Changes in masticatory muscle activity in children with cerebral palsy

Marianne Briesemeister1, Kelly Cristine Schmidt, Lilian Gerdi Kittel Ries

  • 1Center of Health Sciences and Sport, Santa Catarina State University, Florianópolis, SC, Brazil.

Insights

Children with cerebral palsy (CP) exhibit altered chewing muscle activation, showing increased muscle activity and coordination difficulties during mastication compared to typically developing children.

Area of Science:

  • Neurology
  • Biomedical Engineering
  • Pediatrics

Background:

  • Cerebral palsy (CP) can affect motor control, potentially impacting complex functions like mastication.
  • Abnormalities in jaw muscle function may influence nutritional intake and overall health in children with CP.

Purpose of the Study:

  • To investigate differences in bilateral masseter and temporal muscle activation during mastication in children with CP.
  • To compare muscle activity patterns between children with CP and those with typical development (TD).

Main Methods:

  • Surface electromyography (sEMG) was used to assess muscle activity.
  • 32 children (7–13 years) performed non-habitual mastication tasks.
  • Analysis focused on muscle amplitude, active period duration, and coordination.

Main Results:

  • Children with CP showed greater muscle amplitude in both inactive and active periods compared to TD children.
  • Individual muscle active periods (Right Masseter, Right Temporal) were shorter in CP.
  • Overall active period duration was longer in CP, with greater variability in muscle inactivation.

Conclusions:

  • Children with CP demonstrate impaired masticatory muscle coordination.
  • Increased muscle activity and altered timing suggest difficulties in regulating jaw movements during chewing.
  • These findings highlight potential challenges in mastication for children with CP.