ABSTRACT
This study evaluated the electromyographic characteristics of masticatory and neck muscles in subjects with vestibular lesions. Surface electromyography of the masseter, temporalis and sternocleidomastoid muscles was performed in 19 patients with Ménière's disease, 12 patients with an acute peripheral vestibular lesion, and 19 control subjects matched for sex and age. During maximum voluntary clenching, patients with peripheral vestibular lesions had the highest co-contraction of the sternocleidomastoid muscle (analysis of covariance, p=0.02), the control subjects had the smallest values, and the patients with Ménière's disease had intermediate values. The control subjects had larger standardized muscle activities than the other patient groups (p=0.001). In conclusion, during maximum voluntary tooth clenching, patients with vestibular alterations have both more active neck muscles, and less active masticatory muscles than normal controls. Results underline the importance of a more inclusive craniocervical assessment of patients with vestibular lesions.
Subject(s)
Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Electromyography , Masticatory Muscles/physiopathology , Neck Muscles/physiopathology , Vestibular Diseases/physiopathology , Case-Control Studies , Dental Occlusion , Masseter Muscle/physiopathology , Meniere Disease/physiopathology , Muscle Contraction/physiology , Temporal Muscle/physiopathology , Tooth/physiopathology , Vestibular Neuronitis/physiopathologyABSTRACT
O controle do equilíbrio corporal baseia-se na integraçäo central de inúmeras aferências periféricas: visuais, labirínticas, proprioceptivas e somato-sensoriais. O sistema vestibular é um sistema de grande plasticidade, sensível a modificaçöes funcionais por meio de diferentes tipos de reabilitaçäo: prismas visuais, estimuladores plantares, estimulaçäo paravertebral elétrica superficial, exercícios físicos etc. Em diferentes situaçöes essas diversas opçöes terapêuticas podem ser combinadas