Ultrasound Imaging of Crural Fascia and Epimysial Fascia Thicknesses in Basketball Players with Previous Ankle Sprains Versus Healthy Subjects.
Ultrasound Imaging of Crural Fascia and Epimysial Fascia Thicknesses in Basketball Players with Previous Ankle Sprains Versus Healthy Subjects.
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DOI：
10.3390/diagnostics11020177
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发表时间：
2021-01-26
期刊：
影响因子：
--
通讯作者：
Stecco C
中科院分区：
文献类型：
--
作者：
Pirri C;Fede C;Stecco A;Guidolin D;Fan C;De Caro R;Stecco C
背景：筋膜层可能在运动力学中起重要作用。最近的研究表明，在慢性疼痛患者中，筋膜厚度增加与关节灵活性降低之间存在关联。本研究的目的是测量和比较，通过使用超声成像，深/小腿筋膜的厚度在不同点的腿，以及在水平2的小腿前室肌外筋膜厚度，在男性篮球运动员的历史复发性踝关节扭伤和健康的参与者。研究方法：采用超声成像技术对30名受试者、15名篮球运动员和15名健康受试者进行了一项横断面研究，测量了不同水平的小腿前、外侧和后室的深/小腿筋膜厚度。结果如下：筋膜厚度的结果显示，同一组的水平/隔室之间和两组之间的肌外筋膜厚度和深/脚筋膜厚度存在统计学显著差异（p < 0.01）。此外，3次后深/脚筋膜厚度（p < 0.001）降低，显示篮球运动员组与健康参与者组之间存在统计学显著差异。结论：这些结果表明，后室比前室厚，可能是由于两组的姿势原因。此外，他们还发现有踝关节扭伤史的篮球运动员的肌外膜筋膜厚度增加。这种变异性强调了评估筋膜并使结果具有可比性的重要性。
Background: Fascial layers may play an important role in locomotor mechanics. Recent researches have revealed an association between increases of fascia thickness and reduced joint flexibility in patients with chronic pain. The purpose of this study was to measure and compare, through the use of ultrasound imaging, the thickness of the deep/crural fascia in different points of the leg as well as the epimysial fascia thickness at level 2 of anterior compartment of leg, in male basketball players with history of recurrent ankle sprain and in healthy participants. Methods: A cross-sectional study has been performed using ultrasound imaging to measure deep/crural fascia thickness of anterior, lateral and posterior compartment of the leg at different levels with a new protocol in a sample of 30 subjects, 15 basketball players and 15 healthy participants. Results: Findings of fascial thickness revealed statistically significant differences (p < 0.01) in epimysial fascia thickness and in deep/crural fascia thickness between levels/compartments of the same group and between two groups. Moreover, Post 3 deep/crural fascia thicknesses (p < 0.001) were decreased showing statistically significant difference for the basketball players group respect the healthy participants group. Conclusions: These findings suggested that the posterior compartment was thicker than anterior compartment, probably due to a postural reason in both groups. Moreover, they showed an increase of thickness of the epimysial fascia in basketball players with previous ankle sprains. This variability underlines the importance to assess the fasciae and to make results comparable.