Krause Frieder, Wilke Jan, Vogt Lutz, Banzer Winfried
Department of Sports Medicine, Goethe University Frankfurt/Main, Frankfurt am Main, Germany.
J Anat. 2016 Jun;228(6):910-8. doi: 10.1111/joa.12464. Epub 2016 Mar 22.
The present review aims to provide a systematic overview on tensile transmission along myofascial chains based on anatomical dissection studies and in vivo experiments. Evidence for the existence of myofascial chains is growing, and the capability of force transmission via myofascial chains has been hypothesized. However, there is still a lack of evidence concerning the functional significance and capability for force transfer. A systematic literature research was conducted using MEDLINE (Pubmed), ScienceDirect and Google Scholar. Studied myofascial chains encompassed the superficial backline (SBL), the back functional line (BFL) and the front functional line (FFL). Peer-reviewed human dissection studies as well as in vivo experiments reporting intermuscular tension transfer between the constituents of a myofascial chain were included. To assess methodic quality, two independent investigators rated studies by means of validated assessment tools (QUACS and PEDro Scale). The literature research identified 1022 articles. Nine studies (moderate to excellent methodological quality) were included. Concerning the SBL and the BFL, there is moderate evidence for force transfer at all three transitions (based on six studies), and one of two transitions (three studies). One study yields moderate evidence for a slight, but not significant force transfer at one transition in the FFL. The findings of the present study indicate that tension can be transferred between some of the examined adjacent structures. Force transfer might have an impact in overuse conditions as well as on sports performance. However, different methods of force application and measurement hinder the comparability of results. Considering anatomical variations in the degree of continuity and histological differences of the linking structures is crucial for interpretation. Future studies should focus on the in vivo function of myofascial continuity during isolated active or passive tissue tensioning.
本综述旨在基于解剖学解剖研究和体内实验，对沿肌筋膜链的张力传递进行系统概述。肌筋膜链存在的证据越来越多，并且已经有人提出通过肌筋膜链进行力传递的能力。然而，关于力传递的功能意义和能力仍缺乏证据。我们使用MEDLINE（PubMed）、ScienceDirect和谷歌学术进行了系统的文献研究。研究的肌筋膜链包括浅背线（SBL）、背功能线（BFL）和前功能线（FFL）。纳入了同行评审的人体解剖研究以及报告肌筋膜链各组成部分之间肌肉间张力传递的体内实验。为了评估方法学质量，两名独立研究人员使用经过验证的评估工具（QUACS和PEDro量表）对研究进行评分。文献研究共识别出1022篇文章。纳入了9项研究（方法学质量从中等到优秀）。关于SBL和BFL，在所有三个过渡点（基于六项研究）以及两个过渡点中的一个（三项研究）存在中等程度的力传递证据。一项研究为FFL中一个过渡点的轻微但不显著的力传递提供了中等程度的证据。本研究结果表明，张力可以在一些被检查的相邻结构之间传递。力传递可能对过度使用情况以及运动表现产生影响。然而，不同的力施加和测量方法阻碍了结果的可比性。考虑连接结构在连续性程度上的解剖变异和组织学差异对于解释至关重要。未来的研究应关注在孤立的主动或被动组织张紧过程中肌筋膜连续性的体内功能。
