Difference between revisions of "Bilateral Trigeminal neuromotor organic symmetry"

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Some authors have tried to test the hypothesis that normalization of the jaw-stretch reflex amplitude with respect to the voluntary EMG activity preceding the reflex stimulus (EMG pre-stimulus) makes the amplitude more independent by the electrode location over the masseter muscle. In this experimental study, the reflex amplitude was also normalized with respect to the mean pre-stimulus EMG activity.<ref>Koutris M, Naeije M, Lobbezoo F, Wang K, Arendt-Nielsen L, et al. (2010) Normalization reduces the spatial dependency of the jaw-stretch reflex activity in the human masseter muscle. Muscle Nerve 41: 78-84.</ref>
Some authors have tried to test the hypothesis that normalization of the jaw-stretch reflex amplitude with respect to the voluntary EMG activity preceding the reflex stimulus (EMG pre-stimulus) makes the amplitude more independent by the electrode location over the masseter muscle. In this experimental study, the reflex amplitude was also normalized with respect to the mean pre-stimulus EMG activity.<ref>Koutris M, Naeije M, Lobbezoo F, Wang K, Arendt-Nielsen L, et al. (2010) Normalization reduces the spatial dependency of the jaw-stretch reflex activity in the human masseter muscle. Muscle Nerve 41: 78-84.</ref>


Unfortunately, the proposed model gave us few neurophysiological indications being the P-P amplitude of the jaw in excess, respect to unity or 100% as aforementioned <ref name=":0" /> [30]. Why not use the masseteric <math>M-wave</math> as a normalization factor, higher in amplitude and more stable than the MVC?<ref name=":1">Arabadzhiev TI, Dimitrov VG, Dimitrova NA, Dimitrov GV (2010) Interpretation of EMG integral or RMS and estimates of “neuromuscular efficiency” can be misleading in fatiguing contraction. J Electromyogr Kinesiol 20: 223-232.</ref>
Unfortunately, the proposed model gave us few neurophysiological indications being the P-P amplitude of the jaw in excess, respect to unity or 100% as aforementioned <ref name=":0" />. Why not use the masseteric <math>M-wave</math> as a normalization factor, higher in amplitude and more stable than the MVC?<ref name=":1">Arabadzhiev TI, Dimitrov VG, Dimitrova NA, Dimitrov GV (2010) Interpretation of EMG integral or RMS and estimates of “neuromuscular efficiency” can be misleading in fatiguing contraction. J Electromyogr Kinesiol 20: 223-232.</ref>


The technical execution of <math>M-wave</math> for the trigeminal nervous system is much more painful and invasive than that of the spinal cord. To evoke a direct response from the masseter muscle, in fact, it is necessary to insert an insulated in-tip needle electrode about 2 cm deep in the temporal fossa and this makes the technique not clinically applicable, although it could obtain more detailed information for the neurophysiological interpretation data.
The technical execution of <math>M-wave</math> for the trigeminal nervous system is much more painful and invasive than that of the spinal cord. To evoke a direct response from the masseter muscle, in fact, it is necessary to insert an insulated in-tip needle electrode about 2 cm deep in the temporal fossa and this makes the technique not clinically applicable, although it could obtain more detailed information for the neurophysiological interpretation data.
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