Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational Study

Background: Masticatory muscle thickness provides objective measurements of the temporomandibular motor function, which may change in patients with oral myofascial pain. Moreover, they are considered as being part of the craniocervical unit by a crucial relationship with cervical muscles and their f...

Full description

Bibliographic Details
Main Authors: Carmelo Pirri, Caterina Fede, Chenglei Fan, Diego Guidolin, Veronica Macchi, Raffaele De Caro, Carla Stecco
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-12-01
Series:Frontiers in Rehabilitation Sciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fresc.2021.743553/full
_version_ 1797969106919489536
author Carmelo Pirri
Caterina Fede
Chenglei Fan
Diego Guidolin
Veronica Macchi
Raffaele De Caro
Carla Stecco
author_facet Carmelo Pirri
Caterina Fede
Chenglei Fan
Diego Guidolin
Veronica Macchi
Raffaele De Caro
Carla Stecco
author_sort Carmelo Pirri
collection DOAJ
description Background: Masticatory muscle thickness provides objective measurements of the temporomandibular motor function, which may change in patients with oral myofascial pain. Moreover, they are considered as being part of the craniocervical unit by a crucial relationship with cervical muscles and their fasciae. In this study, we aimed to assess by ultrasound (US) imaging the fasciae of the masseter, temporal, and sternocleidomastoid muscles to understand their mean thickness and eventual variation in relationship with the muscles, sides, and sex.Methods: We studied 16 healthy volunteers without temporomandibular joint dysfunction. Concerning each subject were evaluated the range of motion of the temporomandibular joint and of the neck, the thickness of muscles and their fasciae of both sides, and the delta of muscle thickness.Results: All the motor evaluations of the subjects showed normal ranges. The US results showed that the fasciae have a mean thickness of 0.50 ± 0.1 mm, which did not change during muscle contraction. The evaluated muscles presented a symmetry between right and left (p > 0.05), even if the delta of muscle (US) thickness had a huge range between different subjects, for example in the masseter muscle from 0.7 to 4.2 mm.Conclusions: Ultrasound imaging is a suitable and reliable tool to study the muscles and fasciae of the head and neck region, permitting also the evaluation of the ability of the muscles to contract. Finally, identifying functional asymmetry that could become symptomatic, US imaging could allow an early rehabilitation treatment.
first_indexed 2024-04-11T02:56:55Z
format Article
id doaj.art-08c2b41fa6bf41338303775e2f64913f
institution Directory Open Access Journal
issn 2673-6861
language English
last_indexed 2024-04-11T02:56:55Z
publishDate 2021-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Rehabilitation Sciences
spelling doaj.art-08c2b41fa6bf41338303775e2f64913f2023-01-02T14:49:59ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612021-12-01210.3389/fresc.2021.743553743553Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational StudyCarmelo PirriCaterina FedeChenglei FanDiego GuidolinVeronica MacchiRaffaele De CaroCarla SteccoBackground: Masticatory muscle thickness provides objective measurements of the temporomandibular motor function, which may change in patients with oral myofascial pain. Moreover, they are considered as being part of the craniocervical unit by a crucial relationship with cervical muscles and their fasciae. In this study, we aimed to assess by ultrasound (US) imaging the fasciae of the masseter, temporal, and sternocleidomastoid muscles to understand their mean thickness and eventual variation in relationship with the muscles, sides, and sex.Methods: We studied 16 healthy volunteers without temporomandibular joint dysfunction. Concerning each subject were evaluated the range of motion of the temporomandibular joint and of the neck, the thickness of muscles and their fasciae of both sides, and the delta of muscle thickness.Results: All the motor evaluations of the subjects showed normal ranges. The US results showed that the fasciae have a mean thickness of 0.50 ± 0.1 mm, which did not change during muscle contraction. The evaluated muscles presented a symmetry between right and left (p > 0.05), even if the delta of muscle (US) thickness had a huge range between different subjects, for example in the masseter muscle from 0.7 to 4.2 mm.Conclusions: Ultrasound imaging is a suitable and reliable tool to study the muscles and fasciae of the head and neck region, permitting also the evaluation of the ability of the muscles to contract. Finally, identifying functional asymmetry that could become symptomatic, US imaging could allow an early rehabilitation treatment.https://www.frontiersin.org/articles/10.3389/fresc.2021.743553/fullmasticatory musclestemporal muscledeep fasciaultrasonographymasseter musclesternocleidomastoid muscle
spellingShingle Carmelo Pirri
Caterina Fede
Chenglei Fan
Diego Guidolin
Veronica Macchi
Raffaele De Caro
Carla Stecco
Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational Study
Frontiers in Rehabilitation Sciences
masticatory muscles
temporal muscle
deep fascia
ultrasonography
masseter muscle
sternocleidomastoid muscle
title Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational Study
title_full Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational Study
title_fullStr Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational Study
title_full_unstemmed Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational Study
title_short Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational Study
title_sort ultrasound imaging of head neck muscles and their fasciae an observational study
topic masticatory muscles
temporal muscle
deep fascia
ultrasonography
masseter muscle
sternocleidomastoid muscle
url https://www.frontiersin.org/articles/10.3389/fresc.2021.743553/full
work_keys_str_mv AT carmelopirri ultrasoundimagingofheadneckmusclesandtheirfasciaeanobservationalstudy
AT caterinafede ultrasoundimagingofheadneckmusclesandtheirfasciaeanobservationalstudy
AT chengleifan ultrasoundimagingofheadneckmusclesandtheirfasciaeanobservationalstudy
AT diegoguidolin ultrasoundimagingofheadneckmusclesandtheirfasciaeanobservationalstudy
AT veronicamacchi ultrasoundimagingofheadneckmusclesandtheirfasciaeanobservationalstudy
AT raffaeledecaro ultrasoundimagingofheadneckmusclesandtheirfasciaeanobservationalstudy
AT carlastecco ultrasoundimagingofheadneckmusclesandtheirfasciaeanobservationalstudy