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Rate Modulation of Jaw-elevator Motor Units as Revealed from the Low-frequency Power Spectrum of the Surface Electromyogram in Myogenous CMD Patients

Laboratory of Oral Pathophysiology, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University of Utrecht, P.O. Box 80.037, 3508 TA Utrecht, The Netherlands

F. Lobbezoo

Laboratory of Oral Pathophysiology, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University of Utrecht, P.O. Box 80.037, 3508 TA Utrecht, The Netherlands

R. Buchner

Laboratory of Oral Pathophysiology, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University of Utrecht, P.O. Box 80.037, 3508 TA Utrecht, The Netherlands

A. van der Bilt

Laboratory of Oral Pathophysiology, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University of Utrecht, P.O. Box 80.037, 3508 TA Utrecht, The Netherlands

F. Bosman

Laboratory of Oral Pathophysiology, Department of Oral-Maxillofacial Surgery, Prosthodontics and Special Dental Care, University of Utrecht, P.O. Box 80.037, 3508 TA Utrecht, The Netherlands

The firing pattern of the motor units (MUs) in jaw-elevator muscles was studied within a wide range of isometric contraction levels by means of changes in the frequency and broadness of the primary peak in the low-frequency (5-40 Hz) power spectral density function of the surface EMG. EMG was recorded from both masseter and anterior temporal muscles in 11 myogenous CMD patients as well as in 11 gender- and age-matched controls who clenched in intercuspal occlusion under the control of visual feedback at various levels (0.5-67% MVC for the various muscles studied). The EMG was digitized for 12 periods of 1.6 s per condition; the power spectrum was averaged and smoothed for the various clenching levels. Linear regression analysis showed that the positive slope in the peak frequency (PF)/% MVC relationship, a measure of rate modulation of the MUs, did not differ significantly between patients and controls. At a low clenching level, PF was smaller (p < 0.01) for the anterior temporal muscles of the patients, suggesting lower firing rates for a wide range of clenching levels of the patients because of a similar rate modulation for patients and controls. Furthermore, the variance in the slope values was larger (p < 0.05) for the masseteric muscles of the patients, which may be explained by more heterogeneity of the masseteric rate modulation in the patient group. The broadness of the primary peak was smallest at a low clenching level (p < 0.001) for the anterior temporal muscles of the patients, suggesting a more uniform firing rate or more synchronization between MUs.

Key Words: Craniomandibular Disorders • Electromyography • Jaw-elevator Muscles • Power Spectrum.

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Journal of Dental Research, Vol. 73, No. 5, 1121-1128 (1994)
DOI: 10.1177/00220345940730051501


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