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Craniocervical posture and hyoid bone position in children with mild and moderate asthma and mouth breathing

Thaís Cristina Chaves1, Tatiana Simões de Andrade e Silva, Solange Aparecida Caldeira Monteiro

  • 1Traumatology and Rehabilitation Program, Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Ribeirão Preto School of Medicine, University of São Paulo, Brazil. thaiscchaves@hotmail.com

International Journal of Pediatric Otorhinolaryngology
|June 23, 2010
PubMed

Insights

Asthma children exhibit altered craniocervical posture and hyoid bone positioning compared to healthy children. Increased asthma severity correlates with greater upper cervical spine extension.

Area of Science:

  • Orthodontics and Dentofacial Orthopedics
  • Pediatric Pulmonology
  • Radiology

Background:

  • Mouth breathing is common in children with asthma.
  • Craniocervical posture and hyoid bone position may be affected in these children.

Purpose of the Study:

  • To compare craniocervical posture and hyoid bone positioning in children with asthma who are mouth breathers versus non-asthma controls.
  • To investigate the relationship between asthma severity and cervical spine posture.

Main Methods:

  • Radiographic analysis of 56 children (28 with asthma, 28 controls) using lateral teleradiography and cervical spine radiography.
  • Measurement of variables including Craniovertebral Angle (CVA) and hyoid triangle.
  • Statistical analysis using independent t-test, chi-square test, and ICC for reliability.

Main Results:

  • Asthma children had a significantly smaller Craniovertebral Angle (CVA) compared to controls.
  • A higher frequency of absent or inverted hyoid triangle was observed in children with asthma.
  • Moderate asthma severity was associated with greater superior cervical spine inclination than mild asthma.

Conclusions:

  • Children with asthma display altered head extension and hyoid bone position compared to non-asthma children.
  • The severity of asthma is positively correlated with the degree of upper cervical spine extension.
Abstract

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