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There is a limited understanding of the normal function of the lateral
pterygoid muscle (LP) and the role that this muscle plays in
temporomandibular disorders. This article addresses the hypothesis
that a major function of the LP is in the control of horizontal
jaw movements. The range of fiber alignments suited to generating
a major horizontal force vector (magnitude and direction),
together with the likelihood of independent activation of subcompartments
(that is, functionally heterogeneous zones) within each
head, provide the possibility of a finely graded range of force vectors
on the condyle to effect the fine control of horizontal jaw
movements. This level of control does not appear to extend to the
control of resting jaw posture, as recent single motor unit (SMU)
data indicate that the LP is inactive with the jaw in the postural
jaw position. Available electromyographic data demonstrate
graded changes in multiunit and SMU activity with small horizontal
jaw displacements at low force levels, a single preferred direction
of the SMU firing rate during horizontal isometric jaw tasks,
and graded changes in the SMU firing rate with horizontal force
magnitude and direction. The evidence suggests that a major function
of the LP is in the generation and fine control of the horizontal
component of jaw movement by the graded activation of a subset
of SMUs within the LP. The data also suggest that the LP is
involved in the generation of horizontal force vectors, as required
in parafunctional activities and heavy mastication.
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