manuelletherapie 2005; 9(5): 237-241
DOI: 10.1055/s-2005-858887
aus der Praxis - für die Praxis

© Georg Thieme Verlag KG Stuttgart · New York

Untersuchung und Behandlung des kranialen Nervengewebes am Beispiel des N. accessorius

Teil 1Investigation and Treatment of Cranial Nerve Tissue Illustrated Using the Example of the Accessory NerveH. J. M. von Piekartz
Further Information

Publication History

Publication Date:
01 December 2005 (online)

Zusammenfassung

Der Artikel gibt einen Überblick über die physikalische Untersuchung des kranialen Nervengewebes am Beispiel des N. accessorius. Die relevante Anatomie wird dargestellt. Außerdem erfolgt eine detaillierte Beschreibung zur Prüfung von Nervenleitung und Funktion des Zielgewebes sowie der Neurodynamik und Palpation.

Ziel ist es, ein standardisiertes Vorgehen zur Durchführung neurodynamischer Tests für kraniales Nervengewebe zu präsentieren. Diese sollen bei Untersuchung und Behandlung einfach anzuwenden sein.

Abstract

The article gives an overview of the physical investigation of the cranial neural tissue exemplified by the accessory nerve. The relevant anatomy is portrayed. In addition, a detailed description of the conduction tests and the function of target tissues as well as of the neurodynamics involved and nerve palpation is presented.

The aim of this article is to initiate a standardised procedure for the implementation of neurodynamic testing in cranial neural tissue. This needs to be simple to use in clinical practice during assessment and treatment.

Literatur

  • 1 Amyes E, Anderson F. Fractures of the odontoid process.  Arch Surg. 1956;  9 377
  • 2 Bocca E, Pignataro O. A conservation technique in radical neck dissection.  Ann Ottol Rhinol Laryngol. 1967;  9 975
  • 3 Bodner G, Harpf C, Gardetto A. et al . Ultrasonography of the accessory nerve: normal and pathologic findings in cadavers and patients with iatrogenic accessory nerve palsy.  J Ultrasound Med. 2002;  9 1159
  • 4 Brain A. Laryngeal mask misplacement-causes. Consequenses and solution.  Anaesthesia. 1992;  9 531
  • 5 Brandenburg J, Lee C. The eleventh nerve in radical neck surgery.  The Laryngoscope. 1981;  9 1851
  • 6 Breig A. Adverse mechanical tension in the central nervous system. An analysis of cause and effect. Relief by functional neurosurgery. Almqvist & Wiksell Stockholm; 1976
  • 7 Butler D, Gifford L. The dynamic nervous system. Coursebook. Falmouth; NOI Press 1998
  • 8 Crile G. Excision of cancer of the head and neck.  J Am Med Assoc. 1806;  9 1780
  • 9 Devor M. The pathophysiology of damaged peripheral nerve. Wall P, Melzack R Textbook of Pain Edinburgh; Churchill Livingstone 1994
  • 10 Dunn M, Seljeskog E. Experience in the management of odontoid process injuries: An analysis of 128 cases.  Neurosurgery. 1986;  9 306
  • 11 Evarts C. Traumatic atlanto-occipital dislocation.  Joint Surg. 1970;  9 1653
  • 12 Ewing M, Martin H. Disability following radical neck dissection.  Cancer. 1952;  9 873
  • 13 Gardiner K, Irvine B, Murray A. Anomalous relationship of the spinal accessory nerve to the internal jugular vein.  Clin Anat. 2002;  9 62
  • 14 Hadley M, Browner C, Sonntag V. Axis fractures: A comprehensive review of management and treatment in 107 cases.  Neurosurg. 1985;  9 281
  • 15 Hammer A. Lower cranial nerve palsies. Potentially lethal in upper cervical fracture dislocations.  Clin Orthop. 1991;  9 64
  • 16 Herring D, King A, Connelly M. New rehabilitation concepts in management of radical neck dissection syndrome.  Am J Physical Therap. 1987;  9 1095
  • 17 Hoaglund F, Duthie R. Surgical reconstruction for shoulder pain after radical neck dissection.  Am J Surg. 1966;  112
  • 18 King C, Street M. Twelfth cranial nerve paralysis following use of a laryngeal mask airway.  Anaesthesia. 1994;  9 786
  • 19 Kitteringham C. The effect of straight leg raise exercise after lumbar decompression surgery. A pilot study.  Physiother. 1996;  9 82
  • 20 Lachman N, Acland R D, Rosse C. Anatomical evidence for the absence of a morphologically distinct cranial root of the accessory nerve in man.  Clin Anat. 2002;  9 4
  • 21 Lang J. Skull Base and Related Structure. Atlas of Clinical Anatomy. Stuttgart; Schattauer 1995
  • 22 Leipzig G. et al . Functional evaluation of the spinal accessory nerve after neck dissection.  Am J Surg. 1983;  9 526
  • 23 McClearly A. A fracture of the odontoid process complicated by tenth and twelfth cranial nerve palsies.  Spine. 1992;  9 932
  • 24 Mumenthaler M, Schliack H. Peripheral Nerve Lesions. Diagnosis and Therapy. Stuttgart; Thieme 1991
  • 25 Nahum A, Mullally W, Marmor L. A syndrome resulting from radical neck dissection.  Arch Otolaryngol. 1961;  9 424
  • 26 von Piekartz HJM. Untersuchung und Behandlung des kranialen Nervengewebes. von Piekartz Kiefer, Gesichts- und Zervikalregion. Stuttgart; Thieme 2005: 347-434
  • 27 Remmler D. et al . A prospective study of shoulder disability resulting from radical and modified neck dissection.  Head Neck Surg. 1986;  9 280
  • 28 Salerno G, Cavaliere M, Foglia A. et al . The 11th nerve syndrome in functional neck dissection.  Laryngoscope. 2002;  9 1299
  • 29 Short O. et al . Shoulder pain and function after neck dissection with or without preservation of the spinal accessory nerve.  Am J Surg. 1984;  9 478
  • 30 Skolnik E. et al . Preservation of XI cranial nerve in neck dissection.  Laryngoscope,. 1967;  9 1304
  • 31 Thompsett C, Cundy J. Use of the laryngeal mask airway in the presence of a bleeding diathesis.  Anaesthesia. 1992;  9 530
  • 32 Villanueva R. The role of rehabilitation medicine in physical restoration of patient with head and neck cancer.  Cancer Bull. 1977;  9 46
  • 33 Wiarda V, Wimmers R. De nekdissectie en haar behandeling.  Ned T Fysiotherapie,. 1988;  9 134
  • 34 van Wilgen C P, Dijkstra P U, van der Laan B F. et al . Shoulder complaints after neck dissection. Is the spinal accessory nerve involved?.  Br J Oral Maxillofac Surg. 2003;  9 7
  • 35 Wilson-Pauwels L, Akesson E, Stewart P. et al .Cranial Nerves in Health and Disease. Hamilton; Decker 2002

Dr. Harry J. M. von Piekartz, PhD, MSc, PT, MT

Stobbenkamp 10

NL-7631 CP Ootmarsum

Email: harryvonpiekartz@home.nl

    >