Sportverletz Sportschaden 2018; 32(04): 260-263
DOI: 10.1055/a-0648-9162
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Muskelkrämpfe: Halbwissen versus Evidenz

Muscle Cramps: Superficial Knowledge Versus Evidence
Margarete Esser
Further Information

Publication History

Publication Date:
13 November 2018 (online)

Zusammenfassung

Hintergrund Muskelkrämpfe sind weit verbreitet in der Bevölkerung, gerade auch bei Sportlern. Viele haben ihre Vorstellungen, was dagegen helfen könnte.

Ziel Abgleich zwischen den therapeutischen Vorstellungen der Menschen, vornehmlich Sportlern, was sie gemeinhin bei Muskelkrämpfen als hilfreich erachten und der durch Studien belegten Wirksamkeit.

Methode Literaturrecherche.

Ergebnisse Die Studienlage unterscheidet sich deutlich vom „Halbwissen“ der Teilnehmer.

Schlussfolgerung Mit Halbwissen sollte aufgeräumt werden, und aktuelles, wissenschaftlich belegtes Wissen muss sich, gerade auch über Multiplikatoren wie Trainer, Ärzte etc., in der Bevölkerung verbreiten.

Abstract

Background Muscle cramps are common in the population, especially in athletes. However, various ideas exist as to how to treat cramps.

Objective The aim of this investigation is to compare and contrast the common conceptions with the results of evidence-based studies.

Method Scientific literature research.

Results The knowledge of the population seems insufficient and does not reflect the current scientific evidence.

Conclusion It is necessary to spread current scientific knowledge among the population, especially via coaches and doctors acting as multipliers.

 
  • Literatur

  • 1 Apfel P. Wie Sie Muskeln effektiv entkrampfen. Focus Online (05.01.2011).. Im Internet: https://www.focus.de/gesundheit/ratgeber/gelenkschmerzen/muskelkrampf/tid-20908/wadenkraempfe-wenn-nachts-die-wade-zwickt_aid_586858.html Stand: 6.11.18
  • 2 Naylor RJ, Young JB. A general population survey of leg cramps. Age Ageing 1994; 23: 418-420
  • 3 Tobolski O. Nächtliche Wadenkrämpfe, Therapieoptionen. Allgemeinarzt 12/2016 (Sonderdruck).
  • 4 TK-Bewegungsstudie „Beweg Dich, Deutschland“ 2016.
  • 5 Galloway S. Dehydration, rehydration, and exercise in the heat: rehydration strategies for athletic competition. Can J Appl Physiol 1999; 24: 188-200
  • 6 Layzer RB. The origin of muscle fasciculations and cramps. Muscle Nerve 1994; 17: 1243-1249
  • 7 Bergeron M. Muscle cramps during exercise: is it fatigue or electrolyte deficit?. Curr Sports Med Rep 2008; 7: S50-S55
  • 8 Moss K. Some effects of high ait temeratures and muscular exertion upon colliers. Proc R Soc Lond B Biol Sci 1923; 95: 181-200
  • 9 Cooper E, Ferrara M, Broglio S. Exertional heat illness and environmental conditions during a single football season in the Southeart. J Athl Train 2006; 41: 332-336
  • 10 Maugham R. Exercise induced muscle cramp: a prospective biochemical study in marathon runners. J Sports Sci 1986; 4: 31-34
  • 11 Sulzer N, Schwellnus M, Noakes T. Serum electrolytes in Ironman triathletes with exercise associated muscle cramping. Med Sci Sports Exerc 2005; 37: 1081-1085
  • 12 Jung A, Bishop P, Al-Nawwas A. et al. Influence of hydration and electrolyte supplementation on incidence and time to onset of exercise-associated muscle cramps. L Athl Train 2005; 40: 71-75
  • 13 Sebo P, Cerutti B, Haller DM. Effect of magnesium therapy on nocturnal leg cramps: a systematic review of randomized controlled trials with meta-analysis using simulations. Fam Pract 2014; 31: 7-19
  • 14 Frusso R, Zarate M, Augustovski F. et al. Magnesium fort he treatment of nocturnal leg cramps: a crossover randomized trial. J Fam Pract 1999; 48: 868-871
  • 15 Schwellnus M. Cause of exercise associated muscle cramps (EAMC)-Altered neuromuscular control, dehydration, or electrolyte depletion?. Br J Sports Med 2009; 43: 401-408
  • 16 Miller KC, Mack GW, Knight KL. et al. Reflex inhibition of electrically induced muscle cramps in hypohydrated humans. Med Sci Sports Exerc 2010; 42: 953-961
  • 17 Dale RB, Leaver-Dunn D, Bishop P. A compositional analysis of a common acetic acid solution with practical implications for ingestion. J Athl Train 2003; 38: 57-61
  • 18 Peikert J, Miller KC, Albrecht J. et al. Pre-exercise ingestion of pickle juice, hypertonic saline, or water and aerobic performance and thermoregulation. J Athl Train 2014; 49 (02) 204-209
  • 19 McKenney MA, Miller KC, Deal JE. et al. Plasma and electrolyte changes in exercising humans after ingestion of multiple boluses of pickle juice. J Athl Train 2015; 50 (02) 141-146
  • 20 Gahl A, Kraft S. Ernährungsmedizin. Dtsch med Wochenschr 2012; 137 (36) 1730-1731
  • 21 Schwellnus M, Derman E, Noakes T. Aetiology of skeletal muscle „cramps“ during exercise: a novel hypothesis. J Sports Sci 1997; 15: 277-285
  • 22 Khan S, Burne J. Reflex inhibition of normal cramp following electrical stimulation of the muscle tendon. J Neurophysiol 2007; 98: 1102-1107
  • 23 Stone M, Edwards J, Stemmans C. et al. Reliability of an electrical method to induce muscle cramp. Muscle Nerve 2003; 27: 122-123
  • 24 Hallegraeff JM, van der Schans CP, de Ruiter R. et al. Stretching before sleep reduces the frequency and severity of nocturnal leg cramps in older adults: a randomised trial. J Physiother 2012; 58: 17-22
  • 25 Leitlinien für Diagnostik und Therapie in der Neurologie © DGN 2017 Crampi/Muskelkrampf © DGN 2017 vollständig überarbeitet: 30. September 2016.
  • 26 Kraft WE. Dehnen, aber richtig. Physiopraxis 2003; 1 (06) 32-35
  • 27 Klee A, Wiemann K. Biologische Grundlagen zur Wirkung der Muskeldehnung. In: Sport ist Spitze. Reader zum Sportgespräch/18. Internationaler Workshop am 16. und 17. Juni 2003 in Oberhausen. Aachen: Meyer & Meyer; 2003: 88-102
  • 28 Esser M. Mit dem Theraband am Beckenrand. Verlag Bockenem: Sport Fahnemann; 2000
  • 29 Schwellnus M, Nicol J, Laubscher R. et al. Serum electrolythe concentrations and hydration status are not associated with exercise associated muscle cramping (EAMC) in distance runners. Br J Sports Med 2004; 38: 488-492