Influence of the quality of sleep on the masticatory muscle activity - a pilot study

Grzegorz Zieliński, Aleksandra Byś, Michał Baszczowski, Michał Ginszt, Marta Suwała, Jacek Szkutnik, Piotr Majcher


Introduction: Modern literature indicates an uptrend in the occurrence of sleep disorders. Currently, about 30-40% of adults are suffering from sleep disorders, which makes them one of the most common health problems of the population.
The aim of the study: The determination of the quality of sleep on the muscle tension of the masticatory apparatus.
Methods and materials: 27 adults volunteered to take part in the study. After the application of the exclusion criteria, 12 women (with an average age of 23 ± 1 year) have qualified. They were subsequently divided into two equal groups, in accordance with the guidelines of the Pittsburgh questionnaire: six women with a below 6 point result - high quality of sleep and six women with an over 6 point result (or higher) - low quality of sleep. Electromyographic activity of the anterior temporalis (TA) and masseter muscle (MM) was evaluated in resting mandibular position. Based on the electromyographic results, the values of the asymmetry indexes of the muscles of the masticatory apparatus muscles were calculated. The U Mann-Whitney test has been used for the statistical analysis, with the significance level of 0,05.
Results: There were no significant differences in resting activity of the anterior temporalis, masseter muscles and the asymmetry index of the anterior temporalis between groups (p>0,05). There was the significant difference in the asymmetry index of masseter muscles between groups (p<0,05).
Conclusions: The quality of sleep has no significant influence on the resting activity of masticatory muscles. The influence of the quality of sleep on the asymmetry index should be the object of further research. In order to verify this conclusion, the research should be carried out on a larger group of people.


sEMG; sleep; anterior temporalis; masseter muscle

Full Text:



Sieradzki A, Kiejnia A, Rymaszewska J. Epidemiologia zaburzeń snu w Polsce i na świecie - przegląd piśmiennictwa. Sen. 2002;2(1):33–8.

Neu M, Matthews E, King NA. Exploring sleep-wake experiences of mothers during maintenance therapy for their child’s acute lymphoblastic leukemia. J Pediatr Nurs. 2014;29(5):410–21.

Shochat T, Cohen-Zion M, Tzischinsky O. Functional consequences of inadequate sleep in adolescents: a systematic review. Sleep Med Rev. 2014;18(1):75–87.

Paavonen EJ, Porkka-Heiskanen T, Lahikainen AR. Sleep quality, duration and behavioral symptoms among 5-6-year-old children. Eur Child Adolesc Psychiatry. 2009;18(12):747–54.

Abbott SM, Videnovic A. Chronic sleep disturbance and neural injury: links to neurodegenerative disease. Nat Sci Sleep. 2016;8:55–61.

Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017;9:151–61.

Roberts RE, Roberts CR, Chen IG. Impact of insomnia on future functioning of adolescents. J Psychosom Res. 2002;53(1):561–9.

Osiewicz MA, Lobbezoo F, Loster BW, Wilkosz M, Naeije M, Ohrbach R. Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD): The Polish version of a dual-axis system for the diagnosis of TMD.* RDC/TMD form. J Stomatol. 2013;66:576–649.

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.

Ferrario VF, Sforza C. Coordinated electromyographic activity of the human masseter and temporalis anterior muscles during mastication. Eur J Oral Sci. 1996;104(5–6):511–7.

Venegas M, Valdivia J, Fresno MJ, Miralles R, Gutiérrez MF, Valenzuela S, i in. Clenching and grinding: effect on masseter and sternocleidomastoid electromyographic activity in healthy subjects. Cranio J Craniomandib Pract. 2009;27(3):159–66.

Wieczorek A, Loster J, Loster BW, Sierpińska T, Gołębiewska M. Correlation between activity and asymmetry indices and skeletal classes in symptomatic-free young adults. J Stoma. 2013;66(6):780–760.

Naeije M, McCarroll RS, Weijs WA. Electromyographic activity of the human masticatory muscles during submaximal clenching in the inter-cuspal position. J Oral Rehabil. 1989;16(1):63–70.

Błońska BK, Gotlib J. Występowanie zaburzeń snu wśród studentów. Med Rev. 2012;4:485–497.

Zieliński G, Byś A, Baszczowski M, Suwała M, Szkutnik J. Wpływ depresji na napięcia mięśniowe narządu żucia. W: XI Majówka z Fizjoterapią Cykliczna Ogólnopolska Konferencja Studenckich Kół Naukowych i Młodych Pracowników Nauki : Fizjoterapia w XXI wieku. Lublin; 2018.

Wieckiewicz M, Zietek M, Smardz J, Zenczak-Wieckiewicz D, Grychowska N. Mental Status as a Common Factor for Masticatory Muscle Pain: A Systematic Review. Front Psychol 2017. doi: 10.3389/fpsyg.2017.00646.

Marchesi C, De Ferri A, Petrolini N, Govi A, Manzoni GC, Coiro V, i in. Prevalence of migraine and muscle tension headache in depressive disorders. J Affect Disord. 1989;16(1):33–6.

Reiter S, Emodi-Perlman A, Goldsmith C, Friedman-Rubin P, Winocur E. Comorbidity between depression and anxiety in patients with temporomandibular disorders according to the research diagnostic criteria for temporomandibular disorders. J Oral Facial Pain Headache. 2015;29(2):135–43.

Rener-Sitar K, John MT, Pusalavidyasagar SS, Bandyopadhyay D, Schiffman EL. Sleep quality in temporomandibular disorder cases. Sleep Med. 2016;25:105–12.

Quartana PJ, Wickwire EM, Klick B, Grace E, Smith MT. Naturalistic changes in insomnia symptoms and pain in temporomandibular joint disorder: A cross-lagged panel analysis. PAIN. 2010;149(2):325–31.

Yatani H, Studts J, Cordova M, Carlson CR, Okeson JP. Comparison of sleep quality and clinical and psychologic characteristics in patients with temporomandibular disorders. J Orofac Pain. 2002;16(3):221–8.

Uhlig BL, Engstrøm M, Ødegård SS, Hagen KK, Sand T. Headache and insomnia in population-based epidemiological studies. Cephalalgia Int J Headache. 2014;34(10):745–51.

Domżał T. Ból przewlekły - problemy kliniczne i terapeutyczne. Pol Przegląd Neurol. 2008;4(1):1–8.



  • There are currently no refbacks.

Copyright (c) 2018 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

POL-index 2011 - 2014

BASE 2011 - 2014

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

Find a library that holds this journal:

Journal Language(s): English 

PBN Poland



Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase


Universal Impact Factor 1.78 for year 2012. (

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ)

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski