Schmerzpuzzle - Verlust der Beweglichkeit, Ausweichbewegungen und Selbstmanagement

G. Rolf

doi:10.1055/s-2007-962843

manuelletherapie 2007; 11(1): 10-16
DOI: 10.1055/s-2007-962843

Fallbeispiele

Schmerzpuzzle - Verlust der Beweglichkeit, Ausweichbewegungen und Selbstmanagement[1]

Teil 2: Klinische Beobachtungen bezogen auf neurale pathodynamische Merkmale in der Befundaufnahme und Behandlung von Patienten nach einer ZNS-LäsionThe Puzzle of Pain, Loss of Mobility, Evasive Movements and the Self-ManagementPart 2: Clinical Observations in View of Neural Pathodynamic Characteristics in Assessment and Treatment of Patients after CNS-LesionG. Rolf

Abstract

Zusammenfassung

Dieser 2. Teil des Artikels beschreibt die neuralen pathodynamischen Merkmale der Befundaufnahme und Therapie bei Patienten nach einer ZNS-Läsion. Wichtige Aspekte der physiotherapeutischen Behandlung sind die intermittierende sensorische Stimulation sowie ein individuell angepasstes Heimprogramm.

Abstract

The second part of this article describes the neural pathodynamic features of the assessment and therapy of patients after CNS lesion. Intermittent sensory stimulation as well as an individually adapted home programme are important aspects of physiotherapeutic treatment.

Schlüsselwörter

Schmerzpuzzle - Befundaufnahme - Behandlung - intermittierende sensorische Stimulation - Heimprogramm

Key words

puzzle of pain - assessment - treatment - intermittent sensory stimulation - home programme

Full Text

References

Literatur

1 Affolter F, Stricker G. Perceptual processes as prerequisites for complex human behaviour. Bern; Huber 1980
2 Basmajian J. Muscles alive. Their functions revealed by electromyography. Baltimore; Williams & Wilkins 1971 4th ed
3 Bobath B. Adult hemiplegia, evaluation and treatment. Sydney; Heinemann Medical Books 1990 3rd ed
4 Bove G M, Light A R. The Nerve of these Nerves!. Pain Forum. 1997; 6 199-201
5 Bove G M, Light A R. The nervi nervorum. Missing link for neuropathic pain?. Forum. 1997; 6 181-190
6 Bowsher D. Introduction to the anatomy and physiology of the nervous system. Oxford; Blackwell 1988 5th ed
7 Butler D. The Mobilisation of the Nervous System. Edinburgh; Churchill Livingstone 1991
8 Calliet R. The Shoulder in Hemiplegia. Philadelphia; F.A. Davis 1980
9 Van Cranenburgh B. Schmerz zwingt zum Nachdenken: eine neurophysiologische Betrachtung von Schmerzen. Bulletin SVMP. 1995; 3-4 6-15
10 Dale E, Jull G, Sutton S. The Relationship between Upper Trapezius Length and Upper Quadrant Neural Tissue Extensibility. SVMP-ASPMO-ASF - Mo Journal. 1973; 1 P3
11 Davies P. Right in the Middle. Selective Trunc Activity in the Treatment of Adult Hemiplegia. Heidelberg; Springer 1990
12 Davies P. Starting Again. Early Rehabilitation after Traumatic Brain Injury or Other Severe Brain Lesions. Heidelberg; Springer 1994
13 Davies P. Steps to Follow. A Guide to the Treatment of Adult Hemiplegia. Heidelberg; Springer 2000
14 Elvey R L. Treatment of arm pain associated with abnormal brachial plexus tension. Australian Journal of Physiotherapy. 1986; 32 224-229
15 Elvey R L. Peripheral Neuropathic Disorders and Neuro-musculosceletal Pain. Shacklock M Moving in on Pain Sydney; Butterworth-Heinemann 1995
16 Elvey R L. Brachial plexus tension tests and the patho-anatomical origin of arm pain. Glasgow EF, Twomey L Aspects of manipulative therapy Melbourne; Lincoln Institue of Health and Sciences 1997
17 Gerber M. Cross Country Skiing and the Bobath Concept. Edinburgh; Churchill Livingstone 1995
18 Grieve G P. The autonomic nervous system in vertebral pain syndromes. Boyling J, Palastanga N Grieve’s Modern Manual Therapy Edinburgh; Churchill Livingstone 1994
19 Grieve G P. Lecture: Scrutinising Tacit Assumptions in Manual Therapy. 10^th Anniversary Congress in Cooperation with IFOMT-ECE. Lausanne; 1995
20 Gunn CC, Milbrandt WE. . 1978
21 Van der Heide B. Auswirkung von Muskeldehnung auf neurale Strukturen. Manuelle Therapie. 1999; 3 176-181
22 Kesselring J (Director of the Rehabilitation Center Clinic Valens, Switzerland) .Personal correspondence. February, 2000
23 Kipling R.
24 Kleinrensink G J, Stoeckart R, Mulder P GH. et al . Upper Limb Tension Tests as Tools. In: The Diagnosis of Nerve and Plexus Lesions - Anatomical and Biomechanical Aspects. The Orthopedic Letter, Feb. 2000. Clinical Biomechanics. 2000; 15 9-14
25 Klein-Vogelbach S. Funktionelle Bewegungslehre. Rehabilitation und Prävention. Heidelberg; Springer 1989
26 Maitland G D. The Slump Test: an examination and treatment. Austr J Physiother. 1985; 31 215-219
27 Maitland G D. Peripheral Manipulation. Sydney; Butterworth-Heinemann 1986
28 Maitland G D. Vertebral Manipulation. Sydney; Butterworth-Heinemann 1991
29 Malström, Johansson, Sallnäs. Volleyball, Music and Balance, Archery and Riding with Stroke Patients. Edinburgh; Churchill Livingstone 1995
30 McKibbin H. Neurodynamics Related to the Treatment of Patients Following a Cerebral Vascular Accident. Physiotherapy - Stroke Management. Edinburgh; Churchill Livingstone 1995
31 McMahon S B. Mechanisms of Sympathetic Pain. Wells JCD, Woolf IJ Pain Mechanisms and Management Edinburgh; Churchill Livingstone 1991
32 Melzack R. Central Pain Syndromes and Theories of Pain. Casey KL Pain and Central Nervous System Disease: The Central Pain Syndromes New York; Raven Press 1991
33 Najenson T, Yacubovich E, Pikielni S S. Rotator Cuff Injury in Shoulder Joints of Hemiplegic Patients. Scand J Rehabil Med. 1971; 3 131-137
34 Ocoua J L. Valid versus Redundand Links in the Theory for „Neuropathic Pains”. Commentary. Pain Forum. 1997; 6 196-198
35 Pirsig R M. Zen and the Art of Motorcycle Maintenance. Vintage; Morrow 1974
36 Richardson C A, Jull G A. Muscle Control - Pain Control. What exercises would you prescribe?. Manual Therapy. 1995; 1
37 Rasmussen n nn. Aerobic with Hemiplegic Patients: Result of Physical Aerobic Fitness Training in Stroke Rehabilitation. Edinburgh; Churchill Livingstone 1995
38 Rolf G. The Treatment of Patients with Sudeck’s Atrophy Syndrome Including the Use of Passive Mobilisation Techniques as Described by Maitland. Paper and Poster Abstracts. IFOMT Congress. 1988;
39 Rolf G. Bedeutung der Mobilität des Nervensystems für ein gesundes Bewegungsverhalten. Zeitschrift für Physiotherapeuten. 1997; 49 S608-S613
40 Roper B A. Rehabilitation after Stroke. J Bone Joint Surg. 1982; 64B 156-163
41 Shacklock M. Moving in on Pain. Clinical Application on Neurodynamics. Sydney; Butterworth-Heinemann 1995
42 Shacklock M. Neurodynamics. Physiotherapy. 1995; 81
43 Shacklock M. Case Study. Positive Upper Limb Tension Test in a Case of Surgically Proven Neuropathy: Analysis and Validity. Manual Therapy. 1996; 1 154-161
44 Shacklock M. Central Pain Mechanisms: A New Horizon in Manual Therapy. Australian Journal of Physiotherapy. 1999; 45
45 Shacklock M. The Clinical Application of Central Pain Mechanisms in Manual Therapy. Australian Journal of Physiotherapy. 1999; 45
46 Smith R G, Cruikshank J D, Dunbar S. et al . Malalignment of the Shoulder after Stroke. Br Med J. 1982; 284 1224-1226
47 Sorkin I S, Wagner R, Myers R R. Role of the Nervi Nervorum in Neuropathic Pain - Innocent Until Proven Guilty. Painforum. 1997; 6 191-192
48 Stanton-Hicks M, Baron R, Boas R. et al . Consensus Report. Complex Regional Pain Syndromes: Guidelines For Therapy. The Clinical Journal of Pain. 1998; 14
49 Watson. . 1996
50 Wells P. Clinical Aspects of Pain - Management and Control. Sydney; Butterworth-Heinemann 1988
51 William Jr D W. An Alternative Mechanism for Neuropathic Pain. Commentary. Pain Forum. 6 193-195

1 Der Originalartikel ist online erschienen bei: Danske Fysioterapeuter 2001. Dt. Übers.: Nora Kern, Bobath-Aufbaukurs-Instruktorin IBITA und langjährige Koinstruktorin von Gisela Rolf, Blumenauerstr. 145, D-81241 München.

Gisela Rolf, M.A., Maitland-Instruktorin, Bobath-Instruktorin

Fläscherstr. 4

CH-7310 Bad Ragaz