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