Relationship between the electrical activity of suprahyoid and infrahyoid muscles during swallowing and cephalometry
Relação da atividade elétrica dos músculos supra e infra-hióideos durante a deglutição e cefalometria
Maria Elaine Trevisan; Priscila Weber; Lilian G.K. Ries; Eliane C.R. Corrêa
Abstract
Purpose: to investigate the influence of the habitual head posture, jaw and hyoid bone position on the supra and infrahyoid muscles activity of the muscles during swallowing of different food textures.
Method: an observational, cross-sectional study, with women between 19 and 35 years, without myofunctional swallowing disorders. The craniocervical posture, position of the mandible and hyoid bone were evaluated by cephalometry. The electromyographic activity of the supra and infrahyoid muscles was collected during swallowing water, gelatin and cookie.
Results: sample of 16 women, mean age 24.19 ± 2.66 years. At rest, there were negative/moderate correlations between the electrical activity of the suprahyoid muscles with NSL/CVT (head position in relation to the cervical vertebrae) and NSL/OPT (head position in relation to the cervical spine) postural variables, and positive/moderate with the CVA angle (position of flexion/extension of the head). During swallowing the cookie, the activity of infrahyoid muscles showed a negative/moderate correlation with NSL/OPT angle. It was found higher electrical activity of the suprahyoid muscles during swallowing of all foods tested, and of the infrahyoid muscles at rest. There was difference on the muscle activity during swallowing of foods with different consistencies, which was higher with cookie compared to water and gelatin.
Conclusion: the head hyperextension reflected in lower activity of the suprahyoid muscles at rest and of the infrahyoid muscles during swallowing. The consistency of food influenced the electrical activity of the suprahyoid and infrahyoid muscles, with greater muscle recruitment in swallowing solid food.
Keywords
Resumo
Objetivo: investigar a influência da postura habitual da cabeça, da posição mandibular e do osso hióide na atividade dos músculos supra e infra-hióideos durante deglutição de diferentes consistências de alimentos.
Método: estudo observacional, transversal, com mulheres entre 19 e 35 anos, sem alterações miofuncionais de deglutição. A postura craniocervical, posição da mandíbula e osso hióide foram avaliados pela cefalometria. A atividade eletromiográfica dos músculos supra e infra-hióideos foi coletada durante a deglutição de água, gelatina e biscoito.
Resultados: amostra com 16 mulheres, média de idade 24,19±2,66 anos. No repouso, observaram-se correlações negativas/moderadas entre a atividade elétrica dos músculos supra-hióideos com as variáveis posturais NSL/CVT (posição da cabeça em relação às vértebras cervicais) e NSL/OPT (posição da cabeça em relação à coluna cervical) e positiva/moderada com o ângulo CVA (posição de flexão/extensão da cabeça). Durante a deglutição do biscoito, a atividade dos músculos infra-hióideos apresentou correlação negativa/moderada com o ângulo NSL/OPT. Constatou-se maior atividade elétrica dos músculos supra-hióideos durante a deglutição de todos os alimentos testados e, dos músculos infra-hióideos, no repouso. Os supra-hióideos foram mais ativos que os infra-hióideos durante a deglutição, entretanto, houve aumento da atividade eletromiográfica em ambos os grupos musculares durante a deglutição do biscoito, comparado com a deglutição de água e gelatina.
Conclusão: a hiperextensão da cabeça repercutiu na menor atividade dos músculos supra-hióideos no repouso e, dos músculos infra-hióideos, na deglutição. A consistência do alimento influenciou na atividade elétrica dos músculos supra e infra-hióideos, havendo maior recrutamento muscular na deglutição de alimento sólido.
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Referencias
1. Ertekin C, Aydogdu I. Neurophysiology of swallowing. Clin. neurophysiol. 2003;114:2226-44.
2. Lang IM. Brain stem control of the phases of swallowing. Dysphagia. 2009;24(3):333-48.
3. Butler SG, Stuart A, Castell D, Russel GB, Koch K, Kemp S. Effects of age, gender, bolus condition, viscosity, and volume on pharyngeal and upper esophageal sphincter pressure and temporal measurements during swallowing. J. speech lang. hear. res. 2009;52(1):240-53.
4. Sheng CM, Lin LH, Su Y, Tsai HH. Developmental changes in pharyngeal airway depth and hyoid bone position from childhood to young adulthood. Angle orthod. 2009;79(3):284-90.
5. Pearson WG Jr, Langmore SE, Zumwalt AC. Evaluating the structural properties of suprahyoid muscles and their potential for moving the hyoid. Dysphagia. 2011;26(4):345-51.
6. van der Kruis JG, Baijens LW, Speyer R, Zwijnenberg I. Biomechanical analysis of hyoid bone displacement in videofluoroscopy: a systematic review of intervention effects. Dysphagia. 2011;26(2):171-82.
7. Perry JL, Bae Y, Kuehn DP. Effect of posture on deglutitive biomechanics in healthy individuals. Dysphagia. 2012;27(1):70-80.
8. Monaco A, Cattaneo R, Spadaro A, Giannoni M. Surface electromyography pattern of human swallowing. BMC oral health. 2008;8(6):2-11.
9. Minagi S, Ohmori T, Sato T, Matsunaga T, Akamatsu Y. Effect of eccentric clenching on mandibular deviation in the vicinity of mandibular rest position. J. oral rehabil. 2000;27:175-9.
10. MacKay E, Tingey DDS, Peter H. Buschang MA, Gaylord S. Mandibular rest position: A reliable position influenced by head support and body posture. Am. j. orthod. dentofacialorthop. 2001;120:614-22.
11. Miralles R, Gutiérrez C, Zucchino G, Cavada G, Carvajal R, Valenzuela S et al. Body position and jaw posture effects on supra- and infrahyoid electromyographic activity in humans. Cranio. 2006;24(2):98-103.
12. Biasotto-Gonzalez DA. Abordagem interdisciplinar das disfunções temporomandibulares. São Paulo: Manole; 2005.
13. Tsukada T, Taniguchi H, Ootaki S, Yamada Y, Inoue M. Effects of food texture and head posture on oropharyngeal swallowing. J. Appl. oral physiol. 2009;106:1848-57.
14. Inagaki D, Miyaoka Y, Ashida I, Yamada Y. Influence of food properties and body position on swallowing-related muscle activity amplitude. J. oral rehabil. 2009;36: 176-83.
15. Sakuma T, Kida I. Relationship between ease of swallowing and deglutition-related muscle activity in various postures. J. oral rehabil. 2010;37(8):583-9.
16. Felício CM, Ferreira CLP. Protocol of orofacialmyofunctional evaluation with scores. Int. j. pediatr. otorhinolaryngol. 2008;72(3):367-75.
17. Dworkin SF, Leresche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J. craniomandib. disord.1992;6(4):301-55.
18. Solow B, Sonnesen L. Head Posture and Malocclusion. Eur. j. ortho. 1998;20(6):685-93.
19. Rosa LP, Moraes LC. Estudo comparativo da influência do método de posicionamento convencional e natural de cabeça para obtenção de radiografias laterais cefalométricas utilizando análise crânio-cervical. Ciênc. odontol. bras. 2009;12(1):56-62.
20. Rocabado M. Biomechanical Relationship of the Cranial, Cervical and hyoid Regions. J. craniomandib. pract. 1983;1(3):61-6.
21. Tecco S, Tete S, Festa F. Relation between cervical posture on lateral skull radiographs and electromyographic activity of masticatory muscles in Caucasian adult women: a cross-sectional study. J. oral rehabil. 2007;34(9):652-62.
22. Weber P, Corrêa ECR, Bolzan GP, Ferreira FS, Soares JC, Silva AMT. Relationship between craniocervical posture, mandible and hyoid bone and influence on alimentary functions. Braz. j. oral sci. 2012;11(2):141-7.
23. Corrêa ECR, Bérzin F. Efficacy of physical therapy on cervical muscle activity and on body posture in school-age mouth breathing children. Int. j. pediatr. otorhinolaryngol. 2007;71(10):1527-35.
24. Ries IGK, Bérzin F. Ativação assimétrica dos músculos temporal e masseter em crianças com paralisia cerebral. Fisioter. mov. 2009;22(1):45-52.
25. Miyaoka Y, Ashida I, Kawakami S, Tamaki Y, Miyaoka S. Activity patterns of the suprahyoid muscles during swallowing of different fluid volumes. J. oral rehabil. 2010; 37: 575-82.
26. Solnik S, Lnik S, Devita P, Rider P, Long B, Hortobágyi T. Teager–Kaiser Operator improves the accuracy of EMG onset detection independent of signal-to-noise ratio. Acta Bioeng Biomech. 2008;10(2):65-8.
27. Pestana MH, Gageiro JN. Análise de Dados para Ciências Sociais – A Complementaridade do SPSS. Lisboa: Edições Silabo; v.2, 2000.
28. Ballenberger N, von Piekartz H, Paris-Alemany A, La Touche R, Angulo-Diaz-Parreño S. Influence of different upper cervical positions on electromyography activity of the masticatory muscles. J. manip. physiol. ther. 2012;35(4):308-18.
29. Forsberg CM, Hellsing E, Linder-Aronson S, Sheikholeslam A. EMG activity in neck and masticatory muscles in relation to extension and flexion of the head. Eur J Orthod 1985;7:177-84.
30. Corrêa ECR, Bérzin F. Temporomandibular disorder and dysfunctional breathing. Braz. j. oral sci. 2004;3(10):498-502.
31. Steele CM, Bailey GL, Chau T, Molfenter SM, Oshalla M, Waito AA, et al. The relationship between hyoid and laryngeal displacement and swallowing impairment. Clin. otolaryngol. 2011;36:30-6.
32. O'Leary M, Hanson B, Smith CH. Variation of the apparent viscosity of thickened drinks. Int. j. lang. commun. disord. 2011;46:17-29.
33. Ishida R, Palmer JB, Hiemae KM. Hyoid motion during swallowing: factors affecting forward and upward displacement. Dysphagia. 2002;17:262-72.
Submitted date:
14/11/2012
Accepted date:
17/06/2013
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