title: Effect of experimental jaw muscle pain on EMG activity and bite force distribution at different level of clenching.
abstract: Bite force at different levels of clenching and the corresponding electromyographic (EMG) activity in jaw-closing muscles were recorded in 16 healthy women before, during and after painful stimulation of the left masseter muscle. Experimental pain was induced by infusion of 5·8% hypertonic saline (HS), and 0·9% isotonic saline (IS) was infused as a control. EMG activity was recorded bilaterally from the masseter and temporalis muscles, and static bite force was assessed by pressure-sensitive films (Dental Pre-scale) at 5, 50 and 100% of maximal voluntary contraction (MVC) during each session. Visual feedback was applied by showing EMG activity to help the subject perform clenching at 5, 50 and 100% MVC, respectively. EMG activity at 100% MVC in left and right masseter decreased significantly during painful HS infusion (1·7-44·6%; P < 0·05). EMG activity at 5% and 50% MVC was decreased during HS infusion in the painful masseter muscle (4·8-18·6%; P < 0·05); however, EMG activity in the other muscles increased significantly (18·5-128·3%; P < 0·05). There was a significant increase in bite force in the molar regions at 50% MVC during HS infusion and in the post-infusion condition (P < 0·05). However, there were no significant differences in the distribution of forces at 100% MVC. In conclusion, experimental pain in the masseter muscle has an inhibitory effect on jaw muscle activity at maximal voluntary contraction, and compensatory mechanisms may influence the recruitment pattern at submaximal efforts.
authors.affiliation: Section of Clinical Oral Physiology, Department of Dentistry, Aarhus University, Aarhus, Denmark.
authors.forename: A
authors.initials: A
authors.lastname: Shimada
authors.forename: S
authors.initials: S
authors.lastname: Hara
authors.forename: P
authors.initials: P
authors.lastname: Svensson
mesh_terms: D000328:Adult; D001732:Bite Force; D018592:Cross-Over Studies; D004576:Electromyography; D005157:Facial Pain / Q000139:chemically induced / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008406:Masseter Muscle / Q000503:physiopathology*; D063806:Myalgia / Q000139:chemically induced / Q000503:physiopathology*; D010147:Pain Measurement; D016037:Single-Blind Method; D013703:Temporal Muscle / Q000503:physiopathology*; D055815:Young Adult
keywords: bite force; dental occlusion; electromyography; hypertonic saline solution; musculoskeletal pain; visual analog pain scale