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BMC Oral Health
Published in: BMC Oral Health 1/2008

Open Access 01-12-2008 | Research article

Surface electromyography pattern of human swallowing

Authors: Annalisa Monaco, Ruggero Cattaneo, Alessandro Spadaro, Mario Giannoni

Published in: BMC Oral Health | Issue 1/2008

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Abstract

Background

The physiology of swallowing is characterized by a complex and coordinated activation of many stomatognathic, pharyngeal, and laryngeal muscles. Kinetics and electromyographic studies have widely investigated the pharyngeal and laryngeal pattern of deglutition in order to point out the differences between normal and dysphagic people. In the dental field, muscular activation during swallowing is believed to be the cause of malocclusion.
Despite the clinical importance given to spontaneous swallowing, few physiologic works have studied stomatognathic muscular activation and mandibular movement during spontaneous saliva swallowing.
The aim of our study was to investigate the activity patterns of the mandibular elevator muscles (masseter and anterior temporalis muscles), the submental muscles, and the neck muscles (sternocleidomastoid muscles) in healthy people during spontaneous swallowing of saliva and to relate the muscular activities to mandibular movement.

Methods

The spontaneous swallowing of saliva of 111 healthy individuals was analyzed using surface electromyography (SEMG) and a computerized kinesiography of mandibular movement.

Results

Fifty-seven of 111 patients swallowed without occlusal contact (SNOC) and 54 individuals had occlusal contact (SOC). The sternocleidomastoid muscles showed a slight, but constant activation during swallowing. The SEMG of the submental and sternocleidomastoid muscles showed no differences between the two groups. The SEMG of the anterior temporalis and masseter muscles showed significant differences (p < 0.0001). The duration of swallowing was significantly higher in the SNOC subjects. Gender and age were not related to electromyographic activation. Healthy SOC and SNOC behaved in different ways.

Conclusion

The data suggest that there is not a single "normal" or "typical" pattern for spontaneous saliva swallowing. The polygraph seemed a valuable, simple, non-invasive and reliable tool to study the physiology of swallowing.
Appendix
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Literature
1.
Lowe AA, Takada K: Associations between anterior temporal, masseter, and orbicularis oris muscle activity and craniofacial morphology in children. Am J Orthod. 1984, 86 (4): 319-30. 10.1016/0002-9416(84)90143-X.CrossRefPubMed
2.
Frohlik K, Thuer U, Ingervall B: Pressure from the tongue on the teeth in young adults. Angle Orthod. 1991, 61 (1): 17-24.
3.
Wilson EM, Green JR: Coordinative organization of lingual propulsion during the normal adult swallow. Dysphagia. 2006, 21 (4): 226-36. 10.1007/s00455-006-9053-4.CrossRefPubMedPubMedCentral
4.
Clark GT, Browne PA, Nakano M, Yang Q: Co-activation of sternocleidomastoid muscles during maximum clenching. J Dent Res. 1993, 72 (11): 1499-502.CrossRefPubMed
5.
McConnel FM, Cerenko D, Jackson RT, Guffin TN: Timing of major events of pharingeal swallowing. Arch Otolaryngol Head Neck Surg. 1988, 114 (12): 1413-8.CrossRefPubMed
6.
Crary MA, Carnaby Mann GD, Groher ME: Identification of swallowing events from sEMG signals obtained from healthy adults. Dysphagia. 2007, 22 (2): 94-9. 10.1007/s00455-006-9059-y.CrossRefPubMed
7.
Vaiman M, Eviatar E, Segal S: Evaluation of normal deglutition with the help of rectified surface electromyography records. Dysphagia. 2004, 19 (2): 125-32. 10.1007/s00455-003-0504-x.CrossRefPubMed
8.
Vaiman M, Eviatar E, Segal S: Surface electromyography studies of swallowing in normal subjects: a review of 440 adults. Report 2. Quantitative data: amplitude measures. Otolaryngol Head Neck Surg. 2004, 131 (5): 773-80. 10.1016/j.otohns.2004.03.014.CrossRefPubMed
9.
Widmalm SE, Lillie JH, Ash MM: Anatomical and electromyographic studies of the digastric muscles. J Oral Rehab. 1988, 15 (1): 3-21. 10.1111/j.1365-2842.1988.tb00142.x.CrossRef
10.
Vaiman M, Nahlieli O, Segal S, Eviatar E: Electromyography monitoring of patients with salivary gland diseases. Otolaryngol Head Neck Surg. 2005, 133: 869-73. 10.1016/j.otohns.2005.05.044.CrossRefPubMed
11.
Crary MA, Carnaby Mann GD, Groher ME: Biomechanical correlates of surface electromyography signals obtained during swallowing by healthy adults. J Speech Lang Hear Res. 2006, 49 (1): 186-93.CrossRefPubMed
12.
Moriniere S, Beutter P, Boiron M: Sound component duration of healthy human pharyngoesophageal swallowing: a gender comparison study. Dysphagia. 2006, 21 (3): 175-82. 10.1007/s00455-006-9023-x.CrossRefPubMed
13.
Vaiman M, Eviatar E, Segal S: Surface electromyographic studies of swallowing in normal subjects: a review of 440 adults. Report 3. Qualitative data. Otolaryngol Head Neck Surg. 2004, 131 (6): 977-85. 10.1016/j.otohns.2004.03.015.CrossRefPubMed
14.
Vaiman M, Segal S, Eviatar E: Surface electromyographic studies of swallowing in normal children, age 4–12 years. Int J Pediatr Otorhinolaryngol. 2004, 68 (1): 65-73. 10.1016/j.ijporl.2003.09.014.CrossRefPubMed
15.
Ertekin C, Kiylioglu N, Tarlaci S, Turman AB, Secil Y, Aydogdu I: Voluntary and reflex influences on the initiation of swallowing reflex in man. Dysphagia. 2000, 16: 40-10.1007/s004550000041.CrossRef
16.
Lawrence JH, De Luca CJ: The myoelectrical signal versus force relationship in different human muscles. J Applied Physiol. 1983, 54 (6): 1653-1659.
17.
Hagberg C, Agerberg G, Hagberg M: Regression analysis of electromyographic activity of masticatory muscles versus bite force. Scand J Dent Res. 1985, 93 (5): 396-402.PubMed
18.
Ferrario VF, Sforza C, Zanotti G, Tartaglia GM: Maximal bite forces in healthy young adults as predicted by surface electromyography. J Dent. 2004, 32 (6): 451-457. 10.1016/j.jdent.2004.02.009.CrossRefPubMed
19.
Sadalla K, de Souza R, Mollo F, Compagnoni MA: Kinesiographic study of deglutition in dentate individuals and complete denture wearers. Cranio. 2007, 25 (1): 37-41.CrossRefPubMed
20.
Widmalm SE, Lee Y, McKay DC: Clinical use of qualitative electromyography in the evaluation of jaw muscle function: a practitioner's guide. Cranio. 2007, 25 (1): 63-73.CrossRefPubMed
21.
Liu ZJ, Yamagata K, Kasahara Y, Ito G: Electromyographic examination of jaw muscles in relation to symptoms and occlusion of patients with temporomandibular joint disorders. J Oral Rehabil. 1999, 26 (1): 33-47. 10.1046/j.1365-2842.1999.00356.x.CrossRefPubMed
22.
Miralles R, Gutierrez C, Zucchino G, Cavada G, Carvajal R, Valenzuela S, Palazzi C: Body position and jaw posture effects on supra-and infrahyoid electromyographic activity in humans. Cranio. 2006, 24 (2): 98-103.CrossRefPubMed
23.
Ertekin C, Keshin A, Kijlioglu N, Kirazli Y, Yagiz A, Tarlaci S, Aydogdu I: The effect of head and neck positions on oropharyngeal swallowing: a clinical and electrophysiologic study. Arch Phys Med Rehabil Sept. 2001, 82 (9): 1255-1260. 10.1053/apmr.2001.25156.CrossRef
24.
Monaco A, Cattaneo R, Spadaro A, Marchetti E, Barone A: Prevalence of atypical swallowing: a kinesiographic study. Eur J Paediatr Dent. 2006, 7 (4): 187-91.PubMed
25.
Nogueras J, Salsench J, Torrent J, Samsò J, Peraire M, Anglada JM: Study on the mandibular movement during swallowing. Cranio. 1991, 9 (4): 322-327.CrossRefPubMed
26.
Jankelson B: The physiology of the stomatoghnathic system. JADA. 1953, 46: 375-381.
27.
Jankelson B: Physiology of the Human Dental Occlusion. JADA. 1955, 50 (6): 664-670.PubMed
28.
Logeman JA: Evaluation and treatment of swallowing disorders. Pro-ed. Austin, Texas. 1998, Second
29.
Chi-Fishman G, Stone M, McCall GN: Lingual action in normal sequential swallowing. J Speech Lang Hear Res. 1998, 41 (4): 771-85.CrossRefPubMed
Metadata
Title
Surface electromyography pattern of human swallowing
Authors
Annalisa Monaco
Ruggero Cattaneo
Alessandro Spadaro
Mario Giannoni
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2008
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-8-6

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