Application of the ultraminiature cordless electromyogram measurement system to assessment of masseteric activity during nocturnal sleep
Purpose: To establish a simple and reliable method for assessment of sleep bruxism (SB) in clinical dentistry, we have developed an ultraminiature cordless electromyogram system, BMS. We have examined the validity of the BMS in an awake state in the daytime and the influence of motion of simulated s...
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| Published in | Nihon Gaku Koukou Kinou Gakkai zasshi Vol. 15; no. 2; pp. 121 - 130 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English Japanese |
| Published |
Japanese Society of Stomatognathic Function
2009
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1340-9085 1883-986X |
| DOI | 10.7144/sgf.15.121 |
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| Abstract | Purpose: To establish a simple and reliable method for assessment of sleep bruxism (SB) in clinical dentistry, we have developed an ultraminiature cordless electromyogram system, BMS. We have examined the validity of the BMS in an awake state in the daytime and the influence of motion of simulated sleep-turning and scratching motion on the device. In the present study, as a preliminary step to practical application of the device to SB assessment, we examined whether EMG activities could be properly recorded without significant trouble by using the BMS in an actual home sleep environment. Methods: The subjects were nine bruxers and nine non-bruxers. EMG activities of the masseter muscle during sleep were measured by using the BMS for two days in the subjects' homes. The data obtained during the second night were analyzed and compared between the two groups. EMG bursts with amplitude of 20% of maximum voluntary contraction (MVC) or more and with duration of 0.25s or more were selected. Start and end of the sleep period were detected by using an actigraph. (AMI Ltd.) Results: All subjects could set up and operate the BMS by themselves. The EMG bursts obtained by using the BMS during sleep could be properly recognized and analyzed. Artifact signals with a linear-spike shape, which were thought to be radio wave communication errors, were occasionally observed, but the signals could be distinguished from actual muscle activities and were eliminated. The number of bursts, burst time and integration of bursts per hour of sleep period of bruxers were significantly larger than those of non-bruxers, and the mean values in bruxers were 6.3-times, 3.2-times and 2.5-times larger, respectively, than those in non-bruxers. The duration per burst of bruxers was significantly smaller than that of non-bruxers. There was no significant difference between the two groups in the average of RMS values of burst and sleep time. Conclusion: It was confirmed that masseteric EMG burst during sleep in the home environment could be properly recognized and analyzed both in bruxers and non-bruxers in BMS measurement. The BMS is thought to have capacity for practical use as a monitoring device of masseteric activity during sleep. |
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| AbstractList | Purpose: To establish a simple and reliable method for assessment of sleep bruxism (SB) in clinical dentistry, we have developed an ultraminiature cordless electromyogram system, BMS. We have examined the validity of the BMS in an awake state in the daytime and the influence of motion of simulated sleep-turning and scratching motion on the device. In the present study, as a preliminary step to practical application of the device to SB assessment, we examined whether EMG activities could be properly recorded without significant trouble by using the BMS in an actual home sleep environment. Methods: The subjects were nine bruxers and nine non-bruxers. EMG activities of the masseter muscle during sleep were measured by using the BMS for two days in the subjects' homes. The data obtained during the second night were analyzed and compared between the two groups. EMG bursts with amplitude of 20% of maximum voluntary contraction (MVC) or more and with duration of 0.25s or more were selected. Start and end of the sleep period were detected by using an actigraph. (AMI Ltd.) Results: All subjects could set up and operate the BMS by themselves. The EMG bursts obtained by using the BMS during sleep could be properly recognized and analyzed. Artifact signals with a linear-spike shape, which were thought to be radio wave communication errors, were occasionally observed, but the signals could be distinguished from actual muscle activities and were eliminated. The number of bursts, burst time and integration of bursts per hour of sleep period of bruxers were significantly larger than those of non-bruxers, and the mean values in bruxers were 6.3-times, 3.2-times and 2.5-times larger, respectively, than those in non-bruxers. The duration per burst of bruxers was significantly smaller than that of non-bruxers. There was no significant difference between the two groups in the average of RMS values of burst and sleep time. Conclusion: It was confirmed that masseteric EMG burst during sleep in the home environment could be properly recognized and analyzed both in bruxers and non-bruxers in BMS measurement. The BMS is thought to have capacity for practical use as a monitoring device of masseteric activity during sleep. |
| Author | Mikami, Saki Yamaguchi, Taihiko Gotouda, Akihito Okada, Kazuki Matsuda, Shinpei |
| Author_xml | – sequence: 1 fullname: Matsuda, Shinpei organization: Dept. of Gnatho-occlusal Function, Graduate School of Dental Medicine, Hokkaido University – sequence: 1 fullname: Okada, Kazuki organization: Dept. of Temporomandibular Disorders, Center for Advanced Oral Medicine, Hokkaido University Hospital – sequence: 1 fullname: Mikami, Saki organization: Dept. of Gnatho-occlusal Function, Graduate School of Dental Medicine, Hokkaido University – sequence: 1 fullname: Gotouda, Akihito organization: Dept. of Temporomandibular Disorders, Center for Advanced Oral Medicine, Hokkaido University Hospital – sequence: 1 fullname: Yamaguchi, Taihiko organization: Dept. of Temporomandibular Disorders, Center for Advanced Oral Medicine, Hokkaido University Hospital |
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| References | 23) Minakuchi, H. and Clark, G.T.: The sensitivity and specificity of a miniature bruxism detection device, J Dent Res, 83 (Special issue A) CDROM of Abstracts, 2460, 2003. 8) Lavigne, G.J., Rompre, P.H., Montplaisir, J.Y.: Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study, J Dent Res, 75: 546-552, 1996. 21) 坂上竜資, 加藤熈, 土田泰之ほか: ブラキシズム自動解析システムの開発, 日歯保存誌, 45: 349-355, 2002. 14) Rivera-morales, W.C. and McCall Jr, W.D.: Reliability of a portable electromyographic unit to measure bruxism, J Prosthet Dent, 73: 184-189, 1995. 25) Mikami, S., Yamaguchi, T., Okada, K. et al.: Influence of motion and posture of the head on data obtained using the newly developed ultraminiature cordless bruxism measurement system, J Prosthodont Res, 53: 22-27, 2009. 22) Haketa, T., Baba, K., Akishige, S. et al.: Utility and validity of a new EMG-based bruxism detection system, Int J Prosthodont, 16: 422-428, 2003. 9) 大倉一夫: マルチテレメータシステムを用いた睡眠時ブラキシズムの測定と解析, 補綴誌, 41: 292-301, 1997. 26) 三上紗季, 山口泰彦, 岡田和樹: 超小型コードレス筋電図計測システムの開発-装置への接触の影響-, 日本スポーツ歯科医学会学術大会プログラム抄録集19回: 65, 2008. 31) AASM. Sleep related bruxism: The international classification of sleep disorders. (Diagnostic and coding manual) 2nd edition ed, Westchester, American Academy of Sleep Medicine, 189-192, 2005. 30) Van Der Zaag, J., Lobbezoo, F., Visscher, CM. et al.: Time-variant nature of sleep bruxism outcome variables using ambulatory polysomnography: implications for recognition and therapy evaluation, J Oral Rehabil, 35: 577-584, 2008. 20) 市来利香, 築山能大, 古谷野潔: 携帯型筋電図測定システムの開発と睡眠時咬筋筋活動の日間変動の観察への応用, 顎機能誌, 6: 67-77, 1999. 11) Dube, C., Rompre, P.H., Manzini, C. et al.: Quantitative polygraphic controlled study on efficacy and safety of oral splint devices in tooth-grinding subjects, J Dent Res, 83: 398-403, 2004. 15) Ikeda, T., Nishigawa, K., Kondo, K, et al.: Criteria for the detection of sleep-associated bruxism in humans, J Orofac Pain, 10: 270-282, 1996. 7) Okeson, J.P., Phillips, BA., Berry, D.T.R. et al.: Nocturnal bruxing events in healthy geriatric subjects, J Oral Rehabil, 17: 411-418, 1990. 24) Yamaguchi, T., Mikami, S., Okada, K.: Validity of a newly developed ultraminiature cordless EMG measurement system, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 104: e22-27, 2007. 16) Gallo, L.M., Lavigne, G., Rompre, P, et al.: Reliability of scoring EMG orofacial events: polysomnography compared with ambulatory recordings, J Sleep Res, 6: 259-263, 1997. 10) Okkerse, W., Brebels, A., De Deyn, PP. et al.: Influence of a bite-plane according to Jeanmonod, on bruxism activity during sleep, J Oral Rehabil, 29: 980-985, 2002. 27) Ancoli-Israel, S., Cole, R., Alessi, C. et al.: The role of actigraphy in the study of sleep and circadian rhythms, Sleep, 26: 342-392, 2003. 28) Okeson, J.P., Phillips, BA., Berry, D.T. et al.: Nocturnal bruxing events: a report of normative data and cardiovascular response, J Oral Rehabil, 21: 623-630, 1994. 18) Harada, T., Ichiki, Y., Tsukiyama, Y. et al.: The effect of oral splint devices on sleep bruxism: a 6-week observation with an ambulatory electromyographic recording device, J Oral Rehabil, 33: 482-488, 2006. 12) van der Zaag, J., Lobbezoo, F., Wicks, D.J. et al.: Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism, J Orofac Pain, 19: 151-158, 2005. 32) Clancy, E.A., Morin, E.L., Merletti, R.: Sampling, noise-reduction and amplitude estimation issues in surface electromyography, J Electromyogr Kinesiol, 12: 1-16, 2002. 1) Manfredini, D., Cantini, E., Romagnoli, M, et al.: Prevalence of bruxism in patients with different research diagnostic criteria for temporomandibular disorders (RDC/TMD) diagnoses, Cranio, 21: 279-285, 2003. 19) Solberg, W.K., Clark, G.T., Rugh, J.D.: Nocturnal electromyographic evaluation of bruxism patients undergoing short term splint therapy, J Oral Rehabil, 2: 215-223, 1975. 29) Hiyama, S., Ono, T., Ishiwata, Y. et al.: First night effect of an interocclusal appliance on nocturnal masticatory muscle activity, J Oral Rehabil, 30: 139-145, 2003. 4) Pintado, MR., Anderson, G.C., Delong, R, et al.: Variation in tooth wear in young adults over a two-year period, J Prosthet Dent, 77: 313-320, 1997. 3) Drum, W.: A new concept of periodontal diseases, J Periodontol, 46: 504-510, 1975. 13) Edinger, D.J., Fins, A.I., Sullivan, R.J. et al.: Sleep in the laboratory and sleep at home: comparison of older insomniacs and normal sleepers, Sleep, 20: 1119-1126, 1997. 17) Bowley, J.F, and Marx, D.B.: Masticatory muscle activity assesssment and reliability of portable electromyographic instrument, J Prosthet Dent, 85: 252-260, 2001. 2) Kampe, T., Tagdae, T., Bader, G. et al.: Reported symptoms and clinical findings in a group of subjects with longstanding bruxing behaviour, J Oral Rehabil, 24: 581-587, 1997. 6) 友永章雄, 池田雅彦, 加藤熈ほか: Sleep bruxismが修復物脱落に及ぼす影響, 補綴誌, 49: 221-230, 2005. 5) Cohen, S., Blanco, L., Berman, L.: Vertical root fractures: clinical and radiographic diagnosis, Am Dent Assoc, 134: 434-441, 2003. |
| References_xml | – reference: 8) Lavigne, G.J., Rompre, P.H., Montplaisir, J.Y.: Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study, J Dent Res, 75: 546-552, 1996. – reference: 12) van der Zaag, J., Lobbezoo, F., Wicks, D.J. et al.: Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism, J Orofac Pain, 19: 151-158, 2005. – reference: 31) AASM. Sleep related bruxism: The international classification of sleep disorders. (Diagnostic and coding manual) 2nd edition ed, Westchester, American Academy of Sleep Medicine, 189-192, 2005. – reference: 24) Yamaguchi, T., Mikami, S., Okada, K.: Validity of a newly developed ultraminiature cordless EMG measurement system, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 104: e22-27, 2007. – reference: 11) Dube, C., Rompre, P.H., Manzini, C. et al.: Quantitative polygraphic controlled study on efficacy and safety of oral splint devices in tooth-grinding subjects, J Dent Res, 83: 398-403, 2004. – reference: 22) Haketa, T., Baba, K., Akishige, S. et al.: Utility and validity of a new EMG-based bruxism detection system, Int J Prosthodont, 16: 422-428, 2003. – reference: 26) 三上紗季, 山口泰彦, 岡田和樹: 超小型コードレス筋電図計測システムの開発-装置への接触の影響-, 日本スポーツ歯科医学会学術大会プログラム抄録集19回: 65, 2008. – reference: 10) Okkerse, W., Brebels, A., De Deyn, PP. et al.: Influence of a bite-plane according to Jeanmonod, on bruxism activity during sleep, J Oral Rehabil, 29: 980-985, 2002. – reference: 9) 大倉一夫: マルチテレメータシステムを用いた睡眠時ブラキシズムの測定と解析, 補綴誌, 41: 292-301, 1997. – reference: 7) Okeson, J.P., Phillips, BA., Berry, D.T.R. et al.: Nocturnal bruxing events in healthy geriatric subjects, J Oral Rehabil, 17: 411-418, 1990. – reference: 27) Ancoli-Israel, S., Cole, R., Alessi, C. et al.: The role of actigraphy in the study of sleep and circadian rhythms, Sleep, 26: 342-392, 2003. – reference: 18) Harada, T., Ichiki, Y., Tsukiyama, Y. et al.: The effect of oral splint devices on sleep bruxism: a 6-week observation with an ambulatory electromyographic recording device, J Oral Rehabil, 33: 482-488, 2006. – reference: 16) Gallo, L.M., Lavigne, G., Rompre, P, et al.: Reliability of scoring EMG orofacial events: polysomnography compared with ambulatory recordings, J Sleep Res, 6: 259-263, 1997. – reference: 6) 友永章雄, 池田雅彦, 加藤熈ほか: Sleep bruxismが修復物脱落に及ぼす影響, 補綴誌, 49: 221-230, 2005. – reference: 17) Bowley, J.F, and Marx, D.B.: Masticatory muscle activity assesssment and reliability of portable electromyographic instrument, J Prosthet Dent, 85: 252-260, 2001. – reference: 20) 市来利香, 築山能大, 古谷野潔: 携帯型筋電図測定システムの開発と睡眠時咬筋筋活動の日間変動の観察への応用, 顎機能誌, 6: 67-77, 1999. – reference: 19) Solberg, W.K., Clark, G.T., Rugh, J.D.: Nocturnal electromyographic evaluation of bruxism patients undergoing short term splint therapy, J Oral Rehabil, 2: 215-223, 1975. – reference: 25) Mikami, S., Yamaguchi, T., Okada, K. et al.: Influence of motion and posture of the head on data obtained using the newly developed ultraminiature cordless bruxism measurement system, J Prosthodont Res, 53: 22-27, 2009. – reference: 13) Edinger, D.J., Fins, A.I., Sullivan, R.J. et al.: Sleep in the laboratory and sleep at home: comparison of older insomniacs and normal sleepers, Sleep, 20: 1119-1126, 1997. – reference: 3) Drum, W.: A new concept of periodontal diseases, J Periodontol, 46: 504-510, 1975. – reference: 4) Pintado, MR., Anderson, G.C., Delong, R, et al.: Variation in tooth wear in young adults over a two-year period, J Prosthet Dent, 77: 313-320, 1997. – reference: 5) Cohen, S., Blanco, L., Berman, L.: Vertical root fractures: clinical and radiographic diagnosis, Am Dent Assoc, 134: 434-441, 2003. – reference: 30) Van Der Zaag, J., Lobbezoo, F., Visscher, CM. et al.: Time-variant nature of sleep bruxism outcome variables using ambulatory polysomnography: implications for recognition and therapy evaluation, J Oral Rehabil, 35: 577-584, 2008. – reference: 15) Ikeda, T., Nishigawa, K., Kondo, K, et al.: Criteria for the detection of sleep-associated bruxism in humans, J Orofac Pain, 10: 270-282, 1996. – reference: 23) Minakuchi, H. and Clark, G.T.: The sensitivity and specificity of a miniature bruxism detection device, J Dent Res, 83 (Special issue A) CDROM of Abstracts, 2460, 2003. – reference: 14) Rivera-morales, W.C. and McCall Jr, W.D.: Reliability of a portable electromyographic unit to measure bruxism, J Prosthet Dent, 73: 184-189, 1995. – reference: 1) Manfredini, D., Cantini, E., Romagnoli, M, et al.: Prevalence of bruxism in patients with different research diagnostic criteria for temporomandibular disorders (RDC/TMD) diagnoses, Cranio, 21: 279-285, 2003. – reference: 2) Kampe, T., Tagdae, T., Bader, G. et al.: Reported symptoms and clinical findings in a group of subjects with longstanding bruxing behaviour, J Oral Rehabil, 24: 581-587, 1997. – reference: 21) 坂上竜資, 加藤熈, 土田泰之ほか: ブラキシズム自動解析システムの開発, 日歯保存誌, 45: 349-355, 2002. – reference: 32) Clancy, E.A., Morin, E.L., Merletti, R.: Sampling, noise-reduction and amplitude estimation issues in surface electromyography, J Electromyogr Kinesiol, 12: 1-16, 2002. – reference: 29) Hiyama, S., Ono, T., Ishiwata, Y. et al.: First night effect of an interocclusal appliance on nocturnal masticatory muscle activity, J Oral Rehabil, 30: 139-145, 2003. – reference: 28) Okeson, J.P., Phillips, BA., Berry, D.T. et al.: Nocturnal bruxing events: a report of normative data and cardiovascular response, J Oral Rehabil, 21: 623-630, 1994. |
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