Introduction The posture of performance-oriented sport climbers adapts, which probably promotes the development of low back pain (LBP). In addition to its contribution to performance, the thoracolumbar fascia is seen as a contributor to this process. Furthermore, fascial structures also stiffen in negative emotional conditions.
Purpose To investigate the relationship between training exertion, daily stressful events, the autonomic nervous system and the deformability of the thoracolumbar fascia (TLFD) under the conditions of a free-living sport climber.
Methods Over a 30-day period, the participant (50-year-old, performance-oriented) reported daily morning resting heart rate variability (HRV) and daily inventory of stressful events (DISE). TLFD was measured daily using ultrasound in a manual therapy clinic. A time series analysis was performed to detect possible time-delayed relationships between the variables.
Results Cluster analyses revealed two distinguishable HRV clusters (HRV1 and HRV2). Both clusters were correlated with TLFD and DISE. Higher HRV1 immediately caused lower TLFD. HRV1 parameters mediated the effect of DISE on a decrease in TLFD two days later. One HRV2 parameter mediated the effect of DISE on an increase in TLFD seven days later.
Conclusions HRV1 values, which probably indicate sympathetic nervous system (SNS) activity, are directly related to TLFD. Presumably, the SNS mediated the effect of DISE on a lower TLFD two days later, followed by a probably parasympathetically mediated supercompensation. Coaches and trainers should be aware of these mechanisms and consider monitoring during training to minimize potential additional risk factors for impaired performance and health.