Evaluating the reliability of myotonometry for assessing masseter muscle hypertrophy in healthy subjects.
Background: Masseter muscle hypertrophy is characterized by either symmetrical or asymmetrical enlargement of the muscle, often associated with bruxism and other parafunctional habits. Traditional methods for assessing muscle hypertrophy, such as palpation and visual inspection, can be subjective an...
| Published in: | Journal of Oral & Facial Pain & Headache Vol. 39; no. 2; pp. 175 - 183 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
MRE Press
Jun2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187111496&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187111496 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23330384 H06Q jtl: Journal of Oral & Facial Pain & Headache issn: 23330384 maglogo: N pubinfo: dt: Jun2025 vid: 39 iid: 2 pid: 72382 pub: MRE Press artinfo: ui: 187111496 187111496 187111496 10.22514/jofph.2025.036 187111496 ppf: 175 ppct: 8 formats: tig: atl: Evaluating the reliability of myotonometry for assessing masseter muscle hypertrophy in healthy subjects. aug: au: Gałczyńska-Rusin, Małgorzata Pobudek-Radzikowska, Małgorzata Maciejewska-Szaniec, Zofia Przystańska, Agnieszka Czajka-Jakubowska, Agata affil: Department of Orthodontics and Temporomandibular Disorders, Poznan University of Medical Sciences, 60-812 Poznan, Poland sug: subj: Masseter Muscle Physiopathology Hypertrophy Muscle Tonus Physiology Interrater Reliability Evaluation Intrarater Reliability Evaluation Research Subjects Myography Human Male Female Adult Palpation Elasticity Descriptive Statistics Muscle Contraction Muscle Relaxation Clinical Assessment Tools Evaluation Sex Factors Physician Attitudes Reproducibility of Results Adult: 19-44 years Male Female ab: Background: Masseter muscle hypertrophy is characterized by either symmetrical or asymmetrical enlargement of the muscle, often associated with bruxism and other parafunctional habits. Traditional methods for assessing muscle hypertrophy, such as palpation and visual inspection, can be subjective and heavily dependent on the clinician's experience. In contrast, devices like MyotonPRO offer a standardized, objective and reproducible approach, enhancing the precision and reliability of clinical diagnostics. The primary aim of our study was to evaluate the intra- and interrater reliability of the MyotonPRO device in assessing the viscoelastic properties of the masseter muscle. Additionally, we sought to investigate the potential correlation between subjective assessments of masseter hypertrophy and objective measurements obtained through myotonometry. Methods: A clinical examination using muscle palpation was conducted to identify masseter hypertrophy, categorizing participants into Normal Muscle Volume (NMV) and Muscle Hypertrophy (MH) groups. The viscoelastic properties of their masseter muscles were then measured using MyotonPRO in both relaxed and maximal contraction states. Two experienced operators performed the myotonometry on the same day, with the first operator repeating the procedure 7 days later. Results: Among the 58 participants, 51.7% were female, with a mean age of 28.6 years. The inter-rater reliability of masseter muscle measurements using MyotonPRO ranged from moderate to excellent, both at rest and during contraction, while intrarater reliability ranged from moderate to good. The MH group showed higher levels of tension and stiffness, along with reduced relaxation time and creep during contraction, compared to the NMV group. The only statistically significant difference in relaxation between the groups was observed in muscle elasticity. Conclusions: The MyotonPRO device effectively detects statistically significant differences (p < 0.05) between the MH and NMV groups for certain viscoelastic parameters. However, these differences were primarily significant during contraction, with elasticity being the only parameter showing a significant difference in the relaxed state. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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