Wirkung zervikothorakaler und thorakaler Manipulationen auf Schmerzen und Dysfunktionen bei Schulter-Impingement^[1]

Zusammenfassung

Bei 44–65 % aller Schulterbeschwerden ist die Ursache ein multifaktorielles mechanisches Impingement-Syndrom infolge einer Kompression subakromialen Gewebes.

Zervikothorakale und thorakale Manipulationen haben kurzfristig einen positiven Effekt auf die Schmerzen und die Bewegungsfunktionen, die langfristige Wirkung ist jedoch nicht signifikant.

Abstract

44–65 % of all shoulder complaints originate in a multifactorial mechanical impingement syndrome following subacromial tissue compression.

Cervico-thoracic und thoracic manipulations have short-term positive effects on pain and movement function, but the long-term effect is not significant.

Schlüsselwörter

Schulter-Impingement - Manipulationen - zervikothorakal - thorakal

Keywords

shoulder impingement - manipulations - cervcico-thoracic - thoracic

• Literatur

• 1 Almekinders LC. Impingement syndrome. Clinics in Sports Medicine 2001; 20: 491-504
• 2 Armfield DR, Stickle RL, Robertson DD et al. Biomechanical basis of common shoulder problems. Seminars in Muscloskeletal Radiology 2003; 7: 5-18
• 3 Bak K, Faunl P. Clinical findings in competitive swimmers with shoulder pain. American Journal of Sports Medicine 1997; 25: 254-260
• 4 Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. Journal of Orthopaedic and Sports Physical Therapy 2000; 30: 126-137
• 5 Banks K, Hengeveld E. Maitland’s Clinical Companion – An essential guide for students. Edinburgh: Churchill-Livingstone Elsevier; 2009
• 6 Bergman GJ, Winters JC, Groenier KH et al. Manipulative therapy in addition to usual medical care for patients with shoulder dysfunction and pain: a randomized, controlled trial. Journal of Manipulative and Physiological Therapy 2010; 33: 96-101
• 7 Boyles RE, Ritland BM, Miracle BM et al. The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. Manual Therapy 2009; 14: 375-380
• 8 Bronfort G, Haas M, Evans R et al. Effectiveness of manual therapies: the UK evidence report. Chiropr Osteopat 2010; 25: 3-12
• 9 Hawkins RJ, Kennedy JC. Impingement syndrome in athletes. Am J Sports Med 1980; 8: 151-158
• 10 Jobe FW, Moynes DR. Delineation of diagnostic criteria and a rehabilitation program for rotator cuff injuries. Am J Sports Med 1982; 10: 336-339
• 11 Jull G, Zito G, Potter H et al. Inter-examiner reliability to detect painful upper cervical joint dysfunction. Australian Physiotherapy 1997; 43: 125-129
• 12 Kim TK, McFarland EG. Internal impingement of the shoulder in flexion. Clinical Orthopaedics and Related Research 2004; 421: 112-119
• 13 Lo YP, Hsu YC, Chan KM. Epidemiology of shoulder impingement in upper arm sports events. British Journal of Sports Medicine 1990; 24: 173-177
• 14 Maigne JY, Vautravers P. Mechanism of action of spinal manipulative therapy. Joint Bone Spine 2003; 70: 336-341
• 15 Maitland G, Hengeveld E, Banks K. Maitland’s peripheral manipulation. Edinburgh: Churchill Livingstone Elsevier; 2005
• 16 Maitland G, Hengeveld E, Banks K et al. Maitland’s vertebral manipulation. Edinburgh: Churchill Livingstone Elsevier; 2005
• 17 Maitland G, Bucher-Dollenz G, Wiesner R. Therapiekonzepte in der Physiotherapie. Stuttgart: Thieme; 2008
• 18 Michener LA, Leggin BG. A review of self-report scales for the assessment of functional limitation and disability of the shoulder. Journal of Hand Therapy – Official Journal of the American Society of Hand Therapists 2001; 14: 68-76
• 19 Morrison DS, Frogameni AD, Woodworth P. Non-operative treatment of subacromial impingement syndrome. Journal of Bone and Joint Surgery 1997; 79: 732-737
• 20 Neer II. CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder. A preliminary report J Bone J Surg (Am) 1972; 54A: 41-50
• 21 Neer II. CS, Welsh RP. The shoulder in sports. Orthop Clin North Am 1977; 8: 583-591
• 22 Norlander S, Gustavsson BA, Lindell J et al. Reduced mobility in the cervico-thoracic motion segment – a risk factor for musculoskeletal neck-shoulder pain: a two-year prospective follow-up study. Scandinavian Journal of Rehabilitation Medicine 1997; 29: 167-174
• 23 Jester A, Harth A, Wind G et al. The ”Shoulder, Arms and Hand Disability Questionnaire” as a scale for identification of the diagnosis-specific activity profile. Unfallchirurg 2003; 106: 834-838
• 24 Pickar JG. Neurophysiological effects of spinal manipulation. The Spine Journal 2002; 2: 357-371
• 25 Price DD, Bush FM, Long S et al. A comparison of pain measurement characteristics of mechanical visual analogue and simple numeral rating scales. Journal of General Practice 1994; 56: 217-226
• 26 Sobel JS, Kremer I, Winters JC et al. The influence of the mobility in the cervicothoracic spine and the upper ribs (shoulder girdle) on the mobility of the scapulohumeral joint. Journal of Manipulative Physiological Therapy 1996; 19: 469-474
• 27 Stenvers JD, Overbeek WJ. De schouder, een keten van botstukken. Nederlands Tijdschrift voor Fysiotherapie 1982; 92: 2-4
• 28 Sterling M, Jull G, Wright A. Cervical mobilisation: concurrent effects on pain, sympathetic nervous system activity and motor activity. Manual Therapy 2001; 6: 72-81
• 29 Wainner RS, Flynn TW, Whitman JM. Spinal and Extremity Manipulation: The Basic Skill Set for Physical Therapists. Louisville: Manipulations; 2001
• 30 Wilk KE, Arrigo C. Current concepts in the rehabilitation of the athletic shoulder. Journal of Orthopaedic and Sports Physical Therapy 1993; 18: 365-378