Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences at Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences at Ben-Gurion University of the Negev, Beer-Sheva, Israel.
J Bodyw Mov Ther. 2021 Oct;28:82-86. doi: 10.1016/j.jbmt.2021.07.007. Epub 2021 Jul 17.
The fascial component of the myofascial pain syndrome and the contribution of the deep fascia to various painful conditions has not been well-described and is still less understood.
The aims of this study were to evaluate the possible role of the deep fascia on musculoskeletal pain, focusing on findings from histological and experimental studies; and to assess the nociceptive and associated responses of the deep fascia to experimentally-induced irritation.
Narrative review of the English scientific literature.
Different components of the deep fascia, both in humans and animals are richly innervated, with some differences between body segments. These fascial components usually exhibit dense innervation, encompassing amongst others, nociceptive afferents. The application of different types of stimuli, i.e., electrical, mechanical, and chemical to these fascial components produces long-lasting pain responses. In some cases, the intensity and severity of pain produced by the stimulation of fascia were higher than ones produced by the stimulation of the related muscular tissue. These observations may denote that the deep fascia and its various components could be a source of pain in different pathologies and various pain syndromes.
肌筋膜疼痛综合征的筋膜成分以及深筋膜在各种疼痛状况中的作用尚未得到充分描述，人们对其了解甚少。
本研究旨在评估深筋膜在肌肉骨骼疼痛中的可能作用，重点关注组织学和实验研究的结果；并评估深筋膜对实验性刺激的伤害性和相关反应。
对英文科学文献进行叙述性综述。
深筋膜的不同组成部分在人类和动物中均具有丰富的神经支配，身体不同部位之间存在一些差异。这些筋膜成分通常具有密集的神经支配，包括伤害性传入纤维。对这些筋膜成分施加不同类型的刺激，如电、机械和化学刺激，会产生持久的疼痛反应。在某些情况下，刺激筋膜产生的疼痛强度和严重程度高于刺激相关肌肉组织产生的疼痛强度和严重程度。这些观察结果表明，深筋膜及其各种成分可能是不同病理和各种疼痛综合征中疼痛的来源。
