EMG-force relationships are influenced by experimental jaw-muscle pain

The bite force at different levels and the corresponding electromyographic (EMG) activity of the masseter and anterior temporalis muscles were recorded in 12 healthy subjects in order to evaluate the modulation of EMG-force curves by a standardized painful stimulus. Hypertonic saline (5%) was infused into the right masseter muscle for up to 15 min to induce pain. The pain intensity was scored continuously by the subjects on a 10-cm visual analogue scale (VAS). Subjects were asked to bite on a force transducer at the maximum voluntary bite force (MVBF). They were then asked to bite at submaximum levels of 12, 25, 37, 50, 67, 75 and 87% of MVBF. The biting was performed in three different positions (right first molar, left first molar and incisor) before, during and after infusion. Hypertonic saline caused moderate pain during infusion (mean VAS +/- s.e.m. = 6.5+/-0.5 cm). Both the MVBF and the maximum EMG activity in the right masseter and the left anterior temporalis muscles were significantly decreased during muscle pain when the subjects bit on the painful side. The EMG-force curves could be fit by linear relationships. The slope of the curve became less steep in the right masseter muscle during and after painful biting in every position. The results suggest that tonic saline-induced jaw-muscle pain is able to modulate the motor unit recruitment pattern of the jaw-closing muscles on the painful side. The main effect of pain in this experiment was an inhibition of static EMG activity.