manuelletherapie 2019; 23(04): 155-162
DOI: 10.1055/a-0977-9279
Schwerpunkt
Einführung
© Georg Thieme Verlag KG Stuttgart · New York

Physiotherapie der Rotatorenmanschette – ein mehrdimensionaler Ansatz

Dick Egmond
,
Sebastian Orphal
,
Anne Brouwer
Further Information

Publication History

Publication Date:
13 September 2019 (online)

Zusammenfassung

Die schmerzhafte Struktur bei Patienten mit einem Rotatorenmanschettensyndrom (RMS) zu differenzieren, ist aufgrund der anatomischen Gegebenheiten kaum möglich. Daher leitet vor allem die klinische Untersuchung inklusive dynamischer Inspektion und Reduktionstests die Therapeuten im Clinical Reasoning Prozess. Verschiedene Protokollprofile, basierend auf der klinischen Präsentation von Patienten mit RMS, bieten Therapeuten einen weiteren Hinweis für die Strukturierung des Behandlungsplans.

 
  • Literatur

  • 1 Winters JC, Van der Windt DAWM, Spinnewijn WEM. et al. In: Wiersma Tj, Boukes FS, Geijer RMM. et al., Hrsg. NHG-Standaarden voor de huisarts. Houten: Bohn Stafleu van Loghum; 2009: 1213-1229 doi:10.1007/978–90–313–6614–9_77
  • 2 Urwin M, Symmons D, Allison T. et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis 1998; 57 (11) 649-655 doi:10.1136/ard.57.11.
  • 3 Winters JC, Sobel JS, Groenier KH. et al. The long-term course of shoulder complaints: a prospective study in general practice. Rheumatology (Oxford) 1999; 38 (02) 160-163 doi:10.1136/jnnp.2007.128371
  • 4 Steinfeld R, Valente RM, Stuart MJ. A commonsense approach to shoulder problems. Mayo Clin Proc 1999; 74 (08) 785-794 doi:10.4065/74.8.785
  • 5 Burkhart SS, Esch JC, Jolson RS. The rotator crescent and rotator cable: an anatomic description of the shoulder’s “suspension bridge”. Arthroscopy 1993; 9 (06) 611-616
  • 6 Teunis T, Lubberts B, Reilly BT. et al. A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age. J Shoulder Elbow Surg 2014; 23 (12) 1913-1921 doi:10.1016/j.jse.2014.08.001
  • 7 Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie e. V. (DGOOC). S2e-Leitlinie „Rotatorenmanschette“ (März 2017). Im Internet: https://www.awmf.org/uploads/tx_szleitlinien/033–041l_S2e_Rotatorenmanschette_2017–04_02.pdf Stand: 01.06.2019
  • 8 Lewis JS. Rotator cuff tendinopathy/subacromial impingement syndrome: is it time for a new method of assessment?. Br J Sports Med 2009; 43 (04) 259-264 doi:10.1136/bjsm.2008.052183
  • 9 physioedge. Physioedge PE #021 Shoulder pain, rotator cuff tendinopathy and frozen shoulder with Dr Jeremy Lewis by David Pope (September 12, 2013). Im Internet: http://physioedge.com.au/pe-021-shoulder-pain-rotator-cuff-tendinopathy-and-frozen-shoulder-with-dr-jeremy-lewis/ Stand: 07.07.2019
  • 10 Egmond DL, Schuitemaker R. Extremiteiten, manuele therapie in enge en ruime zin. Houten: Bohn Stafleu van Loghum; 2019
  • 11 Heemskerk MAMB, Staal JB, Bierma-Zeinstra SMA. et al. KNGF-richtlijn. Klachten aan de arm, nek en/of schouder (KANS). Ned T Fysioth. 2010 120. (1) suppl
  • 12 Staal JB, Hendriks EJM, Heijmans M. et al. KNGF Guideline of Low Back pain. Amersfoort: Royal Dutch Society for Physical Therapy; 2013
  • 13 Vermeulen E, Schuitemaker R, Hekman KM. et al. Addendum SNN-praktijkrichtlijn Frozen Shoulder voor fysiotherapeuten 2017 (01.03.2017). Im Internet: https://www.schoudernetwerk.nl/SNNbestanden/2017/SNN%20Frozen%20Shoulder%20Richtlijn%202017.pdf Stand: 01.06.2019
  • 14 Klintberg IH, Cools AM, Holmgren TM. et al. Consensus for physiotherapy for shoulder pain. Int Orthop 2015; 39 (04) 715-720 doi:10.1007/s00264–014–2639–9
  • 15 Littlewood C, Ashton J, Chance-Larsen K. et al. Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy 2012; 98 (02) 101-109 doi:10.1016/j.physio.2011.08.002
  • 16 Littlewood C, Bateman M, Brown K. et al. A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: a randomised controlled trial (the SELF study). Clin Rehabil 2016; 30 (07) 686-696 doi:10.1177/0269215515593784
  • 17 Littlewood C, Bateman M, Clark D. et al. Rehabilitation following rotator cuff repair: a systematic review. Shoulder Elbow 2015; 7 (02) 115-124 doi:10.1177/1758573214567702
  • 18 Hertel R, Ballmer FT, Lombert SM. et al. Lag signs in the diagnosis of rotator cuff rupture. J Shoulder Elbow Surg 1996; 5 (04) 307-313
  • 19 Gerber C, Krushell RJ. Isolated rupture of the tendon of the subscapularis muscle. Clinical features in 16 cases. J Bone Joint Surg Br 1991; 73 (03) 389-394
  • 20 Itoi E, Hatakeyama Y, Itoigawa Y. et al. Is protecting the healing ligament beneficial after immobilization in external rotation for an initial shoulder dislocation?. Am J Sports Med 2013; 41 (05) 1126-1132 doi:10.1177/0363546513480620
  • 21 Itoi E, Kido T, Sano A. et al. Which is more useful, the “full can test” or the “empty can test,” in detecting the torn supraspinatus tendon?. Am J Sports Med 1999; 27 (01) 65-68 doi:10.1177/03635465990270011901
  • 22 Apeldoorn AT, Den Arend MC, Schuitemaker R. et al. Interrater agreement and reliability of clinical tests for assessment of patients with shoulder pain in primary care. Physiother Theory Pract 2019; 22: 1-20 doi:10.1080/09593985.2019.1587801
  • 23 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 (14) 964-978 doi:10.1136/bjsports-2012–091066
  • 24 Lewis JS. Rotator cuff tendinopathy/subacromial impingement syndrome: is it time for a new method of assessment?. Br J Sports Med 2009; 43 (04) 259-264 doi:10.1136/bjsm.2008.052183
  • 25 Hing W, Hall T, Rivett DA. et al. The Mulligan Concept of Manual Therapy: Textbook of Techniques. Chatswood: Elsevier; 2015
  • 26 Beard DJ, Rees JL, Cook JA. et al. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. Lancet 2018; 301: 329-338 doi:10.1016/S0140–6736(17)32457–1
  • 27 Jansen MJ, Brooijmans F, Geraets JJXR. et al. KNGF Evidence Statement Subacromiale klachten. Amersfoort: Koninklijk Nederlands Genootschap voor Fysiotherapie; 2011
  • 28 Pirschel C. The Power of Prehabilitation. ONS Connect 2016; 31 (05) 12-16
  • 29 Hagenaars LHA, Bos JM. Over de kunst van hulpverlenen. Het meerdimensionaal belasting-belastbaarheidsmodel: een vakfilosophisch model voor een menswaardige gezondheidszorg. Amersfoort: NPi; 2006
  • 30 Jambroes M, Nederland T, Kaljouw M. et al. Implications of health as ‘the ability to adapt and self-manage’ for public health policy: a qualitative study. Eur J Public Health 2016; 26 (03) 412-416 doi:10.1093/eurpub/ckv206
  • 31 Moseley GL, Butler DS. Explain Pain Supercharged. Adelaide: NOI Group Publications; 2017
  • 32 Hayes C, Strosahl KD, Wilson KG. Acceptance Commitment Therapy, The Process and Practice of Mindful Change. New York: The Guilford Press; 2011
  • 33 Borstad J, Woeste C. The role of sensitization in musculoskeletal shoulder pain. Braz J Phys Ther 2015; 19 (04) 251-256 doi:10.1590/bjpt-rbf.2014.0100
  • 34 de Morree JJ. Dynamiek van het menselijk bindweefsel. Functie, beschadiging en herstel. Houten: Bohn Stafleu van Loghum; 2014
  • 35 Lewis JS, Wright C, Green A. Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. J Orthop Sports Phys Ther 2005; 35 (02) 72-87 doi:10.2519/jospt.2005.35.2.72
  • 36 Bennell K, Wee E, Coburn S. et al. Efficacy of standardised manual therapy and home exercise programme for chronic rotator cuff disease: randomised placebo controlled trial. BMJ 2010; 340: c2756 doi:10.1136/bmj.c2756
  • 37 Page MJ, Green S, McBain B. et al. Manual therapy and exercise for rotator cuff disease. Cochrane Database Syst Rev 2016; 6: CD012224 doi:10.1002/14651858.CD012224
  • 38 Menck JY, Requejo SM, Kulig K. Thoracic spine dysfunction in upper extremity complex regional pain syndrome type I. J Orthop Sports Phys Ther 2000; 30 (07) 401-409 doi:10.2519/jospt.2000.30.7.401
  • 39 Maenhout A, Benzoor M, Werin M. et al. Scapular muscle activity in a variety of plyometric exercises. J Electromyogr Kinesiol 2016; 27: 39-45 doi:10.1016/j.jelekin.2016.01.003
  • 40 Granviken F, Vasseljen O. Home exercises and supervised exercises are similarly effective for people with subacromial impingement: a randomised trial. J Physiother 2015; 61 (03) 135-141 doi:10.1016/j.jphys.2015.05.014
  • 41 Guimberteau JC, Armstrong C. The Architecture of Living Fascia: The Extracellular Matrix and Cells Revealed Through Endoscopy. New York: Handspring Publishing; 2015
  • 42 Bishop MD, Torres-Cueco R, Gay CW. et al. What effect can manual therapy have on a patient’s pain experience?. Pain Manag 2015; 5 (06) 455-464 doi:10.2217/pmt.15.39
  • 43 Littlewood C, Malliaras P, Bateman M. et al. The central nervous system--an additional consideration in ‘rotator cuff tendinopathy’ and a potential basis for understanding response to loaded therapeutic exercise. Man Ther 2013; 18 (06) 468-472 doi:10.1016/j.math.2013.07.005
  • 44 Vermeulen V. Trainingswissenschaftliche Aspekte der Manuellen Therapie. Institut für Angewandte Manuelle Therapie; Wolfsburg: 2018
  • 45 Thoomes-de Graaf M, Scholten-Peeters GG, Schellingerhout JM. et al. Evaluation of measurement properties of self-administered PROMs aimed at patients with non-specific shoulder pain and “activity limitations”: a systematic review. Qual Life Res 2016; 25 (09) 2141-2160 doi:10.1007/s11136–016–1277–7
  • 46 Angst F, Goldhahn J, Pap G. et al. Cross-cultural adaptation, reliability and validity of the German Shoulder Pain and Disability Index (SPADI). Rheumatology (Oxford) 2007; 46 (01) 87-92 doi:10.1093/rheumatology/kel040
  • 47 Heldmann P, Schöttker-Königer T, Schäfer A. Cross-cultural Adaption and Validity of the „Patient Specific Functional Scale“. International Journal of Health Professions 2015; 2 (01) 73-82 doi:10.1515/ijhp-2015–0002
  • 48 Koehorst ML, van Trijffel E, Lindeboom R. Evaluative measurement properties of the patient-specific functional scale for primary shoulder complaints in physical therapy practice. J Orthop Sports Phys Ther 2014; 44 (08) 595-603 doi:10.2519/jospt.2014.5133
  • 49 Glattacker M, Heyduck K, Meffert C. [Development of a questionnaire to assess treatment representations in rehabilitation patients]. Rehabilitation (Stuttg) 2009; 48 (06) 345-353 doi:10.1055/s-0029–1234052
  • 50 Leysen M, Nijs J, Meeus M. et al. Clinimetric properties of illness perception questionnaire revised (IPQ-R) and brief illness perception questionnaire (Brief IPQ) in patients with musculoskeletal disorders: A systematic review. Man Ther 2015; 20 (01) 10-17 doi:10.1016/j.math.2014.05.001
  • 51 Chester R, Jerosch-Herold C, Lewis J. et al. Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study. Br J Sports Med 2018; 52: 269-275 doi:10.1136/bjsports-2016–096084
  • 52 Knauer R, Orphal S, Egmond DL. et al. Physiotherapie bei unspezifischen und mild-spezifischen Schulterschmerzen: ein narratives Review [Press release]. Retrieved from http://schulternetzwerk.de/wp-content/uploads/2018/03/SND-PTbeiSchulterschmerzen.pdf 2017
  • 53 de Morree JJ. Dynamiek van het menselijk bindweefsel. Functie, beschadiging en herstel. Houten: Bohn Stafleu van Loghum; 2014
  • 54 Lewis JS, Wright C, Green A. Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. J Orthop Sports Phys Ther 2005; 35 (02) 72-87 doi:10.2519/jospt.2005.35.2.72
  • 55 Bennell K, Wee E, Coburn S. et al. Efficacy of standardised manual therapy and home exercise programme for chronic rotator cuff disease: randomised placebo controlled trial. BMJ 2010; 340: c2756 doi:10.1136/bmj.c2756
  • 56 Page MJ, Green S, McBain B. et al. Manual therapy and exercise for rotator cuff disease. Cochrane Database Syst Rev 2016; 6: CD012224 doi:10.1002/14651858.CD012224
  • 57 Menck JY, Requejo SM, Kulig K. Thoracic spine dysfunction in upper extremity complex regional pain syndrome type I. J Orthop Sports Phys Ther 2000; 30 (07) 401-409 doi:10.2519/jospt.2000.30.7.401
  • 58 Maenhout A, Benzoor M, Werin M. et al. Scapular muscle activity in a variety of plyometric exercises. J Electromyogr Kinesiol 2016; 27: 39-45 doi:10.1016/j.jelekin.2016.01.003
  • 59 Granviken F, Vasseljen O. Home exercises and supervised exercises are similarly effective for people with subacromial impingement: a randomised trial. J Physiother 2015; 61 (03) 135-141 doi:10.1016/j.jphys.2015.05.014
  • 60 Guimberteau JC, Armstrong C. The Architecture of Living Fascia: The Extracellular Matrix and Cells Revealed Through Endoscopy. New York: Handspring Publishing; 2015
  • 61 Bishop MD, Torres-Cueco R, Gay CW. et al. What effect can manual therapy have on a patient’s pain experience?. Pain Manag 2015; 5 (06) 455-464 doi:10.2217/pmt.15.39
  • 62 Littlewood C, Malliaras P, Bateman M. et al. The central nervous system--an additional consideration in ‘rotator cuff tendinopathy’ and a potential basis for understanding response to loaded therapeutic exercise. Man Ther 2013; 18 (06) 468-472 doi:10.1016/j.math.2013.07.005
  • 63 Vermeulen V. Trainingswissenschaftliche Aspekte der Manuellen Therapie. Institut für Angewandte Manuelle Therapie; Wolfsburg: 2018
  • 64 Thoomes-de Graaf M, Scholten-Peeters GG, Schellingerhout JM. et al. Evaluation of measurement properties of self-administered PROMs aimed at patients with non-specific shoulder pain and “activity limitations”: a systematic review. Qual Life Res 2016; 25 (09) 2141-2160 doi:10.1007/s11136–016–1277–7
  • 65 Angst F, Goldhahn J, Pap G. et al. Cross-cultural adaptation, reliability and validity of the German Shoulder Pain and Disability Index (SPADI). Rheumatology (Oxford) 2007; 46 (01) 87-92 doi:10.1093/rheumatology/kel040
  • 66 Heldmann P, Schöttker-Königer T, Schäfer A. Cross-cultural Adaption and Validity of the „Patient Specific Functional Scale“. International Journal of Health Professions 2015; 2 (01) 73-82 doi:10.1515/ijhp-2015–0002
  • 67 Koehorst ML, van Trijffel E, Lindeboom R. Evaluative measurement properties of the patient-specific functional scale for primary shoulder complaints in physical therapy practice. J Orthop Sports Phys Ther 2014; 44 (08) 595-603 doi:10.2519/jospt.2014.5133
  • 68 Glattacker M, Heyduck K, Meffert C. [Development of a questionnaire to assess treatment representations in rehabilitation patients]. Rehabilitation (Stuttg) 2009; 48 (06) 345-353 doi:10.1055/s-0029–1234052
  • 69 Leysen M, Nijs J, Meeus M. et al. Clinimetric properties of illness perception questionnaire revised (IPQ-R) and brief.
  • 70 de Morree JJ. Dynamiek van het menselijk bindweefsel. Functie, beschadiging en herstel. Houten: Bohn Stafleu van Loghum; 2014
  • 71 Lewis JS, Wright C, Green A. Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. J Orthop Sports Phys Ther 2005; 35 (02) 72-87 doi:10.2519/jospt.2005.35.2.72
  • 72 Bennell K, Wee E, Coburn S. et al. Efficacy of standardised manual therapy and home exercise programme for chronic rotator cuff disease: randomised placebo controlled trial. BMJ 2010; 340: c2756 doi:10.1136/bmj.c2756
  • 73 Page MJ, Green S, McBain B. et al. Manual therapy and exercise for rotator cuff disease. Cochrane Database Syst Rev 2016; 6: CD012224 doi:10.1002/14651858.CD012224
  • 74 Menck JY, Requejo SM, Kulig K. Thoracic spine dysfunction in upper extremity complex regional pain syndrome type I. J Orthop Sports Phys Ther 2000; 30 (07) 401-409 doi:10.2519/jospt.2000.30.7.401
  • 75 Maenhout A, Benzoor M, Werin M. et al. Scapular muscle activity in a variety of plyometric exercises. J Electromyogr Kinesiol 2016; 27: 39-45 doi:10.1016/j.jelekin.2016.01.003
  • 76 Granviken F, Vasseljen O. Home exercises and supervised exercises are similarly effective for people with subacromial impingement: a randomised trial. J Physiother 2015; 61 (03) 135-141 doi:10.1016/j.jphys.2015.05.014
  • 77 Guimberteau JC, Armstrong C. The Architecture of Living Fascia: The Extracellular Matrix and Cells Revealed Through Endoscopy. New York: Handspring Publishing; 2015
  • 78 Bishop MD, Torres-Cueco R, Gay CW. et al. What effect can manual therapy have on a patient’s pain experience?. Pain Manag 2015; 5 (06) 455-464 doi:10.2217/pmt.15.39
  • 79 Littlewood C, Malliaras P, Bateman M. et al. The central nervous system--an additional consideration in ‘rotator cuff tendinopathy’ and a potential basis for understanding response to loaded therapeutic exercise. Man Ther 2013; 18 (06) 468-472 doi:10.1016/j.math.2013.07.005
  • 80 Vermeulen V. Trainingswissenschaftliche Aspekte der Manuellen Therapie. Institut für Angewandte Manuelle Therapie; Wolfsburg: 2018
  • 81 Thoomes-de Graaf M, Scholten-Peeters GG, Schellingerhout JM. et al. Evaluation of measurement properties of self-administered PROMs aimed at patients with non-specific shoulder pain and “activity limitations”: a systematic review. Qual Life Res 2016; 25 (09) 2141-2160 doi:10.1007/s11136–016–1277–7
  • 82 Angst F, Goldhahn J, Pap G. et al. Cross-cultural adaptation, reliability and validity of the German Shoulder Pain and Disability Index (SPADI). Rheumatology (Oxford) 2007; 46 (01) 87-92 doi:10.1093/rheumatology/kel040
  • 83 Heldmann P, Schöttker-Königer T, Schäfer A. Cross-cultural Adaption and Validity of the „Patient Specific Functional Scale“. International Journal of Health Professions 2015; 2 (01) 73-82 doi:10.1515/ijhp-2015–0002
  • 84 Koehorst ML, van Trijffel E, Lindeboom R. Evaluative measurement properties of the patient-specific functional scale for primary shoulder complaints in physical therapy practice. J Orthop Sports Phys Ther 2014; 44 (08) 595-603 doi:10.2519/jospt.2014.5133
  • 85 Glattacker M, Heyduck K, Meffert C. [Development of a questionnaire to assess treatment representations in rehabilitation patients]. Rehabilitation (Stuttg) 2009; 48 (06) 345-353 doi:10.1055/s-0029–1234052
  • 86 Leysen M, Nijs J, Meeus M. et al. Clinimetric properties of illness perception questionnaire revised (IPQ-R) and brief illness perception questionnaire (Brief IPQ) in patients with musculoskeletal disorders: A systematic review. Man Ther 2015; 20 (01) 10-17 doi:10.1016/j.math.2014.05.001
  • 87 Chester R, Jerosch-Herold C, Lewis J. et al. Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study. Br J Sports Med 2018; 52: 269-275 doi:10.1136/bjsports-2016–096084
  • 88 Knauer R, Orphal S, Egmond DL. et al. Physiotherapie bei unspezifischen und mild-spezifischen Schulterschmerzen: ein narratives Review [Press release]. Retrieved from http://schulternetzwerk.de/wp-content/uploads/2018/03/SND-PTbeiSchulterschmerzen.pdf 2017