Ultrasound Evaluation of the Combined Effects of Thoracolumbar Fascia Injury and Movement Restriction in a Porcine Model
Open accessAbstract
The persistence of back pain following acute back "sprains" is a serious public health problem with poorly understood pathophysiology. The recent finding that human subjects with chronic low back pain (LBP) have increased thickness and decreased mobility of the thoracolumbar fascia measured with ultrasound suggest that the fasciae of the back may be involved in LBP pathophysiology. This study used a porcine model to test the hypothesis that similar ultrasound findings can be produced experimentally in a porcine model by combining a local injury of fascia with movement restriction using a "hobble" device linking one foot to a chest harness for 8 weeks. Ultrasound measurements of thoracolumbar fascia thickness and shear plane mobility (shear strain) during passive hip flexion were made at the 8 week time point on the non-intervention side (injury and/or hobble). Injury alone caused both an increase in fascia thickness (p = .007) and a decrease in fascia shear strain on the non-injured side (p = .027). Movement restriction alone did not change fascia thickness but did decrease shear strain on the non-hobble side (p = .024). The combination of injury plus movement restriction had additive effects on reducing fascia mobility with a 52% reduction in shear strain compared with controls and a 28% reduction compared to movement restriction alone. These results suggest that a back injury involving fascia, even when healed, can affect the relative mobility of fascia layers away from the injured area, especially when movement is also restricted.
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In pigs, fasciae adhesions and shear strain reduction were produced experimentally using simple movement restriction.
“In pigs, similar fasciae adhesions and shear strain reduction were produced experimentally using simple movement restriction [34].”
From Fascia Mobility, Proprioception, and Myofascial Pain. (2021) · cites this paper as [34]
The Results section reports that movement restriction alone significantly reduced thoracolumbar fascia shear strain in pigs. The Discussion says the reduced mobility was consistent with connective-tissue adhesions, but does not establish that adhesions were produced; the claim states that inference as a finding. (LLM, conf=0.88)
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- Authors
- Bishop, J. H., Fox, J. R., Maple, R., Loretan, C., Badger, G. J., Henry, S. M., Vizzard, M. A., & Langevin, H. M.
- Affiliations
- University of Vermont (US)
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2016-01-28
- Volume
- 11
- Issue
- 1
- Pages
- e0147393
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4731465
- OpenAlex
- W2254821437
- Cited by
- 64
- References
- 28
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 3 · 2023: 7 · 2022: 9 · 2021: 5 · 2020: 10 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 3
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- University of Vermont
- National Institutes of Health (5r01dk060481-12, 5r01dk051369-20)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01-DK060481, R01-DK051369)
- National Center for Complementary and Alternative Medicine
- National Center for Complementary and Integrative Health (R01AT004400)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Ultrasound Imaging and Elastography
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- thoracolumbar fascia, chronic low back pain, mobility restrictions, fascia thickness, shear strain, porcine model
- MeSH terms
- Animals, Fascia, Gait, Male, Spinal Cord, Substance P, Ultrasonography, Calcitonin Gene-Related Peptide, Range of Motion, Articular, Low Back Pain, Sus scrofa
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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