Effects of different stimulus locations on inhibitory responses in human jaw-closing muscles

The aim of this study was to examine the inhibitory responses in bilateral masseter and temporalis muscle activity when electrical stimulation with short or long duration was applied to six oro-facial locations. The exteroceptive suppression period (ES2) and inhibitory responses were recorded in the surface electromyogram (EMG) of bilateral masseter and temporalis muscles in 16 healthy subjects. Two stimulus durations (1 ms single pulse and 450 ms pulse train) adjusted to a perceived intensity of 7 (distinct painful) on a 0-10 Numerical Rating Scale (NRS) were applied to the following six oro-facial locations on the right side while the subject was biting at 50% of the maximal voluntary contraction: masseter muscle, temporalis muscle, temporomandibular joint, infraorbital nerve, supraorbital nerve, and mental nerve. The stimulus intensity required to reach an NRS score of 7 was significantly lower for 450 ms train stimuli than for 1 ms single stimuli (P<0·001). There were no significant differences in the magnitude of ES2 suppression among the six different locations (P>0·876) for the 1 ms single stimuli. There were significant decreases in Root-Mean-Square-EMG values in the 400-500 ms post-stimulus epoch compared with the pre-stimulus epoch (P<0·023) for 450 ms train stimuli, but there were no significant differences in the magnitude of inhibition among the six different locations (P<0·893). Short- and long-lasting electrical stimulation of various oro-facial locations induces similar bilateral inhibitory effects in the jaw-closing muscles but with different propensity which may reflect the somatotopic organisation of these responses.