Spannende Verspannungen – Der Mechanismus hinter muskulären Verspannungen

Sind verspannte Muskeln verkürzt oder zu schwach? Steif oder verhärtet? Was genau hinter den häufigen Symptomen steckt, bleibt umstritten. Eine aktuelle Übersichtsarbeit zeigt, wie widersprüchlich die wissenschaftliche Literatur zum Thema Muskelsteifigkeit und Schmerz steht. Gleichzeitig zeigen einige Studien diverse methodische Mängel.

• Literaturverzeichnis

• 1 Castelein B, Cools A, Bostyn E. et al Analysis of scapular muscle EMG activity in patients with idiopathic neck pain: A systematic review. J Electromyogr Kinesiol 2015; 25: 371-386
• 2 Schomacher J, Falla D. Reduced specificity of semispinalis cervicis activity in women with persistent neck pain. Eur J Pain Suppl 2011; 05: 41-41
• 3 Falla D, Cescon C, Lindstroem R. et al Muscle Pain Induces a Shift of the Spatial Distribution of Upper Trapezius Muscle Activity During a Repetitive Task: A Mechanism for Perpetuation of Pain With Repetitive Activity?. Clin J Pain 2017; 33: 1006-1013
• 4 Geri T, Gizzi L, Di Marco A. et al Myofascial trigger points alter the modular control during the execution of a reaching task: a pilot study. Sci Rep 2019; 09: 16065
• 5 Gizzi L, Muceli S, Petzke F. et al Experimental Muscle Pain Impairs the Synergistic Modular Control of Neck Muscles. PLOS ONE 2015; 10: e0137844
• 6 Madeleine P, Leclerc F, Arendt-Nielsen L. et al Experimental muscle pain changes the spatial distribution of upper trapezius muscle activity during sustained contraction. Clin Neurophysiol 2006; 117: 2436-2445
• 7 Dieterich AV, Haueise A, Gizzi L. Gefühlt steif … und objektiv?: Kann man Muskelverspannungen messen?. Schmerz 2022; 36: 242-247
• 8 Haueise A, Le Sant G, Eisele-Metzger A. et al Is musculoskeletal pain associated with increased muscle stiffness? Evidence map and critical appraisal of muscle measurements using shear wave elastography. Clin Physiol Funct Imaging. 2024; 44: 187-204
• 9 Leong HT, Hug F, Fu SN. Increased Upper Trapezius Muscle Stiffness in Overhead Athletes with Rotator Cuff Tendinopathy. PLOS ONE 2016; 11: e0155187
• 10 Dieterich AV, Yavuz UŞ, Petzke F. et al Neck Muscle Stiffness Measured With Shear Wave Elastography in Women With Chronic Nonspecific Neck Pain. J Orthop Sports Phys Ther 2020; 50: 179-188
• 11 Kolding LT, Do TP, Ewertsen C. et al Muscle stiffness in tension-type headache patients with pericranial tenderness: A shear wave elastography study. Cephalalgia Rep 2018; 01: 251581631876029
• 12 Hvedstrup J, Kolding LT, Ashina M. et al Increased neck muscle stiffness in migraine patients with ictal neck pain: A shear wave elastography study. Cephalalgia 2020; 40: 565-574
• 13 Andersen H, Ge H-Y, Arendt-Nielsen L. et al Increased Trapezius Pain Sensitivity Is Not Associated With Increased Tissue Hardness. J Pain 2010; 11: 491-499
• 14 Opara M, Kozinc Ž.. Which muscles exhibit increased stiffness in people with chronic neck pain? A systematic review with meta-analysis. Front Sports Act Living 2023; 05: 1172514
• 15 Maigne J-Y, Cornelis P, Chatellier G. Lower back pain and neck pain: Is it possible to identify the painful side by palpation only?. Ann Phys Rehabil Med 2012; 55: 103-111
• 16 Nolet PS, Yu H, Côté P. et al Reliability and validity of manual palpation for the assessment of patients with low back pain: a systematic and critical review. Chiropr Man Ther 2021; 29: 33