sEMG and Vibration System Monitoring for Differential Diagnosis in Temporomandibular Joint Disorders

The stomatognathic system represents an important element of human physiology, constituting a part of the digestive, respiratory, and sensory systems. One of the signs of temporomandibular joint disorders (TMD) can be the formation of vibroacoustic and electromyographic (sEMG) phenomena. The aim of the study was to evaluate the effectiveness of temporomandibular joint rehabilitation in patients suffering from locking of the temporomandibular joint (TMJ) articular disc by analysis of vibrations, sEMG registration of masseter muscles, and hypertension of masticatory muscles. In this paper, a new system for the diagnosis of TMD during rehabilitation is proposed, based on the use of vibration and sEMG signals. The operation of the system was illustrated in a case study, a 27-year-old woman with articular dysfunction of the TMJ. The first results of TMD diagnostics using the k-nearest neighbors method are also presented on a group of fifteen people (ten women and five men). Vibroacoustic registration of temporomandibular joints, sEMG registration of masseter muscles, and functional manual analysis of the TMJ were simultaneously assessed before employing splint therapy with stomatognathic physiotherapy. Analysis of vibrations with the monitoring of sEMG in dysfunctions of the TMJ can lead to improve differential diagnosis and can be an objective way of monitoring the rehabilitation process of TMD.

[1]  Jan Awrejcewicz,et al.  Could Thermal Imaging Supplement Surface Electromyography Measurements for Skeletal Muscles? , 2021, IEEE Transactions on Instrumentation and Measurement.

[2]  A. Wojakowska,et al.  The Relationship between Simple Snoring and Sleep Bruxism: A Polysomnographic Study , 2020, International journal of environmental research and public health.

[3]  A. Gala,et al.  Diagnostic of Temporomandibular Disorders and Other Facial Pain Conditions—Narrative Review and Personal Experience , 2020, Medicina.

[4]  D. Danel,et al.  Genetic basis of sleep bruxism and sleep apnea—response to a medical puzzle , 2020, Scientific Reports.

[5]  Maciej Kłaczyński,et al.  Vibroacoustic methods of imaging in selected temporomandibular disorders during movement , 2018, Diagnostyka.

[6]  S. Davies,et al.  Sleep bruxism: an overview for clinicians , 2018, BDJ.

[7]  R. Barański.  Stability of the EMG Signal Level Within a Six-Day Measuring Cycle , 2018, Advances in Intelligent Systems and Computing.

[8]  K. Raphael,et al.  International consensus on the assessment of bruxism: Report of a work in progress , 2018, Journal of oral rehabilitation.

[9]  T. A. Larheim,et al.  The Role of Imaging in the Diagnosis of Temporomandibular Joint Pathology. , 2018, Oral and maxillofacial surgery clinics of North America.

[10]  M. Hsu,et al.  Functional disorders of the temporomandibular joints: Internal derangement of the temporomandibular joint , 2018, The Kaohsiung journal of medical sciences.

[11]  Y. Kanaan,et al.  Imaging of the Pediatric Temporomandibular Joint. , 2018, Oral and maxillofacial surgery clinics of North America.

[12]  Robert Barański,et al.  Simply and low coast electromyography signal amplifier , 2017 .

[13]  W. F. Conway,et al.  Pilot Study to Show the Feasibility of High-Resolution Sagittal Ultrasound Imaging of the Temporomandibular Joint. , 2017, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[14]  S. Rubnikovich,et al.  Algorithm of diagnostic measures in patients with temporomandibular joint disorders and bruxism , 2017 .

[15]  E F Shair,et al.  EMG Processing Based Measures of Fatigue Assessment during Manual Lifting , 2017, BioMed research international.

[16]  K. Choi,et al.  Development of electromyographic indicators for the diagnosis of temporomandibular disorders: a protocol for an assessor-blinded cross-sectional study , 2017, Integrative medicine research.

[17]  Nurhazimah Nazmi,et al.  A Review of Classification Techniques of EMG Signals during Isotonic and Isometric Contractions , 2016, Sensors.

[18]  M. Stiesch,et al.  Identification of psychological comorbidity in TMD-patients , 2016, Cranio : the journal of craniomandibular practice.

[19]  C. Cobelli,et al.  Application of surface EMG in young children affected by temporomandibular disorders: A pilot study , 2015 .

[20]  M. Chruściel-Nogalska,et al.  Occlusal splint versus modified nociceptive trigeminal inhibition splint in bruxism therapy: a randomized, controlled trial using surface electromyography. , 2015, Australian dental journal.

[21]  A. Wieczorek,et al.  Activity of the masticatory muscles and occlusal contacts in young adults with and without orthodontic treatment. , 2015, BMC Oral Health.

[22]  Robert Barański,et al.  Problems in estimation of hand grip force based on EMG signal , 2015 .

[23]  E. Tkacz,et al.  Correlation between TMD and Cervical Spine Pain and Mobility: Is the Whole Body Balance TMJ Related? , 2014, BioMed research international.

[24]  M. Więckiewicz,et al.  Comparison of Selected Kinematic Facebows Applied to Mandibular Tracing , 2014, BioMed research international.

[25]  A. Kozupa,et al.  Hand Grip-EMG Muscle Response , 2014 .

[26]  M. R. Yaacob,et al.  MVC BASED NORMALIZATION TO IMPROVE THE CONSISTENCY OF EMG SIGNAL , 2014 .

[27]  Werner Ceusters,et al.  Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. , 2014, Journal of oral & facial pain and headache.

[28]  Tadeusz Wszołek,et al.  Artificial Intelligence and Learning Systems Methods in Supporting Long-Term Acoustic Climate Monitoring , 2013 .

[29]  J. Radke,et al.  Distribution of Temporomandibular Joint Vibration Transfer to the Opposite Side , 2012, Cranio : the journal of craniomandibular practice.

[30]  Anne-Marie Welling,et al.  Work in progress. , 2012, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[31]  Teresa Sierpińska,et al.  Vibration analysis of temporomandibular joints – BioJVA device description and its clinical application in dental diagnostics – review of literature , 2012 .

[32]  Mohammed A Q Al-Saleh,et al.  Electromyography in diagnosing temporomandibular disorders. , 2012, Journal of the American Dental Association.

[33]  S. Jurel,et al.  Etiological factors of temporomandibular joint disorders , 2011, National journal of maxillofacial surgery.

[34]  M. Kłaczyński,et al.  Reduction of Speech Signal Deformation in Patients after Nasal Septum Surgery (Septolplasty) , 2011 .

[35]  D. Manfredini,et al.  Ultrasonography of the temporomandibular joint: a literature review. , 2009, International journal of oral and maxillofacial surgery.

[36]  J. Cudeiro,et al.  Changes in EMG activity during clenching in chronic pain patients with unilateral temporomandibular disorders. , 2009, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[37]  Stephen R. Marsland,et al.  Machine Learning - An Algorithmic Perspective , 2009, Chapman and Hall / CRC machine learning and pattern recognition series.

[38]  In-Taek Hwang,et al.  Evaluation of TMJ sound on the subject with TMJ disorder by Joint Vibration Analysis , 2009, The journal of advanced prosthodontics.

[39]  M. Urade,et al.  Correlation between MRI evidence of degenerative condylar surface changes, induction of articular disc displacement and pathological joint sounds in the temporomandibular joint. , 2008, Gerodontology.

[40]  A. R. Garcia,et al.  Mandible protrusion and decrease of TMJ sounds: an electrovibratographic examination. , 2008, Brazilian dental journal.

[41]  T. Hotta,et al.  Characteristics of TMD noise analyzed by electrovibratography. , 2008, Cranio : the journal of craniomandibular practice.

[42]  C. Oliveira,et al.  Occlusal splint for sleep bruxism: an electromyographic associated to Helkimo Index evaluation , 2008, Sleep and Breathing.

[43]  P Kemppainen,et al.  Review of clinical EMG studies related to muscle and occlusal factors in healthy and TMD subjects. , 2007, Journal of oral rehabilitation.

[44]  J. Okeson,et al.  The clinical usefulness of surface electromyography in the diagnosis and treatment of temporomandibular disorders. , 2006, Journal of the American Dental Association.

[45]  S. Widmalm,et al.  Acoustic characteristics of sounds from temporomandibular joints with and without effusion: an MRI study. , 2002, Journal of oral rehabilitation.

[46]  J. Radke,et al.  Wavelet Transforms of TM Joint Vibrations: A Feature Extraction Tool for Detecting Reducing Displaced Disks , 2001, Cranio : the journal of craniomandibular practice.

[47]  M. Madeira,et al.  Joint Vibration Analysis in Patients with Articular Inflammation , 2000, Cranio : the journal of craniomandibular practice.

[48]  M. Mouri,et al.  [Temporomandibular joint disorders]. , 2000, Nihon Jibiinkoka Gakkai kaiho.

[49]  P. Westesson,et al.  Amplitude and frequency spectrum of temporomandibular joint sounds from subjects with and without other signs/symptoms of temporomandibular disorders. , 1999, Journal of oral rehabilitation.

[50]  V. Ferrario,et al.  Coordinated electromyographic activity of the human masseter and temporalis anterior muscles during mastication. , 1996, European journal of oral sciences.

[51]  S. Widmalm,et al.  The wave forms of temporomandibular joint sound clicking and crepitation. , 1996, Journal of oral rehabilitation.

[52]  L. Gallo,et al.  Power Spectral Analysis of Temporomandibular Joint Sounds in Asymptomatic Subjects , 1993, Journal of dental research.

[53]  T. Maruyama,et al.  Vibration of the temporomandibular joints with normal radiographic imagings: comparison between asymptomatic volunteers and symptomatic patients. , 1993, Cranio : the journal of craniomandibular practice.

[54]  T. Maruyama,et al.  A clinical study of temporomandibular joint (TMJ) vibrations in TMJ dysfunction patients. , 1993, Cranio : the journal of craniomandibular practice.

[55]  M. Naeije,et al.  Evaluation of a technique for recording temporomandibular joint sounds. , 1992, The Journal of prosthetic dentistry.

[56]  L. V. Christensen,et al.  Reproducibility of temporomandibular joint vibrations (electrovibratography). , 1992, Journal of oral rehabilitation.

[57]  T. Gay,et al.  The acoustical characteristics of the normal and abnormal temporomandibular joint. , 1987, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[58]  L. A. Weinberg,et al.  Clinical report on the etiology and diagnosis of TMJ dysfunction-pain syndrome. , 1980, The Journal of prosthetic dentistry.