An experimental study to assess the potential of ultrasound to explore the mechanical role of the thoracolumbar fascia in spinal function.

Item

Title
An experimental study to assess the potential of ultrasound to explore the mechanical role of the thoracolumbar fascia in spinal function.
Author(s)
Carslake Rosamond
Abstract
Background: Various theories have been attributed to the mechanical role of the thoracolumbar fascia (TLF) and its significance in low back pain (LBP). None have been substantiated due to anatomical inconsistencies and an inability to explore its function in vivo. Objectives: To explore the use of ultrasound to image TLF and provide in vivo data on its structure and function. Methods: A cadaveric dissection was performed to gain a 3-D anatomical understanding of TLF. Diasus ultrasound scanner (8-16MHz) was used to image the layers of TLF on 40 normal subjects (18 males, 22 females, mean age 27.3±5.8). Measurement reliability was investigated on a subset of this population. Results: Using ultrasound the posterior and middle layer of TLF could be identified. Scanner limitations prevented visualisation of the anterior layer. Posterior layer thickness ranged from 1.3±0.4 to 1.5±0.4mm; the middle layer was thinner (1.0±0.4mm). Intra-operator error was within acceptable ranges (p
Abstract
Background: Various theories have been attributed to the mechanical role of the thoracolumbar fascia (TLF) and its significance in low back pain (LBP). None have been substantiated due to anatomical inconsistencies and an inability to explore its function in vivo. Objectives: To explore the use of ultrasound to image TLF and provide in vivo data on its structure and function. Methods: A cadaveric dissection was performed to gain a 3-D anatomical understanding of TLF. Diasus ultrasound scanner (8-16MHz) was used to image the layers of TLF on 40 normal subjects (18 males, 22 females, mean age 27.3±5.8). Measurement reliability was investigated on a subset of this population. Results: Using ultrasound the posterior and middle layer of TLF could be identified. Scanner limitations prevented visualisation of the anterior layer. Posterior layer thickness ranged from 1.3±0.4 to 1.5±0.4mm; the middle layer was thinner (1.0±0.4mm). Intra-operator error was within acceptable ranges (p
Date Accepted
2010
Date Submitted
31.5.2011 00:00:00
Type
osteo_thesis
Language
English
Pub-Identifier
14942
Inst-Identifier
780
Keywords
Thoracolumbar fascia, ultrasound, low back pain, spinal mechanics
Recommended
0
Item sets
Thesis

Carslake Rosamond, “An experimental study to assess the potential of ultrasound to explore the mechanical role of the thoracolumbar fascia in spinal function.”, Osteopathic Research Web, accessed May 6, 2024, https://www.osteopathic-research.com/s/orw/item/1810