manuelletherapie 2016; 20(01): 31-38
DOI: 10.1055/s-0041-110766
Fallbeispiel: Schulter-Impingement
Georg Thieme Verlag KG Stuttgart · New York

Chronisches Schulter-Impingement-Syndrom: Auf dem Mechanismus basierende Untersuchung und Therapie

Chronic Shoulder Impingement Syndrome: Mechanism-Based Examination and Therapy
Wolfgang Lackenbauer
1   IMC FH Krems, Österreich
› Author Affiliations
Further Information

Publication History

22 January 2015

09 April 2015

Publication Date:
19 February 2016 (online)


Moderne, auf dem ursächlichen Mechanismus basierende Klassifizierungsmodelle sind in der Entscheidungsfindung, Diagnosestellung und anschließenden Therapie ausgesprochen hilfreich. Chronische Schulterbeschwerden können eine Vielzahl von biomechanischen und nicht mechanischen Ursachen haben. Daher ist es wichtig, jeden einzelnen Faktor während des Untersuchungsprozesses zu identifizieren, um ihn anschließend gezielt behandeln zu können.

In der Literatur werden verschiedene Veränderungen der motorischen Kontrolle und Beweglichkeit im Bereich der HWS und BWS, des Glenohumeral- und Skapulothorakalgelenks beschrieben, die die verschiedenen Gewebearten im Bereich der Schulter potenziell überlasten können.

Anhand von 2 Fallbeispielen mit derselben Diagnosestellung wird die Wichtigkeit von Klassifizierungsmodellen für Schulterbeschwerden dargestellt, um den ursächlichen Mechanismus zu erkennen und anschließend gezielt zu behandeln.


Modern mechanism-based classification models are particularly helpful in decision making, diagnosis and subsequent therapy. Chronic shoulder complaints may be caused by a variety of biomechanical and non-mechanical sources. It is therefore important to identify each individual factor during the examination process in order to be able to treat selectively.

Several changes in mobility and motor control of the cervical and thoracic spine as wells as the glenohumeral and scapular thoracic joint have been described in the literature. These may lead to excessive strain in the various structures of the shoulder.

The importance of classification models for shoulder complaints is portrayed using two case studies with the same diagnosis. They demonstrate the importance of the identification of the underlying mechanism for the choice of specific treatment.

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