title: Electromyographic analysis of the masseter and temporal muscles in oralized deaf individuals.
abstract: Deaf individuals show a number of difficulties related to the functionality of the stomatognathic system, mainly by reason of the little or no use of facial musculature during speech either due to the use of sign language or to the difficulty that these individuals have in articulating words. The stomatognathic system muscles play important roles in functions such as mastication, deglutition, and phonation. This study aimed to assess, by means of computerized bilateral electromyography (EMG), masseter and temporal muscles of 12 oralized deaf individuals in clinical activities that involve part of this masticatory musculature and compare this system's functionality with that of 12 normal listening individuals, performing the same activities. An 8-channel K6-I EMG Light Channel Surface Electromyography device was used (Myo-Tronics Co.Seattle, WA, USA), in addition to disposable double electrodes covered with silver chloride (Duotrodes; Myo-tronics Co., Seattle, WA) containing a conductor gel (Myogel- Myo-tronics Co., Seatlle, WA). The averaged rectified EMG values were normalized with reference to the EMG amplitude induced by a maximum bite force. The statistical analysis confirmed that there were any significant differences between the groups, clinical activities, and muscles, and also effects of interaction among them. The analysis made use of Variance Analysis (ANOVA). Significant differences (p < 0.01) for both muscles were found among the clinical conditions, with deaf individuals showing greater electromyographic activity for both muscles for the clinical activity protrusion. Deaf individuals showed a lower muscular activity for clinical activities that demanded a greater masseter and temporal muscular activity such as mastication, mouth opening and closing, and dental compression. Greater electromyographic values were found for both deaf individuals and healthy controls during clinical activities of mastication and dental compression. Based on the obtained data, we concluded that deaf individuals showed a lower activity of the masticatory musculature than healthy individuals; the differences were significant at the level of p < 0.01 between the performed clinical activities; and all deaf individuals and healthy controls showed greater electromyographic values for mastication and dental compression.
authors.affiliation: Morphology, Stomatology, and Physiology Department, Faculty of Dentistry of Ribeirão Preto of the University of São Paulo (FORP-USP). schregalo@forp.usp.br
authors.forename: S C H
authors.initials: SC
authors.lastname: Regalo
authors.forename: M
authors.initials: M
authors.lastname: Vitti
authors.forename: M
authors.initials: M
authors.lastname: Semprini
authors.forename: L B
authors.initials: LB
authors.lastname: Rosa
authors.forename: F H R M
authors.initials: FH
authors.lastname: Martinez
authors.forename: C M
authors.initials: CM
authors.lastname: Santos
authors.forename: J E C
authors.initials: JE
authors.lastname: Hallak
mesh_terms: D000293:Adolescent; D003638:Deafness / Q000503:physiopathology*; D004576:Electromyography / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000503:physiopathology; D008406:Masseter Muscle / Q000503:physiopathology*; D008409:Mastication; D009055:Mouth / Q000503:physiopathology*; D009119:Muscle Contraction; D004856:Postural Balance; D013703:Temporal Muscle / Q000503:physiopathology*