ÖZ
Amaç:
Bu çalışmanın amacı, boyun kaslarında oluşturulan yorgunluğun, çiğneme kaslarının ağrı eşiği, enduransı ve ağız açma genişliği üzerine akut etkilerini araştırmaktır.
Yöntemler:
Yaşları 20 ile 25 arasında (X±SS: 21.7±1.18) 14 sağlıklı kadın çalışmaya dahil edildi. Olguların öncelikle, eksik dişleri ve bruksizmleri olup olmadığı, demografik bilgileri ile birlikte kaydedildi. Yorgunluk protokolü öncesi, çiğneme kaslarının ağrı eşiği, maksimum ağız açma genişliği ve 5 dakika sakız çiğneme testi ile çiğneme kasları yorgunluk seviyelerine bakıldı. Daha sonra olgulara yüzüstü pozisyonda, Modifiye Borg Yorgunluk Skalasından 10 puan alana dek, baş fleksiyon ve ekstansiyondan oluşan yorma protokolü uygulandı. Yorgunluk protokolü öncesi uygulanan testler, sonrasında da tekrar edildi.
Sonuçlar:
Yorgunluk protokolü sonrası, iki taraf masseter kası, sağ temporomandibular eklem ve sol temporalis kası ağrı eşiğinde, ağrısız ağız açma genişliğinde ve çiğneme enduransında azalma olduğu saptandı (p<0.05). Bireylerin çiğneme kaslarının istirahat yorgunluk seviyelerindeki değişim, istatistiksel olarak anlamlı değildi (p>0.05).
Tartışma:
Çalışmamızda boyun yorgunluğunun akut olarak, çiğneme fonksiyonunun çeşitli parametreleri üzerine olumsuz etkileri görülmüştür. Boyun kaslarındaki yorgunluğun, temporomandibular eklem disfonksiyonuna zemin hazırlayacağı düşünülmektedir.
Abstract
Purpose:
The aim of study was to investigate acute effects of neck muscles fatigue, on masticator muscle pain threshold, endurance and maximum pain-free mouth opening.
Methods:
14 healty women aged between 20-25 years (Mean±SD: 21.7±1.18) were included in the study. Initially, lack of teeth and bruxism status and demographic information of cases were recorded. Before fatigue protocole, masticator muscle pain threshold, maximum pain-free mouth opening and fatigue level of masticator muscles by 5 minutes chewing gum test were evaluated. After that, participants performed fatigue protocole consisting of head flexion and extension at prone position until take 10 points from Modify Borg Scale. And all the tests were re-performed after fatigue protocole.
Results:
After fatigue protocol, pain threshold of masseter muscles, right temporomandibular joint and left temporalis muscle, maximum pain-free mouth opening and chewing endurance were reduced (p<0.05). Change of fatigue level of mastication muscles at rest was not statistically significant (p>0.05).
Discussion:
In our study, we identified that neck fatigue negatively affects some parameteres of masticator muscle immediately. Fatigue of the neck muscles are thought to predispose temporomandibular joint dysfunction.
Article PDF
Avoid common mistakes on your manuscript.
Kaynaklar
Laskin DM. Etiology of the pain-dysfunction syndrome. J Am Dent Assoc. 1969;79(1):147–53.
Ries LG, Berzin F. Analysis of the postural stability in individuals with or without signs and symptoms of temporomandibular disorder. Braz Oral Res. 2008;22(4):378–83.
Zuniga C, Miralles R, Mena B, Montt R, Moran D, Santander H et al. Influence of variation in jaw posture on sternocleidomastoid and trapezius electromyographic activity. Cranio. 1995; 13(3):157–62.
Clark GT, Browne PA, Nakano M, Yang Q. Co-activation of sternocleidomastoid muscles during maximum clenching. J Dent Res. 1993;72(11):1499–502.
Cacchiotti DA, Plesh O, Bianchi P, Mc Neill C. Signs and symptoms in samples with and without temporomandibular disorders. J Craniomandib Disord. 1991;5(3):167–72.
Alanen PJ, Kirveskari PK. Occupational cervicobrachial disorder and temporomandibular joint dysfunction. Cranio. 1984;3(1):69–72.
De Laat A. Correlation between cervical spine and temporomandibular disorders. Clin Oral Investig. 1998;2(2):54–7.
Kritsineli M, Shim YS. Malocclusion, body posture, and temporomandibular disorder in children with primary and mixed dentition. J Clin Pediatr Dent. 1992;16(2):86–93.
Kondo E, Aoba TJ. Case report of malocclusion with abnormal head posture and TMJ symptoms. Am J Orthod Dentofacial Orthop. 1999;116(5):481–93.
Makofsky HW. The influence of forward head posture on dental occlusion. Cranio. 2000; 18(1):30–9.
Liem T. Praxis der Kraniosakralen Osteopathie, in Mandibula and Articulativ Temporomandibularis. 2000; p. 255–378.
Sessle BJ, Hu JW, Amano N, Zhang G. Convergence of cutaneous, tooth pulp, visceral, neck and muscle afferents onto nociceptive and non-nociceptive neurones in trigeminal subnucleus caudalis (medullary dorsal horn) and its implications for referred pain. Pain.1986; 27(2):219–35.
Broton JG, Hu JW, Sessle BJ. Effects of temporomandibular joint stimulation on nociceptive and nonnociceptive neurons of the cat’s trigeminal subnucleus caudalis (medullary dorsal horn). J Neurophysiol. 1988;59(5):1575–89.
Borg G, Psychophysical scaling with applications in physical work and the perception of exertion. Scand J Work Environ Health. 1990; 16(Suppl 1):55–8.
Parazza S, Vanti C, O’Reilly C, Villafañe JH, Tricás Moreno JM, Estébanez De Miguel E. The relationship between cervical flexor endurance, cervical extensor endurance, VAS, and disability in subjects with neck pain. Chiropractic & Manual Therapies. 2014;22(10):1–7.
Fredriksson L, Alstergren P, Kopp S. Absolute and relative facial pressure-pain thresholds in healthy individuals. J Orofac Pain. 2000; 14(2):98–104.
Goulet JP, Clark GT, Flack VF, Liu C. The reproducibility of muscle and joint tenderness detection methods and maximum mandibular movement measurement for the temporomandibular system. J Orofac Pain. 1998;12(1):17–26.
Haggman-Henrikson B, Osterlund C, Eriksson PO. Endurance during chewing in whiplash-associated disorders and TMD. J Dent Res. 2004;83(12):946–50.
Yoshida E, Lobbezoo F, Fueki K, Naeije M. Effects of delayed-onset muscle soreness on masticatory function. Eur J Oral Sci. 2012; 120(6):526–30.
Armijo-Olivo S. Fuentes JP, da Costa BR, Major PW, Warren S, Thie NM et al. Reduced endurance of the cervical flexor muscles in patients with concurrent temporomandibular disorders and neck disability. Man Ther.2010; 15(6): 586–92.
Armijo-Olivo S, Silvestre RA, Fuentes JP, da Costa BR, Major PW, Warren S et al. Patients with temporomandibular disorders have increased fatigability of the cervical extensor muscles. Clin J Pain. 2012; 28(1):55–64.
Santander H, Miralles R, Pérez J, Valenzuela S, Ravera MJ, Ormeño G et al. Effects of head and neck inclination on bilateral sternocleidomastoid EMG activity in healthy subjects and in patients with myogenic cranio-cervical-mandibular dysfunction. Cranio. 2000;18(3):181–91.
Fernandez-de-Las-Penas C, Galán-Del-Río F, Alonso-Blanco C, Jiménez-García R, Arendt-Nielsen L, Svensson P et al. Referred pain from muscle trigger points in the masticatory and neck-shoulder musculature in women with temporomandibular disoders. J Pain. 2010; 11(12):1295–304.
Silveria A, Armijo-Olivo S, Gadotti IC, Magee, D. Mastictory and cervical muscles tenderness and pain sensitivity in a remote area in subjects with temporomandibular disorder and neck disability. J Oral Facial Pain Headache. 2014;28(2):138-46. 25.
Mansilla-Ferragut P, Fernández-de-Las Peñas C, Alburquerque- Sendín F, Cleland JA, Boscá-Gandía JJ et al. Immediate effects of atlanto-occipital joint manipulation on active mouth opening and pressure pain sensitivity in women with mechanical neck pain. J Manipulative Physiol Ther. 2009;32(2):101–6.
Ibanez-Garcia J, Alburquerque-Sendín F, Rodríguez-Blanco C, Girao D, Atienza-Meseguer A, Planella-Abella S et al. Changes in masseter muscle trigger points following strain-counterstrain or neuro-muscular technique. J Bodyw Mov Ther. 2009;13(1):2–10.
Atkinson TA, Vossler S, Hart DL. The evaluation of facial, head, neck, and temporomandibular joint pain patients. J Orthop Sports Phys Ther.1982;3(4):193–9.
Eriksson PO, Zafar H, Nordh E. Concomitant mandibular and head- neck movements during jaw opening-closing in man. J Oral Rehabil.1998;25(11):859–70.
Eriksson PO, Häggman-Henrikson B, Nordh E, Zafar H et al. Co-ordinated mandibular and head-neck movements during rhythmic jaw activities in man. J Dent Res. 2000;79(6):1378–84.
Haggman-Henrikson B, Zafar H, Eriksson PO. Disturbed jaw behavior in whiplash-associated disorders during rhythmic jaw movements. J Dent Res, 2002;81(11):747–51.
Author information
Authors and Affiliations
Corresponding author
Additional information
Hasan Erkan KILINÇ, Uzm. Fzt. 1
Burak ULUSOY, Uzm. Fzt. 1
Nevin ERGUN, Prof. Dr. 1
Uzm. Fzt. Hasan Erkan Kılınç Hacettepe Üniversitesi,Sağlık Bilimleri Fakültesi, Fizyoterapi Ve Rehabilitasyon Bölümü, Ankara, Türkiye. Tel. 507 482 52 60 e-posta: erkankilinc@hotmail.com
1 Hacettepe Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Kilinç, H., Ulusoy, B. & Ergun, N. Acute effect of created muscle fatigue in cervical region on temporomandibular joint in healthy women. Turk J Physiother Rehabil 26, 3 (2015). https://doi.org/10.7603/s40680-015-0003-7
Received:
Accepted:
Published:
DOI: https://doi.org/10.7603/s40680-015-0003-7