基线肌的表现可以预测关节疾病的疼痛缓解
Riccardo Rosati1, Matteo Val2, Daniele Manfredini3
1Department of Biomedical Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy.
Oral diseases
|May 29, 2024
概括
部疾病患者表现出明显的肌肌肉招募模式. 在关节疾病患者中,治疗前按摩器肌肉对称性减少,预测患者在治疗后会得到更大的疼痛缓解,有助于症状管理.
科学领域:
- 生物医学工程 生物医学工程
- 临床牙科 临床牙科
- 神经肌肉研究 神经肌肉研究
背景情况:
- 部疾病 (TMD) 是一种影响肌肉的复杂疾病.
- 了解肌肉招募模式对于有效的TMD治疗至关重要.
- 以前的研究已经探索了TMD患者的电肌图学差异,但治疗成功的预测标记仍然是研究领域.
研究的目的:
- 为了比较关节性TMD患者和无症状对照者之间的肌 (前和表面) 招募模式.
- 为了确定治疗前的肌肉招募模式是否可以预测TMD治疗后的症状改善.
主要方法:
- 标准化表面电肌图 (sEMG) 用于记录26名TMD患者和26名对照者的肌肉活动.
- TMD患者接受了药物治疗和五次关节切除术.
- 疼痛,下功能和sEMG值被评估在治疗前,治疗期间和治疗后.
主要成果:
- 与对照组相比,TMD患者的sEMG值显著不同 (p < 0.05).
- 治疗显著改善了TMD患者的最大口腔开口和减少疼痛 (p < 0.01).
- 在masseter sEMG中,较低的治疗前对称度与静止疼痛的更大改善相反相关 (R=0.3936,p < 0.05).
结论:
- 在TMD患者中,肌肌肉的招募模式与健康个体的不同.
- 通过sEMG评估的治疗前按摩器肌肉对称性可以作为接受治疗的TMD患者减轻疼痛的预测指标.
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