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Published on: August 9, 2024
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.
Abstract:
The objective of the study was to determine whether children with cerebral palsy (CP) have abnormal bilateral masseter and temporal muscle activation during mastication. The muscular activity of 32 children aged between 7 and 13 years was assessed during the task of non-habitual mastication by means of surface electromyograms. During non-habitual mastication, the amplitude of all assessed muscles in the inactive period and the amplitude of the Right Masseter and Left Temporal muscles in the active period of children with CP was greater (p < 0.05) in relation to the group of children with Typical Development (TD). Considering each muscle individually, only the duration of the active period of Right Masseter and Right Temporal muscles in children with CP was lower (p < 0.05) than in the TD children. Considering the four analyzed muscles, the duration of time of general active period, when at least one muscle should be activated, was higher in children with CP (p < 0.05) than in children with TD showing greater time variation in inactivation (p < 0.05). The higher muscle activity during the phases of the masticatory cycle, with longer duration of the active period and with greater variability between the muscles to inhibit this activity show greater difficulty in coordinating the muscles of mastication in children with CP compared to children with TD.
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