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physiopraxis 2020; 18(03): 24-27
DOI: 10.1055/a-1103-3699
Therapie
© Georg Thieme Verlag Stuttgart – New York

Mythos Kapselverkürzung – Pathologische Prozesse bei subakromialem Schmerzsyndrom

Jochen Schomacher∗
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Publication History

Publication Date:
17 March 2020 (online)

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Die eingeschränkte Innenrotation gilt als eine der Ursachen für das subakromiale Schmerzsyndrom. Ob dafür wirklich eine Verkürzung der posterioren Gelenkkapsel verantwortlich ist, ist fraglich, da wir mehrmals täglich die fast maximale Innenrotation durchführen. Die oft empfohlene Dehnung riskiert, eine normale Kapsel lax zu machen.

 

  • Literaturverzeichnis

  • 1 Van der Windt DA, Koes BW, de Jong BA. et al Shoulder disorders in general practice: incidence, patient characteristics, and management. Annals of the rheumatic diseases 1195; 54: 959-964
    Google Scholar
  • 2 Ellenbecker TS, Cools A. Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review. Br J Sports Med 2010; 44: 319-327 doi: 10.1136/bjsm.2009.058875
    CrossrefPubMedGoogle Scholar
  • 3 Myers JB, Laudner KG, Pasquale MR. et al Glenohumeral range of motion deficits and posterior shoulder tightness in thowers with pathologic internal impingement. Am J Sports Med 2006; 34: 385-391
    CrossrefPubMedGoogle Scholar
  • 4 Ludewig PM, Reynolds JF. The association of scapular kinematics and glenohumeral joint pathologies. J Orthop Sports Phys Ther 2009; 39: 90-104 doi:10.2519/jospt.2009.2808
    CrossrefPubMedGoogle Scholar
  • 5 Buckup J, Stein t, Hirsch K. et al Klinische und radiologische Untersuchung der Schulter. Orthopädie und Unfallchirurgie up2date 2019; 14: 207-226
    Article in Thieme ConnectGoogle Scholar
  • 6 Cotton RE, Rideout DF. Tears of the humeral rotator cuff, A radiological and pathological necropsy survey. J Bone Joint Surg Br 1964; 46: 314-328
    PubMedGoogle Scholar
  • 7 Haik MN, Alburquerque-Sendín F, Moreira RF. et al Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials. Br J Sports Med 2016; 50: 1124-1134 doi:10.1136/bjsports-2015-095771
    CrossrefPubMedGoogle Scholar
  • 8 Kolber MJ, Hanney WJ. The reliability, minimal detectable change and construct validity of a clinical measurement for identifiying posterior shoulder tightness. N Am J Sports Phys Ther 2010; 05: 208-219
    Google Scholar
  • 9 Salamh PA, Kolber MJ. The reliability, minimal detectable change and construct validity of a clinical measurement for quantifying posterior shoulder tightness in the post-operative population. Int J Sports Phys Ther 2012; 07: 565-575
    Google Scholar
  • 10 Johnson JE, Fullmer JA, Nielsen CM. et al Glenohumeral internal rotation deficit and injuries: A systematic review and meta-analysis. Orthop J Sports Med 2018; 06: 2325967118773322 doi:10.1177/2325967118773322
    Google Scholar
  • 11 Keller RA, De Giacomo AF, Neumann JA. et al Glenohumeral internal rotation deficit and risk of upper extremity injury in overhead athletes: A meta-analysis and systematic review. Sports Health 2018; 10: 125-132 doi:10.1177/1941738118756577
    CrossrefPubMedGoogle Scholar
  • 12 Tyler TF, Noicholas SJ, Roy T. et al Quantification of posterior capsule tightness and motion loss in patients with shoulder impingement. Am J Sports Med 2000; 28: 668-673
    CrossrefPubMedGoogle Scholar
  • 13 Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: Spectrum of pathology, Part I: Pathoanatomy and Biomechanics. Arthroscopy 2003; 19: 404-420
    CrossrefPubMedGoogle Scholar
  • 14 Meyer DC, Gautier L. Instabilität des Schultergelenks. Manuelle Therapie 2014; 18: 9-15
    Article in Thieme ConnectGoogle Scholar
  • 15 Chan KK, Muldoon K, Yeh L. et al Superior labral anteroposterior lesions: MR Arthrography with arm traction. AJR Am J Roentgenol 1999; 173: 1117-1122
    CrossrefPubMedGoogle Scholar
  • 16 Becce F, Richarme D, Omoumi P. et al Direct MR arthrography of the shoulder under axial traction: Feasibility study to evaluate the superior labrum-biceps tendon complex and articular cartilage. J Magn Reson Imaging 2013; 37: 1228-1233 doi:10.1002/jmri.23824
    CrossrefPubMedGoogle Scholar
  • 17 Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: Spectrum of pathology, Part II: Evaluation and treatment of SLAP lesions in throwers. Arthroscopy 2003; 19: 531-539
    CrossrefPubMedGoogle Scholar
  • 18 Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: Spectrum of pathology, Part ÎII: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy 2003; 19: 641-661
    CrossrefPubMedGoogle Scholar
  • 19 Schomacher J. Manuelle Therapie, Bewegen und Spüren lernen. Stuttgart, New York: Georg Thieme Verlag; 2017
    Google Scholar
  • 20 Poser A, Casonato O. Posterior glenohumeral stiffness: Capsular or muscular problem? A case report. Man Ther 2008; 13: 165-170
    CrossrefPubMedGoogle Scholar
  • 21 Muraki T, Yamamoto N, Zhao KD. et al 2012; Effects of posterior capsule tightness on subacromial contact behavior during shoulder motions. J Shoulder Elbow Surg 2012; 21: 1160-1167 doi:10.1016/j.jse.2011.08.042
    CrossrefPubMedGoogle Scholar
  • 22 Westerhuis P. Patientenbeispiele: Den klinischen Beweis für den richtigen Behandlungsweg finden. Manuelle Therapie 2014; 18: 21-27
    Article in Thieme ConnectGoogle Scholar
  • 23 Donatelli R. Physical therapy of the shoulder. pp 488 London: Churchill Livingstone; 2011
    Google Scholar
  • 24 Kaltenborn FM. Manual mobilization of the joints, joint examination and basic treatment, Volume I, The extremities. Oslo: Norli; 2014
    Google Scholar
  • 25 Schomacher J. Impingement-Syndrom des oberen Sprunggelenks. Manuelle Therapie 2010; 14: 91-97
    Article in Thieme ConnectGoogle Scholar
  • 26 Tibor LM, Leunig M. The pathoanatomy and arthroscopic management of femoroacetabular impingement. Bone & joint research 2012; 01: 245-257
    CrossrefPubMedGoogle Scholar
  • 27 Tschauner C. Die biomechanische Koxarthrose des jungen Erwachsenen - Prävention und gelenkerhaltene Therapieoptionen, Teil 1: Pathophysiologie und Diagnostik. Zeitschrift für Orthopädie und Unfallchirurgie 2007; 145: 369-390
    Article in Thieme ConnectPubMedGoogle Scholar
  • 28 Bryde D, Freure BJ, Jones L. et al Reliability of palpation of humeral head position in asymptomatic shoulders. Manual Therapy 2005; 10: 191-197
    CrossrefPubMedGoogle Scholar
  • 29 McKenna L, Straker LM, Smith A. The validity and intra-tester reliability of a clinical measure of humeral head position. Man Ther 2009; 14: 397-403 doi:10.1016/j.math.2008.06.004
    CrossrefPubMedGoogle Scholar
  • 30 Johnson AJ, Godges JJ, Zimmerman GJ. et al The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis. Journal of Orthopaedic & Sports Physical Therapy 2007; 37: 88-99
    CrossrefPubMedGoogle Scholar
  • 31 Schomacher J. Letter to the editor in response to: The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis. J Orthop Sports Phys Ther 2007; 37: 413 author reply 414–415
    Google Scholar
  • 32 Johnson AJ, Godges JJ. Authors' response to: The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis. J Orthop Sports Phys Ther 2007; 37: 414-415
    Google Scholar
  • 33 Chesworth BM, MacDermid JC, Roth JH. et al Movement diagram and „end-feel“ reliability when measuring passive lateral rotation of the shoulder in patients with shoulder pathology. Physical Therapy 1998; 78: 593-601
    CrossrefPubMedGoogle Scholar
  • 34 Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder. J Bone Joint Surg Am 1972; 54: 41-50
    CrossrefPubMedGoogle Scholar
  • 35 Holmgren T, Björnsson Hallgren H, Adolfsson L. et al Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study. BMJ 2012; 344: e787 doi:10.1136/bmj.e787
    CrossrefPubMedGoogle Scholar
  • 36 Lewis JS. Subacromial impingement syndrome: a musculoskeletal condition or a clinical illusion?. Physical Therapy Reviews 2011; 16: 388-398 doi:10.1179/1743288X11Y.0000000027
    CrossrefGoogle Scholar
  • 37 Beard D, Rees JL, Rombach I. et al The CSAW Study (Can Shoulder Arthroscopy Work?) – a placebo-controlled surgical intervention trial assessing the clinical and cost effectiveness of arthroscopic subacromial decompression for shoulder pain: study protocol for a randomised controlled trial. Trials 2015; 16: 210 doi:10.1186/s13063-015-0725-y
    CrossrefPubMedGoogle Scholar
  • 38 Beard D, Rees JL, Cook JA. et al Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. Lancet 2018; 391: 329-338 doi:10.1016/S0140-6736(17)32457-1
    CrossrefPubMedGoogle Scholar
  • 39 Lähdeoja T, Karjalainen T, Jokihaara J. et al Subacromial decompression surgery for adults with shoulder pain: a systematic review with metaanalysis. Br J Sports Med 2019 Doi:10.1136/bjsports-2018-100486
    PubMedGoogle Scholar
  • 40 Karjalainen TV, Jain N, Lähdeoja TA. et al Subacromial decompression surgery for rotator cuff disease (Review). Cochrane Database Syst Rev 2019; 01: CD005619 doi:10.1002/14651858.CD005619.pub3
    Google Scholar
  • 41 Paavola M, Malmivaara A, Taimela S. et al Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial. BMJ 2018; 362: k2860 doi:10.1136/bmj.k2860
    CrossrefPubMedGoogle Scholar
  • 42 Klittmann S, Trocha M. Entwicklung einer physiotherapeutischen Klassifikation von Schulterschmerzen, Delphi-Studie. Manuelle Therapie 2016; 20: 39-47
    Article in Thieme ConnectGoogle Scholar
  • 43 Schomacher J. Wer denkt, stellt Diagnosen - Plädoyer für die physiotherapeutische Diagnose. physiopraxis 2004; 04: 34-38
    Google Scholar
  • 44 Trocha M, Aigner A-K, Brandt H. et al Befundest du noch – oder diagnostizierst du schon?. physioscience 2014; 10: 24-28
    Article in Thieme ConnectGoogle Scholar
  • 45 Ludewig PM, Kamonscki DH, Staker JL. et al Changing our diagnostic paradigm: Movement system diagnostic classification. Int J Sports Phys Ther 2017; 12: 884-893
    PubMedGoogle Scholar
  • 46 Bennell K, Wee E, Coburn S. et al Efficacy of standardised manual therapy and home exercise programme for chronic rotator cuff disease: randomised placebo controlled trial. BMJ 2010; 340: c2756 doi:10.1136/bmj.c2756
    CrossrefPubMedGoogle Scholar
  • 47 Lewis J. A specific exercise program for patients with subacromial impingement syndrome can improve function and reduce the need for surgery. J Physiother 2012; 58: 127 doi:10.1016/S1836-9553(12)70093-0
    CrossrefPubMedGoogle Scholar
  • 48 Steuri R, Sattelmayer M, Elsig S. et al Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs. Br J Sports Med 2017; 51: 1340-1347 doi:10.1136/bjsports-2016-096515
    CrossrefPubMedGoogle Scholar
  • 49 Björnsson Hallgren H, Holmgren T, Öberg B. et al A specific exercise strategy reduced the need for surgery in subacromial pain patients. Br J Sports Med 2014; 48: 1431-1436 doi:10.1136/bjsports-2013-093233
    CrossrefPubMedGoogle Scholar
  • 50 Björnsson Hallgren HC, Adolfsson LE, Johansson K. et al Specific exercises for subacromial pain. Goodresultsmaintainedfor 5 years. Acta Orthop 2017; 88: 600-605 doi:10.1080/17453674.2017.1364069
    CrossrefPubMedGoogle Scholar
  • 51 Ho C-YC, Sole G, Munn J. The effectiveness of manual therapy in the management of musculoskeletal disorders of the shoulder: A systematic review. Man Ther 2009; 14: 463-474 doi:10.1016/j.math.2009.03.008
    CrossrefPubMedGoogle Scholar
  • 52 Reddy AS, Mohr KJ, Pink MM. et al Electromyographic analysis of the deltoid and rotator cuff muscles in persons with subacromial impingement. J Shoulder Elbow Surg 2000; 09: 519-523
    CrossrefPubMedGoogle Scholar
  • 53 Ballantyne BT, O’Hare SJ, Paschall JL. et al Electromyographic activity of selected shoulder muscles in commonly used therapeutic exercises. Phys Ther 1993; 73: 668-677 discussion 677-82
    CrossrefPubMedGoogle Scholar
  • 54 Escamilla RF, Yamashiro K, Paulos L. et al Shoulder muscle activity and function in common shoulder rehabilitation exercises. Sports Med 2009; 39: 663-685 doi:10.2165/00007256-200939080-00004
    CrossrefPubMedGoogle Scholar
  • 55 Reinold MM, Macrina LC, Wilk KE. et al Electromyographic analysis of the suprasinatus and deltoid muscles during 3 common rehabilitation exercises. J Athl Train 2007; 42: 464-469
    PubMedGoogle Scholar
  • 56 Boettcher CE, Ginn KA, Cathers I. Which is the optimal exercise to strengthen supraspinatus?. Med Sci Sports Exerc 2009; 41: 1979-1983 doi:10.1249/MSS.0b013e3181a740a7
    CrossrefPubMedGoogle Scholar
  • 57 Harms-Ringdahl K, Arborelius UP. et al Shoulder externally rotating exercises with pulley apparatus, Joint load and EMG. Scand J Rehabil Med 1985; 17: 129-140
    Google Scholar
  • 58 David G, Magarey ME, Jones MA. et al EMG and strength correlates of selected shoulder muscles during rotations of the glenohumeral joint. Clin Biomech 2000; 15: 95-102
    CrossrefPubMedGoogle Scholar
  • 59 Werner CML, Blumenthal S, Curt A. et al Subacromial pressures in vivo and effects of selective experimental suprascapular nerve block. J Shoulder Elbow Surg 2006; 15: 319-323
    CrossrefPubMedGoogle Scholar
  • 60 Kibler WB, Ludewig PM, McClure P. et al Scapular Summit, 2009: introduction. July 16, 2009, Lexington, Kentucky. J Orthop Sports Phys Ther 2009; 39: A1-A13 doi:10.2519/jospt.2009.0303
    Google Scholar
  • 61 Kibler WB, Sciascia AD. Introduction to the Second International Conference on Scapular Dyskinesis in Shoulder Injury—the ‘Scapular Summit’ Report of, 2013. Br J Sports Med 2013; 47: 874 doi:10.1136/bjsports-2013-092424
    CrossrefPubMedGoogle Scholar
  • 62 Kibler WB, Ludewig PM, McClure PW. et al Clinical implications of scapular dyskinesis in shoulder injury: the, 2013 consensus statement from the ‘scapular summit’. Br J Sports Med 2013; 47: 877-885 doi:10.1136/bjsports-2013-092425
    CrossrefPubMedGoogle Scholar
  • 63 D’hondt NE, Kiers H, Pool JJM. et al Reliability of performance-based clinical measurements to assess shoulder girdle kinematics and positioning: Systematic review. PhysTher 2017; 97: 124-144 doi:10.2522/ptj.20160088
    Google Scholar
  • 64 Bury J, West M, Chamorro-Moriana G. et al Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis. Man Ther 2016; 25: 35-42 doi:10.1016/j.math.2016.05.337
    CrossrefPubMedGoogle Scholar