Interdisciplinary Center for Craniofacial and Orofacial Pain Research, Department of Exercise and Sports Science, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Orthopedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
Clin Anat. 2022 Apr;35(3):340-346. doi: 10.1002/ca.23835. Epub 2022 Feb 1.
The posterior myofascial chain (PMC) or superficial back line encompasses a series of muscles interlinked by the deep fascia, extending from the foot to the fascial sheath of the eyeball. The deep cervical fascia of the neck, the epicranial aponeurosis of the head, and the fascial sheath of eyeball, form the proximal PMC. Although the literature has reported an anatomical myofascial continuum between the neck, head, and eyes, the anatomical descriptions vary substantially. Moreover, there is still no plausible functional interrelationship between the proximal structural myofascial links. Chronic neck pain is usually associated with a plethora of symptoms including craniofacial pain and oculomotor disorders. Understanding the anatomy of the proximal myofascial chain could help clinicians improvise treatment strategies for managing such painful head and neck disorders.
后筋膜链(PMC)或浅层后线由深筋膜连接的一系列肌肉组成,从脚延伸到眼球筋膜鞘。颈部的深颈筋膜、头部的颅顶腱膜和眼球的筋膜鞘形成近端 PMC。尽管文献报道了颈部、头部和眼睛之间的解剖学肌筋膜连续体,但解剖学描述差异很大。此外,近端结构肌筋膜连接之间仍然没有合理的功能相互关系。慢性颈痛通常与许多症状相关,包括颅面痛和眼球运动障碍。了解近端肌筋膜链的解剖结构可以帮助临床医生为管理此类头痛和颈部疼痛的疾病提供治疗策略。