Remote Facilitation of Soleus H-reflex Induced by Clenching on Occlusal Stabilization Appliances

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概要

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• Purpose : The purpose of this study was to examine the change in spinal cord excitability in a leg muscle during maximal voluntary clenching on a stabilization appliance.Materials and Methods : The H reflex of the soleus muscle was elicited in five healthy male volunteers by electrical stimulation of the tibial nerve under the following five dental occlusal conditions : mandibular rest position (RP : control), maximum voluntary clenching in the intercuspal position (IP), maximum voluntary clenching on a hard acrylic stabilization appliance (H-SA), maximum voluntary clenching on a soft stabilization appliance (S-SA) and maximum voluntary clenching on a very soft stabilization appliance (VS-SA).Results : The soleus H reflex modulations in the IP, H-SA, S-SA and VS-SA conditions were 117.6%, 119.5%, 126.2% and 133.6%, respectively. There was a significant difference between IP and S-SA, and IP and VS-SA (p=0.0001-0.0226) ; however, there was no significant difference between IP and H-SA (p=0.3412-0.9940). Significant positive correlations between the magnitude of the soleus H reflex and the masseter electromyogram activity were found in each subject (r=0.670-0.862, p<0.05).Conclusion : This study demonstrated that the spinal cord excitability in the motor pathway of a leg muscle was considerably raised during clenching on a soft stabilization appliance compared to a hard stabilization appliance, suggesting that a powerful biting action on a resilient intraoral appliance strongly influences the motor system in humans.

• 日本補綴歯科学会の論文

著者

• Takahashi Toshiyuki

  Department of Cardiology, JR Tokyo General Hospital

• OHYAMA TAKASHI

  Department of Internal Medicine and Gastrointestinal Endoscopy, Saga Medical School

• Sasaki Y

  Department Of Sports Medicine/dentistry Graduate School Tokyo Medical And Dental University

• Ohyama T

  Tokyo Medical And Dental University

• Ohyama Takashi

  Department Of Biology Faculty Of Science And Engineering Konan University

• Ohyama T

  Removable Prosthodontics Department Of Masticatory Function Rehabilitation Division Of Oral Health S

• NAKA Shinji

  Department of Sports Medicine and Dentistry, Graduate School, Tokyo Medical and Dental University

• SUMITA Yosuke

  Department of Sports Medicine and Dentistry, Graduate School, Tokyo Medical and Dental University

• UENO Toshiaki

  Department of Sports Medicine and Dentistry, Graduate School, Tokyo Medical and Dental University

• SUMITA YOSUKE

  東京医科歯科大学大学院医歯学総合研究科環境社会医歯学系専攻

• Ueno Toshiaki

  Sports Medicine/dentistry Department Of International Health Development Graduate School Of Medical

• Takahashi Toshiyuki

  Department Of Biology Keio University

• Ohyama Takashi

  Department Of Biology Faculty Of Education And Integrated Arts And Sciences Major In Integrative Bio

• Naka Shinji

  Department Of Sports Medicine And Dentistry Graduate School Tokyo Medical And Dental University

• Takahashi Toshiyuki

  Department Of Biological Science Graduate School Of Science Hiroshima University

• Ueno Toshiaki

  Sports Medicine/dentistry Department Of International Health Development Graduate School Of Medical

• Takahashi Toshiyuki

  Department Of Removable Prosthodontics Graduate School Of Dental Medicine Hokkaido University

• OHYAMA Takashi

  Department of Applied Physics, Waseda University

• Takahashi Toshiyuki

  Department of Applied Chemistry, Faculty of Science and Engineering, Kinki University

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