Neurodynamik – Diagnostik und Behandlung bei zervikaler Radikulopathie

Die Nervenwurzelkompression, die oft mit einer zervikalen Radikulopathie einhergeht, kann auch die Dynamik des Nervensystems beeinflussen. Es gibt verschiedene Techniken, die bei der Diagnose und Therapie einer dysfunktionalen Neurodynamik sinnvoll sind. Doch welcher Test ist der geeignetste? Für diese Entscheidung ist unter anderem sinnvoll, die Irritierbarkeit des Systems in den Clinical-Reasoning-Prozess einzubeziehen.

Publication History

Article published online:
14 December 2021

• Literatur

• 1 Apelby-Albrecht M, Andersson L, Kleiva IW. et al. Concordance of upper limb neurodynamic tests with medical examination and magnetic resonance imaging in patients with cervical radiculopathy: a diagnostic cohort study. J Manipulative Physiol Ther 2013; 36: 626-632
• 2 Childress MA, Becker BA. Nonoperative Management of Cervical Radiculopathy. Am Fam Physician 2016; 93: 746-754
• 3 Kim HJ, Nemani VM, Piyaskulkaew C. et al. Cervical Radiculopathy: Incidence and Treatment of 1,420 Consecutive Cases. Asian Spine J 2016; 10: 231-237
• 4 Kobayashi S, Shizu N, Suzuki Y. et al. Changes in nerve root motion and intraradicular blood flow during an intraoperative straight-leg-raising test. Spine (Phila Pa 1976) 2003; 28: 1427-1434
• 5 Carta G, Gambarotta G, Fornasari BE. et al. The neurodynamic treatment induces biological changes in sensory and motor neurons in vitro. Sci Rep 2021; 11: 13277
• 6 Bove GM, Ransil BJ, Lin H-C. et al. Inflammation induces ectopic mechanical sensitivity in axons of nociceptors innervating deep tissues. J Neurophysiol 2003; 90: 1949-1955
• 7 Shacklock M. Angewandte Neurodynamik: Neuromuskuloskeletale Strukturen verstehen und behandeln. München, Jena: Urban & Fischer; 2008
• 8 Thoomes EJ, van Geest S, van der Windt DA. et al. Value of physical tests in diagnosing cervical radiculopathy: a systematic review. Spine J 2018; 18: 179-189
• 9 Zorn P, Shacklock M, Trott P. et al. The effect of sequencing the movements of the upper limb tension test on the area of symptom production. Proceedings of the 9th biennial conference of the Manipulative Physiotherapists. 1995: 166-167
• 10 Tsai Y-Y. Tension change in the ulnar nerve by different order of upper limb tension test. Master of Science Thesis, Northwestern University. Chicago: 1995
• 11 Wainner RS, Fritz JM, Irrgang JJ. et al. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine (Phila Pa 1976) 2003; 28: 52-62
• 12 Nee RJ, Jull GA, Vicenzino B. et al. The Validity of Upper-Limb Neurodynamic Tests for Detecting Peripheral Neuropathic Pain. J Orthop Sports Phys Ther 2012; 42: 413-424
• 13 Grondin F, Cook C, Hall T. et al. Diagnostic accuracy of upper limb neurodynamic tests in the diagnosis of cervical radiculopathy. Musculoskelet Sci Prac 2021; 55: 102427
• 14 Lohman Bonfiglio CM, Gilbert KK, Brismée J-M. et al. Upper limb neurodynamic testing with radial and ulnar nerve biases: An analysis of cervical spinal nerve mechanics. Musculoskelet Sci Pract 2021; 52: 102320