Temporomandibular disorders (TMDs) are a group of pathologies that affect the temporomandibular joint and its related structures, producing intracapsular and muscular pathologies. The aim of this study is to describe, by electromagnetic articulography (EMA) and simultaneous electromyography (sEMG), the mandibular postural position and mouth opening in healthy patients and with articular and/or muscular pathology. Materials and methods: A pilot study was conducted with a sample of sixteen participants aged 18 years or older who attended the TMDs and Orofacial Pain Polyclinic of the University of La Frontera due to TMDs. The physiological inoculation space was evaluated from the mandibular postural position (MPP) with swallowing command and without command, in both healthy patients and patients with articular, muscular, and mixed TMDs, measured simultaneously with EMA and sEMG. An angular measurement of the oral opening was also performed with the data obtained. Results: The physiological inoculation space was obtained from the determination of the MPP through the procedures with swallowing command and without command, and different mouth opening degrees were evaluated. Conclusions: Simultaneous position and sEMG records can be produced from EMA, and different characterization variables such as the vertical distance, Euclidean distance, and angle can be obtained.
Background. The aim of this study was to propose and establish the proof of concept of an approach to synchronize 3D Electromagnetic Articulography (3D-EMA) with Surface Electromyography (SEMG) based on the standard components of this equipment. Methods. The appropriate equipment and instruments were selected according to specifications stablished for this study. Once the necessary equipment was gathered, the proper conditions to synchronize the signals were created. Thus, we selected a SEMG with a switch module incorporated to be able to achieve synchronization of the signals. After the system setup was stablished, chewing tasks were recorded on a healthy volunteer, collecting a proof-of-concept database. The variability among recordings of the database were analyzed in terms of its standard deviation in order to detect possible interferences. Results. The analysis of the chewing task recordings obtained with the synchronized 3D EMA and SEMG signals in the present study did not reveal significant distortions, and all values were within those that had been given by the manufacturers of both of the systems. The method presented the advantage of using only components that are already included with the equipment employed. Conclusion. The method of analysis described in this paper is an effective tool that facilitates the investigation of mandibular movements synchronized in two domains: articulatory movements and electromyographic activity. Thus, it seems promising that it can be applied in different clinical situations to improve the analysis of the complexity of masticatory activity in addition to being able to generate new insights on this topic.