探索肌肉活动,行为和疼痛之间的关系
Nikola Stanisic1,2, Sara Baram3, Laura Nykänen4,5
1Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, 205 06, Malmö, Sweden. nikola.stanisic@mau.se.
Scientific reports
|October 7, 2025
概括
结合生态瞬间评估 (EMA) 和表面电肌学 (sEMG),可以有效地测量肌过载. 这种方法有助于识别临时关障碍 (TMD) 患者的疼痛相关行为,以实现个性化疼痛管理.
科学领域:
- 生物医学工程 生物医学工程
- 疼痛管理 疼痛管理
- 肌肉骨研究 研究
背景情况:
- 肌肉过载是肌肉骨疼痛的已知因素,但对行为和生理标志物的实时评估是困难的.
- 醒着布鲁克斯症及其与关节障碍 (TMD) 疼痛的联系需要通过客观措施进一步调查.
研究的目的:
- 为了探索自我报告的清醒性 Bruxism (通过 EMA) 和部肌肉活动 (通过 sEMG) 之间的关系.
- 关于这些措施,要区分患有TMD疼痛和没有TMD疼痛的人.
- 评估EMA和sEMG在评估肌肉骨过重负荷方面的联合实用性.
主要方法:
- 70名参与者 (31%报告疼痛) 使用智能手机应用程序进行了为期3天的EMA,在第一天收集了sEMG数据.
- 肌肉超负荷被定义为活动超过最大自愿收缩 (MVC) 的20%.
- 分析的重点是超负荷持续时间,曲线下的面积 (AUC) 和强度水平.
主要成果:
- 在EMA报告的乳头和sEMG过载持续时间 (ρ=0.62) 之间发现了强烈的相关性.
- 只有在TMD组中,AUC与EMA相关.
- 与对照组相比,TMD患者表现出较短的高强度爆发,但延长了低强度肌肉活动.
- 妇女和那些有疼痛的人报告了更高的布鲁克斯主义行为和压力.
结论:
- EMA和sEMG的组合提供了一种有效的方法来评估肌肉骨过载,整合感知和生理数据.
- 欧洲医学协会可以识别与疼痛相关的风险行为,有助于制定定制的,以患者为中心的TMD疼痛管理策略.
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