Lee, Byung-jin
(Department of Physical Therapy, The Graduate School, Cheongju Uneversity)
,
Yoon, Tae-lim
(Department of Physical Therapy, College of Health & Medical Science, Cheongju University)
Background: Neck pain can be caused by any structure in the neck, such as intervertebral discs, ligaments, muscles, facet joints, dura mater, and nerve roots. The hyoid bone is a structure that is also related to head and neck posture, neck movement and pain, but there are no studies on hyoid deviat...
Background: Neck pain can be caused by any structure in the neck, such as intervertebral discs, ligaments, muscles, facet joints, dura mater, and nerve roots. The hyoid bone is a structure that is also related to head and neck posture, neck movement and pain, but there are no studies on hyoid deviation, neck pain, and range of motion (ROM). Objects: The purpose of this study was to investigate the effect of fascia relaxation and mobilization of the hyoid bone on the ROM, pain, and lateral deviation of the hyoid bone. Methods: Twenty-five patients with neck pain identified by the lateral motion test (10 males [35.13 ± 7.67 years, 172.69 ± 3.90 cm, 78.77 ± 6.96 kg] and 15 females [35.13 ± 10.05 years, 161.11 ± 4.09 cm, 52.59 ± 2.98 kg]) was chosen randomly. Baseline values for pain, neck ROM, and lateral deviation in the hyoid bone were recorded using a visual analogue scale (VAS), goniometer, and tape measure. Then, each patient was treated with hyoid fascia relaxation and mobilization, and all results were recorded after intervention. Comparison of the results before and after intervention was analyzed using paird t-test (p < 0.05). Results: Right rotation, extension, VAS, and rotational asymmetry statistically significant differences (p 0.05). Conclusion: Fascia relaxation and hyoid mobilization could improve the ROM of cervical extension, asymmetry of the cervical rotation and neck pain.
Background: Neck pain can be caused by any structure in the neck, such as intervertebral discs, ligaments, muscles, facet joints, dura mater, and nerve roots. The hyoid bone is a structure that is also related to head and neck posture, neck movement and pain, but there are no studies on hyoid deviation, neck pain, and range of motion (ROM). Objects: The purpose of this study was to investigate the effect of fascia relaxation and mobilization of the hyoid bone on the ROM, pain, and lateral deviation of the hyoid bone. Methods: Twenty-five patients with neck pain identified by the lateral motion test (10 males [35.13 ± 7.67 years, 172.69 ± 3.90 cm, 78.77 ± 6.96 kg] and 15 females [35.13 ± 10.05 years, 161.11 ± 4.09 cm, 52.59 ± 2.98 kg]) was chosen randomly. Baseline values for pain, neck ROM, and lateral deviation in the hyoid bone were recorded using a visual analogue scale (VAS), goniometer, and tape measure. Then, each patient was treated with hyoid fascia relaxation and mobilization, and all results were recorded after intervention. Comparison of the results before and after intervention was analyzed using paird t-test (p < 0.05). Results: Right rotation, extension, VAS, and rotational asymmetry statistically significant differences (p 0.05). Conclusion: Fascia relaxation and hyoid mobilization could improve the ROM of cervical extension, asymmetry of the cervical rotation and neck pain.
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문제 정의
The purpose of this study is to investigate the effect of mobilization and MFR of the hyoid bone on the range of motion(ROM), pain, and lateral deviation of the hyoid bone in patients with neck pain with lateral deviation of the hyoid bone. This study hypothesized that applying fascia relaxation and mobilization of the hyoid bone in patients with neck pain from lateral deviation of the hyoid bone would improve their ROM, pain, and lateral deviation of the hyoid bone.
가설 설정
The purpose of this study is to investigate the effect of mobilization and MFR of the hyoid bone on the range of motion(ROM), pain, and lateral deviation of the hyoid bone in patients with neck pain with lateral deviation of the hyoid bone. This study hypothesized that applying fascia relaxation and mobilization of the hyoid bone in patients with neck pain from lateral deviation of the hyoid bone would improve their ROM, pain, and lateral deviation of the hyoid bone.
제안 방법
Then, the left and right deviations of the hyoid bone were recorded by measuring the center point. After baseline measurement, the intervention was performed with hyoid fascia relaxation and mobilization. Immediately after the intervention, the same therapist measured the flexion, height, right turn, left turn range and center point to record the left and right deviations of the hyoid bone.
Hyoid bones were measured using a tape measure (total length: 150 cm) spaced 1 mm apart. In order to establish a baseline before identifying the left and right deviations in the hyoid bone, the measurer palpated the midpoint of the jaw and the jugular notch to mark the neck centerline connecting the two points and confirmed that the centerline coincided with the midline of the body. The examiner stood facing the subject and palpated a thyroid scar and the hyoid bone located1 cm above.
The purpose of this study was to investigate the effect of fascia relaxation and mobilization of the hyoid bone on neck pain, neck range and rotational asymmetry, and hyoid bone deviation in patients experiencing neck pain. After the baseline measurement, the intervention of hyoid fascia relaxation and mobilization was performed.
have not been completely removed. Moreover, the study focused only on the immediate impact of the intervention of the hyoid bone, with no short- or long term follow-up. In addition, there may be errors due to hand measurement.
대상 데이터
The subject sample size was based on a pilot study of five subjects. Comparison of left and right rotation before and after intervention by G*Power was estimated using an effect size of1.
96, and the required sample size was estimated to be 20. This study used a random sampling of patients who visited a rehabilitation medicine clinic in Cheongju. As a result, 30 subjects initially participated; however, five subjects dropped out, so 25 patients were ultimately studied.
This study used a random sampling of patients who visited a rehabilitation medicine clinic in Cheongju. As a result, 30 subjects initially participated; however, five subjects dropped out, so 25 patients were ultimately studied.
Participants were selected from Cheongju Allbarun Rehabilitation Medicine, Korea. The inclusion criteria for this study included: 1) patients with neck pain in the rotation of the cervical spine.
, neuromuscular sensory changes, muscle weakness, or reflexes); and 3) a history of pregnancy or postpartum, intervertebral disc-related diseases, neck pain from traumatic events or cervical spine surgery [17]. A total of 25 subjects who met the selection criteria and exclusion criteria (excluding 5 patients with intervertebral disease) were selected. The general measured characteristics of the participants in this study were gender, age, weight, and height, as shown in Table 1.
데이터처리
The normality of the quantitative variables was assessed using the Shapiro–Wilk test, and all data was normally distributed. A paired t-test was used to compare the values of flexion, extension, left/right rotational range, VAS, and the center point ratios of the cervical spine according to hyoid relaxation and before and after mobilization. Statistical significance was determined at the 0.
성능/효과
The results revealed, in regard to differences in the cervicalspine range before and after intervention, There was a significant difference in the extension of the study subjects (p = 0.001)and right rotation (p = 0.013) but no statistically significant difference in flexion (p = 0.696) and left rotation (p = 0.354)(Table 2). Additionally, the VAS evaluation (p = 0.
After the baseline measurement, the intervention of hyoid fascia relaxation and mobilization was performed. As a result, the extension and right rotation of the cervical spine increased, and the rotational asymmetry and VAS of the neck decreased significantly; however, there was no significant change in the lateral deviations of the hyoid bone before and after the intervention.
후속연구
Another possibility may be that the width of the lateral deviation of the hyoid bone due to hyoid fascia relaxation and mobilization was less than the minimal detectable change in the measurement method or due to manual measurement errors. Therefore, although there was no statistical difference in study, further studies are needed to determine the effect of hyoid fascia relaxation and mobilization on the hyoid bone deviation.
In addition, there may be errors due to hand measurement. Further research is needed to resolve problems related to the 3D movement of the hyoid bone as well as the lateral deviation of the hyoid bone. In addition, long-term effects studies (RCT study) including control group are needed to know the effects of fascia relaxation and mobilization.
참고문헌 (33)
Ariens GA, van Mechelen W, Bongers PM, Bouter LM, van der Wal G. Physical risk factors for neck pain. Scand J Work Environ Health 2000;26(1):7-19.
Skov T, Borg V, Orhede E. Psychosocial and physical risk factors for musculoskeletal disorders of the neck, shoulders, and lower back in salespeople. Occup Environ Med 1996;53(5):351-6.
Sambyal R, Moitra M, Samuel AJ, Kumar SP. Does myofascial release technique contribute to cervical radiculopathy treatment? Cues from a noncontrolled experimental design study. Revista Pesquisa em Fisioterapia 2016;6(2):148-57.
Farooq MN, Mohseni-Bandpei MA, Gilani SA, Ashfaq M, Mahmood Q. The effects of neck mobilization in patients with chronic neck pain: a randomized controlled trial. J Bodyw Mov Ther 2018;22(1):24-31.
Park KN, Ha SM, Kim SH, Kwon OY. Immediate effects of upper trapezius stretching in more and less tensed positions on the range of neck rotation in patients with unilateral neck pain. Phys Ther Korea 2013;20(1):47-54.
Kim J, Kim S, Shim J, Kim H, Moon S, Lee N, et al. Effects of McKenzie exercise, Kinesio taping, and myofascial release on the forward head posture. J Phys Ther Sci 2018;30(8):1103-7.
Mortensen JD, Vasavada AN, Merryweather AS. The inclusion of hyoid muscles improve moment generating capacity and dynamic simulations in musculoskeletal models of the head and neck. PLoS One 2018;13(6):e0199912.
DeStefano LA. Greenman's principles of manual medicine. Philadelphia: Lippincott Williams & Wilkins; 2011.
Pettit NJ, Auvenshine RC. Change of hyoid bone position in patients treated for and resolved of myofascial pain. Cranio 2018. [Epub]. doi: 10.1080/08869634.2018.1493178.
Zheng L, Jahn J, Vasavada AN. Sagittal plane kinematics of the adult hyoid bone. J Biomech 2012;45(3):531-6.
Min H, Yoon T. Reliability of lateral deviation measurement in the hyoid bone with center point and lateral motion tests. Phys Ther Korea 2019;26(3):76-83.
Lohman EB, Pacheco GR, Gharibvand L, Daher N, Devore K, Bains G, et al. The immediate effects of cervical spine manipulation on pain and biochemical markers in females with acute non-specific mechanical neck pain: a randomized clinical trial. J Man Manip Ther 2019;27(4):186-96.
Nicholas AS, Nicholas EA. Atlas of osteopathic techniques. Philadelphia: Lippincott Williams & Wilkins; 2008.
Guo LY, Lee SY, Lin CF, Yang CH, Hou YY, Wu WL, et al. Threedimensional characteristics of neck movements in subjects with mechanical neck disorder. J Back Musculoskelet Rehabil 2012;25(1):47-53.
Hagen KB, Harms-Ringdahl K, Enger NO, Hedenstad R, Morten H. Relationship between subjective neck disorders and cervical spine mobility and motion-related pain in male machine operators. Spine (Phila Pa 1976) 1997;22(13):1501-7.
Mishra D, Prakash RH, Mehta J, Dhaduk A. Comparative study of active release technique and myofascial release technique in treatment of patients with upper trapezius spasm. J Clin Diagn Res 2018;12(11):YC01-4.
Lee NY, Kim SY. Comparison of immediate effects of pain, range of motion and treatment satisfaction on difference of applying joint mobilization levels in patients with acute mechanical neck pain. Phys Ther Korea 2015;22(3):50-60.
McNair PJ, Portero P, Chiquet C, Mawston G, Lavaste F. Acute neck pain: cervical spine range of motion and position sense prior to and after joint mobilization. Man Ther 2007;12(4):390-4.
Mahbobeh S, Alireza M, Soheila Y, Leila A. Effects of myofascial release technique on pain and disability in patients with chronic lumbar disc herniation: a randomized trial. Phys Med Rehab Kuror 2017;27(4):218-25.
Webb TR, Rajendran D. Myofascial techniques: what are their effects on joint range of motion and pain? - a systematic review and meta-analysis of randomised controlled trials. J Bodyw Mov Ther 2016;20(3):682-99.
Gerber LH, Sikdar S, Armstrong K, Diao G, Heimur J, Kopecky J, et al. A systematic comparison between subjects with no pain and pain associated with active myofascial trigger points. PM R 2013;5(11):931-8.
Clements B, Gibbons P, McLaughlin P. The amelioration of atlanto-axial rotation asymmetry using high velocity low amplitude manipulation: is the direction of thrust important? J Osteopath Med 2001;4(1):8-14.
Quek JM, Pua YH, Bryant AL, Clark RA. The influence of cervical spine flexion-rotation range-of-motion asymmetry on postural stability in older adults. Spine (Phila Pa 1976) 2013;38(19):1648-55.
Dugailly PM, Decuyper A, Salem W, De Boe A, Espi-Lopez GV, Lepers Y. Analysis of the upper cervical spine stiffness during axial rotation: a comparative study among patients with tension-type headache or migraine and asymptomatic subjects. Clin Biomech (Bristol, Avon) 2017;42:128-33.
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