Zusammenfassung
Nackenschmerzen sind ein weit verbreitetes Problem, dessen pathophysiologische Ursache
in einer gestörten Halspropriozeption liegen kann. Die in den dem vorliegenden Review
zugrunde liegenden Untersuchungen zur Halspropriozeption verwendeten Testmethoden
wurden bezüglich Test-Retest-Zuverlässigkeit, Sensitivität, Spezifität und Validität
beurteilt. Außerdem wurde die Eignung der in der Literatur beschriebenen Tests für
ein klinisches Setting nach Maitland geprüft. Bis zur letzten Dekade war der Relokationstest
der entscheidende Test zur Objektivierung propriozeptiver Störungen. Aufgrund neuer
Erkenntnisse und technischer Fortschritte wurden in letzter Zeit weitere Tests entwickelt
und geprüft, von denen der Smooth Pursuit Neck Torsion Test (SPNTT) derzeit der sensitivste, spezifischste und valideste ist.
Abstract
Neck pain is a common problem whose pathophysiology may originate in a cervical proprioceptive
disorder. This review evaluates test methods applied in the examination of neck proprioception
regarding their test-retest reliability, sensitivity, specificity and validity. In
addition, the suitability of the tests described in the literature for a clinical
Maitland setting was assessed. Up until the last decade the relocation test was the
key test for objective assessment of proprioceptive disorders. Recent findings and
technical expertise have led to the development and evaluation of further tests of
which the smooth pursuit neck torsion test (SPNTT) is currently the most sensitive, specific and valid test.
Schlüsselwörter
Nackenschmerzen - Gelenkpositionsfehler - Gelenkpositionssinn - Kinästhesie - kraniozervikaler
Relokationstest - kraniozervikale Sensibilität
Key words
neck pain - joint position error - joint position sense - kinesthetics - craniocervical
relocation test - craniocervical sensibility
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