Surface electromyography in the assessment of masticatory muscle activity in patients with pain-related temporomandibular disorders: a systematic review

BackgroundTemporomandibular disorders (TMD) are a set of painful conditions affecting the orofacial region that are prevalent and constitute the most frequent type of non-dental pain complaint in the maxillofacial area. Pain-related TMD (TMD-P) is characterized by ongoing pain in the masticatory mus...

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Main Authors: Liliana Szyszka-Sommerfeld, Magdalena Sycińska-Dziarnowska, Gianrico Spagnuolo, Krzysztof Woźniak
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1184036/full
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author Liliana Szyszka-Sommerfeld
Magdalena Sycińska-Dziarnowska
Gianrico Spagnuolo
Gianrico Spagnuolo
Krzysztof Woźniak
author_facet Liliana Szyszka-Sommerfeld
Magdalena Sycińska-Dziarnowska
Gianrico Spagnuolo
Gianrico Spagnuolo
Krzysztof Woźniak
author_sort Liliana Szyszka-Sommerfeld
collection DOAJ
description BackgroundTemporomandibular disorders (TMD) are a set of painful conditions affecting the orofacial region that are prevalent and constitute the most frequent type of non-dental pain complaint in the maxillofacial area. Pain-related TMD (TMD-P) is characterized by ongoing pain in the masticatory muscles, the temporomandibular joint, or surrounding structures. Due to the multiple factors that contribute to the development of this condition, it can be challenging to accurately diagnose. One of the useful method for assessing patients with TMD-P is surface electromyography (sEMG). The aim of this systematic review was to provide a comprehensive overview of the current scientific literature on the evaluation of masticatory muscle activity (MMA) in individuals diagnosed with TMD-P, through the utilization of sEMG.MethodsTo gather relevant information, electronic databases such as PubMed, Web of Science, Scopus, and Embase were searched using specific keywords including: “pain” AND (“temporomandibular disorder*” OR “temporomandibular dysfunction*”) AND “surface electromyography” AND “masticatory muscle activity.” The inclusion criteria were studies assessing MMA in patients with TMD-P using sEMG. The Effective Public Health Practice Project (EPHPP) Quality Assessment Tool for Quantitative Studies was utilized to evaluate the quality of the studies that were included in the review.ResultsThe search strategy identified 450 potential articles. Fourteen papers met the inclusion criteria. Global quality rating for significant part of the articles was weak. Most studies showed greater sEMG activity of the masseter (MM) and temporal anterior (TA) muscles at rest in TMD-P subjects than in the asymptomatic controls, while the MM and TA muscles were less active in the pain-related TMD group compared to the non-TMD group during maximal voluntary clenching (MVC).ConclusionThere were differences in MMA in the TMD-pain population compared to a healthy control group during various tasks. The diagnostic efficacy of surface electromyography in assessing individuals with TMD-P remains unclear.
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spelling doaj.art-7c6223929c0b46a5a463601dd904e7f92023-05-03T04:36:26ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-05-011410.3389/fneur.2023.11840361184036Surface electromyography in the assessment of masticatory muscle activity in patients with pain-related temporomandibular disorders: a systematic reviewLiliana Szyszka-Sommerfeld0Magdalena Sycińska-Dziarnowska1Gianrico Spagnuolo2Gianrico Spagnuolo3Krzysztof Woźniak4Department of Orthodontics, Pomeranian Medical University, Szczecin, PolandDepartment of Orthodontics, Pomeranian Medical University, Szczecin, PolandDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Napoli, ItalySchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Orthodontics, Pomeranian Medical University, Szczecin, PolandBackgroundTemporomandibular disorders (TMD) are a set of painful conditions affecting the orofacial region that are prevalent and constitute the most frequent type of non-dental pain complaint in the maxillofacial area. Pain-related TMD (TMD-P) is characterized by ongoing pain in the masticatory muscles, the temporomandibular joint, or surrounding structures. Due to the multiple factors that contribute to the development of this condition, it can be challenging to accurately diagnose. One of the useful method for assessing patients with TMD-P is surface electromyography (sEMG). The aim of this systematic review was to provide a comprehensive overview of the current scientific literature on the evaluation of masticatory muscle activity (MMA) in individuals diagnosed with TMD-P, through the utilization of sEMG.MethodsTo gather relevant information, electronic databases such as PubMed, Web of Science, Scopus, and Embase were searched using specific keywords including: “pain” AND (“temporomandibular disorder*” OR “temporomandibular dysfunction*”) AND “surface electromyography” AND “masticatory muscle activity.” The inclusion criteria were studies assessing MMA in patients with TMD-P using sEMG. The Effective Public Health Practice Project (EPHPP) Quality Assessment Tool for Quantitative Studies was utilized to evaluate the quality of the studies that were included in the review.ResultsThe search strategy identified 450 potential articles. Fourteen papers met the inclusion criteria. Global quality rating for significant part of the articles was weak. Most studies showed greater sEMG activity of the masseter (MM) and temporal anterior (TA) muscles at rest in TMD-P subjects than in the asymptomatic controls, while the MM and TA muscles were less active in the pain-related TMD group compared to the non-TMD group during maximal voluntary clenching (MVC).ConclusionThere were differences in MMA in the TMD-pain population compared to a healthy control group during various tasks. The diagnostic efficacy of surface electromyography in assessing individuals with TMD-P remains unclear.https://www.frontiersin.org/articles/10.3389/fneur.2023.1184036/fullorofacial paintemporomandibular disorderspain-related temporomandibular disorderssurface electromyographymasticatory muscle activity
spellingShingle Liliana Szyszka-Sommerfeld
Magdalena Sycińska-Dziarnowska
Gianrico Spagnuolo
Gianrico Spagnuolo
Krzysztof Woźniak
Surface electromyography in the assessment of masticatory muscle activity in patients with pain-related temporomandibular disorders: a systematic review
Frontiers in Neurology
orofacial pain
temporomandibular disorders
pain-related temporomandibular disorders
surface electromyography
masticatory muscle activity
title Surface electromyography in the assessment of masticatory muscle activity in patients with pain-related temporomandibular disorders: a systematic review
title_full Surface electromyography in the assessment of masticatory muscle activity in patients with pain-related temporomandibular disorders: a systematic review
title_fullStr Surface electromyography in the assessment of masticatory muscle activity in patients with pain-related temporomandibular disorders: a systematic review
title_full_unstemmed Surface electromyography in the assessment of masticatory muscle activity in patients with pain-related temporomandibular disorders: a systematic review
title_short Surface electromyography in the assessment of masticatory muscle activity in patients with pain-related temporomandibular disorders: a systematic review
title_sort surface electromyography in the assessment of masticatory muscle activity in patients with pain related temporomandibular disorders a systematic review
topic orofacial pain
temporomandibular disorders
pain-related temporomandibular disorders
surface electromyography
masticatory muscle activity
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1184036/full
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