Browse > Article

The Effect of Fascia Relaxation and Mobilization of the Hyoid on the Range of Motion, Pain, and Deviation of the Hyoid in Neck Pain  

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)
Publication Information
Physical Therapy Korea / v.27, no.1, 2020 , pp. 70-77 More about this Journal
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). Right rotation and extension increased ROM, rotational asymmetry ratio and VAS decreased. However, there was no significant difference in flexion, left rotation, center point (p > 0.05). Conclusion: Fascia relaxation and hyoid mobilization could improve the ROM of cervical extension, asymmetry of the cervical rotation and neck pain.
Anterior fascia of neck; Hyoid bone; Motion therapy; Range of motion;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 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.   DOI
2 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.   DOI
3 Brodie AG. Anatomy and physiology of head and neck musculature. Am J Orthod 1950;36(11):831-44.   DOI
4 Rocabado M. Biomechanical relationship of the cranial, cervical, and hyoid regions - a discussion. J Craniomandib Pract 1983;1(3):61-6.   DOI
5 Sonoda N, Tamatsu Y. Observation on the attachment of muscles onto the hyoid bone in human adults. Okajimas Folia Anat Jpn 2008;85(3):79-90.   DOI
6 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.   DOI
7 DeStefano LA. Greenman's principles of manual medicine. Philadelphia: Lippincott Williams & Wilkins; 2011.
8 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.
9 Zheng L, Jahn J, Vasavada AN. Sagittal plane kinematics of the adult hyoid bone. J Biomech 2012;45(3):531-6.   DOI
10 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.   DOI
11 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.
12 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.   DOI
13 Nicholas AS, Nicholas EA. Atlas of osteopathic techniques. Philadelphia: Lippincott Williams & Wilkins; 2008.
14 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.   DOI
15 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.   DOI
16 Johnston V, Jull G, Souvlis T, Jimmieson NL. Neck movement and muscle activity characteristics in female office workers with neck pain. Spine (Phila Pa 1976) 2008;33(5):555-63.   DOI
17 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.   DOI
18 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.   DOI
19 Tozzi P, Bongiorno D, Vitturini C. Fascial release effects on patients with non-specific cervical or lumbar pain. J Bodyw Mov Ther 2011;15(4):405-16.   DOI
20 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.   DOI
21 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.   DOI
22 Barnes MF. Efficacy study of the effect of a myofascial release treatment technique on obtaining pelvic symmetry. J Bodyw Mov Ther 1997;1(5):289-96.   DOI
23 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.   DOI
24 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.   DOI
25 Cibulka MT, Threlkeld-Watkins J. Patellofemoral pain and asymmetrical hip rotation. Phys Ther 2005;85(11):1201-7.   DOI
26 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.   DOI
27 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.   DOI
28 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.   DOI
29 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.   DOI
30 Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine (Phila Pa 1976) 1994;19(12):1307-9.   DOI
31 Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther 2015;19(1):102-12.   DOI
32 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.
33 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.   DOI