Assessment of sleep parameters during contingent electrical stimulation in subjects with jaw muscle activity during sleep: a polysomnographic study

Jadidi, F.; Nørregaard, Ole; Baad‐Hansen, Lene; Arendt-Nielsen, Lars; Svensson, Peter

doi:10.1111/j.1600-0722.2011.00822.x

Cited by 37 publications

(31 citation statements)

References 45 publications

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“…Although the present study suggests that the inhibition of SB events with a biofeedback method decreases sleep quality, none of our subjects showed that there was an influence on sleep quality, such as REM, light and deep stages, or nocturnal awakening. Biofeedback is not known to significantly influence sleeping parameters [30]. This finding is consistent with the results of the present study.…”

Section: Discussionsupporting

confidence: 95%

The effects of nocturnal electromyographic biofeedback on sleep quality and psychological stress

Goto

Masaki

Mukaibo

et al. 2015

J. Stomat. Occ. Med.

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Background Sleep bruxism (SB) causes many dental problems and complications with fixed partial dentures on implants. Although it is an important issue in clinical dentistry, no reliable treatment is available for SB. In the present study, we employed the electromyographic biofeedback device SleepGuard TM , which is attached to the forehead, detects SB, and alerts subjects with a gentle beeping sound to stop SB. The aim of the present study was to clarify the effects of biofeedback treatment on the incidence of masticatory muscle activity, sleep quality, and psychological stress levels.Materials and methods Ten subjects (five male and five female subjects) participated in the study, and a crossover design was used. Sleep measurements were taken on three consecutive nights to obtain data without SleepGuard TM (baseline group), with SleepGuard TM with the beeping sound (on group), and with SleepGuard TM without the beeping sound (off group). Data obtained on the final day were evaluated. STAI-JYZ scores were assessed and salivary chromogranin A (CgA) levels and cortisol concentrations were measured to compare psychological and physical stress after sleep. Friedman's and Dunn's tests were used to compare each parameter among the three groups.Results A marked decrease was observed in the incidence of SB events per hour in seven subjects in the on group. The beeping of SleepGuard TM did not affect the percentage of sleep stages, salivary CgA levels, cortisol concentrations, or STAI-JYZ scores. ConclusionOur results suggest that biofeedback therapy with a beeping sound inhibited SB without negatively impacting sleep quality or psychological stress.

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Section: Discussionsupporting

confidence: 95%

The effects of nocturnal electromyographic biofeedback on sleep quality and psychological stress

Goto

Masaki

Mukaibo

et al. 2015

J. Stomat. Occ. Med.

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“…It is based on the principle of CES, where the electrical stimulus applied through the recording electrode evokes an inhibitory response in the active jaw muscle. The device continuously records and analyses the EMG activity and only when the EMG activity exceeds an individually determined threshold, the feedback system will trigger the electrical stimulation [12,18,19].…”

Section: Emg Recordings and Contingent Electrical Stimulationmentioning

confidence: 99%

Choice of biomaterials—Do soft occlusal splints influence jaw-muscle activity during sleep? A preliminary report

Arima

Takeuchi

Tomonaga

et al. 2012

Applied Surface Science

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Highlights AbstractAim: The choice of biomaterials for occlusal splints may significantly influence biological outcome. In dentistry, hard acrylic occlusal splints (OS) have been shown to have a temporary and inhibitory effect on jaw-muscle activity, such as tooth clenching and grinding during sleep, i.e., sleep bruxism (SB). Traditionally, this inhibitory effect has been explained by changes in the intraoral condition rather than the specific effects of changes in occlusion. The aim of this preliminary study was to investigate the effect of another type of occlusal surface, such as a soft-material OS in addition to a hard-type OS in terms of changes in jaw-muscle activity during sleep. Materials and Methods:Seven healthy subjects (mean ± SD, six men and one woman: 28.9 ± 2.7 year old), participated in this study. A soft-material OS (ethylene vinyl acetate copolymer) was fabricated for each subject and the subjects used the OS for five continuous nights. The EMG activity during sleep was compared to baseline (no OS). Furthermore, the EMG activity during the use of a hard-type OS (Michigan-type OS, acrylic resin), and hard-type OS combined with contingent electrical stimulation (CES) was compared to baseline values. Each session was separated by at least two weeks (washout).Jaw-muscle activity during sleep was recorded with single-channel ambulatory devices (GrindCare, MedoTech, Herlev, Denmark) in all sessions for five nights. Results: Jaw-muscle activity during sleep was 46.6 ± 29.8 EMG events / hour at baseline and Applied Surface Science 5 significantly decreased during the hard-type OS (17.4 ± 10.5, P = 0.007) and the hard-type OS + CES (10.8 ± 7.1, P = 0.002), but not soft-material OS (36.3 ± 24.5, P = 0.055). Interestingly, the soft-material OS (coefficient of variance = 98.6 ± 35.3 %) was associated with greater night-to-night variations than baseline (39.0 ± 11.8%) and the hard-type OS + CES (53.3 ± 13.7%, P < 0.013). Conclusion: The present pilot study in small sample showed that a soft-material occlusal splint does not seem to inhibit jaw-muscle activity during sleep. Within the limitation of the study, it appears that the choice of biomaterials for occlusal splints may have a significant impact on the neurobiological regulation of jaw-muscle activity during sleep.

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“…Its purpose is to determine the quality of sleep, frequency of snoring, and tiredness during daytime [12, 15]. Detailed information about the sleep/tiredness/snoring instrument has also been published [8, 12].…”

Section: Questionnairesmentioning

confidence: 99%

Is There a Relation between Tension-Type Headache, Temporomandibular Disorders and Sleep?

Caspersen

Hirsvang

Kroell

et al. 2013

Pain Research and Treatment

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Introduction. Tension-Type Headache (TTH) is the most prevalent headache often associated with impaired function and quality of life. Temporomandibular Disorders (TMD) and TTH frequently coexist; characterized by pericranial tenderness and impact on daily life. We aim to apply a standardized questionnaire for TMD to characterize and analyse an eventual relation between sleep and oral health in TTH in a controlled design. Material and Methods. 58 consecutive TTH patients and 58 healthy controls were included. The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire, Oral Health Impact profile (OHIP) and questionnaires for sleep were applied. Results. TTH-patients had significantly higher pain scores (P < 0.001), decreased quality of life (P < 0.001), and higher total sleep scores (P < 0.001) compared to controls. Conclusion. For the first time we have identified a clear relation between TTH and TMD symptoms, depression, anxiety, poor sleep, and impairments of oral function in carefully classified patients. These findings indicate a close, but incomplete, overlap between TTH and TMD. Their underlying pathophysiological mechanisms need further research.

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Assessment of sleep parameters during contingent electrical stimulation in subjects with jaw muscle activity during sleep: a polysomnographic study

Cited by 37 publications

References 45 publications

The effects of nocturnal electromyographic biofeedback on sleep quality and psychological stress

The effects of nocturnal electromyographic biofeedback on sleep quality and psychological stress

Choice of biomaterials—Do soft occlusal splints influence jaw-muscle activity during sleep? A preliminary report

Is There a Relation between Tension-Type Headache, Temporomandibular Disorders and Sleep?

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