{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T01:17:06Z","timestamp":1787793426035,"version":"build-2784847793"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T00:00:00Z","timestamp":1685923200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Alterations in posture, lumbopelvic kinematics, and movement patterns are commonly seen in patients with low back pain. Therefore, strengthening the posterior muscle chain has been shown to result in significant improvement in pain and disability status. Recent studies suggest that thoracolumbar fascia (TLF) has a major impact on the maintenance of spinal stability and paraspinal muscle activity, and thus is likely to have an equal impact on deadlift performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Aim of the study was to evaluate the role of thoracolumbar fascia deformation (TFLD) during spinal movement in track and field athletes (TF) as well as individuals with and without acute low back pain (aLBP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A case\u2013control study was performed with <jats:italic>n<\/jats:italic>\u2009=\u200916 aLBP patients (cases) and two control groups: untrained healthy individuals (UH, <jats:italic>n<\/jats:italic>\u2009=\u200916) and TF (<jats:italic>n<\/jats:italic>\u2009=\u200916). Participants performed a trunk extension task (TET) and a deadlift, being assessed for erector spinae muscle thickness (EST) and TLFD using high-resolution ultrasound imaging. Mean deadlift velocity (VEL) and deviation of barbell path (DEV) were measured by means of a three-axis gyroscope. Group differences for TLFD during the TET were examined using ANOVA. Partial Spearman rank correlations were calculated between TLFD and VEL adjusting for baseline covariates, EST, and DEV. TLFD during deadlifting was compared between groups using ANCOVA adjusting for EST, DEV, and VEL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>TLFD during the TET differed significantly between groups. TF had the largest TLFD (\u221237.6%), followed by UH (\u221226.4%), while aLBP patients had almost no TLFD (\u22122.7%). There was a strong negative correlation between TLFD and deadlift VEL in all groups (r\u2009=\u2009\u22120.65 to \u22120.89) which was highest for TF (<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.89). TLFD during deadlift, corrected for VEL, also differed significantly between groups. TF exhibited the smallest TLFD (\u221211.9%), followed by aLBP patients (\u221221.4%), and UH (\u221231.9%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TFLD maybe a suitable parameter to distinguish LBP patients and healthy individuals during lifting tasks. The cause-effect triangle between spinal movement, TFLD and movement velocity needs to be further clarified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical trial registration<\/jats:title><jats:p><jats:ext-link>https:\/\/drks.de\/register\/de\/trial\/DRKS00027074\/<\/jats:ext-link>, German Clinical Trials Register DRKS00027074.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2023.1177146","type":"journal-article","created":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T04:57:20Z","timestamp":1685941040000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":22,"title":["Thoracolumbar fascia deformation during deadlifting and trunk extension in individuals with and without back pain"],"prefix":"10.3389","volume":"10","author":[{"given":"Andreas","family":"Brandl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Wilke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Egner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00fcdiger","family":"Reer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Schleip","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,6,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1519\/1533-4295(2000)022<0018:ED>2.0.CO;2","article-title":"Exercise: deadlift","volume":"22","author":"Graham","year":"2000","journal-title":"Strength Cond J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1519\/1073-6840(1995)017<0055:AOTCD>2.3.CO;2","article-title":"Analysis of the conventional deadlift","volume":"17","author":"Farley","year":"1995","journal-title":"Strength Cond J"},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.4324\/9780429330988-44","article-title":"Strength and conditioning for track and field: throws","volume-title":"Strength and conditioning for sports performance","author":"Stone","year":"2021"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e0229507","DOI":"10.1371\/journal.pone.0229507","article-title":"Electromyographic activity in deadlift exercise and its variants","volume":"15","author":"Mart\u00edn-Fuentes","year":"2020","journal-title":"PLoS ONE"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"40","DOI":"10.15406\/mojypt.2018.03.00042","article-title":"The health and performance benefits of the squat, deadlift","volume":"3","author":"Vecchio","year":"2018","journal-title":"MOJ Yoga Physical Therapy"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"B1","DOI":"10.2519\/jospt.2015.5021","article-title":"Individualized low-load motor control exercises and education versus a high-load lifting exercise and education to improve activity, pain intensity, and physical performance in patients with low back pain: a randomized controlled trial","volume":"45","author":"Aasa","year":"2015","journal-title":"J Orthop Sports Phys Ther"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1186\/1471-2474-15-229","article-title":"Comparing lumbo-pelvic kinematics in people with and without back pain: a systematic review and meta-analysis","volume":"15","author":"Laird","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"168","DOI":"10.3390\/sports10110168","article-title":"Acute, non-specific low Back pain does not impair isometric deadlift force or electromyographic excitation: a cross-sectional study","volume":"10","author":"Stock","year":"2022","journal-title":"Sports"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1097\/00002517-199212000-00001","article-title":"The stabilizing system of the spine. 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A review of fascia and its force transmission capacity","volume":"124","author":"Wilke","year":"2018","journal-title":"J Appl Physiol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"180","DOI":"10.3389\/fphys.2020.00180","article-title":"Ankle motion is associated with soft tissue displacement in the dorsal thigh: an in vivo investigation suggesting myofascial force transmission across the knee joint","volume":"11","author":"Wilke","year":"2020","journal-title":"Front Physiol"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1111\/joa.12370","article-title":"In vivo relationship between pelvis motion and deep fascia displacement of the medial gastrocnemius: anatomical and functional implications","volume":"227","author":"Cruz-Montecinos","year":"2015","journal-title":"J Anat"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1497","DOI":"10.1136\/bjsports-2018-099308","article-title":"Fascial tissue research in sports medicine: from molecules to tissue adaptation, injury and diagnostics: consensus statement","volume":"52","author":"Z\u00fcgel","year":"2018","journal-title":"Br J Sports Med"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1007\/s13539-011-0054-2","article-title":"Evolving concepts on the age-related changes in \u201cmuscle quality.\u201d","volume":"3","author":"Russ","year":"2012","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1111\/joa.12902","article-title":"Fascia thickness, aging and flexibility: is there an association?","volume":"234","author":"Wilke","year":"2019","journal-title":"J Anat"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2023.1177146\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T04:57:24Z","timestamp":1685941044000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2023.1177146\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,5]]},"references-count":29,"alternative-id":["10.3389\/fmed.2023.1177146"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2023.1177146","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,5]]},"article-number":"1177146"}}