The clinical usefulness of surface electromyography in the diagnosis and treatment of temporomandibular disorders

Journal of the American Dental Association

Volumn 137, Issue 6, 2006, Pages 763-771

  Klasser, Gary D ^a   Okeson, Jeffrey P ^b,c  

^a UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

^b Department of Oral Health Science ^*

^c UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY   (United States)

Author keywords

Biological factors; Reliability; Sensitivity; Specificity; Surface electromyography; Technical factors; Validity

Indexed keywords

EID: 33745742278     PISSN: 00028177     EISSN: None     Source Type: Journal    
DOI: 10.14219/jada.archive.2006.0288     Document Type: Article

References (116)

1. Moyers RE. An electromyographic analysis of certain muscles involved in temporomandibular movement. Am J Orthod 1950;36:481-515.
2. Inman VT, Ralston HJ, Saunders JB, Feinstein B, Wright EW Jr. Relation of human electromyogram to muscular tension. Electroencephalogr Clin Neurophysiol 1952;4(supplement 2):187-94.
3. Carlsoo S. Nervous coordination and mechanical function of the mandibular elevators; and electromyographic study of the activity, and an anatomic analysis of the mechanics of the muscles. Acta Odontol Scand 1952;10(supplement 11):1-132.
4. Pruzansky S. The application of electromyography to dental research. JADA 1952;44(1):49-68.
5. Jarabak JR. An electromyographic analysis of muscular and temporomandibular joint disturbances due to imbalances in occlusion. Angle Orthod 1956;26(3):170-90.
6. Jarabak JR. An electromyographic analysis of muscular behavior in mandibular movements from rest position. J Prosthet Dent 1957;7(5):682-710.
7. Perry HT Jr. Muscular changes associated with temporomandibular joint dysfunction. JADA 1957;54:645-53.
8. Lund JP, Widmer CG. Evaluation of the use of surface electromyography in the diagnosis, documentation, and treatment of dental patients. J Craniomandib Disord 1989;3(3):125-37.
9. Mohl ND, Lund JP, Widmer CG, McCall WD Jr. Devices for the diagnosis and treatment of temporomandibular disorders, part II: electromyography and sonography (Published correction appears in J Prosthet Dent 1990;63(5):13). J Prosthet Dent 1990;63:332-6.
10. Okeson JP, American Academy of Orofacial Pain. Orofacial pain: Guidelines for assessment, diagnosis, and management. Chicago: Quintessence; 1996.
11. Cooper BC, Cooper DL, Lucente FE. Electromyography of masticatory muscles in craniomandibular disorders. Laryngoscope 1991;101(2):150-7.
12. Goldstein LB. The use of surface electromyography in objective measurement of the muscle function in facial pain/temporomandibular dysfunction patients. Funct Orthod 2000;17(3):26-9.
13. Cooper BC. The role of bioelectronic instrumentation in the documentation and management of temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83(1):91-100.
14. Cooper BC. The role of bioelectronic instruments in documenting and managing temporomandibular disorders. JADA 1996;127:1611-4.
15. Lous I, Sheik-ol-Eslam A, Moller E. Postural activity in subjects with functional disorders of the chewing apparatus. Scand J Dent Res 1970;78:404-10.
16. Sheikholeslam A, Moller E, Lous I. Postural and maximal activity in elevators of mandible before and after treatment of functional disorders. Scand J Dent Res 1982;90(1):37-46.
17. Cooper BC, Rabuzzi DD. Myofacial pain dysfunction syndrome: a clinical study of asymptomatic subjects. Laryngoscope 1984;94(1):68-75.
18. Dolan EA, Keefe FJ. Muscle activity in myofascial pain-dysfunction syndrome patients: a structured clinical evaluation. J Craniomandib Disord 1988;2(2):101-5.
19. Jankelson RR. Scientific rationale for surface electromyography to measure postural tonicity in dental patients. Cranio 1990;8:207-9.
20. Moyers R. Some physiologic considerations of centric and other jaw relations. J Prosthet Dent 1956;6:183-94.
21. Franks AS. Masticatory muscle hyperactivity and temporomandibular joint dysfunction. J Prosthet Dent 1965;15:1122-31.
22. Funakoshi M, Fujita N, Takehana S. Relations between occlusal interference and jaw muscle activities in response to changes in head position. J Dent Res 1976;55:684-90.
23. Michler L, Moller E, Bakke M, Andreassen S, Henningsen E. Online analysis of natural activity in muscles of mastication. J Craniomandib Disord 1988;2(2):65-82.
24. Moller E, Sheikholeslam A, Lous I. Response of elevator activity during mastication to treatment of functional disorders. Scand J Dent Res 1984;92(1):64-83.
25. Yemm R. A neurophysiological approach to the pathology and aetiology of temporomandibular dysfunction. J Oral Rehabil 1985; 12:343-53.
26. Ramfjord SP. Bruxism, a clinical and electromyographic study. JADA 1961;62:21-44.
27. Gordon TE Jr. The influence of the herpes simplex virus on jaw muscle function. J Craniomandibular Pract 1983;2(1):31-8.
28. van Boxtel A, Goudswaard P. Changes in EMG power spectra during fatigue in muscle contraction and migraine headache patients. Headache 1983;23:223-8.
29. Naeije M, Hansson TL. Electromyographic screening of myogenous and arthrogenous TMJ dysfunction patients. J Oral Rehabil 1986;13:433-41.
30. Festa F. Joint distraction and condyle advancement with a modified functional distraction appliance. Cranio 1985;3:343-50.
31. Crider AB, Glaros AG. A meta-analysis of EMG biofeedback treatment of temporomandibular disorders. J Orofac Pain 1999;13(1):29-37.
32. Lund JP, Widmer CG, Feine JS. Validity of diagnostic and monitoring tests used for temporomandibular disorders. J Dent Res 1995; 74:1133-43.
33. Glazer A. High-yield biostatistics. Baltimore: Williams & Wilkins; 1995.
34. Hulley SB, Cummings SR. Planning the measurements: precision and accuracy. In: Hulley SB, ed. Designing clinical research: An epidemiologic approach. Baltimore: Williams & Wilkins; 1988:31-41.
35. Portney LG, Watkins MP. Foundations of clinical research: Applications to practice. Norwalk, Conn.: Appleton & Lange; 1993.
36. Pretty IA, Maupome G. A closer look at diagnosis in clinical dental practice, part 1: reliability, validity, specificity and sensitivity of diagnostic procedures. J Can Dent Assoc 2004;70:251-5.
37. Pehling J, Schiffman E, Look J, Shaefer J, Lenton P, Fricton J. Interexaminer reliability and clinical validity of the temporomandibular index: a new outcome measure for temporomandibular disorders. J Orofac Pain 2002;16:296-304.
38. Dworkin SF, Sherman J, Mancl L, Ohrbach R, LeResche L, Truelove E. Reliability, validity, and clinical utility of the research diagnostic criteria for Temporomandibular Disorders Axis II Scales: depression, non-specific physical symptoms, and graded chronic pain. J Orofac Pain 2002;16:207-20.
39. Mohl ND, Ohrbach R. The dilemma of scientific knowledge versus clinical management of temporomandibular disorders. J Prosthet Dent 1992;67(1):113-20.
40. Glares AG, McGlynn FD, Kapel L. Sensitivity, specificity, and the predictive value of facial electromyographic data in diagnosing myofascial pain-dysfunction. Cranio 1989;7(3):189-93.
41. Widmer CG, Lund JP, Feine JS. Evaluation of diagnostic tests for TMD. J Calif Dent Assoc 1990;18(3):53-60.
42. Greene CS. Can technology enhance TM disorder diagnosis? J Calif Dent Assoc 1990;18(3):21-4.
43. Lund JP, Lavigne G, Feine JS, et al. The use of electronic devices in the diagnosis and treatment of temporomandibular disorders. J Can Dent Assoc 1989;55:749-50.
44. McNeill C, Mohl ND, Rugh JD, Tanaka TT. Temporomandibular disorders: diagnosis, management, education, and research. JADA 1990;120(3):253, 255, 257.
45. Laskin DM, Greene CS. Diagnostic methods for temporomandibular disorders: what we have learned in two decades. Anesth Prog 1990;37(2-3):66-71.
46. Goulet JP, Clark GT. Clinical TMJ examination methods. J Calif Dent Assoc 1990;18(3):25-33.
47. Okeson JP. Management of temporomandibular disorders and occlusion. 5th ed. St. Louis: Mosby; 2003.
48. Ferrario VF, Sforza C, Miani A Jr, D'Addona A, Barbini E. Electromyographic activity of human masticatory muscles in normal young people: statistical evaluation of reference values for clinical applications. J Oral Rehabil 1993;20:271-80.
49. Abekura H, Kotani H, Tokuyama H, Hamada T. Asymmetry of masticatory muscle activity during intercuspal maximal clenching in healthy subjects and subjects with stomatognathic dysfunction syndrome. J Oral Rehabil 1995;22:699-704.
50. Suvinen TI, Reade PC, Kononen M, Kemppainen P. Vertical jaw separation and masseter muscle electromyographic activity: a comparative study between asymptomatic controls & patients with temporomandibular pain & dysfunction. J Oral Rehabil 2003;30:765-72.
51. Gross MD, Ormianer Z, Moshe K, Gazit E. Integrated electromyography of the masseter on incremental opening and closing with audio biofeedback: a study on mandibular posture. Int J Prosthodont 1999;12:419-25.
52. Kossioni AE, Karkazis HC. Random variation in the masseteric silent period after chin taps. J Prosthet Dent 1995;73:450-6.
53. Buxbaum J, Mylinski N, Parente FR. Surface EMG reliability using spectral analysis. J Oral Rehabil 1996;23:771-5.
54. Farella M, Van Eijden T, Baccini M, Michelotti A. Task-related electromyographic spectral changes in the human masseter and temporalis muscles. Eur J Oral Sci 2002;110(1):8-12.
55. Chung JW, Kim C, McCall WD Jr. Effect of sustained contraction on motor unit action potentials and EMG power spectrum of human masticatory muscles. J Dent Res 2002;81:646-9.
56. Carlson KE, Alston W, Feldman DJ. Electromyographic study of aging in skeletal muscle. Am J Phys Med 1964;43:141-5.
57. Visser SL, de Rijke W. Influence of sex and age on EMG contraction pattern. Eur Neurol 1974;12:229-35.
58. Visser A, McCarroll RS, Oosting J. Naeije M. Masticatory electromyographic activity in healthy young adults and myogenous craniomandibular disorder patients. J Oral Rehabil 1994;21(1):67-76.
59. Jensen R. Pathophysiological mechanisms of tension-type headache: a review of epidemiological and experimental studies. Cephalalgia 1999;19:602-21.
60. Jensen R, Fuglsang-Frederiksen A. Quantitative surface EMG of pericranial muscles: relation to age and sex in a general population. Electroencephalogr Clin Neurophysiol 1994;93(3):175-83.
61. Bakke M, Holm B, Jensen BL, Michler L, Moller E. Unilateral, isometric bite force in 8-68-year-old women and men related to occlusal factors. Scand J Dent Res 1990;98(2):149-58.
62. Bakke M, Michler L, Han K, Moller E. Clinical significance of isometric bite force versus electrical activity in temporal and masseter muscles. Scand J Dent Res 1989;97:539-51.
63. Kossioni AE, Karkazis HC. EMG study on the effect of ageing on the human masseteric jaw-jerk reflex. Gerodontology 1994;11(1):30-8.
64. Ueda HM, Kato M, Saifuddin M, Tabe H, Yamaguchi K, Tanne K. Differences in the fatigue of masticatory and neck muscles between male and female. J Oral Rehabil 2002;29:575-82.
65. Kossioni AE, Karkazis HC. The influence of gender on the masseter electromyographic jaw-jerk reflex in young human subjects. J Oral Rehabil 1994;21:419-30.
66. Tuxen A, Bakke M, Pinholt EM. Comparative data from young men and women on masseter muscle fibres, function and facial morphology. Arch Oral Biol 1999;44:509-18.
67. Ueda HM, Miyamoto K, Saifuddin M, Ishizuka Y, Tanne K. Masticatory muscle activity in children and adults with different facial types. Am J Orthod Dentofacial Orthop 2000;118(1):63-8.
68. Miralles R, Hevia R, Contreras L, Carvajal R, Bull R, Manns A. Patterns of electromyographic activity in subjects with different skeletal facial types. Angle Orthod 1991;61:277-84.
69. Tsai CM, Chou SL, Gale EN, McCall WD Jr. Human masticatory muscle activity and jaw position under experimental stress. J Oral Rehabil 2002;29(1):44-51.
70. Cecere F, Ruf S, Pancherz H. Is quantitative electromyography reliable? J Orofac Pain 1996;10(1):38-47.
71. Ruf S, Cecere F, Kupfer J, Pancherz H. Stress-induced changes in the functional electromyographic activity of the masticatory muscles. Acta Odontol Scand 1997;55(1):44-8.
72. De la Barrera EJ, Milner TE. The effects of skinfold thickness on the selectivity of surface EMG. Electroencephalogr Clin Neurophysiol 1994;93(2):91-9.
73. Lobbezoo F, van der Glas HW, van der Bilt A, Buchner R, Bosman F. Sensitivity of the jaw-jerk reflex in patients with myogenous temporomandibular disorder. Arch Oral Biol 1996;41:553-63.
74. van der Glas HW, Lobbezoo F, van der Bilt A, Bosman F. Influence of the thickness of soft tissues overlying human masseter and temporalis muscles on the electromyographic maximal voluntary contraction level. Eur J Oral Sci 1996;104(2 [Pt 1]):87-95.
75. Barkhaus PE, Nandedkar SD. Recording characteristics of the surface EMG electrodes. Muscle Nerve 1994;17:1317-23.
76. Macaluso GM, De Laat A. The influence of the position of surface recording electrodes on the relative uptake of the masseteric and temporal M-responses in man. Eur J Oral Sci 1995;103:345-50.
77. Rilo B, Santana U, Mora MJ, Cadarso CM. Myoelectrical activity of clinical rest position and jaw muscle activity in young adults. J Oral Rehabil 1997;24:735-40.
78. Hogrel JY, Duchene J, Marini JF. Variability of some SEMG parameter estimates with electrode location. J Electromyogr Kinesiol 1998;8:305-15.
79. Ng JK, Kippers V, Richardson CA. Muscle fibre orientation of abdominal muscles and suggested surface EMG electrode positions. Electromyogr Clin Neurophysiol 1998;38(1):51-8.
80. Zedka M, Kumar S, Narayan Y. Comparison of surface EMG signals between electrode types, interelectrode distances and electrode orientations in isometric exercise of the erector spinae muscle. Electromyogr Clin Neurophysiol 1997;37:439-47.
81. Burdette BH, Gale EN. Reliability of surface electromyography of the masseteric and anterior temporal areas. Arch Oral Biol 1990;35:747-51.
82. Lobbezoo F, van der Glas HW, Buchner R, van der Bilt A, Bosman F. Gain and threshold of the jaw-jerk reflex in man during isometric contraction. Exp Brain Res 1993;93(1):129-38.
83. Beck RB, O'Malley M, van Dijk JP, Nolan P, Stegeman DF. The effects of bipolar electrode montage on conduction velocity estimation from the surface electromyogram. J Electromyogr Kinesiol 2004; 14:505-14.
84. Jensen R, Fuglsang-Frederiksen A, Olesen J. Quantitative surface EMG of pericranial muscles: reproducibility and variability. Electroencephalogr Clin Neurophysiol 1993;89(1):1-9.
85. Turker KS. Electromyography: some methodological problems and issues. Phys Ther 1993;73:698-710.
86. Koole P, de Jongh HJ, Boering G. A comparative study of electromyograms of the masseter, temporalis, and anterior digastric muscles obtained by surface and intramuscular electrodes: raw-EMG. Cranio 1991;9:228-40.
87. Palazzi C, Miralles R, Soto MA, Santander H, Zuniga C, Moya H. Body position effects on EMG activity of sternocleidomastoid and masseter muscles in patients with myogenic cranio-cervical-mandibular dysfunction. Cranio 1996;14:200-9.
88. Miralles R, Palazzi C, Ormeno G, et al. Body position effects on EMG activity of sternocleidomastoid and masseter muscles in healthy subjects. Cranio 1998;16(2):90-9.
89. Ormeno G, Miralles R, Loyola R, et al. Body position effects on EMG activity of the temporal and suprahyoid muscles in healthy subjects and in patients with myogenic cranio-cervical-mandibular dysfunction. Cranio 1999;17(2):132-42.
90. Christensen LV. Effects of electrode movements on masseteric electromyograms of teeth clenching in humans. J Oral Rehabil 1995; 22(3):191-5.
91. Goldreich H, Gazit E, Lieberman MA, Rugh JD. The effect of pain from orthodontic arch wire adjustment on masseter muscle electromyographic activity. Am J Orthod Dentofacial Orthop 1994;106:365-70.
92. Schroeder H, Siegmund H, Santibanez G, Kluge A. Causes and signs of temporomandibular joint pain and dysfunction: an electromyographical investigation. J Oral Rehabil 1991;18:301-10.
93. Maillou P, Cadden SW. Effects of remote deep somatic noxious stimuli on a jaw reflex in man. Arch Oral Biol 1997;42:323-7.
94. Wang K, Arendt-Nielsen L, Jensen T, Svensson P. Reduction of clinical temporomandibular joint pain is associated with a reduction of the jaw-stretch reflex. J Orofac Pain 2004;18(1):33-40.
95. Browne PA, Clark GT, Kuboki T, Adachi NY. Concurrent cervical and craniofacial pain: a review of empiric and basic science evidence. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:633-40.
96. Svensson P, Wang K, Sessle BJ, Arendt-Nielsen L. Associations between pain and neuromuscular activity in the human jaw and neck muscles. Pain 2004;109(3):225-32.
97. Lund JP, Donga R, Widmer CG, Stohler CS. The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity. Can J Physiol Pharmacol 1991;69:683-94.
98. Lund JP, Widmer CG, Schwartz G. What is the link between myofascial pain and dysfunction? In: Van Steenberghe D, Laat AD, eds. Electromyography of jaw reflexes in man: Proceedings of the IADR satellite symposium held at the Catholic University Leuven. Belgium: Leuven University Press; 1989:427-44.
99. Lund JP, Stohler CS, Widmer CG. The relationship between pain and muslce activity in fibromyalgia and similar conditions. In: Vaeroy H, Merskey H, eds. Progress in fibromyalgia and myofascial pain. Amsterdam, Netherlands: Elsevier; 1993:307-23.
100. Lund JP, Stabler C. Effect of pain on muscular activity in temporomandibular disorders and related conditions. In: Stabler CS, Carlson DS, eds. Biological and pychological aspects of orofacial pain. Ann Arbor, Mich.: University of Michigan; 1994:75-91.
101. Lund JP. Pain and the control of muscles. In: Fricton JR, Dubner R, eds. Orofacial pain and temporomandibular disorders. New York: Raven; 1995:103-15.
102. LeResche L, Dworkin SP. Facial expressions of pain and emotions in chronic TMD patients. Pain 1988;35(1):71-8.
103. LeResche L, Dworkin SF, Wilson L, Ehrlich KJ. Effect of temporomandibular disorder pain duration on facial expressions and verbal report of pain. Pain 1992;51:289-95.
104. Mohl ND, Zarb GA, Carlsson GE, Rugh JD. A textbook of occlusion. Chicago: Quintessence; 1988.
105. Tsolka P, Fenlon MR, McCullock AJ, Preiskel HW. A controlled clinical, electromyographic, and kinesiographic assessment of craniomandibular disorders in women. J Orofac Pain 1994;8(1):80-9.
106. Manfredini D, Cantini E, Romagnoli M, Bosco M. Prevalence of bruxism in patients with different research diagnostic criteria for temporomandibular disorders (RDC/TMD) diagnoses. Cranio 2003;21:279-85.
107. Ciancaglini R, Gherlone EF, Radaelli G. The relationship of bruxism with craniofacial pain and symptoms from the masticatory system in the adult population. J Oral Rehabil 2001;28:842-8.
108. Molina OF, dos Santos J, Mazzetto M, Nelson S, Nowlin T, Mainieri ET. Oral jaw behaviors in TMD and bruxism: a comparison study by severity of bruxism. Cranio 2001;19(2):114-22.
109. Sherman RA. Relationships between jaw pain and jaw muscle contraction level: underlying factors and treatment effectiveness. J Prosthet Dent 1985;54(1):114-8.
110. Glaros AG, Glass EG, Brockman D. Electromyographic data from TMD patients with myofascial pain and from matched control subjects: evidence for statistical, not clinical, significance. J Orofac Pain 1997;11(2):125-9.
111. Clark GT, Tsukiyama Y, Baba K, Simmons M. The validity and utility of disease detection methods and of occlusal therapy for temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83(1):101-6.
112. Goulet JP, Clark GT, Flack VF, Liu C. The reproducibility of muscle and joint tenderness detection methods and maximum mandibular movement measurement for the temporomandibular system. J Orofac Pain 1998;12(1):17-26.
113. Howell PG, Johnson CW, Ellis S, Watson IB, Klineberg I. The recording and analysis of EMG and jaw tracking, I: the recording procedure. J Oral Rehabil 1992;19(6):595-605.
114. Kossioni AE, Karkazis HC. Reproducibility of the human masseteric jaw-jerk reflex in association with the menstrual cycle. Arch Oral Biol 1993;38:1099-105.
115. van Boxtel A. Optimal signal bandwidth for the recording of surface EMG activity of facial, jaw, oral, and neck muscles. Psychophysiology 2001;38(1):22-34.
116. Buchner R, Van der Glas HW, Brouwers JE, Bosman F. Electromyographic parameters related to clenching level and jaw-jerk reflex in patients with a simple type of myogenous cranio-mandibular disorder. J Oral Rehabil 1992;19(5):495-511.