Electromyographic activity of the orbicularis oris muscle in children with and without lip competence: A cross-sectional study.

IF 1.9 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Liliana Szyszka-Sommerfeld, Monika E Machoy, Jacek Świtała, Magdalena Sycińska-Dziarnowska, Krzysztof Woźniak, Gianrico Spagnuolo, Luigi Esposito, Carlo Rengo
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引用次数: 0

Abstract

Background: The "equilibrium theory" posits that the tongue and perioral muscles, including the orbicularis oris (OO) muscle, function synergistically to maintain balanced tooth positioning. Surface electromyography (sEMG) is a valuable, nonivasive method for assessing muscle activity. However, previous electromyographic (EMG) studies comparing lip muscle activity in children with and without lip competence (LC) have yielded inconsistent results. Therefore, further research is needed to clarify OO muscle activity patterns in this population.

Objectives: The aim of the study was to evaluate the EMG activity of the superior (SOO) and inferior orbicularis oris (IOO) muscles in children with and without LC.

Material and methods: The sample comprised 30 children with lip incompetence (LI) (mean age 9.46 ± 1.76 years) and 30 children with LC (mean age 8.85 ± 1.52 years). Electromyographic recordings of the SOO and IOO muscles were obtained using a DAB Bluetooth Instrument (Zebris Medical GmbH, Isny im Allgäu, Germany) at clinical rest, during saliva swallowing, lip protrusion ("kissing" position), lip compression, and while articulating the syllables /pa/, /ba/, and /ma/. Statistical analyses were performed using Stata v. 11.0 (StataCorp, College Station, USA). The level of significance was set at p < 0.05.

Results: Electromyographic activity of the SOO and IOO muscles during saliva swallowing (p < 0.001, adjusted p (padj) = 0.002) and lip compression (p = 0.001, padj = 0.013 for SOO; p < 0.001, padj = 0.005 for IOO) was significantly greater in children with LI compared to those with LC. Similar EMG activity at rest and during speech production was observed in children with and without LC.

Conclusions: Children with LI demonstrate increased SOO and IOO muscle activity during saliva swallowing and lip compression, suggesting greater muscular effort is required to achieve lip seal. This increased activity may disturb the muscular force balance essential for proper maxillofacial growth and could contribute to the development of malocclusion.

有和没有嘴唇能力的儿童口轮匝肌的肌电活动:一项横断面研究。
背景:“平衡理论”认为,舌头和口轮匝肌(OO)等口腔周围肌肉协同作用,维持牙齿的平衡定位。表面肌电图(sEMG)是一种有价值的、无创的评估肌肉活动的方法。然而,先前的肌电图(EMG)研究比较了有和没有唇能力(LC)的儿童的嘴唇肌肉活动,得出了不一致的结果。因此,需要进一步的研究来阐明该人群的OO肌活动模式。目的:本研究的目的是评估有和没有LC的儿童上口轮匝肌(SOO)和下口轮匝肌(IOO)的肌电活动。材料与方法:选取唇部功能不全患儿30例(平均年龄9.46±1.76岁)和唇部功能不全患儿30例(平均年龄8.85±1.52岁)。使用DAB蓝牙仪器(Zebris Medical GmbH, Isny im Allgäu,德国)在临床休息、吞咽唾液、嘴唇突出(“亲吻”姿势)、嘴唇压缩以及发/pa/、/ba/和/ma/音节时获得SOO和IOO肌肉的肌电记录。使用Stata v. 11.0 (StataCorp, College Station, USA)进行统计分析。p < 0.05为显著性水平。结果:LI患儿吞咽唾液(p < 0.001,调整后p (padj) = 0.002)和抿唇(p = 0.001, SOO的padj = 0.013; p < 0.001, IOO的padj = 0.005)时SOO和IOO肌的肌电图活动明显高于LC。在有和没有LC的儿童中,观察到休息时和语言产生时相似的肌电活动。结论:LI患儿在吞咽唾液和压唇过程中表现出增加的SOO和IOO肌肉活动,表明需要更大的肌肉力量来实现唇封。这种增加的活动可能会扰乱正常颌面生长所必需的肌肉力量平衡,并可能导致错颌畸形的发展。
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来源期刊
Advances in Clinical and Experimental Medicine
Advances in Clinical and Experimental Medicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
3.70
自引率
4.80%
发文量
153
审稿时长
6-12 weeks
期刊介绍: Advances in Clinical and Experimental Medicine has been published by the Wroclaw Medical University since 1992. Establishing the medical journal was the idea of Prof. Bogumił Halawa, Chair of the Department of Cardiology, and was fully supported by the Rector of Wroclaw Medical University, Prof. Zbigniew Knapik. Prof. Halawa was also the first editor-in-chief, between 1992-1997. The journal, then entitled "Postępy Medycyny Klinicznej i Doświadczalnej", appeared quarterly. Prof. Leszek Paradowski was editor-in-chief from 1997-1999. In 1998 he initiated alterations in the profile and cover design of the journal which were accepted by the Editorial Board. The title was changed to Advances in Clinical and Experimental Medicine. Articles in English were welcomed. A number of outstanding representatives of medical science from Poland and abroad were invited to participate in the newly established International Editorial Staff. Prof. Antonina Harłozińska-Szmyrka was editor-in-chief in years 2000-2005, in years 2006-2007 once again prof. Leszek Paradowski and prof. Maria Podolak-Dawidziak was editor-in-chief in years 2008-2016. Since 2017 the editor-in chief is prof. Maciej Bagłaj. Since July 2005, original papers have been published only in English. Case reports are no longer accepted. The manuscripts are reviewed by two independent reviewers and a statistical reviewer, and English texts are proofread by a native speaker. The journal has been indexed in several databases: Scopus, Ulrich’sTM International Periodicals Directory, Index Copernicus and since 2007 in Thomson Reuters databases: Science Citation Index Expanded i Journal Citation Reports/Science Edition. In 2010 the journal obtained Impact Factor which is now 1.179 pts. Articles published in the journal are worth 15 points among Polish journals according to the Polish Committee for Scientific Research and 169.43 points according to the Index Copernicus. Since November 7, 2012, Advances in Clinical and Experimental Medicine has been indexed and included in National Library of Medicine’s MEDLINE database. English abstracts printed in the journal are included and searchable using PubMed http://www.ncbi.nlm.nih.gov/pubmed.
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