“…Theories related to muscular hyperactivity are, by definition, associated with MPD syndrome. Support for muscular involvement in facial pain has been drawn from studies in three basic areas: (a) studies that have induced pain similar to that of MPD syndrome in non-MPD patients via sustained contraction of the masseter (Christensen, 1975) and the lateral pterygoid muscles (Scott & Lundeen, 1980); (b) EMG assessment studies, which have reported elevated EMG activity levels in the masticatory muscles of TMJ patients (Chaco, 1973;Jarabak, 1956;Kydd, 1959) and increased periods of no EMG activity (i.e., "silent periods") in the masticatory muscles following the "jaw jerk reflex" (Bessette, Bishop, & Mohl, 1971;Bessette, Mohl, & DiCosimo, 1974;McCall, Gale, & Uthman, 1981;Skiba & Laskin, 1981); (c) studies that have used treatment (e.g., EMG biofeedback) specifically designed to reduce masticatory muscle activity.…”