Klinisches Muster der klinisch lumbalen Instabilität[1]

Zusammenfassung

Die klinisch lumbale Instabilität stellt eine Subgruppe der unspezifischen lumbalen Rückenschmerzen dar. Auf der Basis der aktuellen Literatur wird dieses klinische Muster nach dem Schema einer physiotherapeutischen Untersuchung beschrieben, die subjektive und objektive Zeichen sowie Tests beinhaltet. In der Praxis ist das gängigste Mittel zur Ermittlung der Aktivität der tiefen lumbalen Stabilisatoren das Biofeedback-Gerät (PBU). Die passiven Untersuchungstechniken (PAIVM und PPIVM) spielen bei der Differenzierung zur strukturellen Instabilität eine wichtige Rolle.

Wegen der dürftigen Reliabilität der segmentalen Beweglichkeitsmessung sollten die Ergebnisse der passiven Tests immer im Kontext mit den aktiven Tests und den subjektiven Merkmalen gesehen werden. Die in der alltäglichen Praxis einfach anzuwendenden aktiven Tests weisen eine gute Reliabilität auf.

Abstract

Clinical lumbar instability represents a subgroup of unspecific lumbar back pain. On the basis of current literature this clinical pattern is described according to a physiotherapeutic examination scheme including subjective and objective signs as well as tests. A well-established practical tool in order to measure the activity of deep lumbar stabilisers is the biofeedback instrument (PBU). Passive examination techniques (PAIVM and PPIVM) play a vital role for the differentiation from structural instability.

Due to the poor reliability of segmental movement measurement passive tests results should always be seen in context with active tests and subjective characteristics. The in daily practice easily implementable active tests show good reliability.

Schlüsselwörter

funktionelle Instabilität - subjektive Merkmale - objektive Funktionsuntersuchung - Reliabilität - Validität

Key words

functional instability - subjective characteristics - objective function examination - reliability - validity

1 Die Arbeit wurde im Rahmen der SVOMP-OMT-Ausbildung 2006 – 2008 erstellt.

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1 Die Arbeit wurde im Rahmen der SVOMP-OMT-Ausbildung 2006 – 2008 erstellt.