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Turning Heads: Utilization of FDM in Treatment of Asymmetrical Neck Range of Motion

Journal: The AAO Journal Date: 2025/06, 35(2):Pages: 26. doi: Subito , type of study: pretest posttest design

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/2/article-p13.xml)

Keywords:

cervical spine [288]
fascial distortion model [27]
FDM [12]
pretest posttest design [214]
range of motion [110]

Abstract:

The Fascial Distortion Model (FDM) assesses musculoskeletal dysfunctions using patient verbal and body language to indicate a fascial distortion(s). Current FDM research lacks objective data, which this pilot study aimed to produce. We hypothesize that neck ROM, measured by rotation and side-bending, will increase immediately following single FDM treatment. We conducted a single-arm study of adults with asymmetric neck ROM in side-bending and/or rotation within a university population. Neck ROM was measured via goniometer before and after FDM treatment. ROM was considered asymmetric if there was a 10° and 5° or greater difference between right and left rotation and side-bending, respectively. Participants were evaluated for supraclavicular herniated trigger points (HTP) and acromioclavicular joint to mastoid trigger bands (TB) and treated appropriately. These are common distortions and can implicate upper trapezius dysfunctions. Initially, 22 participants had asymmetric neck ROM, with 9 asymmetric in rotation and 19 in side-bending. 9/9 (P<0.001) achieved improved symmetry in rotation, with 6/9 having increased rotation in both directions. In side-bending, 12/19 (P=0.19) achieved improved symmetry, and 11/19 had improved ROM to both right and left. 21/22 (95%) participants self-reported improvement, and the researcher noted visually improved ROM in 17/22 (77%) following FDM. Results conclude that FDM significantly and immediately improves neck ROM and asymmetry in rotation. Rotation improvements may enhance overall neck function and reduce discomfort. Changes in side-bending were not significant, which could be attributed to a lesser normal ROM in side bending. Given the prevalence of neck pain, we encourage the potential of FDM as a treatment. Further investigation should expand study population, compare FDM to NSAIDs/Tylenol, and explore the impact of FDM on other body regions.


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