文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

人胸腰筋膜后层的形态学和微观特征;腰痛的潜在来源。

The morphological and microscopical characteristics of posterior layer of human thoracolumbar fascia; A potential source of low back pain.

机构信息

Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal Academy of Higher Education (MAHE), Manipal, India.

Department of physiotherapy, Manipal College of Health Professions (Bangalore campus), Manipal Academy of Higher Education (MAHE), Manipal, India.

出版信息

Morphologie. 2021 Dec;105(351):308-315. doi: 10.1016/j.morpho.2021.01.001. Epub 2021 Feb 9.


DOI:10.1016/j.morpho.2021.01.001
PMID:33579637
Abstract

BACKGROUND: Posterior layer of thoracolumbar fascia (PTLF) is the deep fascia of back of the trunk, which connects the trunk, upper limb and lower limb muscles. Very few cadaveric studies of posterior layer of thoracolumbar fascia (PTLF) are found in the literature, which mention the presence of nerve receptors in it but, quantification of the nerve receptors where not found. Providing the morphological and morphometrical data of PTLF may help the exercise physiologists, sports physicians, occupational health assistants and, physiotherapists to modify or invent new protocol of treatment to help the society. METHODS: In this study, twenty formalin embalmed human cadavers were used and we have documented the orientation of the PTLF and quantified the number of peripheral nerve endings at the different vertebral levels. RESULTS: Mean distance of PTLF from vertebral spines to the musculofascial junction was at thoracic region 3.38cm and 3.34cm; at lumbar region, it was 7.4cm and 7.36cm and at sacral region it was 2.98cm and 2.96cm on right and left side, respectively. The angulation of PTLF varies from 18-110 degrees at different vertebral levels. The microscopic data shows the thickness of PTLF and number of nerve endings in the sacral level is increased compared to that of thoracic vertebral levels. CONCLUSIONS: We have contributed the novel morphological and microscopical details to the limited existing data on PTLF. We also have provided the quantitative data of nerve fibers, which are possible nociceptors of PTLF.

摘要

背景:胸腰筋膜后层(PTLF)是躯干后部的深筋膜,连接着躯干、上肢和下肢的肌肉。很少有关于胸腰筋膜后层(PTLF)的尸体研究在文献中提到它存在神经受体,但没有发现神经受体的数量。提供胸腰筋膜后层的形态和形态计量学数据可能有助于运动生理学家、运动医师、职业健康助理和物理治疗师修改或发明新的治疗方案,以帮助社会。

方法:在这项研究中,我们使用了 20 具福尔马林固定的人体尸体,并记录了胸腰筋膜后层的方位,并在不同的椎骨水平上量化了外周神经末梢的数量。

结果:胸腰筋膜后层距椎骨棘突到肌筋膜连接处的平均距离在胸区为 3.38cm 和 3.34cm;在腰区,右侧和左侧分别为 7.4cm 和 7.36cm;在骶区,右侧和左侧分别为 2.98cm 和 2.96cm。胸腰筋膜后层的角度在不同的椎骨水平上从 18 度到 110 度不等。微观数据显示,与胸腰椎水平相比,骶骨水平的胸腰筋膜后层厚度和神经末梢数量增加。

结论:我们为有限的胸腰筋膜后层现有数据提供了新的形态和微观细节。我们还提供了可能是胸腰筋膜后层的伤害感受器的神经纤维的定量数据。

相似文献

[1]
The morphological and microscopical characteristics of posterior layer of human thoracolumbar fascia; A potential source of low back pain.

Morphologie. 2021-12

[2]
Organization of the fascia and aponeurosis in the lumbar paraspinal compartment.

Surg Radiol Anat. 2018-11

[3]
The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs.

Spine (Phila Pa 1976). 1995-4-1

[4]
Fetal development of the thoracolumbar fascia with special reference to the fascial connection with the transversus abdominis, latissimus dorsi, and serratus posterior inferior muscles.

Surg Radiol Anat. 2021-6

[5]
Anatomy and biomechanics of the vertebral aponeurosis part of the posterior layer of the thoracolumbar fascia.

Surg Radiol Anat. 2008-3

[6]
Sensory findings after stimulation of the thoracolumbar fascia with hypertonic saline suggest its contribution to low back pain.

Pain. 2014-2

[7]
Reduced thoracolumbar fascia shear strain in human chronic low back pain.

BMC Musculoskelet Disord. 2011-9-19

[8]
Sensory innervation of the thoracolumbar fascia in rats and humans.

Neuroscience. 2011-8-2

[9]
Innervation changes induced by inflammation of the rat thoracolumbar fascia.

Neuroscience. 2015-8-6

[10]
Measuring the morphological characteristics of thoracolumbar fascia in ultrasound images: an inter-rater reliability study.

BMC Musculoskelet Disord. 2018-6-1

引用本文的文献

[1]
Assessment of the Fascial System Thickness in Patients with and Without Low Back Pain: A Narrative Review.

Diagnostics (Basel). 2025-8-16

[2]
The Prevalence and Risk Factors of Residual Back Pain After Vertebroplasty for Osteoporotic Vertebral Compression Fractures: A Systematic Review and Meta-Analysis.

Orthop Surg. 2025-8

[3]
An Emerging Perspective on the Role of Fascia in Complex Regional Pain Syndrome: A Narrative Review.

Int J Mol Sci. 2025-3-20

[4]
Myofascial and discogenic origins of lumbar pain: A critical review.

J Man Manip Ther. 2023-12

[5]
Response to Mechanical Properties and Physiological Challenges of Fascia: Diagnosis and Rehabilitative Therapeutic Intervention for Myofascial System Disorders.

Bioengineering (Basel). 2023-4-14

[6]
Molecular Mechanisms Underlying the Pain-Relieving Effects of Extracorporeal Shock Wave Therapy: A Focus on Fascia Nociceptors.

Life (Basel). 2022-5-17

[7]
Fascial Innervation: A Systematic Review of the Literature.

Int J Mol Sci. 2022-5-18

[8]
Potential Nociceptive Role of the Thoracolumbar Fascia: A Scope Review Involving In Vivo and Ex Vivo Studies.

J Clin Med. 2021-9-24

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索