Manuelle Therapie im Bereich des zervikothorakalen Übergangs bei Schulterbeschwerden

Zusammenfassung

Nach klinischer Erfahrung können Schulterbeschwerden durch manualtherapeutische Techniken im Bereich der zervikothorakalen Wirbelsäule beeinflusst werden. Diese Arbeit wertet die über den Zusammenhang zwischen nichtradikulär bedingten Schulterbeschwerden und zervikothorakaler Wirbelsäule bzw. mögliche Mechanismen veröffentlichte Literatur aus. Neben Studien über Haltungsabweichungen und Mobilitätsbeeinträchtigungen der zervikothorakalen Wirbelsäule bei Schulterpatienten fanden sich solche über Störungen der Propriozeption bzw. der Sensomotorik. Es gibt nur wenige randomisierte kontrollierte Studien zur Bewertung manualtherapeutischer Behandlungstechniken im Bereich der zervikothorakalen Wirbelsäule und oberen Rippen bei Schulterbeschwerden, die zudem nur schwache Evidenz ergaben.

Abstract

Clinical experience shows that shoulder complaints can be influenced by manual therapeutic techniques in the cervicothoracic spinal area. This article analyses the published literature concerning the correlation between non-radicular shoulder complaints and the cervicothoracic spine and examines possible mechanisms. In addition to studies concerning postural anomalies and mobility impairments of the cervicothoracic spine in patients with shoulder impairments, studies concerning proprioceptive and sensomotoric disorders were identified. There are only few randomised controlled trials evaluating manual therapeutic treatment of the cervicothoracic spine and upper ribs in patients with shoulder impairments. These studies showed low evidence.

Schlüsselwörter

Zervikothorakale Wirbelsäule - Schulterbeschwerden - Manuelle Therapie - Schultergürtel - Haltung

Key words

Cervicothoracic spine - shoulder complaints - manual therapy - thoracic girdle - posture

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