Browse > Article
http://dx.doi.org/10.14476/jomp.2014.39.4.146

Gender Differences in Pressure Pain Thresholds during Sustained Jaw Muscle Contraction  

Kim, Cheul (Department of Oral Medicine and Diagnosis, Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
Kim, Ji Rak (Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University)
Chung, Jin Woo (Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University)
Publication Information
Journal of Oral Medicine and Pain / v.39, no.4, 2014 , pp. 146-151 More about this Journal
Abstract
Purpose: To determine whether a fatiguing clench significantly affects the changes in pressure pain threshold (PPT) in men compared to women. Methods: The changes of PPTs from before to after a sustained clench in 12 men and 12 women were obtained. We used a decrease in median frequencies of surface electromyography (EMG) power spectra from the start to the end of the sustained clench as evidence of fatigue. Endurance time for the clench was used as a covariate. Results: The median frequencies decreased after the clench in both the anterior temporalis and masseter muscles, did not differ with the muscle or the gender of the subjects, and none of the interaction terms were significant. The PPTs were lower for women for both muscles, were decreased after the sustained clench, but failed to show the hypothesized gender by time interaction. Conclusions: Our results show that women have lower PPTs than men, but do not respond differently than men to jaw muscle fatigue.
Keywords
Electromyography; Masseter muscle; Power spectrum; Pressure pain threshold; Temporalis muscle;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Dao TT, LeResche L. Gender differences in pain. J Orofac Pain 2000;14:169-184.
2 Chung JW, Kim C, McCall WD Jr. Effect of sustained contraction on motor unit action potentials and EMG power spectrum of human masticatory muscles. J Dent Res 2002;81:646-649.   DOI   ScienceOn
3 Vatine JJ, Shapira SC, Magora F, Adler D, Magora A. Electronic pressure algometry of deep pain in healthy volunteers. Arch Phys Med Rehabil 1993;74:526-530.   DOI   ScienceOn
4 Dworkin SF, Huggins KH, LeResche L, et al. Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. J Am Dent Assoc 1990;120:273-281.   DOI
5 Chesterton LS, Barlas P, Foster NE, Baxter GD, Wright CC. Gender differences in pressure pain threshold in healthy humans. Pain 2003;101:259-266.   DOI   ScienceOn
6 Lee BC, Kim ES, Kim YK. A study on the recovery of EMG power spectrum and pressure pain threshold of masticatory muscles after sustained isometric contraction. J Korean Acad Oral Med 1998;23:433-445.   과학기술학회마을
7 Ohrbach R, Gale EN. Pressure pain thresholds, clinical assessment, and differential diagnosis: reliability and validity in patients with myogenic pain. Pain 1989;39:157-169.   DOI   ScienceOn
8 Gazerani P, Andersen OK, Arendt-Nielsen L. A human experimental capsaicin model for trigeminal sensitization. Gender-specific differences. Pain 2005;118:155-163.   DOI
9 Gear RW, Miaskowski C, Gordon NC, Paul SM, Heller PH, Levine JD. Kappa-opioids produce significantly greater analgesia in women than in men. Nat Med 1996;2:1248-1250.   DOI   ScienceOn
10 Fillingim RB, Maixner W, Kincaid S, Silva S. Sex differences in temporal summation but not sensory-discriminative processing of thermal pain. Pain 1998;75:121-127.   DOI
11 Feine JS, Bushnell MC, Miron D, Duncan GH. Sex differences in the perception of noxious heat stimuli. Pain 1991;44:255-262.   DOI
12 Sarlani E, Greenspan JD. Gender differences in temporal summation of mechanically evoked pain. Pain 2002;97:163-169.   DOI
13 Plesh O, Curtis DA, Hall LJ, Miller A. Gender difference in jaw pain induced by clenching. J Oral Rehabil 1998;25:258-263.   DOI
14 Karibe H, Goddard G, Gear RW. Sex differences in masticatory muscle pain after chewing. J Dent Res 2003;82:112-116.   DOI
15 Kim YJ, Kuboki T, Tsukiyama Y, Koyano K, Clark GT. Haemodynamic changes in human masseter and temporalis muscles induced by different levels of isometric contraction. Arch Oral Biol 1999;44:641-650.   DOI
16 Gay T, Maton B, Rendell J, Majourau A. Characteristics of muscle fatigue in patients with myofascial pain-dysfunction syndrome. Arch Oral Biol 1994;39:847-852.   DOI   ScienceOn
17 Glaros AG, Burton E. Parafunctional clenching, pain, and effort in temporomandibular disorders. J Behav Med 2004;27:91-100.
18 Dao TT, Lund JP, Lavigne GJ. Pain responses to experimental chewing in myofascial pain patients. J Dent Res 1994;73:1163-1167.   DOI
19 Gavish A, Winocur E, Menashe S, Halachmi M, Eli I, Gazit E. Experimental chewing in myofascial pain patients. J Orofac Pain 2002;16:22-28.
20 Palla S, Ash MM Jr. Power spectral analysis of the surface electromyogram of human jaw muscles during fatigue. Arch Oral Biol 1981;26:547-553.   DOI   ScienceOn
21 Palla S, Ash MM Jr. Effect of bite force on the power spectrum of the surface electromyogram of human jaw muscles. Arch Oral Biol 1981;26:287-295.   DOI
22 van Boxtel A, Goudswaard P. Changes in EMG power spectra during fatigue in muscle contraction and migraine headache patients. Headache 1983;23:223-228.
23 Chung SC, Um BY, Kim HS. Evaluation of pressure pain threshold in head and neck muscles by electronic algometer: intrarater and interrater reliability. Cranio 1992;10:28-34.   DOI
24 Svensson P, Arendt-Nielsen L. Induction and assessment of experimental muscle pain. J Electromyogr Kinesiol 1995;5:131-140.   DOI
25 Naeije M, Zorn H. Changes in the power spectrum of the surface electromyogram of the human masseter muscle due to local muscular fatigue. Arch Oral Biol 1981;26:409-412.   DOI   ScienceOn
26 Ohrbach R, Gale EN. Pressure pain thresholds in normal muscles: reliability, measurement effects, and topographic differences. Pain 1989;37:257-263.   DOI
27 van Boxtel A, Goudswaard P, Janssen K. Absolute and proportional resting EMG levels in muscle contraction and migraine headache patients. Headache 1983;23:215-222.
28 Naeije M. Correlation between surface electromyograms and the susceptibility to fatigue of the human masseter muscle. Arch Oral Biol 1984;29:865-870.   DOI   ScienceOn
29 Lee KH, Lee MH, Kim HS, Kim JH, Chung SC. Pressure pain thresholds [PPT] of head and neck muscles in a normal population. J Musculosk Pain 1994;2:67-81.   DOI
30 Drobek W, Schoenaers J, De Laat A. Hormone-dependent fluctuations of pressure pain threshold and tactile threshold of the temporalis and masseter muscle. J Oral Rehabil 2002;29:1042-1051.   DOI
31 Isselee H, De Laat A, De Mot B, Lysens R. Pressure-pain threshold variation in temporomandibular disorder myalgia over the course of the menstrual cycle. J Orofac Pain 2002;16:105-117.
32 Jensen R, Rasmussen BK, Pedersen B, Lous I, Olesen J. Cephalic muscle tenderness and pressure pain threshold in a general population. Pain 1992;48:197-203.   DOI   ScienceOn
33 Ashina M, Stallknecht B, Bendtsen L, et al. In vivo evidence of altered skeletal muscle blood flow in chronic tension-type headache. Brain 2002;125:320-326.   DOI
34 Rosendal L, Larsson B, Kristiansen J, et al. Increase in muscle nociceptive substances and anaerobic metabolism in patients with trapezius myalgia: microdialysis in rest and during exercise. Pain 2004;112:324-334.   DOI   ScienceOn
35 Myers DE, McCall WD Jr. Head pain as a result of experimental ischemic exercise of the temporalis muscle. Headache 1983;23:113-116.
36 Mense S. Nociception from skeletal muscle in relation to clinical muscle pain. Pain 1993;54:241-289.   DOI   ScienceOn
37 McMillan AS, Blasberg B. Pain-pressure threshold in painful jaw muscles following trigger point injection. J Orofac Pain 1994;8:384-390.
38 Sandrini G, Antonaci F, Pucci E, Bono G, Nappi G. Comparative study with EMG, pressure algometry and manual palpation in tension-type headache and migraine. Cephalalgia 1994;14:451-457.   DOI   ScienceOn
39 Kosek E, Ekholm J, Hansson P. Modulation of pressure pain thresholds during and following isometric contraction in patients with fibromyalgia and in healthy controls. Pain 1996;64:415-423.   DOI   ScienceOn
40 Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res 2002;81:284-288.   DOI   ScienceOn
41 Farella M, Bakke M, Michelotti A, Martina R. Effects of prolonged gum chewing on pain and fatigue in human jaw muscles. Eur J Oral Sci 2001;109:81-85.   DOI
42 Cimino R, Farella M, Michelotti A, Pugliese R, Martina R. Does the ovarian cycle influence the pressure-pain threshold of the masticatory muscles in symptom-free women? J Orofac Pain 2000;14:105-111.