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Cervical Myofascial Pain Is Associated with an Imbalance of Masticatory Muscle Activity

Bibliographic Data

ID15475418
AuthorsMichał Ginszt (0000-0002-0800-6103, Medical University of Lublin, corresponding author), Jacek Szkutnik (0000-0002-7842-1775, Medical University of Lublin), Grzegorz Zieliński (0000-0002-2849-0641, Medical University of Lublin), Magdalena Bakalczuk (Medical University of Lublin), Małgorzata Stodółkiewicz (0000-0002-5534-8763, Medical University of Lublin), Monika Litko-Rola (0000-0003-3894-937X, Medical University of Lublin), Apolinary Ginszt (0000-0002-9428-0677, Medical University of Lublin), Mansur Rahnama (0000-0002-5622-7330, Medical University of Lublin), Piotr Majcher (0000-0003-2805-2083, Medical University of Lublin)
Year2022
Volume19
Issue3
Pages1577-1577
Publication date2022-01-29
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19031577
PMID35162600
OpenAlexW4210377476
LanguageEN
References cited43

This study aimed to assess the relationship between the occurrence of cervical myofascial pain with active myofascial trigger points (MTrPs) within the upper trapezius muscle and the electromyographic asymmetry index (AsI) of masticatory muscles: temporalis anterior (TA), superficial part of the masseter muscle (MM), and anterior belly of the digastric muscle (DA). The study group comprised 100 subjects (80 women and 20 men) aged 18 to 30 years (mean 23 ± 2.6 years) reporting pain in the neck muscles, diagnosed with myofascial pain with active MTrPs only within the upper trapezius muscle. The control group comprised 60 healthy, pain-free subjects (42 women and 18 men) aged 20 to 30 years (mean 22.8 ± 2.6 years) without MTrPs in the upper trapezius muscle. The palpation measurement, based on the diagnostic criteria of Travell and Simons, was used to diagnose active MTrPs. The masticatory muscle activity was recorded using an 8-channel device for surface electromyography-BioEMG III TM . Significant differences in electromyographic patterns between the group with MTrPs in the right side of upper trapezius muscle and the control group were observed within resting activity for the AsI TA (MTrPs: 8.64 vs. controls: -3.22; p = 0.001) and AsI MM (MTrPs: 7.05 vs. controls: -2.09; p = 0.018). Controls presented different electromyographic patterns during maximum voluntary clenching with cotton rolls between teeth within masseter muscle compared to the MTrPs group (MTrPs: 9.27 vs. controls: -0.43 vs. p = 0.041). Participants with MTrPs in the left side of upper trapezius muscle presented predomination of left-sided electromyographic patterns at rest within temporalis anterior in comparison to controls (MTrPs: -19.22 vs. controls: -3.22; p = 0.001). MTrPs within the trapezius muscle may be related to asymmetry within the masticatory muscle activity, suggesting that the presence of myofascial pain within the cervical muscles plays a role in the imbalance of the stomatognathic system. A unilateral active MTrPs within the trapezius muscle may increase the sEMG activity on the same side of the temporalis anterior and masseter muscles

Digastric muscle · Electromyography · Masseter muscle · Masticatory force · Myofascial pain syndrome · Palpation · Pathology · Physical medicine and rehabilitation · Physical therapy · Bach Studies and Logistics Development · Laser Applications in Dentistry and Medicine · Medicine · Myofascial pain diagnosis and treatment · Anatomy · Orthodontics · Surgery

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