Electrognathographic and electromyographic observations on jaw depression during neck extension.
Albeit never substantiated through experimental and clinical evidence, the theoretical linchpin of the mechanics of a so-called whiplash injury of the temporomandibular joint (TMJ) is the postulate that a pre-existing depressor force (continual anchoring force), generated by the anterior suprahyoid (SH) muscles, will always act on the mandible and cause traumatic mouth opening (anterior acceleration of the TMJ condyles) when the neck is extended (posterior acceleration of the head). To test aspects of this postulate, six subjects assumed the positions of neutral (0 degrees ), medium (32 degrees ) and maximum (58 degrees ) neck extension while the mandible was in its postural positions of rest and light centric occlusion. By means of surface electromyography, it was shown that the relative contractile activities of the anterior SH muscles never exceeded 7.3% of the contractile activity required to anchor the mandible in a position of maximum depression. By means of electrognathography, it was shown that the maxillary and mandibular incisors were never separated by more than 2.6 mm during neutral, medium, and maximum extension of the neck. In other words, during neck extensions there was no evidence of a continual or induced voluntary or involuntary depressor force that would and could anchor the mandible in a position of traumatic mouth opening. Accordingly, and in agreement with other biophysical and biomedical evidence, it was concluded that there is no foundation for the pseudoscientific speculations and unsubstantiated opinions offered in support of a concept and diagnosis of a so-called TMJ whiplash injury. Additionally, this study found co-activation of cervical flexor muscles and mandibular elevator as well as depressor muscles.
McKay
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DC
Christensen
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LV
D000054:Acceleration; D001696:Biomechanical Phenomena; D003766:Dental Occlusion; D003768:Dental Occlusion, Centric; D004568:Electrodiagnosis; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000033:anatomy & histology / Q000502:physiology*; D008410:Masticatory Muscles / Q000502:physiology; D008437:Maxilla / Q000033:anatomy & histology; D008875:Middle Aged; D009068:Movement; D009119:Muscle Contraction / Q000502:physiology; D009333:Neck / Q000033:anatomy & histology / Q000502:physiology*; D009334:Neck Muscles / Q000502:physiology; D011187:Posture; D013704:Temporomandibular Joint / Q000293:injuries; D014911:Whiplash Injuries / Q000503:physiopathology