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Mylohyoid and sternohyoid muscles electromyography (EMG) in obstructive sleep apnea syndrome
Other Title(s)
دراسة النشاط الكهربائي لعضلات الفوق وتحت العظمة اللامية في مرضى توقف التنفس الانسدادي أثناء النوم
Joint Authors
Munir, Nahid Sharif
Hilmi, Husayn Muhammad
al-Tarabishi, Mahmud
Source
Egyptian Rheumatology and Rehabilitation
Issue
Vol. 26, Issue 3 (31 Jul. 1999), pp.451-467, 17 p.
Publisher
The Egyptian Society for Rheumatology and Rehabilitation
Publication Date
1999-07-31
Country of Publication
Egypt
No. of Pages
17
Main Subjects
Topics
Abstract AR
تم تقييم النشاط الكهربائي لعضلات فوق و تحت العظمة اللامية في 15 مريضا مصابين بتوقف التنفس الإنسدادي أثناء النوم (11 رجلا و 4 من النساء تتراوح أعمارهم ما بين 30-50 سنة) و كذلك في عشرة أصحاء متوافقين في السن و نوع الجنس للمرضى كمجموعة ضابطة.
Abstract EN
This study was conducted on fifteen patients, eleven men and four women, aged 30-50 years, with obstructive sleep apnea syndrome (OSA) and ten healthy controls.
We studied the electromyographic (EMG) activity of the mylohyoid and stermohyoid muscles as examples of supra and infrahyoid muscles respectively.
This was performed at rest, during swallowing and with deep inspiration to investigate their function in controlling the position of the hyoid bone in OSA patients as compared to controls.
EMG was done using concentric needle electrodes.
The following parameters were estimated as a function of muscle force: the mean amplitude of the motor unit action potentials (MUAPs) (v), Turns/second T/S, the mean amplitude per second (A/Sec) (mv/sec) and the ratio between turns/sec and mean amplitude (T/A).
There was a significant decrease in the mean amplitude of MUAPs of both muscles at resting activity in OSA patients than in normal controls (p<0.01).
During swallowing and deep inspiration, analysis of the interference pattern (IP) revealed a statistically significant reduction in the mean amplitude MUAPs, T/S, A/sec in OSA patients than in normals (p<0.001).
In addition, the mean ratios of IP of the mylohyoid under swallowing and deep inspiration were significantly higher in OSA patients than those of normals (p<0.05).
The mean ratios of the sternohyoid were also higher (but insignificant statistically p>0.05).
We concluded that needle EMG revealed weakness of both supra and infrahyoid muscles in OSA patients.
This hypotonic weakness could be related to a myogenic cause and results in disturbances in the pharyngeal vertical tension, which controls the position of the hyoid bone and is subsequently involved in the reduction of the pharyngeal collapsibility.
American Psychological Association (APA)
Munir, Nahid Sharif& Hilmi, Husayn Muhammad& al-Tarabishi, Mahmud. 1999. Mylohyoid and sternohyoid muscles electromyography (EMG) in obstructive sleep apnea syndrome. Egyptian Rheumatology and Rehabilitation،Vol. 26, no. 3, pp.451-467.
https://search.emarefa.net/detail/BIM-390963
Modern Language Association (MLA)
Munir, Nahid Sharif…[et al.]. Mylohyoid and sternohyoid muscles electromyography (EMG) in obstructive sleep apnea syndrome. Egyptian Rheumatology and Rehabilitation Vol. 26, no. 3 (Jul. 1999), pp.451-467.
https://search.emarefa.net/detail/BIM-390963
American Medical Association (AMA)
Munir, Nahid Sharif& Hilmi, Husayn Muhammad& al-Tarabishi, Mahmud. Mylohyoid and sternohyoid muscles electromyography (EMG) in obstructive sleep apnea syndrome. Egyptian Rheumatology and Rehabilitation. 1999. Vol. 26, no. 3, pp.451-467.
https://search.emarefa.net/detail/BIM-390963
Data Type
Journal Articles
Language
English
Notes
Includes appendix : p. 467
Record ID
BIM-390963