Videogame competition as an anxiety trigger and their implications on the masseter muscle activation
DOI:
https://doi.org/10.35366/111118Keywords:
anxiety, bruxism, electromyography, gender differences, stressAbstract
Introduction: stress and anxiety are body reactions that are related to mental or emotional variations,
both have been linked to temporomandibular disorders. An imbalance in the masseter muscle can
contribute to the loss of cervical lordosis. Videogames usually contribute to well-being, however,
there have been reports of anxiety. Objective: to determine if a videogame competition can create
emotional changes and affect the masseter muscle activation. Material and methods: thirteen
university-level subjects were recruited. We measured heart rate and obtained the stress index. For
surface EMG we instrumented the masseter muscle, and they answer the form Y1 of the State-Trait
Anxiety Inventory. Subjects were randomized into groups of four and played in competition mode
Mario Kart. Results: there exists a significant difference in values at the basal mean heart rate and
in-game mean heart rate which went from 83 ± 15 bpm to 102 ± 14 bpm. Also, there was a significant
difference when divided by gender the sample in their anxiety levels women 46.50 ± 9.38 point while
men 35.06 ± 5.23. For sEMG average activation for both sides were 65 ± 40%. Conclusion: the
results showed that when playing videogames in competition mode it can increase anxiousness in
subjects that can trigger masseter muscle activation in levels above chewing something hard, which
could lead to cervical posture problems in the future.
References
Calixtre LB, Leonardo B, Chaves TC, De AB. Is there
an association between anxiety/depression and
temporomandibular disorders in college students? J
Appl Oral Sci. 2014; 22 (1): 15-21.
Pitta NC, Nitsch GS, Machado MB, de Oliveira AS.
Activation time analysis and electromyographic fatigue
in patients with temporomandibular disorders during
clenching. J Electromyogr Kinesiol. 2015; 25 (4): 653-
doi: 10.1016/j.jelekin.2015.04.010.
Alves AC, Alchieri JC, Barbosa GAS. Bruxism.
Masticatory implications and anxiety bruxism.
masticatory implications and anxiety. Acta Odontol
Latinoam. 2013; 26 (1): 15-22.
Barbosa T de S, Miyakoda LS, Pocztaruk R de L, Rocha
CP, Gaviao MBD. Temporomandibular disorders and
bruxism in childhood and adolescence: review of the
literature. Int J Pediatr Otorhinolaryngol. 2008; 72 (3):
-314. doi: 10.1016/j.ijporl.2007.11.006.
Goldstein RE, Clark WA. The clinical management of
awake bruxism. The J Am Dent Assoc. 2017; 148 (6):
-391. doi: 10.1016/j.adaj.2017.03.005.
Hidaka O, Yanagi M, Takada K. Mental stress-
induced physiological changes in the human masseter
muscle. J Dent Res. 2004; 83 (3): 227-231. doi:
1177/154405910408300308.
Manfredini D, Lobbezoo F. Relationship between
bruxism and temporomandibular disorders: a systematic
review of literature from 1998 to 2008. Oral Surg Oral
Med Oral Pathol Oral Radiol Endod. 2010; 109 (6):
e26-e50. doi: 10.1016/j.tripleo.2010.02.013.
Veiga N, Angelo T, Ribeiro O, Baptista A. Bruxism-
literature review. Int J Dent Oral Health. 2015; 1 (5): 5-7.
Trukawka K, Gebska M, Mikolajczyk-Kociecka A, Weber-
Nowakowska K, Zyzniewska-Banszak E. Assessment
of neck disability index in people with bruxism. Journal
of Education, Health and Sport. 2022; 12 (7): 217-227.
Weinberg RS, Hunt VV. The interrelationships
between anxiety, motor performance and
electromyography. J Mot Behav. 1976; 8 (3): 219-224.
doi: 10.1080/00222895.1976.10735075.
Fridlund AJ, Hatfield ME, Cottam GL, Fowler SC.
Anxiety and striate-muscle activation. Evidence
from electromyographic pattern analysis. J Abnorm
Psychol. 1986; 95 (3): 228-236. doi: 10.1037/0021-
X.95.3.228.
Cavallo P , Carpinelli L, Savarese G. Perceived stress and
bruxism in university students. BMC Research Notes.
; 9 (514): 1-6. doi: 10.1186/s13104-016-2311-0.
Winocur E, Messer T, Eli I, Emodi-perlman A,
Kedem R. Awake and sleep bruxism among Israeli
adolescents. Front Neurol. 2019; 10: 1-9. doi: 10.3389/
fneur.2019.00443.
Ohannessian CMC. Video game play and anxiety during
late adolescence: The moderating effects of gender and
social context. J Affect Disord. 2018; 226: 216-219. doi:
1016/j.jad.2017.10.009.
Inc P. No Title. How to wear a heart rate sensor with a
textile strap.
Perrotta AS, Jeklin A, Hives B. Validity of the elite
HRV smart phone application for examining heart rate
variability in a field based setting. The J Strength Cond
Res. 2017; 31 (8): 2296-2302.
Tarvainen MP, Niskanen JP, Lipponen JA, Ranta-aho
PO, Karjalainin PA. Kubios HRV - heart rate variability
analysis software. Comput Methods Programs Biomed.
; 113 (1): 210-220.
Casett E, Réus JC, Stuginski-Barbosa J et al. Validity of
different tools to assess sleep bruxism: a meta-analysis.
Journal of Oral Rehabilitation. 2017; 44 (9): 722-734.
doi: 10.1111/joor.12520.
Sabaneeff A, Caldas LD, Garcia MAC, Nojima M da CG.
Proposal of surface electromyography signal acquisition
protocols for masseter and temporalis muscles. Res
Biomed Eng. 2017; 33 (4): 324-330.
Ferrario VF, Sforza C, Colombo A, Ciusa V. An
electromyographic investigation of masticatory muscles
symmetry in normo-occlusion subjects. J Oral Rehabil.
; 27 (1): 33-40.
Tikkanen O, Haakana P, Pesola AJ et al. Muscle activity
and inactivity periods during normal daily life. PLoS
ONE. 2013; 8 (1): 1-9.
Yamasaki Y, Kuwatsuru R, Tsukiyama Y, Matsumoto
H, Oki K, Koyano K. Objective assessment of actual
chewing side by measurement of bilateral masseter
muscle electromyography. Arch Oral Biol. 2015; 60 (12):
-1762. doi: 10.1016/j.archoralbio.2015.09.010.
Pingitore G, Chrobak V, Petrie J. The social and
psychologic factors of bruxism. J Prosthet Dent. 1991;
(3): 443-446.
Ahlberg J, Rantala M, Savolainen A et al. Reported
bruxism and stress experience. Community Dent Oral
Epidemiol. 2002; 30: 405-408.
Reinecke L. Games and recovery: the use of video and
computer games to recuperate from stress and strain.
Journal of Media Psychology. 2009; 21 (3): 126-142.
doi: 10.1027/1864-1105.21.3.126.
Khawaja SN, Iwasaki LR, Nickel J, McCall W, Crow
HC, Gonzlez Y. Association of masseter muscle
activities during awake and sleep periods with self-
reported anxiety, depression, and somatic symptoms.
J Dental Health Oral Disord Ther. 2015; 2 (1): 1-17. doi:
15406/jdhodt.2015.02.00039.
Lazarus RS, Speisman JC, Mordkoff AM. The relationship
between autonomic indicators of psychological stress:
heart rate and skin conductance. Psychosomatic
medicine. Published online 1963, pp. 19-30.
Martens R, Vealey RS, Burton D. Competitive anxiety
in sport. Human Kinetics Books; 1990.
García-Gonzálvez S, López-Plaza D, Abellán-Aynés
O. Influence of competition on anxiety and heart
rate variability in young tennis players. Healthcare
(Switzerland). 2022; 10 (11): 1-9. doi: 10.3390/
healthcare10112237.
Espinosa de Santillana IA, García-Juárez A,
Rebollo-Vázquez J, Ustarán-Aquino AK. Frequent
postural alterations in patients with different types of
temporomandibular disorders. Revista de Salud Publica.
; 20 (3): 384-389. doi: 10.15446/rsap.v20n3.53529.
Yu JG, Malm C, Thornell LE. Eccentric contractions
leading to DOMS do not cause loss of desmin nor fibre
necrosis in human muscle. Histochem Cell Biol. 2002;
(1): 29-34. doi: 10.1007/s00418-002-0423-1.
Paillard T. Effects of general and local fatigue on postural
control: a review. Neurosci Biobehav Rev. 2012; 36 (1):
-176. doi: 10.1016/j.neubiorev.2011.05.009.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra
This work is licensed under a Creative Commons Attribution 4.0 International License.
© Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra under a Creative Commons Attribution 4.0 International (CC BY 4.0) license which allows to reproduce and modify the content if appropiate recognition to the original source is given.