Effects of topical cooling on isometric contractions of the human masseter muscle.

Six adult males performed tooth clenching for 10 and 80 s at maximum voluntary contraction strength (MVC). Motor activity in the right and left masseter muscles was monitored by surface electromyography. Local temperatures of both cheeks were monitored by a thermocouple. MVC activity for 80 s induced pain and fatigue in both muscles; 10 s of clenching caused no muscle discomfort. Ice, subsequently applied to the right cheek for 30 min, lowered the temperature of the cheek and masseter muscle. The isometric MVC exercises were then repeated. During 10 s of isometric contraction, MVC motor activity in the cooled masseter muscle was significantly increased by 29 per cent; that of the non-cooled contralateral muscle was insignificantly reduced by 12 per cent. During 80 s of clenching, MVC motor activity in the cooled muscle was significantly increased by 30 per cent; that of the non-cooled muscle was insignificantly reduced by 4 per cent. MVC activity for 80 s by the cooled muscle caused no pain and fatigue, but the discomforts continued in the non-cooled muscle. Increased MVC alpha motor activity in the cooled masseter muscle might have resulted from motor facilitation that was mediated by cutaneous, muscular or mucosal cold receptors, or it might have been due to the absence of pain and fatigue.