The Influence of Cervical Spine Rehabilitation on Bioelectrical Activity (sEMG) of Cervical and Masticatory System Muscles

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2021 Apr 26

PMID 33901247

Citations 6

Authors

Renata Kielnar

Anna Mika

Dorota Bylina

Jaroslaw Soltan

Artur Stolarczyk

Blazej Pruszczynski

Henryk Racheniuk

Jan Szczegielniak

Aleksandra Krolikowka

Lukasz Oleksy

Affiliations

Soon will be listed here.

Abstract

Background: Coexistence of temporomandibular joint discomfort along with cervical spine disorders is quite common, and is associated with many limitations and adverse symptoms for the patient. Both diagnostics and treatment of these ailments are difficult, and in many cases, the effects of therapy are not satisfactory. This study assessed the impact of a 3-week neck-only rehabilitation programme without direct intervention in the craniofacial area on the bioelectric activity of both the cervical spine and muscles in the craniofacial area among patients with idiopathic neck pain who do not report TMJ pain.

Design: A parallel group trial with follow-up; Setting: Rehabilitation Clinic.

Methods: Twenty five patients experiencing idiopathic neck pain underwent the 3-week rehabilitation programme. Thirty five age-matched subjects with no cervical spine and temporomandibular joint (TMJ) dysfunctions were control group. At baseline and after 3 weeks the cervical and craniofacial area muscles' bioelectrical activity (sEMG) was evaluated.

Results: In the experimental group during cervical flexion, a significant decrease of sEMG amplitude was noted in the right (mean 25.1 μV; 95% CI: 21.5-28.6 vs mean 16.8 μV; 95% CI: 13.8-19.7) and left (mean 25.9 μV; 95% CI: 21.7-30.0 vs mean 17.2 μV; 95% CI: 13.6-20.7) Sternocleidomastoid as well as a significant increase in sEMG amplitude of the right (mean 11.1 μV; 95% CI: 7.9-14.2 vs mean 15.7 μV; 95% CI: 12.1-19.2) and left (mean 15.3 μV; 95% CI: 11.9-18.6 vs mean 20.2 μV; 95% CI: 15.7-24.2) Upper Trapezius muscles. In the experimental group, after therapy right and left Sternocleidomastoid, Temporalis Anterior and Masseter muscles presented lower fatigue levels.

Conclusions: Three weeks of rehabilitation without any therapeutic intervention in temporomandibular joint significantly decreased the bioelectrical activity of the neck and craniofacial muscles while improving the muscle pattern of coactivation in participants with idiopathic neck pain who do not report temporomandibular joint pain. These observations could be helpful in the physiotherapeutic treatment of neck and craniofacial area dysfunctions.

Trial Registration: ID ISRCTN14511735-retrospectively registered.

Citing Articles

The effect of clear aligner treatment on masticatory muscles (masseter, temporalis) activity in adults: a systematic review and meta-analysis.

Lekaviciute R, Paldauskaite S, Stucinskaite S, Trakiniene G Eur J Orthod. 2024; 46(4).

PMID: 38943433 PMC: 11213980. DOI: 10.1093/ejo/cjae030.

Occurrence of Cervical Spine Pain and Its Intensity in Young People with Temporomandibular Disorders.

Odzimek M, Brola W J Clin Med. 2024; 13(7).

PMID: 38610705 PMC: 11012664. DOI: 10.3390/jcm13071941.

Surface Electromyography in Dentistry-Past, Present and Future.

Zielinski G, Gawda P J Clin Med. 2024; 13(5).

PMID: 38592144 PMC: 10931581. DOI: 10.3390/jcm13051328.

Comparative Analysis of Mandibular and Cervical Mobility in Young Adults with Temporomandibular Joint Disorders: A Case-Control Study.

Wolan-Nieroda A, Maciejczak A, Manko G, Juszczyk K, Rutkowski S, Guzik A Med Sci Monit. 2023; 29:e940653.

PMID: 37592729 PMC: 10443226. DOI: 10.12659/MSM.940653.

Correction: The influence of cervical spine rehabilitation on bioelectrical activity (sEMG) of cervical and masticatory system muscles.

Kielnar R, Mika A, Bylina D, Soltan J, Stolarczyk A, Pruszczynski B PLoS One. 2022; 17(7):e0271936.

PMID: 35849589 PMC: 9292097. DOI: 10.1371/journal.pone.0271936.

References

Calixtre L, Oliveira A, de Sena Rosa L, Armijo-Olivo S, Visscher C, Alburquerque-Sendin F . Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial. J Oral Rehabil. 2018; 46(2):109-119. DOI: 10.1111/joor.12733. View

Nejati P, Lotfian S, Moezy A, Nejati M . The study of correlation between forward head posture and neck pain in Iranian office workers. Int J Occup Med Environ Health. 2015; 28(2):295-303. DOI: 10.13075/ijomeh.1896.00352. View

Ferreira M, Waisberg C, Conti P, Bevilaqua-Grossi D . Mobility of the upper cervical spine and muscle performance of the deep flexors in women with temporomandibular disorders. J Oral Rehabil. 2019; 46(12):1177-1184. DOI: 10.1111/joor.12858. View

Sonnesen L, Bakke M, SOLOW B . Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. Eur J Orthod. 2001; 23(2):179-92. DOI: 10.1093/ejo/23.2.179. View

Szeto G, Straker L, Raine S . A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Appl Ergon. 2002; 33(1):75-84. DOI: 10.1016/s0003-6870(01)00043-6. View

Visscher C, Lobbezoo F, De Boer W, van der Zaag J, Naeije M . Prevalence of cervical spinal pain in craniomandibular pain patients. Eur J Oral Sci. 2001; 109(2):76-80. DOI: 10.1034/j.1600-0722.2001.00996.x. View

Cortese S, Mondello A, Galarza R, Biondi A . Postural alterations as a risk factor for temporomandibular disorders. Acta Odontol Latinoam. 2017; 30(2):57-61. View

Castroflorio T, Icardi K, Torsello F, Deregibus A, Debernardi C, Bracco P . Reproducibility of surface EMG in the human masseter and anterior temporalis muscle areas. Cranio. 2005; 23(2):130-7. DOI: 10.1179/crn.2005.018. View

Cuccia A, Caradonna C . The relationship between the stomatognathic system and body posture. Clinics (Sao Paulo). 2009; 64(1):61-6. PMC: 2671973. DOI: 10.1590/s1807-59322009000100011. View

10.

Silveira A, Gadotti I, Armijo-Olivo S, Biasotto-Gonzalez D, Magee D . Jaw dysfunction is associated with neck disability and muscle tenderness in subjects with and without chronic temporomandibular disorders. Biomed Res Int. 2015; 2015:512792. PMC: 4391655. DOI: 10.1155/2015/512792. View

11.

Walczynska-Dragon K, Baron S . The biomechanical and functional relationship between temporomandibular dysfunction and cervical spine pain. Acta Bioeng Biomech. 2012; 13(4):93-8. View

12.

Shimazaki K, Matsubara N, Hisano M, Soma K . Functional relationships between the masseter and sternocleidomastoid muscle activities during gum chewing:. Angle Orthod. 2006; 76(3):452-8. DOI: 10.1043/0003-3219(2006)076[0452:FRBTMA]2.0.CO;2. View

13.

Clark G, Green E, Dornan M, Flack V . Craniocervical dysfunction levels in a patient sample from a temporomandibular joint clinic. J Am Dent Assoc. 1987; 115(2):251-6. DOI: 10.14219/jada.archive.1987.0231. View

14.

Armijo-Olivo S, Silvestre R, Fuentes J, da Costa B, Major P, Warren S . Patients with temporomandibular disorders have increased fatigability of the cervical extensor muscles. Clin J Pain. 2011; 28(1):55-64. DOI: 10.1097/AJP.0b013e31822019f2. View

15.

Castroflorio T, Falla D, Tartaglia G, Sforza C, Deregibus A . Myoelectric manifestations of jaw elevator muscle fatigue and recovery in healthy and TMD subjects. J Oral Rehabil. 2012; 39(9):648-58. DOI: 10.1111/j.1365-2842.2012.02309.x. View

16.

Bragatto M, Bevilaqua-Grossi D, Regalo S, Sousa J, Chaves T . Associations among temporomandibular disorders, chronic neck pain and neck pain disability in computer office workers: a pilot study. J Oral Rehabil. 2016; 43(5):321-32. DOI: 10.1111/joor.12377. View

17.

Falla D, Jull G, Russell T, Vicenzino B, Hodges P . Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007; 87(4):408-17. DOI: 10.2522/ptj.20060009. View

18.

Catanzariti J, Debuse T, Duquesnoy B . Chronic neck pain and masticatory dysfunction. Joint Bone Spine. 2005; 72(6):515-9. DOI: 10.1016/j.jbspin.2004.10.007. View

19.

Huggare J, Raustia A . Head posture and cervicovertebral and craniofacial morphology in patients with craniomandibular dysfunction. Cranio. 1992; 10(3):173-7; discussion 178-9. DOI: 10.1080/08869634.1992.11677908. View

20.

OLeary S, Falla D, Jull G . The relationship between superficial muscle activity during the cranio-cervical flexion test and clinical features in patients with chronic neck pain. Man Ther. 2011; 16(5):452-5. DOI: 10.1016/j.math.2011.02.008. View