The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review

被引:86
|
作者
Wilke, Jan [1 ]
Schleip, Robert [2 ]
Klingler, Werner [2 ]
Stecco, Carla [3 ]
机构
[1] Goethe Univ Frankfurt, Dept Sports Med, Frankfurt, Germany
[2] Ulm Univ, Neurosurg Clin Guenzburg, Fascia Res Grp, Ulm, Germany
[3] Univ Padua, Inst Human Anat, Dept Mol Med, Padua, Italy
关键词
HUMAN THORACOLUMBAR FASCIA; SUBFAILURE INJURIES LEAD; FREQUENCY STIMULATION; SENSORY INNERVATION; ECCENTRIC EXERCISE; LUMBAR SPINE; MUSCLE; NOCICEPTORS; HYPOTHESIS; NEURONS;
D O I
10.1155/2017/5349620
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
The lumbodorsal fascia (LF) has been proposed to represent a possible source of idiopathic low back pain. In fact, histological studies have demonstrated the presence of nociceptive free nerve endings within the LF, which, furthermore, appear to exhibit morphological changes in patients with chronic low back pain. However, it is unclear how these characteristics relate to the aetiology of the pain. In vivo elicitation of back pain via experimental stimulation of the LF suggests that dorsal horn neurons react by increasing their excitability. Such sensitization of fascia-related dorsal horn neurons, in turn, could be related to microinjuries and/or inflammation in the LF. Despite available data point towards a significant role of the LF in low back pain, further studies are needed to better understand the involved neurophysiological dynamics.
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页数:6
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