Sportphysio 2014; 02(04): 153-159
DOI: 10.1055/s-0034-1395884
Focus
Georg Thieme Verlag KG Stuttgart · New York

Einführung - Schulterinstabilität: Eine unsichere Angelegenheit für Patienten und Sportphysiotherapeuten?!

Martin Ophey
1   IJsveldfysio, Zevenheuvelenweg 72, NL-6571 CK Berg en Dal
› Author Affiliations
Further Information

Publication History

Publication Date:
13 November 2014 (online)

Zusammenfassung

BALANCEAKT: Traumata in Kontaktsportarten oder ständige exzessive Wurf- und Schlagbewegungen können die Strukturen der Schulter schnell überlasten. Die Folge ist ein instabiles Schultergelenk. Klinische Muster und die „fünf P’s“ helfen, dass die Gratwanderung zwischen Mobilität und Stabilität gelingt.

 
  • Literatur

  • 1 Bahk M, Keyurapan E, Tasaki A et al. Laxity testing of the shoulder: A review. Am J Sports Med 2007; 35 (1) 131-144
  • 2 Bant H, Haas HJ, Ophey M et al. Sportphysiotherapie. Stuttgart: Thieme; 2011
  • 3 Bant H, Ophey M. Hands-off: Training der Schultergelenk-Außenrotatoren. physiopraxis 2012; 10 (10) 35-37
  • 4 Boone JL, Arciero RA. First-time anterior shoulder dislocations: Has the standard changed?. Br J Sports Med 2010; 44 (5) 355-360
  • 5 Castagna A, Garofalo R, Cesari E et al. Anterior and posterior internal impingement: An evidence-based review. Br J Sports Med 2010; 44 (5) 382-388
  • 6 CBO, Nederlandse Orthopedische Vereniging. Acute primaire schouderluxatie: Diagnostiek en Behandeling. Nijmegen: 2005
  • 7 Cools AMJ, Struyf F, De Mey K et al. Rehabilitation of scapular dyskinesis: From the office worker to the elite overhead athlete. Br J Sports Med 2014; 48 (8) 692-697
  • 8 Cools AM, Witvrouw EE, Declercq GA et al. Therapeutisch unberücksichtigte neurale Einflüsse können die Instabilitätssymptomatik aufrechterhalten. Am J Sports Med 2003; 31 (4) 542-549
  • 9 Dean BJF, Gwilym SE, Carr AJ. Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain. Br J Sports Med 2013; 47 (17) 1095-1104
  • 10 Gokeler A, Lehmann M. Tennis: Rehabilitation, Training and Tips. Sports Medicine and Arthroscopy Review 2001; 9: 105-113
  • 11 Hayes K, Callanan M. Shoulder Instability: Management and rehabilitation (clinical commentary). Journal of Orthopedic Sports Physical Therapy 2002; 32: 497-509
  • 12 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
  • 13 Higgs J, Jones M, Loftus S et al. Clinical reasoning in the health professions. London: Butterworth-Heinemann Elsevier; 2008
  • 14 Itoi E, Newman SR, Kuechle DK et al. Dynamic anterior stabilizers of the shoulder with the arm in abduction. J Bone Joint Surg Br 1994; 76–B (5) 834-836
  • 15 Jaggi A, Lambert S. Rehabilitation for shoulder instability. Br J Sports Med 2010; 44 (5) 333-340
  • 16 Jobe FW, Pink M. Classification and treatment of shoulder dysfunction in the overhead athlete. Journal of Orthopaedic & Sports Physical Therapy 1993; 18 (2) 427-432
  • 17 Kibler WB, Ludewig PM, McClure PW et al. Clinical implications of scapula dyskinesis in shoulder injury: The 2013 consensus statement from the ‘scapula summit’. British Journal of Sports Medicine 2013; published online first 11 April 2013
  • 18 Kuhn JE. Exercise in the treatment of rotator cuff impingement: A systematic review and a synthesized evidence-based rehabilitation protocol. Journal of Shoulder and Elbow Surgery 2008; in press
  • 19 Laudner K, Meister K, Noel B et al. Anterior glenohumeral laxity is associated with posterior shoulder tightness among professional baseball pitchers. The American Journal of Sports Medicine 2012; 40 (5) 1133-1137
  • 20 Magarey ME, Jones MA. Specific evaluation of the function of force couples relevant for stabilization of the glenohumeral joint. Man Ther 2003; 8 (4) 247-253
  • 21 Magee DJ. Orthopedic Physical Assessment. Philadelphia: Saunders; 2002
  • 22 Magee T. Prevalence of HAGL lesions and associated abnormalities on shoulder MR examination. Skeletal Radiology 2013; 3: 307-313
  • 23 Moen MH, de Vos RJ, van Arkel ERA et al. De meest waardevolle klinische schoudertesten. Geneeskunde en Sport 2008; 41 (4) 6-17
  • 24 Myers J, Lephart S. Sensorimotor deficits contributing to glenohumeral instability. Clinical Orthopedics and Related Research 2002; 400: 98-104
  • 25 Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol 2003; 13 (4) 371-379
  • 26 Provencher MT, LeClere LE, King S et al. Posterior instability of the shoulder. The American Journal of Sports Medicine 2011; 39 (4) 874-886
  • 27 Putnam CA. Sequential motions of the body segments in striking and throwing skills: Descriptions and explanations. Journal of Biomechanics 1993; 26: 125-136
  • 28 Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg 1956; 38A: 957-977
  • 29 Sang JS, Yun YH, Kim DJ et al. Treatment of traumatic anterior shoulder dislocation in patients older than 60 years. The American Journal of Sports Medicine 2012; 40 (4) 822-827
  • 30 T´Jonck L. Functionele evaluatie en revalidatie bij patienten met glenohumerale instabiliteit en subacromiaal impingement. Leuven: KUL; 1998
  • 31 Vangsness CT, Ennis M, Taylor JG. Neural anatomy of the glenohumeral ligaments labrum and subacromial bursa. Arthroscopy 1995; 11 (2) 180-184
  • 32 Wheeler JH, Ryan JB, Arciero RA et al. Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes. Arthroscopy 1989; 5: 213-17