4.6 Article

sEMG and Vibration System Monitoring for Differential Diagnosis in Temporomandibular Joint Disorders

Journal

SENSORS
Volume 22, Issue 10, Pages -

Publisher

MDPI
DOI: 10.3390/s22103811

Keywords

sEMG; vibration; health monitoring; biomedical sensors; rehabilitation technology; telemedicine; stomatognathic physiotherapy

Funding

  1. Department of Mechanics and Vibroacoustics at AGH University of Science and Technology in Cracow, Poland [16.16.130.942]

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This study aims to evaluate the effectiveness of temporomandibular joint rehabilitation in patients with TMJ articular disc locking by analyzing vibrations, sEMG signals, and muscle hypertension. A new TMD diagnosis system based on vibration and sEMG signals is proposed, and its operation is demonstrated through a case study and analysis of a group of individuals.
The stomatognathic system represents an important element of human physiology, constituting a part of the digestive, respiratory, and sensory systems. One of the signs of temporomandibular joint disorders (TMD) can be the formation of vibroacoustic and electromyographic (sEMG) phenomena. The aim of the study was to evaluate the effectiveness of temporomandibular joint rehabilitation in patients suffering from locking of the temporomandibular joint (TMJ) articular disc by analysis of vibrations, sEMG registration of masseter muscles, and hypertension of masticatory muscles. In this paper, a new system for the diagnosis of TMD during rehabilitation is proposed, based on the use of vibration and sEMG signals. The operation of the system was illustrated in a case study, a 27-year-old woman with articular dysfunction of the TMJ. The first results of TMD diagnostics using the k-nearest neighbors method are also presented on a group of fifteen people (ten women and five men). Vibroacoustic registration of temporomandibular joints, sEMG registration of masseter muscles, and functional manual analysis of the TMJ were simultaneously assessed before employing splint therapy with stomatognathic physiotherapy. Analysis of vibrations with the monitoring of sEMG in dysfunctions of the TMJ can lead to improve differential diagnosis and can be an objective way of monitoring the rehabilitation process of TMD.

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