manuelletherapie 2020; 24(05): 245-251
DOI: 10.1055/a-1266-4348
Fallbericht

Rehabilitation einer instabilen Schulter bei einem Handballspieler

FallberichtRehabilitation of an Instable Shoulder in a Handball PlayerCase Report
Steffen Klittmann

Zusammenfassung

Da posteriore Instabilitäten der Schulter in der Praxis selten anzutreffen sind, gibt es nur wenig Literatur zum klinischen Vorgehen in der physiotherapeutischen Untersuchung und Behandlung.

In diesem Fallbericht wurde ein junger Patient mit dorsaler glenohumeraler Instabilität und einer Schwäche des M. serratus anterior mit Manueller Therapie und Übungstherapie untersucht und behandelt.

Abstract

Posterior shoulder instability is seldom seen in clinical practice. In consequence very little literature concerning the clinical procedures of physiotherapeutic examination and treatment exists.

In this case report a young patient with dorsal glenohumeral instability and weakness of the serratus anterior muscle was examined and treated with manual therapy and exercise therapy.



Publication History

Received: 26 September 2019

Accepted: 24 October 2019

Article published online:
16 December 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
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  • Literatur

  • 1 Jaggy A, Lambert S. Rehabilitation for shoulder instability. Br J Sports Med 2010; 44: 333-340 doi:10.1136/bjsm.2009.059311
  • 2 Pope DP, Croft PR, Pritchard CM. et al. Prevalence of shoulder pain in the community: the influence of case definition. Ann Rheum Dis 1997; 56: 308-12 doi:10.1136/ard.56.5.308
  • 3 Watson L, Balster S, Warby SA. et al. A comprehensive rehabilitation program for posterior instability of the shoulder. Hand Ther 2017; 30: 182-192 doi:10.1016/j.jht.2017.05.007
  • 4 Frank RM, Romeo AA, Provencher MT. Posterior Glenohumeral Instability: Evidence-based Treatment. J Am Acad Orthop Surg 2017; 25: 610-623 doi:10.5435/JAAOS-D-15–00631
  • 5 Lewis A, Kitamura T, Bayley JIL. (ii) The classification of shoulder instability: new light through old windows!. Current Orthopaedics 2004; 18: 97-108 doi:10.1016/j.cuor.2004.04.002
  • 6 Schenk TJ, Brems JJ. Multidirectional Instability of the Shoulder: Pathophysiology, Diagnosis, and Management. J Am Acad Orthop Surg 1998; 6: 65-72 doi:10.5435/00124635–199801000–00007
  • 7 Janda V. Manuelle Muskelfunktionsdiagnostik. 4. Aufl.. München: Urban & Fischer Verlag/Elsevier GmbH; 2009
  • 8 Bayam L, Ahmad MA, Naqui SZ. et al. Pain mapping for common shoulder disorders. Am J Orthop 2011; 40: 353-358
  • 9 Burbank KM, Stevenson JH, Czarnecki GR. et al. Chronic Shoulder Pain Part I: Evaluation and Diagnosis. Am Fam Physician 2008; 77: 453-460
  • 10 Hengeveld E, Banks K. eds. Maitland’s peripheral manipulation: management of neuromusculoskeletal disorders – Volume two. 5th ed.. Edinburgh: Churchill Livingstone Elsevier; 2014
  • 11 Hengeveld E, Banks K. eds. Maitland’s vertebral manipulation: management of neuromusculoskeletal disorders – Volume one. 8th ed.. Edinburgh: Churchill Livingstone Elsevier; 2014
  • 12 Westerhuis P, Wiesner R. Hrsg. Klinische Muster in der Manuellen Therapie: IMTA Kurshandbuch Level 2a und b (physiofachbuch). Stuttgart: Thieme; 2011
  • 13 Bak K, Wiesler ER, Poehling GG. ISAKOS Upper Extremity Committee. Consensus Statement on Shoulder Instability. Arthroscopy 2010; 26: 249-255 doi:10.1016/j.arthro.2009.06.022
  • 14 Bateman M, Jaiswal A, Tambe AA. Diagnosis and management of atraumatic shoulder instability. Journal of Arthroscopy and Joint Surgery 2018; 5: 79-85 doi:10.1016/j.jajs.2018.05.009
  • 15 Boyles RE, Ritland BM, Miracle BM. et al. The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. Man Ther 2009; 14: 375-380 doi:10.1016/j.math.2008.05.005
  • 16 Strunce JB, Walker MJ, Boyles RE. et al. The Immediate Effects of Thoracic Spine and Rib Manipulation on Subjects with Primary Complaints of Shoulder Pain. J Man Manip Ther 2009; 17: 230-236 doi:10.1179/106698109791352102
  • 17 Sueki DG, Chaconas EJ. The effect of thoracic manipulation on shoulder pain: a regional interdependence model. Physical Therapy Reviews 2011; 16: 399-408 doi:10.1179/1743288X11Y.0000000045
  • 18 McClatchie L, Laprade J, Martin S. et al. Mobilizations of the asymptomatic cervical spine can reduce signs of shoulder dysfunction in adults. Man Ther 2009; 14: 369-374 doi:10.1016/j.math.2008.05.006
  • 19 Butler D. Mobilisation of the Nervous System. Melbourne, New York: Churchill Livingstone Elsevier; 1991
  • 20 Bertelli JA, Ghizoni MF. Long Thoracic Nerve: Anatomy and Functional Assessment. J Bone Joint Surg Am 2005; 87: 993-998 doi:10.2106/JBJS.D.02383
  • 21 Reinold MM, Escamilla RF, Wilk KE. Current Concepts in the Scientific and Clinical Rationale Behind Exercises for Glenohumeral and Scapulothoracic Musculature. J Orthop Sports Phys Ther 2009; 39: 105-117 doi:10.2519/jospt.2009.2835
  • 22 Horre T. Einfluss von Gelenkdysfunktionen auf die Muskelfunktion. manuelletherapie 2008; 12: 60-71 doi:10.1055/s-2008–1027340
  • 23 Kim J, Hwang U, Jung S. et al. Comparison of Serratus Anterior Muscle Activity between Serratus Anterior Strengthening Exercises and Scapular Upward Rotation Exercise. Phys Ther Korea 2017; 24: 29-37 doi:10.12674/ptk.2017.24.4.029
  • 24 Park KM, Cynn HS, Kwon OY. et al. Comparison of Pectoralis Major and Serratus Anterior Muscle Activities During Different Push-Up Plus Exercises in Subjects With and Without Scapular Winging. J Strength Cond Res 2014; 28: 2546-2551 doi:10.1519/JSC.0000000000000443