Publication: Estudio electromiográfico de los patrones musculares en adultos con sobremordida con y sin síntomas de trastorno temporomandibular
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2016-04-21
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Universidad Complutense de Madrid
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Abstract
Los problemas del paciente con síndrome disfunción temporomandibular son de naturaleza heterogénea y de etiología multifactorial. Dentro de la literatura sigue existiendo controversia sobre el papel que juegan la oclusión y las maloclusiones en la etiología de la disfunción temporomandibular. Los estudios realizados sobre pacientes con maloclusiones revelan la existencia de alteraciones en la función muscular. En una sobremordida, algunos autores sugieren que los dientes determinarían la adaptación de los músculos y articulaciones a una posición determinada. En ocasiones se puede sobrepasar esa capacidad de acomodación, provocando hipertonicidad muscular y síntomas articulares. Los registros electromiográficos son una herramienta útil para determinar diferencias en el funcionamiento muscular del aparato craneognático, siempre que seamos estrictos en el protocolo de trabajo. Los últimos avances tecnológicos nos permiten actualmente aplicar la electromiografía de superficie con una mayor fiabilidad y reproducibilidad. La ISEK (International Society of Electrophysiology and Kinesiology) a través de su proyecto SENIAM, ha establecido un protocolo de registro para que se puedan interpretar y comparar los resultados con la fiabilidad adecuada. No todos los trabajos revisados siguen estos protocolos, por lo que sus resultados se deben interpretar con precaución...
The problems of patients with temporomandibular dysfunction syndrome are heterogeneous and of multifactorial etiology. In the literature there is still controversy in the literature about the role of occlusion and malocclusion in the temporomandibular dysfunction etiology. Studies on patients with malocclusions reveal the existence of alterations in muscle function. In an overbite, some authors suggest that the teeth determine the adaptation of the muscles and joints to a certain position. Sometimes this can exceed the accommodation capacity of the stomatognatic system, causing muscle hypertonicity and joint symptoms. Electromyographic recordings are a useful tool to determine the differences in the muscular function of the stomatognatic system, provided the working protocol is strictly applied. The latest technological advances allow nowadays applying surface electromyography with greater reliability and reproducibility. The ISEK (International Society of Electrophysiology and Kinesiology) through its SENIAM project has established a registration protocol so results can be interpreted and compared with adequate reliability. Not all studies reviewed follow these protocols, so their results should be interpreted with caution...
The problems of patients with temporomandibular dysfunction syndrome are heterogeneous and of multifactorial etiology. In the literature there is still controversy in the literature about the role of occlusion and malocclusion in the temporomandibular dysfunction etiology. Studies on patients with malocclusions reveal the existence of alterations in muscle function. In an overbite, some authors suggest that the teeth determine the adaptation of the muscles and joints to a certain position. Sometimes this can exceed the accommodation capacity of the stomatognatic system, causing muscle hypertonicity and joint symptoms. Electromyographic recordings are a useful tool to determine the differences in the muscular function of the stomatognatic system, provided the working protocol is strictly applied. The latest technological advances allow nowadays applying surface electromyography with greater reliability and reproducibility. The ISEK (International Society of Electrophysiology and Kinesiology) through its SENIAM project has established a registration protocol so results can be interpreted and compared with adequate reliability. Not all studies reviewed follow these protocols, so their results should be interpreted with caution...
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Tesis inédita de la Universidad Complutense de Madrid de la Facultad de Odontología del Departamento de Estomatología I, leída el 21-01-2016