Revista de Odontologia da UNESP
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Revista de Odontologia da UNESP
Original Article

Análise electromiográfica do músculo masséter em indivíduos portadores da Síndrome de Down

Electromyograpidc analysis of the masseter muscle in persons with down's syndrome

Niccoli Filho, W.D.; Vitti, M.; Moraes, F.M.D.

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Resumo

Foram analisados eletromiograficamente os músculos masséter direito e esquerdo em 15 indivíduos portadores da Síndrome de Down, em vários movimentos mandibulares, e comparados os resultados com aqueles de indivíduos normais. Os dados obtidos demonstraram que: 1) nos movimentos de abertura da boca, propulsão, lateralidade direita e esquerda da mandíbula não houve diferenças significantes nos resultados eletromiográficos entre indivíduos normais e os portadores da Síndrome de Down; 2) nos movimentos de mastigação molar direita e esquerda, incisiva e oclusão cêntrica forçada houve redução dos potenciais eletromiográficos para indivíduos portadores da Síndrome de Down, quando comparados aos indivíduos normais; 3) o padrão de coordenação dos indivíduos portadores da Síndrome de Down foi diferente daquele observado em indivíduos normais; 4) a "hipotonia" presente nos indivíduos portadores da Síndrome de Down pode ser detectada pelo exame eletromiográfico.

Palavras-chave

Electromiografia, músculo masséter, Síndrome de Down, hipotonia

Abstract

An electromyographic study of the right and left masseter muscles, in various mandibular movements, was performed on 15 individuals with Down's syndrome. The results were compared with those got from the same movements in normal individuals. The data showed that: (1) significant differences were not seen in the following movements: right lateral, left lateral, protrusion, and opening of the mouth; (2) the individuals with Down's syndrome showed a decrease in the electromyographic potentials during right and left molar mastication, incisor mastication and forced centric occlusion; (3) the muscular coordination pattern in the mongolic individuals was different from the normal subjects; (4) this study also shows that a general muscular hypotony, in individuals with Down's syndrome, can be detected by electromyography.

Keywords

Electromyography, masseter muscle, Down's syndrome, hypotony

References



1. AHLGREN, J. - Kinesiology of the mandible. An EMG study. Acta odont.scand., 25: 593-611, 1967..

2. BASMAJIAN, J. V. - Muscle alive. Their functions revealed by electromyography. 3.00., Baltimore, Williams & Wilkins Co., 1974.

3. BENDA, C. E. - Down's Syndrome, mongolism alUj its mànagement. New York, Grune & Stratton, 1969.

4. BENNINGHOFF, A. - Lehrbuck der Anatomie des Menschen. Erster Band, München, Urban & Schwarzenberg.Apud: CARLSÓÓ, S. 1949.

5. BROOKE. M. H.; CARROLL, J. E. & RINGEL, S. P. - Congenital hypotonia revisited. Muscle Nerve, 2: 84-97, 1979.

6. BROWN, J. C. & LOS@-I, P. K. - Dental occ1usion in patients with muscular dystrophy. Am.l. Orthod., 25: 1040-6, 1939.

7. CARLSÓÓ, S. - Nervous coordination and mechanical function of mandibular elevator. An electromyographic study of the activity, and an anatomic analysis of the mechanism of the muscles. Acta scand., 10 (Suppl.11): 1-132, 1952.

8. CORBIN, K. B. - Observations on the periopheral distribution of fibers arising in the mesencephalic nucleus of the cranial nerve. 1. comp. Neurol., 1: 153-77, 1940.

9. DUBOWITZ, V. - Thefloppy infant. Philadelphia, J. B. Lippincott Co., 1980.

10. GARNICK, J. & RAMFJORD, S. P. - Rest position an electromyographic and clinical investigation. l.prosth. Dent., 12: 895-911,1962.

11. GREENFIELD, J. G.; CORRMANN, T. & SHY, G. M.- The prognostic values ofmuscle biopsy in the "Floppy Infant". Brain, 81: 463-84,1958.

12. GREENFIELD, B. E. & WYKE, B. D. - Electromyographic studies of some of the muscles of mastication. 1 - Temporal and masseter activity in various jaw movements in normal subjects. Br. dento 1.,100: 129-43, 1956.

13. HAMADA, T.; KAWAZOE, Y. & YAMADA, S. - Maximum biting forces in patients with progressive muscular dystrophy. J. dento Handicapped, 3: 20-2, 1977.

14. HATHAWAY, P.; DAHL, D. & ENGEL, W. K.- Myopatliic changes produced by local trauma. Arch. Neurol., 21: 355-7, 1969.

15. HUMPHREY, T. - The central relations of the trigeminal nerve.ln: KAHN, E. A. et alii The surgery ofpain. Correlative neurosurgery. 2. ed., Springfield, Charles C. Thomas, 1969.

16. JARABAK, J. R. - An electromyographic analysis of muscular movements from rest position. J. prosth. Dent., 7: 682-710, 1957.

17. JERGE, C. R. - The functions of nucleus supratrigeminalis. J. Neurophysiol., 26: 395-40, 1963.

18. JERGE,. C. R. -- The neurologic mechanism underlying cyclic jaw movements. J. prosth. Dent., 14: 667-81, 1964.

19. KAWAMURA, Y. - Neuromuscular mechanism of jaw and tongue movements. J. Am dento Ass., 62: 544-51, 1961.

20. KÕNING. Jr., B. - Estudo morfofuncional do músculo masséter (Análise electromiográfica). Folia clin. biol., 36: 24-49, 1967.

21. MAC DOUGALL, J. D. & ANDREW, B. L. - An electromyographic study of temporalis and masseter muscles. J. Anat., 87: 37-45, 1953.

22. MOLLER, E. - Action of muscles of mastication. Front. oral Phisiol., 1: 121-58, 1974.

23. MOYERS, R. E. - An electromyographic analysis of certain muscles involved in the temporamandibular movement. Am. J. Orthod., 36: 481-515, 1950.

24. MUNRO, R.R.& BASMAJIAN, J. V. - The jaw opening reflex in mano Electromyography, 2: 191-206, 1971.

25. OLIVEIRA, F. A. de -Efeitos da placa lábio-ativa sobre a arcada dentária inferior e sobre o comportamento eletromiográfico dos músculos orbiculares da boca do lado direito. após três meses de uso. em indiv{duos portadores de maloclusão do tipo Classe I de Angle. Piracicaba, Fac. Odont. UNICAMP, 1980. (Tese - Mestrado)

26. PACKLER, R. J.; BROWN, M. J. & BERMAN, P. H. - The diagnostic value of electromyography in infantile hypotonia. Am. J. Dis. Child., 136: 1057-9, 1982.

27. PERRY, H. T. - Functional electromyographic of the temporal and masseter muscles in Class II, division 1 Malocclusion and excellent occlusion Angle Orthod., 25: 49-58, 1955.

28. PRUZANSKY, S. - The application of electromyography to dental research. J. Am. dento . Ass., 44: 40-68, 1952.

29. ROBBINS, S. L. -Pathologic basic ofdisease. Philadelphia, W. B. Saunders CO., 1974.

30. SHAFER, W. G.; HINE, M. K. & LEVI, B. M. - Tratado de patologia bucal, 2. ed., Rio de Janeiro, Interamericana, 1958.

31. SrCHER, H. & DU BRUL, E. L. - Oral anatomy. 5. ed., St. Louis, C. V. Mosby Co., 1970.

32. STEWART, R. E. & PRESCOTI, G. H. - Oral facial genetics. St. Louis, C. V. Mosby, 1976.

33. STREIB, E. W. & SUN, S. F. - Distribution of electrical myotonia in myotonic muscular dystrophy. Ann. Neurol., 14: 80-2, 1983.

34. TAIZO, H.; MAKOTO, K. & YASUYUKI, K. - Electromyographic activity of masticatory muscle in patients with progressive muscular dystrophy (Duchene type): Relation between integrated electromY9graphic activity and biting force. Spec. Care Dent., 1: 37-8, 1981.

35. THILANDER, B. - Innervation of the temporomandibular joint capsule in mano Trans. Roy Sch. Dent., 7: 1-67, 1961.

36. VITTI, M. & BASMAJIAN, J. V. - Muscle of mastication in small children: An electromyographic analysis. Am. J. Orthod. 68: 412-9, 1975.

37. VITII, M. & BASMAJIAN, J. V. - Integrated actions of masticatory muscles: Simultaneous EMG from eight intramuscular electrodes. Anat. Rec., 187: 173-89, 1977.

38. WHITE, R. A. & SACKLER, A. M. - Effect of progressive muscular distrophy on occlusion. J. Am dento Ass., 49: 449-56, 1954.

39. WOELFEL, J. B.; HICKEY, J. C.; STACY, R. W. & RINEAR, L. - Electromyographic analysis ofjaw movements. J.prosth. Dent., 10: 688-97, 1960.

40. ZWEMER, T. - An electromyographic study of the temporal and masseter muscles in cleft palate patients with insufficient maxillar development. Angle Orthod., 25: 99-112, 1955.
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