Passive muscle stiffness may be influenced by active contractility of intramuscular connective tissue

Schleip, Robert; Naylor, I. L.; Ursu, Daniel; Melzer, Werner; Zorn, Adjo; Wilke, Hans–Joachim; Lehmann‐Horn, Frank; Klingler, Werner

doi:10.1016/j.mehy.2005.08.025

Cited by 139 publications

(93 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, subfailure injuries due to strenuous tissue extensions can be expected to occur in the TLF as commonly or even more often than in spinal ligaments. Indeed, this consideration is corroborated by the frequent presence of clusters of myofibroblasts-cells commonly associated with a tissue repair function-in muscular fasciae such as the fascia lata, plantar fascia and TLF [15,16].…”

Section: Subfailure Injuries Of the Tlfmentioning

confidence: 98%

Letter to the Editor concerning “A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction” (M. Panjabi)

Schleip¹,

Vleeming²,

Lehmann‐Horn³

et al. 2007

Eur Spine J

Self Cite

View full text Add to dashboard Cite

In his article Panjabi gives a concise overview on the current knowledge and understanding of low back and neck pain [12]. He introduces the hypothesis that chronic back pain originates from subfailure injuries of three types of spinal ligamentous structures and their embedded mechanoreceptors: namely the spinal ligaments, the disc annulus and the facet capsules. These injured tissues then send out corrupted transducer signals to the neuromuscular control unit, and as a result corrupted muscle response patterns are generated leading to adverse consequences such as higher stresses, muscle fatigue, further injuries, and inflammation.While paying less attention to the central learning processes involved in chronic back pain [5, 6,19], this model focuses mainly on the structural mechanisms of pain generation. We are appreciative about the value of the hypothesis within this structural field and are optimistic about its successful application to the understanding and treatment of many cases of back pain. While we agree with the basic hypothesis and its emphasis on the transducer (mechanosensory) function of ligamentous tissues, we suggest to refine the model in terms of an inclusion of the thoracolumbar fascia (TLF). We present evidence that the TLF is significantly involved in all three levels of the hypothesis concerning spinal ligamentous structures: the transducer function of these tissues, their structural spinal function, and their proneness for subfailure injuries.

show abstract

Section: Subfailure Injuries Of the Tlfmentioning

confidence: 98%

Letter to the Editor concerning “A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction” (M. Panjabi)

Schleip¹,

Vleeming²,

Lehmann‐Horn³

et al. 2007

Eur Spine J

Self Cite

View full text Add to dashboard Cite

show abstract

“…• the passive osteoligamentous system, and • the passive myofascial component (49)(50)(51)(52)(53)(54)(55) .…”

Section: Resting (Static) Myofascial Tone Mainly Helps To Stabilize Bmentioning

confidence: 99%

“…Congenital abnormalities can contribute to disorders of tissue connectivity, such as the marked ligamentous (hyper)laxity found in Marfan syndrome, caused by fibrillin-1 dysfunctions (63) . By comparison, increased passive stiffness of neck muscles is often noted in people having tension-type headache (TTH) and torticollis (1,3,54) .…”

Section: Tissue Connectivity and Relation To Hrmtmentioning

confidence: 99%

“…Increased resting muscle tone has been noted in TTH and torticollis (1,3) , tight thigh or calf muscles (3) , and AS (11,12,42,96) . Symptomatic and objective muscle stiffness is also associated with muscle contractures and other chronic muscular tightness syndromes often encountered in rehabilitation settings (3,52,54) .…”

Section: Clinical Demographic and Physical Activity Relations To Rementioning

confidence: 99%

See 1 more Smart Citation

Clinical, Biomechanical, and Physiological Translational Interpretations of Human Resting Myofascial Tone or Tension

Masi

Nair²,

Evans³

et al. 2010

IJTMB

View full text Add to dashboard Cite

Methods: Biomechanical, clinical, and physiological studies were reviewed to interpret the passive stiffness properties of HRMT that help to stabilize various relaxed functions such as quiet balanced standing. Biomechanical analyses and experimental studies of the lumbar multifidus were reviewed to interpret its passive stiffness properties. The lumbar multifidus was illustrated as the major core stabilizing muscle of the spine, serving an important passive biomechanical role in the body.Results: Research into muscle physiology suggests that passive resting tension (CNS-independent) is generated in sarcomeres by the molecular elasticity of low-level cycling cross-bridges between the actomyosin filaments. In turn, tension is complexly transmitted to intimately enveloping fascial matrix fibrils and other molecular elements in connective tissue, which, collectively, constitute the myofascial unit. Postural myofascial tonus varies with age and sex. Also, individuals in the population are proposed to vary in a polymorphism of postural HRMT. A few people are expected to have outlier degrees of innate postural hypotonicity or hypertonicity. Such biomechanical variations likely predispose to greater risk of related musculoskeletal disorders, a situation that deserves greater attention in clinical practice and research. Axial myofascial hypertonicity was hypothesized to predispose to ankylosing spondylitis. This often-progressive deforming condition of vertebrae and sacroiliac joints is characterized by stiffness features and particular localization of bony lesions at entheseal sites. Such unique features imply concentrations and transmissions of excessive force, leading to tissue micro-injury and maladaptive repair reactions.Conclusions: The HRMT model is now expanded and translated for clinical relevance to therapists. Its passive role in helping to maintain balanced postures is supported by biomechanical principles of myofascial elasticity, tension, stress, stiffness, and tensegrity. Further research is needed to determine the molecular basis of HRMT in sarcomeres, the transmission of tension by the enveloping fascial elements, and the means by which the myofascia helps to maintain efficient passive postural balance in the body. Significant deficiencies or excesses of postural HRMT may predispose to symptomatic or pathologic musculoskeletal disorders whose mechanisms are currently unexplained.

show abstract

“…Osteopathy is a therapeutic system used in the correction of musculoskeletal, visceral, fascial and cranial dysfunctions [7,8]. In 2014, our group published a prospective study confirming the effectiveness of osteopathy as a therapeutic option in the treatment of typical GERD [9].…”

Section: Introductionmentioning

confidence: 99%

The Treatment of Chronic Cough by Osteopathy: A Case Study of a Patient with Refractory Gastroesophageal Reflux Disease

Andrade¹

2017

GHOA

View full text Add to dashboard Cite

Passive muscle stiffness may be influenced by active contractility of intramuscular connective tissue

Cited by 139 publications

References 22 publications

Letter to the Editor concerning “A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction” (M. Panjabi)

Letter to the Editor concerning “A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction” (M. Panjabi)

Clinical, Biomechanical, and Physiological Translational Interpretations of Human Resting Myofascial Tone or Tension

The Treatment of Chronic Cough by Osteopathy: A Case Study of a Patient with Refractory Gastroesophageal Reflux Disease

Contact Info

Product

Resources

About