Untersuchung der Effektivität der HWS-Behandlung bei chronischer lateraler Epikondylopathie[1]

Zusammenfassung

Diese Einzelfallstudie im ABA-Design (Prä-Intervention – Intervention – Post-Intervention) untersuchte die Effektivität der HWS-Behandlung bei chronischer lateraler Epikondylopathie. Der 59-jährige Patient wurde in 3 Zeitphasen (lokal am Ellenbogen, an der HWS, erneut lokal am Ellenbogen) behandelt. Außer bei der Kraft erzielte er in allen Parametern signifikante Verbesserungen und konnte wieder beschwerdefrei und uneingeschränkt seinen Hobbys nachgehen.

Das Ergebnis unterstützt die Hypothese, dass die HWS mit ihren anatomischen und physiologischen Verbindungen zum Ellenbogen eine wichtige Komponente bei der Behandlung der lateralen Epikondylopathie darstellt. Um diese Hypothese zu untermauern, sind weitere randomisierte Studien notwendig.

Abstract

This ABA designed (pre-intervention – intervention – post-intervention) single case study assessed the effectiveness of cervical spine treatment in chronic lateral epicondylopathy. The 59 year old patient was treated in 3 phases (locally at the elbow, cervical spine, again locally at the elbow). He attained significant improvement in all outcome measures except strength. He was able to pursue his hobbies unlimited and without pain.

The result supports the hypothesis that the cervical spine, with its anatomical and physiological ties to the elbow, is an important component in the treatment of lateral epicondylopathy. Further randomised controlled trials are necessary to support this hypothesis.

laterale Epikondylopathie - Tennisellenbogen - HWS - Nacken - N. radials

lateral epicondylopathy - tennis elbow - cervical spine - neck - radial nerve

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1 Die Thesis wurde im Rahmen der Abschlussprüfungen der OMT-DVMT-Ausbildung 2007 – 2009 erstellt.