在纤维肌痛患者中对清醒和睡眠 Bruxism 的评估 患有关节疾病的患者
Davide Alessio Fontana1, Salvatore Nigliaccio1, Francesca Pusateri1
1Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy.
Journal of clinical medicine
|January 28, 2026
概括
纤维肌痛患者患有关节障碍,白天肌活动增加,尤其是在清醒期间出现布鲁克西斯症. 持续的EMG监测提供了对这些神经肌肉模式的客观评估.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 生物医学工程 生物医学工程
背景情况:
- 纤维肌痛 (FM) 是一种慢性疼痛状况,其特点是广泛的疼痛,疲劳和睡眠问题.
- 部部疾病 (TMDs) 和乳症在 FM 患者中很常见,但缺乏客观的评估.
- 了解肌活动对于管理FM并发症至关重要.
研究的目的:
- 客观地评估肌肉纤维肌痛患者的肌肉活动.
- 用表面电肌图 (sEMG) 和便携式EMG来比较清醒和睡眠期间的肌肉活动.
- 为了研究这个患者群体的肌肉激活和肌肉发作模式.
主要方法:
- 30名患有TMD的女性纤维肌痛患者接受了临床和鼻腔学评估.
- 静态sEMG的masseter和肌肌进行了.
- 使用Dia-BRUXO®进行了使用Dia-BRUXO®持续24小时监测左肌肉活动.
主要成果:
- 在清醒期间 (80.9) 发生的布鲁克斯主义发作明显高于睡眠期间 (24.0).
- 马塞特时间指数 (MTI) 和马塞特工作指数 (MWI) 在清醒期间升高,表明白天占主导地位.
- 静态sEMG显示肌肉对称性保留,但轻微的闭合失衡和增加的全球肌肉激活.
结论:
- 纤维肌痛和TMD患者表现出基线上肌活动升高,特别是在清醒时,这表明神经肌肉紧张.
- 持续的EMG监测提供了客观的bruxism数据,补充了临床和自我报告的评估.
- 局限性包括缺乏对照组和女性独占参与,需要进一步研究以实现概括性.
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