前伸头位对咀嚼肌功能活动时肌电影响.doc

前伸头位对咀嚼肌功能活动时肌电影响[摘要]目的:研究前伸头位对牙尖交错位自主用力紧咬和吞咽两功能活动时咀嚼肌肌电活动的影响。方法:以30名健康正常牙合青年女性受试者为研究对象,应用Bio EMG II型表面肌电测量仪,测量正常牙合人群分别在自然头位和最大前伸头位情况下,牙尖交错自主用力紧咬以及吞咽时颞肌前束(TA)、咬肌(MM)、胸锁乳突肌(SCM)、二腹肌前腹(DA)的肌电幅值,并对结果进行统计学分析。结果:最大前伸头位吞咽时TA、MM、SCM、DA的肌电幅值以及最大前伸头位牙尖交错位自主用力紧咬时MM和DA的肌电幅值与自然头位时相比增高且具有统计学意义(P0.05)。结论:吞咽活动时各咀嚼肌对最大前伸头位有着明显的反应,牙尖交错位紧咬时MM和DA对前伸头位反应明显,最大前伸头位时各咀嚼肌肌紧张度增加,肌电活动增强。 [关键词]自然头位;前伸头位;咀嚼肌;肌电 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455(2010)03-0401-03 Effect of forward head posture on the electromyogrphy of masticatory muscles during functional activities SUN Ji-cheng1,LIN Xue-feng2,HE Bing3,LAN Ze-dong3 (1.Guangdong Provincial Stomatological Hospital?Stomatological Hospital of the Southern Medical University,Guangzhou,510280,Guangdong,China;2.Hospital of Stomatology,Guanghua School of Stomatology,Sun Yat-Sen University;3.Guangzhou Medical College) Abstract:ObjectiveTo study the effect of forward head posture on the electromyogrphy of masticatory muscles during two functional activities-voluntary clenching in intercuspal position(ICP) and swallowing.MethodsThe electromyography(EMG) of bilateral anterior temporalis(TA),masseter muscles(MM), sternocleidomastoid muscles(SCM) and anterior digastric muscles(DA) of maximum forward head posture(FHP) and natural head posture(NHP) was taken respectively in 30 heath young female subjects to measure the myoelectric value during voluntary clenching in ICP and swallowing by means of Bio PAK system.ResultsEMG activities of MM and DA at maximum FHP during voluntary clenching in ICP were significantly higher than in control group(NHP) (P0.05),although the value at FHP was higher than the control group.Conclusion Masticatory muscles activities during swallowing are responded to maximum FHP obviously.EMG activities of MM and DA during clenching in ICP also have significant response to FHP.At maximum FHP masticatory muscles tensity(/tone) rise, and EMG activities increase. Key words:natural head posture;forward head posture;masti