Comparative Study between Children with and without Cleft Lip and Cleft Palate, Part 2: Electromyographic Analysis
Comparative Study between Children with and without Cleft Lip and Cleft Palate, Part 2: Electromyographic Analysis
复制标题
唇裂和腭裂儿童与非唇裂儿童的比较研究，第 2 部分：肌电图分析
DOI：
--
复制
发表时间：
2000
期刊：
影响因子：
--
通讯作者：
C. Zúñiga
中科院分区：
文献类型：
--
作者：
M. J. Ravera;R. Miralles;H. Santander;S. Valenzuela;P. Villanueva;C. Zúñiga
目的：本研究旨在比较唇腭裂修复儿童与无唇腭裂儿童的上级口轮匝肌肌电活动。方法：对28例替牙期儿童进行研究。他们被分成两组。研究组包括14名单侧唇裂和腭裂修复的儿童，年龄从6岁到12岁不等，临床表现为上唇短，唇密封异常，以及通过X线片评估的面中部矢状发育抑制。对照组包括14名无唇腭裂的儿童，年龄从8岁到11岁不等。所有患者均具有正常的唇密封、鼻呼吸和临床上正常的身体姿势。设计图：双极表面电极用于记录静息水平活动和吞咽唾液、言语、咀嚼和吞咽苹果期间的EMG。结果与结论：在唇腭裂组中，观察到休息时和吞咽唾液时的活动水平显著较高。在两组中观察到类似的活动，在讲话和咀嚼和吞咽苹果。唇腭裂儿童在休息时和吞咽唾液时的活动水平较高，这似乎表明，在较高的功能需求下，他们的活动增加低于无唇腭裂儿童。从临床角度来看，如果休息时和吞咽唾液期间EMG活动增加反映了上颌骨受力增加，那么我们的研究结果可能证实了Bardach（1990）的发现，即唇裂的手术治疗对面部生长具有医源性影响，尽管本研究中头影测量数据与EMG结果之间缺乏显着相关性。
Objective: This study was conducted to compare electromyographic (EMG) activity of superior orbicularis oris muscle between children with repaired cleft lip and cleft palate and children without clefts. Methods: This study included 28 children with mixed dentition. They were divided into two groups. The study group included 14 children with repaired unilateral cleft lip and cleft palate, ranging in age from 6 to 12 years, who presented clinically with a short upper lip, abnormal lip seal, and inhibition of sagittal development of the midface as assessed radiographically. The control group included 14 children without clefts ranging in age from 8 to 11 years. All had normal lip seal, nasal breathing, and a clinically normal body posture. Design: Bipolar surface electrodes were used for EMG recordings of resting level activity and during swallowing of saliva, speech, and chewing and swallowing of an apple. Results and Conclusions: A significantly higher level of activity at rest and during swallowing of saliva was observed in the cleft lip and cleft palate group. Similar activity during speech and chewing and swallowing of an apple was observed in both groups. The higher level of activity at rest and during swallowing of saliva in children with cleft lip and cleft palate seems to suggest that upon higher functional demands their activity increases less than in children without clefts. From a clinical point of view, if increased EMG activity at rest and during swallowing of saliva reflects increased force on the maxilla, then our findings may corroborate Bardach’s findings (1990) that surgical treatment of cleft lip has an iatrogenic effect on facial growth, although the lack of significant correlation between the cephalometric data and EMG findings in the present study.
言语过程中唇部肌肉组织的相互作用。
DOI：
10.1044/jshr.3102.253
发表时间：
1988
期刊：
Journal of speech and hearing research
影响因子：
--
作者：
Folkins,JW;Linville,RN;Garrett,JD;Brown,CK
通讯作者：
Brown,CK