physiopraxis 2019; 17(07/08): 38-43
DOI: 10.1055/a-0900-1812
© Georg Thieme Verlag Stuttgart – New York

Strukturiert die Schulter befunden – Der Berner Schulteralgorithmus BeSos

Bettina Haupt-Bertschy

Subject Editor:
Further Information

Publication History

Publication Date:
19 July 2019 (online)

Bis heute gibt es in der Literatur keinen Standard, wie man Patienten mit Schulterbeschwerden strukturiert befundet. Ein Team des Universitätsspitals Bern entwickelte deshalb den Berner Schulteralgorithmus (BeSos). Darin beschreiben sie beispielsweise, wann welcher Test zum Einsatz kommt und wie der Therapeut die Ergebnisse interpretieren sollte.

  • Literaturverzeichnis

  • 1 Hegedus EJ, Goode AP, Cook CE. et al Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests. Br J Sports Med 2012; 46: 964-978 doi:10.1136/bjsports-2012-091066
  • 2 Hippensteel KJ, Brophy R, Smith MV. et al A Comprehensive Review of Physical Examination Tests of the Cervical Spine, Scapula, and Rotator Cuff. J Am Acad Orthop Surg 2019; 27: 385-394 doi:10.5435/JAAOS-D-17-00090
  • 3 O’Kane JW, Toresdahl BG. The evidenced-based shoulder evaluation. Curr Sports Med Rep 2014; 13: 307-313 doi:10.1249/JSR.0000000000000090
  • 4 Cools AM, Cambier D, Witvrouw EE. Screening the athlete’s shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology. Br J Sports Med 2008; 42: 628-635 doi:10.1136/bjsm.2008.048074
  • 5 Sabari JS, Maltzev I, Lubarsky D. et al Goniometric assessment of shoulder range of motion: comparison of testing in supine and sitting positions. Arch Phys Med Rehabil 1998; 79: 647-651
  • 6 Haupt B, Luder G. Entlang der Referenz – Behandlung nach Schultergelenk-OP. physiopraxis 2016; 2: 43-45 doi:10.1055/s-0041-111091
  • 7 Itoi E, Arce G, Bain G. et al Shoulder Stiffness: Current Concepts and Concerns. Arthroscopy 2016; 32: 1402-1414 doi:10.1016/j.arthro.2016.03.024
  • 8 Hayes K, Walton JR, Szomor ZR. et al Reliability of five methods for assessing shoulder range of motion. Aust Physiother 2001; 47: 289-294
  • 9 Gagey OJ, Gagey N. The hyperabduction test. J Bone Joint Surg Br 2001; 83: 69-74
  • 10 Illyés A, Kiss RM. Kinematic and muscle activity characteristics of multidirectional shoulder joint instability during elevation. Knee Surg Sports Traumatol Arthrosc 2006; 14: 673-685
  • 11 Ogston JB, Ludewig PM. Differences in 3-dimensional shoulder kinematics between persons with multidirectional instability and asymptomatic controls. Am J Sports Med 2007; 35: 1361-1370
  • 12 Stenvers?
  • 13 Kibler WB, Sciascia A. Current concepts: scapular dyskinesis. Br J Sports Med 2010; 44: 300-305 doi:10.1136/bjsm.2009.058834.
  • 14 Kibler WB, Uhl TL, Maddux JW. et al Qualitative clinical evaluation of scapular dysfunction: a reliability study. J Shoulder Elbow Surg 2002; 11: 550-556
  • 15 McClure P, Tate AR, Kareha S. et al A clinical method for identifying scapular dyskinesis, part 1 reliability. J Athl Train 2009; 44: 160-164 doi:10.4085/1062-6050-44.2.160
  • 16 Uhl TL, Kibler WB, Gecewich B. et al Evaluation of clinical assessment methods for scapular dyskinesis. Arthroscopy 2009; 25: 1240-1248 doi:10.1016/j.arthro.2009.06.007
  • 17 Kopkow C, Lange T, Schmitt J. et al Interrater reliability of the modified scapular assistance test with and without handheld weights. Man Ther 2015; 20: 868-874 doi:10.1016/j.math.2015.04.012
  • 18 Kibler WB, Ludewig PM, McClure P. et al Scapular Summit 2009 introduction. July 16, 2009, Lexington, Kentucky. J Orthop Sports Phys Ther 2009; 39: A1-A13 doi:10.2519/jospt.2009.0303
  • 19 Lippitt S, Matsen F. Mechanisms of glenohumeral joint stability. Clin Orthop Relat Res 1993; 291: 20-28
  • 20 Kibler WB, Sciascia A, Dome D. Evaluation of apparent and absolute supraspinatus strength in patients with shoulder injury using the scapular retraction test. Am J Sports Med 2006; 34: 1643-1647
  • 21 Tate AR, McClure PW, Kareha S. et al Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes. J Orthop Sports Phys Ther 2008; 38: 4-11
  • 22 Merolla G, De Santis E, Campi F. et al Supraspinatus and infraspinatus weakness in overhead athletes with scapular dyskinesis: strength assessment before and after restoration of scapular musculature balance. Musculoskelet Surg 2010; 94: 119-125 doi:10.1007/s12306-010-0082-7
  • 23 Merolla G, De Santis E, Campi F. et al Infraspinatus scapular retraction test: a reliable and practical method to assess infraspinatus strength in overhead athletes with scapular dyskinesis. J Orthop Traumatol 2010; 11: 105-110 doi:10.1007/s10195-010-0095-x
  • 24 Johansson FR, Skillgate E, Lapauw ML. et al Measuring Eccentric Strength of the Shoulder External Rotators Using a Handheld Dynamometer: Reliability and Validity. J Athl Train 2015; 50: 719-725 doi:10.4085/1062-6050-49.3.72
  • 25 Cools AM, Palmans T, Johansson FR. Age-related, sport-specific adaptions of the shoulder girdle in elite adolescent tennis players. J Athl Train 2014; 49: 647-653 doi:10.4085/1062-6050-49.3.02
  • 26 Westrick RB, Duffey ML, Cameron KL. et al Isometric shoulder strength reference values for physically active collegiate males and females. Sports Health 2013; 5: 17-21 doi:10.1177/1941738112456280
  • 27 Gokeler A, Lehmann M, Knopf Eet al. Current concepts in the diagnosis and rehabilitation of the shoulder in overhead athletes. [Article in German] Sportverletz Sportschaden 2003; 17: 15-20
  • 28 King JJ, Wright TW. Physical Examination of the Shoulder. J Hand Surg Am 2014; 39: 2103-2112 doi:10.1016/j.jhsa.2014.04.024