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Effect of Botulinum Toxin on Pressure Pain Threshold and EMG Power Spectrum of Masseter Muscle During Sustained Fatiguing Contraction

Cited 8 time in Web of Science Cited 7 time in Scopus
Authors
Kim, Cheul; McCall, W. D., Jr.; Kim, Young Ku; Chung, Jin Woo
Issue Date
2010-09
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, Vol.89, No.9, pp.736-743
Keywords
Botulinum ToxinJaw MusclePain ToleranceMedian Frequency
Abstract
Objectives: The aims of this study were to test the effect of botulinum toxin on a reversible, prolonged, experimental pain and on muscle fatigue in human masseter muscle, both caused by a sustained clench. Design: The masseter muscles were injected with botulinum toxin in 19 subjects and with isotonic saline in 16 subjects. We measured electromyographic activity at maximum voluntary contraction, pressure pain threshold before and after a 70% maximum voluntary contraction clench sustained to pain tolerance, and the median frequency of the electromyographic power spectrum during that clench at baseline and at 1, 2, and 3 mos after botulinum toxin or saline injection. Results: After botulinum toxin injection, the botulinum toxin group had a reduced maximum voluntary contraction for the ensuing 3 mos and smaller decreases in pressure pain threshold from before to after the sustained clench. Also, the change in median frequency from before to after the sustained clench did not significantly differ during the postinjection sessions. However, postinjection, preclench median frequency was lower in the group injected with botulinum toxin. Conclusions: We interpret the reduced change in pressure pain threshold with botulinum toxin as a clinically modest but statistically significant analgesic effect on this model of acute muscle pain.
ISSN
0894-9115
Language
English
URI
http://hdl.handle.net/10371/80371
DOI
https://doi.org/10.1097/PHM.0b013e3181ec9463
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College of Dentistry/School of Dentistry (치과대학/치의학대학원)Dept. of Dentistry (치의학과)Journal Papers (저널논문_치의학과)
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