Electromyographic diagnosis of tongue movement disorders of neurogenic origin in patients with occlusion pathology

A.V. Tsyganok, D.D. Kindiy, N.N. Maliuchenko, O.D. Odzhubeyska, D.V. Kalashnykov, M.D. Korol


Background. Tongue movement disorders occurred in the practice of neurologists is the consequence of a large number of various pathologies. The most common diseases that may be accompanied by lingual movement disorders are acute cerebrovascular disorders and their long-term consequences. The issue of dentist’s participation in the interdisciplinary approach to the diagnosis of tongue movement disorders remains relevant. A widespread method to diagnose muscle function disorders is surface electromyography. The purpose of this study was to improve the methods of electromyographic diagnosis of tongue movement disorders in patients with long-term consequences of acute cerebrovascular accident combined with occlusive defects. Materials and methods. According to our objective, we carried out a cross-sectional case-control study. The clinical study group included 87 patients. The control group consisted of 40 people. The method for clinical examination of patients included the collection of patients’ complaints, careful collection of anamnesis and disease data, neurological examination in the hospital at the admission for planned treatment for cerebrovascular disease consequences. The dental examination included external and oral analysis to detect defects in the dentition and to determine the severity of the carious process. Electromyographic examination of the tongue muscles was carried out using the device developed by us for global surface electromyography. Results. When studying the interference curve in patients of the main group, several types of patterns characte­ristic of neurological lesions of the central or peripheral motor neuron were identified. The preservation of the normal form of contour line with visually increased amplitude and single potential of fasciculations were characteristic of the pyramidal pattern of the rest period. The period of arbitrary maximum stress is characterized by preserving the appearance of normal spindle curve with visual decrease in the maximum amplitude. The affection of the peripheral motor neuron is characterized by the “tenuous” curve with increasing amplitude of arbitrary maximum stress that corresponds to the processes of reinnervation. After comparing the parameters of patients in the clinical group with that of controls, we determined statistically significant differences (p < 0.05) between the quantitative indices of the interference curve by the maximum and the average amplitude of rest and stress periods, as well as by the average frequency of the stress period. Conclusions. High rates of caries severity and its complications in neurological patients indicate the possibility of involving dental practitioners for the diagnosis and rehabilitation of such patients. Analysis of the obtained data indicates the feasibility of using the proposed method of electromyography to improve the algorithms for the diagnosis of neurological diseases.


neurostomatology; cerebrovascular diseases; speech disorders


Holstege G. Two different motor systems are needed to gene­rate human speech / G. Holstege, H.H. Subramanian. — 2016.

Adams V. A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the iowa oral performance instrument (iopi) / V. Adams, B. Mathisen, S. Baines [et al.] // Dysphagia (0179051X). — 2013. — V. 28, № 3. — P. 350-369.

Darley F.L. Differential diagnostic patterns of dysarthria / F.L. Darley, A.E. Aronson, J.R. Brown // Journal of speech and hearing research. — 1969. — V. 12, № 2. — P. 246-269.

Ishihara K. Pseudobulbar dysarthria in the initial stage of motor neuron disease with dementia: a clinicopathological report of two autopsied cases / K. Ishihara, S. Araki, N. Ihori [et al.] // European Neurology. — 2013. — V. 69, № 5. — P. 270-274.

Tsang K.K.-T. Traumatic brain injury: review of current management strategies. / K.K.-T. Tsang, P.C. Whitfield // The British journal of oral & maxillofacial surgery. — 2012. — V. 50, № 4. — P. 298-308.

Karpov S.M. Structure and specific diagnostic features of neurologic deficiencies in patients with maxillofacial injuries admitted to stavropol maxillofacial surgery unit / S.M. Karpov, D.I. Khristoforando, R.R. Semenov[et al.] // Stomatologii͡a. — 2014. — V. 93, № 4. — P. 27-29.

Lee M.J. Characteristics of stroke mechanisms in patients with medullary infarction / M.J. Lee, Y.G. Park, S.J. Kim [et al.] // European Journal of Neurology. — 2012. — V. 19, № 11. — P. 1433-1439.

Zhang D.P. Basilar artery bending length, vascular risk factors, and pontine infarction / D.P. Zhang, S.L. Zhang, J.W. Zhang [et al.] // Journal of the Neurological Sciences. — 2014. — V. 338, № 1–2. — P. 142-147.

Ono T. Collaboration of a dentist and speech-language pathologist in the rehabilitation of a stroke patient with dysarthria: a case study / T. Ono, M. Hamamura, K. Honda, T. Nokubi // Gerodontology. — 2005. — V. 22, № 2. — P. 116-9.

Циганок О. Взаємозв’язок оклюзійних дефектів та розладів лінгвомоторики на фоні неврологічної патології в практиці лікаря-ортопеда-стоматолога / О. Циганок, М. Березій, В. Новіков // Вісник проблем біології і медицини. — 2016. — V. 1(131), № 3. — P. 262-265.

Enderby P. Disorders of communication: dysarthria / P. Enderby // Handbook of Clinical Neurology. — 2013. — V. 110. — P. 273-281.

Pongmoragot J. Bilateral medial medullary infarction: a systematic review / J. Pongmoragot, S. Parthasarathy, D. Selchen, G. Saposnik // Journal of Stroke and Cerebrovascular Diseases. — 2013. — V. 22, № 6. — P. 775-780.

Selley W.G. Dysphagia following strokes: clinical observations of swallowing rehabilitation employing palatal training appliances / W.G. Selley, F. Hon, M.T. Roche[et al.] // Dysphagia. — 1995. — V. 10, № 1. — P. 32-35.

Циганок О. Розповсюдженість оклюзійних порушень у пацієнтів з ознаками патології моторики язика / О. Циганок, М. Березій, В. Новіков // Український стоматологічний альманах. — 2016. — V. 1, № 3. — P. 80-83.

Drost G. Fasciculation potentials in high-density surface emg / G. Drost, B.U. Kleine, D.F. Stegeman [et al.] // Journal of clinical neurophysiology: official publication of the American Electroencephalographic Society. — 2007. — V. 24. — P. 301-307.

Winslow J. Automatic classification of motor unit potentials in surface emg recorded from thenar muscles paralyzed by spinal cord injury / J. Winslow, M. Dididze, C.K. Thomas // Journal of Neuroscience Methods. — 2009. — V. 185, № 1. — P. 165-177.

Kayalioglu M. Roles of intrinsic and extrinsic tongue muscles in feeding: electromyographic study in pigs / M. Kayalioglu, V. Shcherbatyy, A. Seifi, Z.J. Liu // Archives of Oral Biology. — 2007. — V. 52, № 8. — P. 786-796.

Minetto M.A. Reliability of a novel neurostimulation method to study involuntary muscle phenomena / M.A. Minetto, A. Botter, R. Ravenni [et al.] // Muscle and Nerve. — 2008. — V. 37, № 1. — P. 90-100.

Statement P. Dysphagia diagnosis and treatment: a multidisciplinary challenge / P. Statement. — Springer US, 2014. — P. 121-181

Morimoto N. Assessment of swallowing in motor neuron disease and asidan/sca36 patients with new methods / N. Mori­moto, T. Yamashita, K. Sato [et al.] // Journal of the Neurological Sciences. — 2013. — V. 324, № 1–2. — P. 149-155.

Nuckolls A.L. Tongue force and tongue motility are differently affected by unilateral vs bilateral nigrostriatal dopamine depletion in rats / A.L. Nuckolls, C. Worley, C. Leto [et al.] // Behavioural Brain Research. — 2012. — V. 234, № 2. — P. 343-348.

Grunseich C. Spinal and bulbar muscular atrophy: pathogenesis and clinical management. / C. Grunseich, C. Rinaldi, K.H. Fischbeck // Oral diseases. — 2014. — V. 20, № 1. — P. 6-9.

Abraham S.S. Co-occurrence of dystonic and dyskinetic tongue movements with oral apraxia in post-regression dysphagia in classical rett syndrome years of life 1 through 5 / S.S. Abraham, B. Taragin, A. Djukic // Dysphagia. — 2015. — V. 30, № 2. — P. 128-138.

DOI: https://doi.org/10.22141/2224-0586.3.90.2018.129495


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