Temporomandibular joint dysfunction and trapezius muscle fatigability

Brazilian Journal of Physical Therapy

Ch Ritzel¹  F Diefenthaeler¹  Am Rodrigues¹  Acs Guimarães¹  Ma Vaz¹ 

[1] ,Universidade Federal do Rio Grande do Sul Escola de Educação Física Porto Alegre RS ,Brasil

关键词: temporomandibular joint dysfunction;    trapezius muscle;    median frequency;    EMG;    fatigue;    disfunção temporomandibular;    músculo trapézio;    mediana da freqüência;    EMG;    fadiga;   

DOI  :  10.1590/S1413-35552007000500002

来源: SciELO

【 摘 要 】

INTRODUCTION: It has been suggested that pain increases trapezius muscle activation in patients with temporomandibular joint dysfunction (TMD). Changes in muscle activation might change muscle resistance to fatigue. The purpose of this study was to evaluate the fatigability of the trapezius muscle in patients with TMD. METHOD: Fourteen patients with TMD (clinically diagnosed and referred by a dentist) and eleven healthy subjects performed a fatigue test consisting of shoulder elevation performed at 70% of the maximal voluntary isometric contraction, which was maintained for 30 seconds. Electromyographic signals were obtained from the upper portion of the trapezius muscle (sampling frequency: 2000 Hz/channel). Consecutive segments of three seconds in duration each were extracted from the electromyographic signal and analyzed in the frequency domain using a Fast Fourier Transform algorithm. Linear regression analysis was applied to the consecutive median frequencies for each subject. The slope of the regression line was used to describe muscle fatigability. RESULTS: No changes were observed in fatigability between the right and left trapezius of either group or between the left trapezius of the healthy and TMD groups. The linear regression for median frequencies in the right trapezius of the TMD group showed a slope of -0.15 ± 0.33 (mean ± SD), which was smaller than the slope for the healthy group (-0.44 ± 0.46; p= 0.049). These results suggested that the fatigability of the right trapezius was lower in the TMD group than in the healthy group.

【 授权许可】

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