subject difference. We found a significant effect of subject and muscles but no significant effect of head positions, and the masticatory muscles of patients after brainstem stroke performed significantly different from healthy subjects. Multiparameter EMG analysis might be an informative tool to investigate the neural activity related movement patterns of the deficient masticatory muscles poststroke.

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Section: Discussionmentioning

confidence: 99%

Multiparameter Electromyography Analysis of the Masticatory Muscle Activities in Patients with Brainstem Stroke at Different Head Positions

et al. 2017

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“…The current understanding is that the TMS and the neuromuscular system of the whole body are connected via the central nervous system [ 23 , 25 ]. In animal studies a link between neurones of the cranio-mandibular system and structures of the central nervous system could be found [ 26 – 28 ].…”

Section: Introductionmentioning

confidence: 99%

Influence of the Lower Jaw Position on the Running Pattern

et al. 2015

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IntroductionThe effects of manipulated dental occlusion on body posture has been investigated quite often and discussed controversially in the literature. Far less attention has been paid to the influence of dental occlusion position on human movement. If human movement was analysed, it was mostly while walking and not while running. This study was therefore designed to identify the effect of lower jaw positions on running behaviour according to different dental occlusion positions.MethodsTwenty healthy young recreational runners (mean age = 33.9±5.8 years) participated in this study. Kinematic data were collected using an eight-camera Vicon motion capture system (VICON Motion Systems, Oxford, UK). Subjects were consecutively prepared with four different dental occlusion conditions in random order and performed five running trials per test condition on a level walkway with their preferred running shoes. Vector based pattern recognition methods, in particular cluster analysis and support vector machines (SVM) were used for movement pattern identification.ResultsSubjects exhibited unique movement patterns leading to 18 clusters for the 20 subjects. No overall classification of the splint condition could be observed. Within individual subjects different running patterns could be identified for the four splint conditions. The splint conditions lead to a more symmetrical running pattern than the control condition.DiscussionThe influence of an occlusal splint on running pattern can be confirmed in this study. Wearing a splint increases the symmetry of the running pattern. A more symmetrical running pattern might help to reduce the risk of injuries or help in performance. The change of the movement pattern between the neutral condition and any of the three splint conditions was significant within subjects but not across subjects. Therefore the dental splint has a measureable influence on the running pattern of subjects, however subjects individuality has to be considered when choosing the optimal splint condition for a specific subject.

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“…This relationship was studied by Stumazaki and found mutual concordance among muscle, occlusal plane slope, and vertebral column changes. Loi and others have reported a relationship between osteoarthritis of TMJ, the angle of the occlusal plane, and the position of the heads [10]. A harmonious occlusal plane facilitates natural mandibular movement and mastication [11].…”

Section: Discussionmentioning

confidence: 98%

Determination of the Occlusal Plane in Complete Denture: About the Paterson Technic

et al. 2021

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The rehabilitation by complete removable denture is commonly used for edentulous patients. The respect of operating procedures represents the main condition for therapeutic success.Among these procedures, the determination and the orientation of occlusal plane remain an important step to respect minutelyIndeed, it is one of the most stages for obtaining an optimal smile esthetic, a facial harmony and improve the oral functions.Various technics were reported by many authors: anatomical, radiographic, and physiologic methods such as piezography and Paterson technic.This later consists on the determination of the individualized occlusal plane according to the registration of physiological movements.In this context, we will describe Paterson method via a case report and discuss its feasibility, clinical effectiveness as well as its advantages compared to others technics.

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The neuromuscular approach towards interdisciplinary cooperation in medicine

Cited by 6 publications

References 28 publications

Multiparameter Electromyography Analysis of the Masticatory Muscle Activities in Patients with Brainstem Stroke at Different Head Positions

Multiparameter Electromyography Analysis of the Masticatory Muscle Activities in Patients with Brainstem Stroke at Different Head Positions

Influence of the Lower Jaw Position on the Running Pattern

Determination of the Occlusal Plane in Complete Denture: About the Paterson Technic

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