surface EMG Oral Muscular Screening

1. InnerSmile Pro.Single Track Muscle Scanner surface EMG Oral MuscularScreening

2. For use in First Visit Evaluation Screening … Single Track sEMG • The Single Track hand held surface Electro MyoGraphy scanner is a small but very versatile dynamic muscle evaluation device. • It has to be considered the entry level for physiological evaluation of muscle activity as well as muscle training.

3. EASY TO USE ON EVERY PATIENT • Simply plug the unit into the USB port on your computer and hold it on the muscle group you want to evaluate. • No messy gel on the electrodes • Use Alcohol to • moisten the contacts • and to clean the area • on the face to be • scanned.

4. EASY TO USE ON EVERY PATIENT Zerobase Dynamic sEMG – Single Channel sEMG EVALUATION AND AWARENESS TRAINING sEMG SINGLE CHANNEL HAND SCANNER

5. For The Masticatory Function It Is Important To Evaluate The Following Muscles : • RIGHT MASSETER • LEFT MASSETER • RIGHT ANT. TEMPORALIS • LEFT ANT. TEMPORALIS • UPPER HYOID GROUP

6. Muscle Relaxation Evaluations: • SPONTANEOUS RELAXATION • It is the natural perception that the person has about that muscle • INFORMED RELAXATIONS • When we give basic information to the person on what type of “behavior” to assume to allow the muscle to relax • TRAINED DEEP RELAXATION • When the person has undergone extensive cognitive training (sEMG Biofeedback), to learn the correct behavior in order to obtain deep muscle relaxation and therefore have the perception of minor muscle tension.

7. MUSCLE PATTERNS • There are 5 elements to the sEMG muscle pattern • You need to evaluate this basic sEMG muscle pattern.

8. MUSCLE PATTERNS • The five elements in the • muscle pattern are : • Resting Muscle Pattern • Contraction Pattern • Sustained Contraction Pattern • Release Pattern • Post-Contraction Pattern

9. HEALTHY MUSCLE PATTERNS • In the normal pattern you see the muscle at its baseline. • Then contracting and maintaining the tension. • Next the muscle is relaxed with full release and no descent notch noted completely back to baseline • HEALTHY PATTERN MAINTAIN CLENCH RELAX CLENCH RETURN to BASELINE BASELINE

10. MUSCLE PATTERNS • UNHEALTHY PATTERN “POOR RELEASE” • In this example you • see the muscle at its • baseline. • Then contracting • and maintaining the • tension. DESCENT NOTCH Difficult to return to baseline MAINTAIN CLENCH RELAX CLENCH LATENCY TO RECOVER BASELINE

11. MUSCLE PATTERNS • UNHEALTHY PATTERN “POOR RELEASE” • Next the muscle begins to relax and then stops and starts again, having difficulty fully releasing to the relaxed state. • This is what we refer to as a DESCENT NOTCHin the release or latency to return. DESCENT NOTCH Difficult to return to baseline MAINTAIN CLENCH RELAX CLENCH LATENCY TO RECOVER BASELINE

12. SCAN SIGNALS • sEMG in Microvolts • Detects occlusion asymmetry • Mean-Median sEMG in Frequency [Hz] • Detects local muscle fatigue • Microbreaks in Responses/min • Index of muscle health at rest • There are 5 Different Graphs In • Scanning Data

13. The Scan Profile takes 3 minutes • 5 Different Graphs To Compare and View

14. FIRST GRAPH TYPE – • EMG EMG GRAPH • sEMG in Microvolts – • Detects occlusion asymmetry MAINTAIN CLENCH RELAX CLENCH RETURN to BASELINE BASELINE

15. SECOND GRAPH TYPE – THE PAIN LINK PAIN GRAPH • Patients rate their pain level (from 0-10) in the areas that are scanned.

16. THIRD GRAPH TYPE –FATIGUE-INVERSION MEAN AND MEDIAN GRAPH • Mean-Median sEMG in Frequency [Hz] • - Detects local muscle fatigue But what does that mean?

17. Example of INVERSION Spectral Mean-Median wave colors INVERT at fatigue point. Inversion or Local Fatigue

18. FORTH GRAPH TYPE –MICROBREAK Hold in full tension • MICRO BREAKS GRAPH • Micro breaks in Responses/min • This allows you to see if muscles are healthy, if they have split second gaps in contraction that allow blood flow, and sustained endurance. MICRO BREAKS

19. MICROBREAK Healthy Muscles show ‘microbreaks’ – Split second gaps in contraction that allow blood flow, and sustained endurance. Hold in full tension MICRO BREAKS Technical : Microbreaks are related to Muscle Spindle looping – like an auto-reset on the computer to keep it clear under load.

20. FITHTH GRAPH TYPE – INTERFERENCE CHECK • INTERFERENCE GRAPH • This shows if you have good contact or if you need to reposition the electrode. BAD CONTACT GOOD CONTACT

21. Allows analysis of ‘Fatigue’. ADDING FATIGUE COMPONENT sEMG Mean/Median Spectral Mean-Median wave colors INVERT at fatigue point. Look at : sEMG + Mean/Median = IS There FATIGUE ? NOTE: There is no fatigue in this graph – muscle is healthy.

22. Allows analysis of ‘‘Microbreaks’. ADDING FATIGUE COMPONENT sEMG Microbreak Mean/Median Are there healthy microbreaks? No – This muscle is fatigued. Look at : sEMG + Microbreak + Mean/Median = Is There TRUE FATIGUE Now?

23. Screening Graph Examples EXAMPLE 1 – Asymmetry Left Mass. Higher Swallow Not Going As High As Mass EXAMPLE 2 – Fatigue Easy Muscle Fatigue Possible Long Term Clenching 60 htz Asymmetry

24. Screening Graph Example EXAMPLE 3 – FULL SCAN

25. Screening Graph Example EXAMPLE 4 - Good Clench • Tongue is not passive,also its showing higher in the • swallow as it should CLENCH SWALLOW

26. In Summary, this should be your next important piece of technology