REVIEW PAPER
Effect of lumbopelvic myofascial force transmission on glenohumeral kinematics – A myo-fasciabiomechanical hypothesis
 
More details
Hide details
1
Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
 
 
Submission date: 2016-03-16
 
 
Acceptance date: 2016-11-09
 
 
Online publication date: 2017-03-18
 
 
Publication date: 2020-03-22
 
 
Corresponding author
Aatit Paungmali   

Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand. Tel.: +66 53949246; fax: +66 53946042.
 
 
Pol. Ann. Med. 2017;24(2):276-282
 
KEYWORDS
ABSTRACT
Introduction:
The clinical management of shoulder disorders do not commonly includes the myo-fascial–skeletal contributions from the lumbopelvic (LP) region. Nevertheless, a notable myofascial–biomechanical connection exists between LP and shoulder regions.

Aim:
The current paper proposes a quantifiable medical hypothesis that there will be an increased anterior humeral head translation (ATHH) in the glenohumeral joint (GHJ) due to altered myofascial force transmission that results from LP dysfunction.

Material and methods:
A literature search was conducted in Science Direct and PubMed databases for articles published from January 1990 to December 2015. Medical Subject Headings and other keywords for search were myofascial continuity, force transmission, muscle slings, lumbopelvic-glenohumeral joint and biomechanics.

Results and discussion:
The hypothesis suggests a clinical reasoning that impaired myofascial force transmission from LP region as one of the contributing factors for shoulder pathogenesis. The hypothesis is proposed based on the anatomical and biomechanical relationship between the LP region and the contralateral GHJ. Evidences of myofascial continuity between the LP and GHJ, myofascial force transmission and integrated energy transfer theory are explained to strengthen the proposed hypothesis. An experimental method to test the proposed hypothesis is recommended for researchers and clinicians. A theoretical understanding of the pre stressed spring systemvia the myofascial chains is applied to strengthen the reasoning on the current hypothetical connection between LP and contralateral GHJ.

Conclusions:
The implication of the new medical hypothesis may substantiate the understanding of the clinicians on the connections between the LP and the contralateral GHJ to consider a global myo-fascial–skeletal management of shoulder disorders.

ACKNOWLEDGEMENTS
The authors wish to thank the Staffs in Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University for their thought provoking scientific inputs, suggestions and supports to complete this research successfully.
FUNDING
None declared.
CONFLICT OF INTEREST
None declared.
 
REFERENCES (27)
1.
Schleip R. Fascial plasticity – a new neurobiological explanation: Part 1. J Bodywork Mov Ther. 2003;7(1):11–19.
 
2.
Schleip R, Klingler W, Lehmann-Horn F. Active fascial contractility: fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics. Med Hypotheses. 2005;65(2):273–277.
 
3.
Myers TW. The 'anatomy trains': Part 2. J Bodywork Mov Ther. 1997;1(3):135–145.
 
4.
Liebenson C. The relationship of the sacroiliac joint, stabilization musculature, and lumbo-pelvic instability. J Bodywork Mov Ther. 2004;8(1):43–45.
 
5.
DeRosa C, James A. Porterfield. Anatomical linkages and muscle slings of the lumbopelvic region. In: Vleeming A, Mooney V, Stoeckart R, eds. Movement, Stability & Lumbopelvic Pain: Integration of Research and Therapy 2nd ed. Churchill Livingstone: Edinburgh; 2007:47–62.
 
6.
Pool-Goudzwaard AL, Vleeming A, Stoeckart R, Snijders CJ, Mens JM. Insufficient lumbopelvic stability: a clinical, anatomical and biomechanical approach to 'a-specific' low back pain. Man Ther. 1998;3(1):12–20.
 
7.
Ford MP, Wagenaar RC, Newell KM. Arm constraint and walking in healthy adults. Gait Posture. 2007;26(1):135–141.
 
8.
Lamoth CJ, Beek PJ, Meijer OG. Pelvis-thorax coordination in the transverse plane during gait. Gait Posture. 2002;16(2):101–114.
 
9.
Greenman PE. Clinical aspects of the sacroiliac joint in walking. In: Vleeming A, Mooney V, Dorman T, Snijders C, Stoeckart R, eds. Movement, Stability & Low Back Pain. Churchill Livingstone: Edinburgh; 1997:236.
 
10.
Lee DG. Instability of the sacroiliac joint and the consequences for gait. In: Vleeming A, Mooney V, Dorman T, Snijders C, Stoeckart R, eds. Movement, Stability, & Low Back Pain. Churchill Livingstone: Edinburgh; 1997:231.
 
11.
DonTigny RL. Mechanics and treatment of the sacroiliac joint. J Manip Physiol Ther. 1993;1(1):3–12.
 
12.
Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine (Phila Pa 1976). 2003;28(14):1593–1600.
 
13.
Rijkelijkhuizen JM, Meijer HJ, Baan GC, Huijing PA. Myofascial force transmission also occurs between antagonistic muscles located within opposite compartments of the rat lower hind limb. J Electromyogr Kinesiol. 2007;17(6):690–697.
 
14.
Huijing PA. Epimuscular myofascial force transmission between antagonistic and synergistic muscles can explain movement limitation in spastic paresis. J Electromyogr Kinesiol. 2007;17(6):708–724.
 
15.
Souza TR, Fonseca ST, Gonçalves GG, Ocarino JM, Mancini MC. Prestress revealed by passive co-tension at the ankle joint. J Biomech. 2009;42(14):2374–2380.
 
16.
Fukunaga T, Kawakami Y, Kubo K, et al. Muscle and tendon interaction during human movements. Exerc Sport Sci Rev. 2002;30(3):106–110.
 
17.
Vleeming A, Pool-Goudzwaard AL, Stoeckart R, van Wingerden JP, Snijders CJ. The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs. Spine. 1995;20(7):753–758.
 
18.
Snijders CJ, Vleeming A, Stoeckart R. Transfer of lumbosacral load to iliac bones and legs. Part I: Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise. Clin Biomech. 1993;8(6):285–294.
 
19.
Dorman A, Buchmiller JC, Cohen RE, et al. Energy efficiency during human walking. J Orthop Med. 1993;15(3):64–67.
 
20.
Tozzi P. Selected fascial aspects of osteopathic practice. J Bodywork Mov Ther. 2012;16(4):503–519.
 
21.
Bryde D, Jane Freure B, Jones L, Werstine M, Kathryn Briffa N. Reliability of palpation of humeral head position in asymptomatic shoulders. Man Ther. 2005;10(3):191–197.
 
22.
Carvalhais VO, OcarinoJde M, Araújo VL, Souza TR, Silva PL, Fonseca ST. Myofascial force transmission between the latissimus dorsi and gluteus maximus muscles: an in vivo experiment. J Biomech. 2013;46(5):1003–1007.
 
23.
Joseph LH, Hussain RI, Naicker AS, Htwe O, Pirunsan U, Paungmali A. Myofascial force transmission in sacroiliac joint dysfunction increases anterior translation of humeral head in contralateral glenohumeral joint. Pol Ann Med 2014;21(2):103–108.
 
24.
Joseph LH, Naicker AS, Htwe O, Pirunsan U, Paungmali A. Alterations in the posterior oblique chain muscle activity among individuals with sacroiliac joint dysfunction. Middle East J Sci Res. 2014;21(4):588–594.
 
25.
McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. J Athl Train. 2000;35(3):329–337.
 
26.
Braun S, Kokmeyer D, Millett PJ. Shoulder injuries in the throwing athlete. J Bone Joint Surg Am. 2009;91(4):966–978.
 
27.
Leonard J. Importance of considering myofascial force transmission in musculoskeletal surgeries. J Surg Acad. 2013;3(2):1–3.
 
Journals System - logo
Scroll to top