Pires Sílvia, Freitas Marta, Pinho Francisco, Brandão Sofia
Escola Superior de Saúde do Vale do Ave, Cooperativa de Ensino Superior Politécnico e Universitário, Rua José António Vidal, 81, 4760-409 Vila Nova de Famalicão, Portugal.
H2M-Health and Human Movement Unit, Polytechnic University of Health, Cooperativa de Ensino Superior Politécnico e Universitário, Cooperativa de Responsabilidade Limitada, 4760-409 Vila Nova de Famalicão, Portugal.
Sensors (Basel). 2025 Aug 15;25(16):5073. doi: 10.3390/s25165073.
We aimed to quantify the mechanical pressure required to reach the deep cervical and thoracolumbar fasciae, to examine its association with pressure pain threshold (PPT) and adipose tissue thickness, and to determine whether PPT and adipose tissue thickness can predict the mechanical pressure needed to reach the fascia.
Forty-three subjects' PPT, mechanical pressure and skinfold in the trapezius and lumbar regions were evaluated using an algometer, an ultrasound scanner, and an adipometer. The Wilcoxon test, Student's -test, and Pearson and Spearman's correlation tests were used ( < 0.05).
The values of mechanical pressure in the cervical and lumbar regions were 6.06 ± 0.186 N/cm and 5.85 ± 5.280, 7.287 N/cm, respectively. PPT values were 18.88 ± 0.917 N/cm, and 46.46 ± 2.408 N/cm, respectively ( < 0.001), and the adipose tissue thickness values in the cervical and lumbar regions were 0.88 ± 0.675 cm, 1.08 and 1.48 ± 0.069 cm ( < 0.001). There was no correlation between the variables in either region under study.
The mechanical pressure required to reach the deep cervical and thoracolumbar fasciae was similar with an average value of approximately 6 N/cm, suggesting a consistent mechanical response across these anatomical regions. Mechanosensitivity and subcutaneous adipose tissue thickness did not influence the mechanical pressure needed to access the deep fascial tissue.
我们旨在量化到达颈深筋膜和胸腰筋膜所需的机械压力，研究其与压力疼痛阈值（PPT）和脂肪组织厚度的关系，并确定PPT和脂肪组织厚度是否可以预测到达筋膜所需的机械压力。
使用痛觉计、超声扫描仪和脂肪测量仪评估43名受试者斜方肌和腰部区域的PPT、机械压力和皮褶厚度。采用Wilcoxon检验、Student's检验以及Pearson和Spearman相关性检验（P<0.05）。
颈部和腰部区域的机械压力值分别为6.06±0.186N/cm和5.85±5.280、7.287N/cm。PPT值分别为18.88±0.917N/cm和46.46±2.408N/cm（P<0.001），颈部和腰部区域的脂肪组织厚度值分别为0.88±0.675cm、1.08和1.48±0.069cm（P<0.001）。在所研究的两个区域中，各变量之间均无相关性。
到达颈深筋膜和胸腰筋膜所需的机械压力相似，平均值约为6N/cm，表明这些解剖区域的机械反应一致。机械敏感性和皮下脂肪组织厚度不影响进入深筋膜组织所需的机械压力。
