Lower number of K-complexes and K-alphas in sleep bruxism: a controlled quantitative study

Although patients with sleep bruxism (SB) show a higher incidence of rhythmic masticatory muscle activity (RMMA) during sleep than matched normal controls, they are good sleepers. Sleep macrostructure (e.g. total sleep time, sleep latency, number of awakenings or sleep stage shifts and sleep stage d...

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Veröffentlicht in:Clinical neurophysiology 2002-05, Vol.113 (5), p.686-693
Hauptverfasser: LAVIGNE, G. J, ROMPRE, P. H, GUITARD, F, SESSLE, B. J, KATO, T, MONTPLAISIR, J. Y
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container_issue 5
container_start_page 686
container_title Clinical neurophysiology
container_volume 113
creator LAVIGNE, G. J
ROMPRE, P. H
GUITARD, F
SESSLE, B. J
KATO, T
MONTPLAISIR, J. Y
description Although patients with sleep bruxism (SB) show a higher incidence of rhythmic masticatory muscle activity (RMMA) during sleep than matched normal controls, they are good sleepers. Sleep macrostructure (e.g. total sleep time, sleep latency, number of awakenings or sleep stage shifts and sleep stage duration) is similar between groups. Differences in sleep microstructure between SB patients and normals have been investigated only in few studies. The aim of the present study was to quantify number of microarousals, K-complexes, K-alphas, EEG spindles, and the density of slow wave activity, in both groups, in order to better understand the pathophysiology of SB. Ten normal sleepers were matched for age and gender with 10 patients who exhibited frequent tooth-grinding during sleep. Using quantitative polysomnographic measures, we compared the above-mentioned sleep variables in both groups. Data are presented as indices for total sleep and for consecutive non-rapid eye movement (non-REM) episodes over non-REM to rapid eye movement (REM) cycles and per hour of sleep. SB patients showed 6 times more RMMA episodes per hour of sleep than normals (P
doi_str_mv 10.1016/s1388-2457(02)00037-8
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J ; ROMPRE, P. H ; GUITARD, F ; SESSLE, B. J ; KATO, T ; MONTPLAISIR, J. Y</creator><creatorcontrib>LAVIGNE, G. J ; ROMPRE, P. H ; GUITARD, F ; SESSLE, B. J ; KATO, T ; MONTPLAISIR, J. Y</creatorcontrib><description>Although patients with sleep bruxism (SB) show a higher incidence of rhythmic masticatory muscle activity (RMMA) during sleep than matched normal controls, they are good sleepers. Sleep macrostructure (e.g. total sleep time, sleep latency, number of awakenings or sleep stage shifts and sleep stage duration) is similar between groups. Differences in sleep microstructure between SB patients and normals have been investigated only in few studies. The aim of the present study was to quantify number of microarousals, K-complexes, K-alphas, EEG spindles, and the density of slow wave activity, in both groups, in order to better understand the pathophysiology of SB. Ten normal sleepers were matched for age and gender with 10 patients who exhibited frequent tooth-grinding during sleep. Using quantitative polysomnographic measures, we compared the above-mentioned sleep variables in both groups. Data are presented as indices for total sleep and for consecutive non-rapid eye movement (non-REM) episodes over non-REM to rapid eye movement (REM) cycles and per hour of sleep. SB patients showed 6 times more RMMA episodes per hour of sleep than normals (P&lt;0.001), with a higher frequency in the second and third non-REM to REM cycles. SB patients presented 42.7% fewer K-complexes per hour of stage 2 sleep, but only normals showed a decline from the first to fourth non-REM episode. Only 24% of SB-RMMA episodes were associated with K-complexes in 60 s. The number of K-alphas was 61% lower in SB patients, no change across non-REM episodes was noted. 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Arousal - physiology
Biological and medical sciences
Electroencephalography
Female
Fundamental and applied biological sciences. Psychology
Humans
Male
Mastication
Polysomnography
Sleep - physiology
Sleep Bruxism - diagnosis
Sleep Bruxism - physiopathology
Sleep, REM - physiology
Sleep. Vigilance
Vertebrates: nervous system and sense organs
title Lower number of K-complexes and K-alphas in sleep bruxism: a controlled quantitative study
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