The Impact of an Orofacial Muscle Strengthening Program on Temporomandibular Muscles and on the Performance of Wind Instrumentalists

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2025-01-09 DOI:10.1111/joor.13891

Joana Salomé Nunes de Sá, Luis Manuel Neves da Silva Cavalheiro, Carla Sofia Duarte Matos Silva

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Abstract

Introduction

Playing a wind instrument is one of the most complex tasks for the musculoskeletal system.

Objective

Verify the effectiveness of a strengthening exercise programme on musical performance and the strength of the temporomandibular muscles.

Methods

The sample was 60 participants (36 men; 24 women), with a mean age of 24.67 ± 13.06 years, divided into experimental group (EG) (16 brass; 15 woodwind) and control group (CG) (15 brass; 14 woodwind). The initial assessment (T0) consisted of a sociodemographic questionnaire, the EQ-5D-5L, an assessment of maximum bite force and endurance time and sound recording, before (T0) and after a musical practice of 8.5 min (T1). The EG, during 5 weeks, underwent 10 sessions of a temporomandibular muscle strengthening program, consisting of a series of 25 repetitions of isometric bite contraction, followed by a reassessment (T2) and sound recording (T2 and T3).

Results

Statistically significant differences were found between groups in maximum bite force between T0 and T2, explained by the improvement in the EG (p = 0.014, bilaterally). We found no differences in endurance. In musical performance, statistically significant differences were found in the mean intensity values. There was an improvement in performance in the brass EG, with statistically significant differences in the high-piano note (p = 0.025) and in the woodwind EG all the notes were played at a significantly lower intensity (p ≤ 0.05), compared to the CG, where all the notes increased in intensity.

Conclusion

The isometric exercise improves the maximum bite force, accompanied by an improvement in the high note's performance in brass and greater sound stability in woodwinds.

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口腔面部肌肉强化训练对颞下颌肌的影响及对管乐器演奏者演奏的影响。

演奏管乐器是肌肉骨骼系统最复杂的任务之一。目的：验证强化训练方案对音乐表演和颞下颌肌力量的有效性。方法：共60例受试者(男性36例；24例女性)，平均年龄24.67±13.06岁，分为实验组（EG）(16例黄铜；木管乐器组15人，对照组(铜管乐器组15人；14木管乐器)。初步评估（T0）包括社会人口调查问卷、EQ-5D-5L、最大咬合力和耐力时间评估以及录音，在T0之前和之后的8.5分钟音乐练习（T1）。在5周的时间里，eeg进行了10次颞下颌肌强化训练，包括一系列25次等距咬合收缩，然后进行重新评估（T2）和录音（T2和T3）。结果：T0和T2组间最大咬合力差异有统计学意义，这是由于EG的改善（p = 0.014，双侧）。我们没有发现耐力方面的差异。在音乐表演中，平均强度值的差异有统计学意义。铜管乐器EG的表现有所改善，高钢琴音符的表现差异有统计学意义（p = 0.025），木管乐器EG的所有音符的演奏强度都明显降低（p≤0.05），而CG的所有音符的强度都有所增加。结论：等长练习提高了最大咬合力，同时也提高了铜管乐器的高音性能和木管乐器的声音稳定性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.