Auswirkung einer longitudinal-kranialen Manipulation des Okziput/C1 auf den Straight Leg Raise^{[ 1 ]}

Zusammenfassung

Die vorliegende Studie untersuchte die Auswirkung einer nach longitudinal-kranialen Manipulation des Okziput gegenüber C1 auf den Straight Leg Raise (SLR) bei Patienten mit unteren Rückenschmerzen. Alle Probanden führten zu Beginn und Ende SLR und Forward-Flexion-Distance-Test (FFD) sowie zu Beginn die subjektive Schmerzeinschätzung durch.

In der Interventionsgruppe zeigten die SLR-Messwerte sowohl innerhalb jeder Behandlung als auch im Gruppenvergleich statistisch signifikante Unterschiede.

Eine zusätzliche hochzervikale Anwendung kann den SLR bei Patienten mit unteren Rückenschmerzen positiv beeinflussen kann. Daher wird sie als Progression, bei therapieresistenten Beschwerden oder als indirekte Technik empfohlen.

Abstract

This study investigated the effect of a longitudinal-cranial occiput manipulation to C1 on straight leg raise (SLR) in patients with low back pain. SLR and forward flexion distance test (FFD) were carried out initially and after intervention on all patients as well initially a subjective pain assessement.

SLR measurement showed statistically significant differences in the intervention group both within each treatment and in comparison between the groups.

Additional high cervical treatment may have a positive impact on SLR in patients with low back pain. Therefore it is recommended as progression, in the case of treatment resistant complaints or as indirect modality.

Schlüsselwörter

untere Rückenschmerzen - Mobilisation - Manipulation - Okziput - C1 - Atlas - Straight Leg Raise (SLR)

Keywords

low back pain - mobilisation - manipulation - occiput - C1 - atlas - straight leg raise (SLR)

Anmerkungen

¹ Die Studie wurde als Abschlussarbeit des Master-Studiengangs Muskuloskeletale Physiotherapie an der Donau Universität Krems durchgeführt.

eingereicht: 16.4.2012 | akzeptiert: 14.5.2012

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