EC Orthopaedics

Editorial Volume 14 Issue 3 - 2023

The Mystery around Suboccipital Myofascial Alterations and their Correlated Ailments. Could the Atlasprofilax Method be a Therapeutic Option?

Orlando Angulo*

Professor and Researcher, Faculty of Medicine, Universidad Cooperativa de Colombia, Sede Villavicencio, Colombia
*Corresponding Author: Orlando Angulo, Professor and Researcher, Faculty of Medicine, Universidad Cooperativa de Colombia, Sede Villavicencio, Colombia.
Received: February 10, 2023; Published: February 17, 2023



Abnormalities in the craniocervical junction (CCJ) structures can potentially promote biomechanical and metabolic dysfunction leading to several neurological, myofascial and musculoskeletal pathologies. Because of their subclinical character or because physicians lack particular understanding regarding this issue, CCJ and suboccipital myofascial alterations may frequently go unnoticed and uninvestigated. Some authors have coined the terms Craniocervical Syndrome (CCS) and Craniocervical Junction Syndrome [1]. Some pathological manifestations and CCS-associated symptoms may arise as a consequence of abnormal mechanical stress within the atlanto-occipital hinge.

  1. Rosa S., et al. “Craniocervical Junction Syndrome: Anatomy of the Craniocervical and Atlantoaxial Junctions and the Effect of Misalignment on Cerebrospinal Fluid Flow”. Hydroceph - Water Brain (2018).
  2. Alonso C., et al. “Muscle trigger point therapy in tension-type headache”. Expert Review of Neurotherapeutics3 (2012): 315-322.
  3. Fernández-De-Las-Peñas C., et al. “Magnetic resonance imaging study of the morphometry of cervical extensor muscles in chronic tension-type headache”. Cephalalgia4 (2007): 355-362.
  4. Fernández-De-Las-Peñas C., et al. “Association of cross-sectional area of the rectus capitis posterior minor muscle with active trigger points in chronic tension-type headache: A pilot study”. American Journal of Physical Medicine and Rehabilitation3 (2008): 197-203.
  5. MY S., et al. “Utilization of MR imaging in myodural bridge complex with relevant muscles: current status and future perspectives”. Journal of Musculoskeletal and Neuronal Interactions3 (2020): 382-389.
  6. Bordoni B and Zanier E. “Understanding fibroblasts in order to comprehend the osteopathic treatment of the fascia”. Evidence-Based Complementary and Alternative Medicine (2015).
  7. Chapman MA., et al. “Skeletal muscle fibroblasts in health and disease”. Differentiation 3 (2016): 108-115.
  8. Scali F., et al. “Proprioceptive neurons in the cervical myodural bridge: a feedback mechanism of dural tension monitoring” (2013).
  9. Plaut S. “Scoping review and interpretation of myofascial pain/fibromyalgia syndrome: An attempt to assemble a medical puzzle”. PLoS One (2022).
  10. Zheng N., et al. “Definition of the to be named ligament and vertebrodural ligament and their possible effects on the circulation of CSF”. PLoS One8 (2014).
  11. Li C., et al. “The relationship between myodural bridges, hyperplasia of the suboccipital musculature, and intracranial pressure”. PLoS One9 (2022).
  12. Song X., et al. “The relationship between compensatory hyperplasia of the myodural bridge complex and reduced compliance of the various structures within the cranio-cervical junction”. The Anatomical Record (2022).
  13. Labuda R., et al. “A new hypothesis for the pathophysiology of symptomatic adult Chiari malformation Type I”. Medical Hypotheses (2022): 158.
  14. Alix ME and Bates DK. “A proposed etiology of cervicogenic headache: The neurophysiologic basis and anatomic relationship between the dura mater and the rectus posterior capitis minor muscle”. Journal of Manipulative and Physiological Therapeutics8 (1999): 534-539.
  15. Jiang W., et al. “Effectiveness of physical therapy on the suboccipital area of patients with tension-type headache: A meta-analysis of randomized controlled trials”. Medicine19 (2019): e15487.
  16. Espi López G and Oliva Pascual Vaca A. “Atlanto-Occipital Joint Manipulation and Suboccipital Inhibition. Tecnique in the Osteopathic Treatment of Patients with Tension-Type Headache”. European Journal Osteopathy and Related Clinical Research1 (2012): 10-21.
  17. Gemma VEL and Antonia GC. “Efficacy of Manual and Manipulative Therapy in the Perception of Pain and Cervical Motion in Patients with Tension-Type Headache: A Randomized, Controlled Clinical Trial”. The Journal of Chiropractic Medicine1 (2014): 4-13.
  18. Espí-López G V., et al. “Treatment of tension-type headache with articulatory and suboccipital soft tissue therapy: A double-blind, randomized, placebo-controlled clinical trial”. Journal of Bodywork and Movement Therapies4 (2014): 576-585.
  19. Yuan XY., et al. “Correlation between chronic headaches and the rectus capitis posterior minor muscle: A comparative analysis of cross-sectional trail”. Cephalalgia11 (2017): 1051-1056.
  20. Fernández-de-las-Peñas C., et al. “Myofascial trigger points in the suboccipital muscles in episodic tension-type headache”. Manual Therapy3 (2006): 225-230.
  21. Li YX., et al. “Effectiveness and Safety of Acupuncture for Migraine: An Overview of Systematic Reviews”. Pain Research and Management (2020): 3825617.
  22. Scali F., et al. “Investigation of meningomyovertebral structures within the upper cervical epidural space: A sheet plastination study with clinical implications”. The Spine Journal11 (2015): 2417-2424.
  23. Kahkeshani K and Ward PJ. “Connection between the spinal dura mater and suboccipital musculature: Evidence for the myodural bridge and a route for its dissection-A review”. Clinical Anatomy4 (2012): 415-422.
  24. Scali F., et al. “Histological analysis of the rectus capitis posterior major’s myodural bridge”. The Spine Journal5 (2013): 558-563.
  25. Palomeque-Del-cerro L., et al. “A Systematic Review of the Soft-Tissue Connections Between Neck Muscles and Dura Mater”. Spine1 (2017): 49-54.
  26. Hallgren RC., et al. Clinical implications of a cervical myodural bridge (1997).
  27. Enix DE., et al. “The cervical myodural bridge, a review of literature and clinical implications”. The Journal of the Canadian Chiropractic Association2 (2014): 184-192.
  28. Pontell ME., et al. “Histological examination of the human obliquus capitis inferior myodural bridge”. Annals of Anatomy6 (2013): 522-526.
  29. Scali F., et al. “The Posterior Atlantooccipital Membrane: The Anchor for the Myodural Bridge and Meningovertebral Structures”. Cureus (2022).
  30. Nash L., et al. “Configuration of the Connective Tissue in the Posterior Atlanto-Occipital Interspace”. Spine12 (2005): 1359-1366.
  31. Gonzales J and Iwanaga J. “Comprehensive Review of the Posterior Atlanto-Occipital Membrane”. Spine1 (2018): 6-8.
  32. Verhaak PFM., et al. “Prevalence of chronic benign pain disorder among adults: A review of the literature”. Pain3 (1998): 231-239.
  33. , et al. “Neurophysiologic evidence for a central sensitization in patients with fibromyalgia”. Arthritis and Rheumatology 48.5 (2003): 1420-1429.
  34. Mezhov V., et al. “Central sensitivity and fibromyalgia”. The Internal Medicine Journal12 (2021): 1990-1998.
  35. Staud R., et al. “Abnormal sensitization and temporal summation of second pain (wind-up) in patients with fibromyalgia syndrome”. Pain1-2 (2001): 165-175.
  36. Staud R., et al. “Maintenance of windup of second pain requires less frequent stimulation in fibromyalgia patients compared to normal controls”. Pain3 (2004): 689-696.
  37. Ferrillo M., et al. “Pain Management and Rehabilitation for Central Sensitization in Temporomandibular Disorders: A Comprehensive Review”. International Journal of Molecular Sciences20 (2022).
  38. Gutiérrez Navas Ve. “Efecto De La Terapia Atlasprofilax® Sobre Los Síntomas Relacionados Con Disfunción Temporomandibular, Bruxismo Y La Relación De Las Líneas Medias Dentales”. Usta Salud2 (2013): 124.
  39. Malagón J., et al. “A Therapeutic Alternative in the Management of Fibromyalgia”. Rev Cuarzo1 (2017): 30.
  40. Orlando Angulo., et al. “Radiological Improvements in Symmetry of the Lateral Atlantodental Interval and in Atlas Tilt after the Application of the Atlasprofilax Method. A Case Series”. CPQ Orthopaedics3 (2022): 1-13.
  41. G León J., et al. “Clinical and Imaging Improvement After the Atlasprofilax Method in a Patient with Cervicobrachial Syndrome and Temporomandibular Joint Disorders. A Case Report”. Acta Scientific Orthopaedics10 (2021): 92-102.
  42. Bracco P., et al. “Effects of different jaw relations on postural stability in human subjects”. Neuroscience Letters3 (2004): 228-230.
  43. KD J., et al. “Postural control deficits in people with fibromyalgia: A pilot study”. Arthritis Research and Therapy4 (2011).
  44. Larsen K. “Atlas joint instability: Causes, consequences and solutions”. Physiotherapy and Rehabilitation (2017).
  45. Ingber DE. “Tensegrity and mechanotransduction”. Journal of Bodywork and Movement Therapies3 (2008): 198-200.

Orlando Angulo. “The Mystery around Suboccipital Myofascial Alterations and their Correlated Ailments. Could the Atlasprofilax Method be a Therapeutic Option?”. EC Orthopaedics 14.3 (2023): 01-05.

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