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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Journal of oral rehabilitation 29 (2002), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The aim of the present study was to investigate the response pattern to ‘QUID test’ (Italian analogue of the ‘McGill Pain Questionnaire’) and the clinical aspects of a TMD seeking care population.A total of 229 consecutive patients (mean age 35·9 years) completed the QUID test and underwent a complete clinical examination. An analysis of pain descriptors was also performed. This population was divided in six groups according to their clinical characteristics: 1. TMD: pain at the moment of the examination, positive findings for TMD. 2. eTMD: history of TMD, episodic pain, no clinical findings at present. 3. Headache (H): main complaint. 4. Neck pain (N): main complaint. 5. Atypical Facial Pain (AFP): facial pain not fulfilling other criteria (IHS 12·8). 6. No Orofacial Pain (NOFP): no pain disturbances. Statistical analysis was performed using t and chi-squared tests. Significance level was set to 0·05. The percentages of the six groups were: TMD 53·71%, eTMD 9·17%, H 4·80%, N 1·31%, AFP 6·11%, NOFP 24·89%. Significant differences were found in: – pain intensity between H and TMD (P=0·034), and between AFP and eTMD (P=0·027); – hypermobility and cervical problems between NOFP and TMD (P=0·021 and 0·0001, respectively); – presence of psychobehavioural factors (axis II) between eTMD and AFP (P=0·05); – type and distribution of words chosen: particularly five descriptors showed a significantly different pattern of distribution; – affective component of pain experience (PRIrcA): highest for the AFP group.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1106
    Keywords: Key words Bite force ; H-reflex ; Masticatory muscles ; Motor neurons
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Selective stimulation of the masseteric nerve has been shown to elicit a heteronymous H-reflex in the ipsilateral temporalis muscle during voluntary clenching. However, the relation between the electromyographic (EMG) activity of the temporalis muscle and the amplitude of the H-reflex has not been previously described. In the present study, the hypothesis was tested that there would be a positive relationship between the level of EMG activity and the amplitude of the H-reflex. The direct motor response (M-response) in the masseter muscle and the heteronymous H-reflex in the anterior temporalis muscle were successfully elicited by electrical stimulation of the masseteric nerve in 12 of 13 subjects. A new automatic system was used to control the on-line EMG activity and to trigger the stimulus. In a random order, two series of 20 stimuli were delivered at each of four clenching levels (0, 25, 50, and 75% of maximal voluntary contraction). The analysis showed that both the masseteric M-response and the temporalis H-reflex were reproducible within and between series. The amplitude of the temporalis H-reflex increased significantly at higher clenching levels (ANOVA: P=0.003). Clenching at 50% and 75% of the maximal voluntary contraction caused significantly larger amplitudes of the H-reflex than clenching at 25% of the maximal voluntary contraction; at rest, no H-reflex could be recorded. There was a significant correlation between the background EMG activity in the ipsilateral temporalis muscle and the amplitude of the H-reflex (Pearson: r=0.313, P=0.008). These data indicate that the heteronymous H-reflex can be reliably elicited by means of an automatic system for stimulus delivery and that the amplitude of the H-reflex is dependent on the preceding activity of the motoneuron pool.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1590-3478
    Keywords: migrant sensory neuritis ; sensory neuropathy ; AIDS
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Sommario La “Neurite Sensitiva Migrante di Wartenberg” è una rara sindrome caratterizzata dal coinvolgimento successivo e transitorio di diversi tronchi nervosi sensitivi. Descriviamo il caso di una giovane donna affetta da AIDS che ha presentato un quadro clinico compatibile con questa neuropatia sensitiva. Tra le diverse sindromi neurologiche associate ad AIDS segnaliamo la possibilità di osservare anche la Neurite Sensitiva Migrante.
    Notes: Abstract We studied an AIDS patient who suffered from numbness, paresthesias and pain in the territories of different non-contiguous cutaneous nerves at different times. A transitory partial loss of touch and pinprick sensibility was also present in the same cutaneous areas. Sensory conduction velocities and SAP amplitudes were normal. The clinical picture was consistent with the Migrant Sensory Neuritis of Wartenberg. This rare neuropathy has never previously been described in patients affected by AIDS.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1590-3478
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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