DOI QR코드

DOI QR Code

Influence of Forward Head Posture on Electromyography Activity of Hyoid Muscles During Mouth Opening

  • Song, Jae-Ik (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kang, Sun-Young (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Park, Joo-Hee (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Cynn, Heon-Seock (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Jeon, Hye-Seon (Dept. of Physical Therapy, College of Health Science, Yonsei University)
  • Received : 2014.12.08
  • Accepted : 2015.01.12
  • Published : 2015.02.19

Abstract

Although the relationship between temporomandibular disorder and forward head posture (FHP) is controversial, it is generally accepted that altered head posture can affect mandible position and masticatory muscles activity. Because suprahyoid (SH) and infrahyoid (IH) muscles are stretched by increased passive tension in FHP, this study investigated their activity during mouth opening in FHP compared to neutral head posture (NHP). Twenty healthy subjects (10 males and 10 females) participated in this study. Head postures were evaluated with a cervical range of motion instrument. Electromyography (EMG) activity of bilateral SH and IH muscles was measured while an open mouth was maintained at each head posture. Paired t-test was used to identify significant differences in normalized EMG activity between head postures. Statistical significance was set at .01. Results showed the normalized EMG activity of SH and IH muscles were significantly lower in FHP compared to NHP. This finding indicates that FHP affects the EMG activity of hyoid muscles when they are stretched.

Keywords

References

  1. Armijo-Olivo S, Rappoport K, Fuentes J, et al. Head and cervical posture in patients with temporomandibular disorders. J Orofac Pain. 2011;25(3):199-209.
  2. Babault N, Pousson M, Michaut A, et al. Effect of quadriceps femoris muscle length on neural activation during isometric and concentric contractions. J Appl Physiol (1985). 2003;94(3):983-990. https://doi.org/10.1152/japplphysiol.00717.2002
  3. Ballenberger N, von Piekartz H, Paris-Alemany A, et al. Influence of different upper cervical positions on electromyography activity of the masticatory muscles. J Manipulative Physiol Ther. 2012;35(4):308-318. http://www.dx.doi.org/10.1016/j.jmpt.2012.04.020
  4. Bonney RA, Corlett EN. Head posture and loading of the cervical spine. Appl Ergon. 2002;33(5):415-417. https://doi.org/10.1016/S0003-6870(02)00036-4
  5. Catanzariti JF, Debuse T, Duquesnoy B. Chronic neck pain and masticatory dysfunction. Joint Bone Spine. 2005;72(6):515-519. https://doi.org/10.1016/j.jbspin.2004.10.007
  6. Criswell E. Cram's Introduction to Surface Electromyography. 2nd ed. Sudbury, Jones and Bartlett Publishers, 2010:262-265.
  7. Ding R, Logemann JA, Larson CR, et al. The effects of taste and consistency on swallow physiology in younger and older healthy individuals: A surface electromyographic study. J Speech Lang Hear Res. 2003;46(4):977-989. https://doi.org/10.1044/1092-4388(2003/076)
  8. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: Review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6(14):301-355.
  9. Forsberg CM, Hellsing E, Linder-Aronson S, et al. EMG activity in neck and masticatory muscles in relation to extension and flexion of the head. Eur J Orthod. 1985;7(3):177-184. https://doi.org/10.1093/ejo/7.3.177
  10. Garrett TR, Youdas JW, Madson TJ. Reliability of measuring forward head posture in a clinical setting. J Orthop Sports Phys Ther. 1993;17(3):155-160. https://doi.org/10.2519/jospt.1993.17.3.155
  11. Gonzalez HE, Manns A. Forward head posture: Its structural and functional influence on the stomatognathic system, a conceptual study. Cranio. 1996;14(1):71-80. https://doi.org/10.1080/08869634.1996.11745952
  12. Hackney J, Bade D, Clawson A. Relationship between forward head posture and diagnosed internal derangement of the temporomandibular joint. J Orofac Pain. 1993;7(4):386-390.
  13. Heckathorne CW, Childress DS. Relationships of the surface electromyogram to the force, length, velocity, and contraction rate of the cineplastic human biceps. Am J Phys Med. 1981;60(1):1-19.
  14. Hibi H, Ueda M. Body posture during sleep and disc displacement in the temporomandibular joint: A pilot study. J Oral Rehabil. 2005;32(2):85-89. https://doi.org/10.1111/j.1365-2842.2004.01386.x
  15. Higbie EJ, Seidel-Cobb D, Taylor LF, et al. Effect of head position on vertical mandibular opening. J Orthop Sports Phys Ther. 1999;29(2):127-130. https://doi.org/10.2519/jospt.1999.29.2.127
  16. Huggare JA, Raustia AM. Head posture and cervicovertebral and craniofacial morphology in patients with craniomandibular dysfunction. Cranio. 1992; 10(3):173-177; discussion 178-179. https://doi.org/10.1080/08869634.1992.11677908
  17. Imai H, Sakamoto I, Yoda T, et al. A model for internal derangement and osteoarthritis of the temporomandibular joint with experimental traction of the mandibular ramus in rabbit. Oral Dis. 2001;7(3):185-191. https://doi.org/10.1034/j.1601-0825.2001.70308.x
  18. Juul-Kristensen B, Laursen B, Pilegaard M, et al. Physical workload during use of speech recognition and traditional computer input devices. Ergonomics. 2004;47(2):119-133. https://doi.org/10.1080/00140130310001617912
  19. Kennedy PM, Cresswell AG. The effect of muscle length on motor-unit recruitment during isometric plantar flexion in humans. Exp Brain Res. 2001;137(1):58-64. https://doi.org/10.1007/s002210000623
  20. Kubo K, Tsunoda N, Kanehisa H, et al. Activation of agonist and antagonist muscles at different joint angles during maximal isometric efforts. Eur J Appl Physiol. 2004;91(2-3):349-352. https://doi.org/10.1007/s00421-003-1025-x
  21. La Touche R, Paris-Alemany A, von Piekartz H, et al. The influence of cranio-cervical posture on maximal mouth opening and pressure pain threshold in patients with myofascial temporomandibular pain disorders. Clin J Pain. 2011;27 (1):48-55. http://www.dx.doi.org/10.1097/AJP.0b013e3181edc157
  22. Lee WY, Okeson JP, Lindroth J. The relationship between forward head posture and temporomandibular disorders. J Orofac Pain. 1995;9(2):161-167.
  23. Lunnen JD, Yack J, LeVeau BF. Relationship between muscle length, muscle activity, and torque of the hamstring muscles. Phys Ther. 1981;61(2):190-195. https://doi.org/10.1093/ptj/61.2.190
  24. Milidonis MK, Kraus SL, Segal RL, et al. Genioglossi muscle activity in response to changes in anterior/ neutral head posture. Am J Orthod Dentofacial Orthop. 1993;103(1):39-44. https://doi.org/10.1016/0889-5406(93)70102-T
  25. Muto T, Kanazawa M. Positional change of the hyoid bone at maximal mouth opening. Oral Surg Oral Med Oral Pathol. 1994;77(5):451-455. https://doi.org/10.1016/0030-4220(94)90222-4
  26. Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for rehabilitation. 2nd ed. St Rouis, Mosby, 2010:431-433, 436-438, 451.
  27. Ohmure H, Miyawaki S, Nagata J, et al. Influence of forward head posture on condylar position. J Oral Rehabil. 2008;35(11):795-800. http://www.dx.doi.org/10.1111/j.1365-2842.2007.01834.x
  28. Pancherz H, Winnberg A, Westesson PL. Masticatory muscle activity and hyoid bone behavior during cyclic jaw movements in man. A synchronized electromyographic and videofluorographic study. Am J Orthod. 1986;89(2):122-131. https://doi.org/10.1016/0002-9416(86)90088-6
  29. Pullinger AG, Solberg WK, Hollender L, et al. Tomographic analysis of mandibular condyle position in diagnostic subgroups of temporomandibular disorders. J Prosthet Dent. 1986;55(6):723-729. https://doi.org/10.1016/0022-3913(86)90450-6
  30. Radu M, Marandici M, Hottel TL. The effect of clenching on condylar position: A vector analysis model. J Prosthet Dent. 2004;91(2):171-179. https://doi.org/10.1016/j.prosdent.2003.10.011
  31. Rocha CP, Croci CS, Caria PH. Is there relationship between temporomandibular disorders and head and cervical posture? A systematic review. J Oral Rehabil. 2013;40(11):875-881. http://www.dx.doi.org/10.1111/joor.12104
  32. Thilander B, Rubio G, Pena L, et al. Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: An epidemiologic study related to specified stages of dental development. Angle Orthod. 2002;72(2):146-154.
  33. Thurow RC. Atlas of Orthodontic Principles. 2nd ed. St Louis, Mosby, 1977:373-375.
  34. Valenzuela S, Baeza M, Miralles R, et al. Laterotrusive occlusal schemes and their effect on supra- and infrahyoid electromyographic activity. Angle Orthod. 2006;76(4):585-590.
  35. Watson DH, Trott PH. Cervical headache: An investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia. 1993;13(4):272-284. https://doi.org/10.1046/j.1468-2982.1993.1304272.x
  36. Winnberg A, Pancherz H, Westesson PL. Head posture and hyo-mandibular function in man. A synchronized electromyographic and videofluorographic study of the open-close-clench cycle. Am J Orthod Dentofacial Orthop. 1988;94(5):393-404. https://doi.org/10.1016/0889-5406(88)90128-X