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DOI: 10.1055/s-0042-108665
Untersuchung der Wirksamkeit eines im Verlauf des N. ischiadicus angebrachten Kinesiotapes auf Neurodynamik und Schmerz bei unilateraler offensichtlich-auffälliger neurodynamischer Reaktion
Randomisierte, kontrollierte Pilotstudie zur Evaluation des neurodynamischen Verhaltens unter besonderen BedingungenExamination of the Effect of a Kinesiotape Applied Along the Sciatic Nerve on Neurodynamics and Pain in Evident Unilateral Neurodynamic ReactionRandomised Controlled Pilot Study to Evaluate the Neurodynamic Reactions under Special ConditionsPublication History
Publication Date:
22 July 2016 (online)
Zusammenfassung
Der Effekt von Kinesiotape auf die Neurodynamik ist bislang nicht untersucht. Ziel der vorliegenden Arbeit war es, den Einfluss einer einmalige Applikation von Kinesiotape im Verlauf des N. ischiadicus auf den Straight-Leg-Raise-Test (SLR) und die Schmerzintensität bei Patienten mit einer unilateralen offensichtlich-auffälligen neurodynamischen Reaktion zu untersuchen.
Als Assessment dienten die Differenz des SLR, der Schmerzintensität und des Finger-Boden-Abstands vor und nach einer 20-minütigen Geheinheit auf einem Laufband sowie zwischen einer Interventions- und Kontrollgruppe. Der Interventionsgruppe wurde zusätzlich nach der 1. Messreihe und vor der Laufbandintervention ein Kinesiotape im Verlauf des N. ischiadicus appliziert, während die Kontrollgruppe die Intervention ohne Tape ausführte.
In der Interventionsgruppe zeigte sich eine statistische Verbesserung hinsichtlich des SLR. Die Schmerzintensität und der Finger-Boden-Abstand wiesen keine statistische Signifikanz auf.
Abstract
The effect of kinesiotape on neurodynamics has not been investigated to date. The aim of this study was to determine the influence of an one-off kinesiotape application along the sciatic nerve on the straight leg raise test (SLR) and on pain intensity in patients with evident unilateral neurodynamic reaction.
The difference of the SLR, the pain intensity and the finger floor distance before and after a 20 minutes treadmill walking as well as the difference between an intervention and a control group were used for assessment. The intervention group received an additional kinesiotape along the sciatic nerve after the first test series and before treadmill exercise whereas the control group performed the intervention without tape.
The intervention group showed a statistic improvement of the SLR. There was no statistic significance in pain intensity and finger to floor distance.
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Literatur
- 1 Adams C, Logue V. Studies in cervical spondylotic myelpathy: 1. Movement of the cervical roots, dura and cord, and their relation to the course of the extrathecal roots. Brain Res 1971; 94: 557-568
- 2 Antonaci F, Ghirmai S, Bono G, Nappi G. Current methods for cervical spine movement evaluation: a review. Clinical and Experimental Rheumatol 2000; 18: 45-52
- 3 Van den Berg F. Angewandte Physiologie. Bd. 4. Schmerzen verstehen und beeinflussen Stuttgart: Thieme; 2008
- 4 Beyerlein C, Hall T, Hansson U et al. Effektivität der Mulligan-Straight-Leg-Raise-Traktionstechnik auf die Beweglichkeit bei Patienten mit Rückenschmerzen. manuelletherapie 2002; 6: 61-68
- 5 Boland R, Adams R. Effects of adding ankle dorsiflexion to passive straight leg raising in patients with low back pain. Aust J Phys Ther 2000; 46: 191-200
- 6 Breig A. Adverse mechanical tension in the central nervous system. Stockholm: Almquist and Wicksell; 1978
- 7 Butler DS. Adverse mechanical tension in the nervous system: A model for assessment and treatment. Aust J Phys Ther 1989; 35: 227-238
- 8 Butler DS. Mobilisation des Nervensystems. Berlin: Springer; 1995
- 9 Calvin W, Devor M, Howe J. Can neuralgias arise from minor demyelination? Spontaneous firing, mechanosensitivity, and after discharge from conducting axons. Exp Neurol 1982; 75: 755-763
- 10 Chow R, Adams R, Herbert R. Straight leg raise test high reliability is not a motor memory artefact. Aust J Phys Ther 1994; 40: 107-111
- 11 Dixon JK, Keating JL. Variability in straight leg raise measurements: Review. Phys Ther 2000; 86: 361-370
- 12 Ensink FB, Saur PM, Frees K et al. Lumbar range of motion: Influence of time of day and individual factors on measurement. Spine 1996; 11: 1339-1343
- 13 Frost M, Stuckley S, Smalley LA et al. Reliability of measurement trunk motions in centimetres. Phys Ther 1982; 62: 1431-1437
- 14 Fu TC, Wong AM, Pei YC et al. Effect of Kinesio taping on muscle strength in athletes – a pilot study. J Sci Med Sports 2008; 11: 198-201
- 15 Gallagher EJ, Liebmann M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med 2001; 38: 633-638
- 16 Gauvin MG, Riddle DL, Rothstein JM. Reliability of clinical measurements of forward bending using the modified fingertip-to-floor method. Phys Ther 1990; 7: 443-447
- 17 Goddard M, Reid J. Movements induced by straight leg raising in the lumbosacral roots, nerves and plexus, and in the intrapelvic section of the sciatic nerve. J Neurol Neurosurg Psychiatry 1965; 28: 12-18
- 18 González-Iglesias J, Fernández-de-Las-Peñas C, Cleland JA et al. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Phys Ther 2009; 39: 515-521
- 19 Groth KJ, Gericke RE. Kleb den Schmerz einfach weg – Die innovative Therapie mit den Kinesio-Tapes. München: Herbig; 2005
- 20 Halseth T, McChesney J, DeBeliso M et al. The effects of kinesio taping on proprioception at the ankle. J Sports Sci Med 2004; 3: 1-7
- 21 Herrington L, Bendix K, Cornwell C et al. What is the normal response to structural differentiation within the slump and straight leg raise tests?. Manual Ther 2008; 13: 289-294
- 22 Hole De, Cook JM, Bolton JE. Reliability and concurrent validity of two instruments for measuring cervical range of motion: Effects of age and gender. Manual Ther 2000; 1: 36-42
- 23 Horre T. Finger-Boden-Abstand und Schober Test – Genügen diese Tests wissenschaftlichen Kriterien?. manuelletherapie 2004; 8: 55-65
- 24 Hoving JL, Buchbinder R, Green S et al. How reliably do rheumatologists measure shoulder movement?. Ann Rheum Dis 2002; 61: 612-616
- 25 Hsu YH, Chen WY, Lin HC et al. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyography Kinesiol 2009; 1: 1-8
- 26 Hyytiaeinen K, Salminen JJ, Suvitie T et al. Reproducibility of nine tests to measure spinal mobility and trunk muscle strenth. Scand J Rehabil Med 1991; 23: 3-10
- 27 Kase K, Hashimoto T. Changes in the Volume of the Peripheral Blood Flow by using Kinesio Taping. 1998 www.sportmedicine.ru/articles/changes_in_the_volume_of_the_peripheral_blood_flow_by_using_kinesio_taping.htm (26.11.2015))
- 28 Kelly AM. The minimum clinically significant difference in visual analogue scale pain score does not differ with severity of pain. Emerg Med J 2001; 18: 205-207
- 29 McLellan D, Swash M. Longitudinal sliding of the median nerve during movements of the upper limb. J Neurol Neurosurg Psychiatry 1976; 39: 556-570
- 30 Merino R, Mayorga D, Fernández E et al. Effect of Kinesio Taping on hip an lower trunk range of motion in triathletes. A pilot study. J Sport Health Res 2010; 2: 109-118
- 31 Müllner M. Erfolgreich wissenschaftlich arbeiten in der Klinik. Evidence based medicine. Wien: Springer; 2005
- 32 Oesch P, Schädler S, Hilfiker R et al. Assessments in der muskuloskelettalen Rehabilitation. Bern: Huber; 2007
- 33 Parreira P, Costa L, Hespanhol LC et al. Kinesio Taping to generate skin convolutions is not better than sham taping for people with chronic non-specific low back pain: a randomized trial. J Phys Ther 2014; 60: 90-96
- 34 Von Piekartz H, Egan-Moog M. Untere Extremität: Tests der Neurodynamik. Den Nerven auf der Spur. physiopraxis 2004; 2: 32-37
- 35 Rebain R, Baxter DG, McDonough S. A Systematic Review of the Passive Straight Leg Raising Test as a Diagnostic Aid for Low Back Pain (1989 to 2000). Spine 2002; 27: 388-395
- 36 Schomacher J. Gütekriterien der visuellen Analogskala zur Schmerzbewertung. physioscience 2008; 4: 125-133
- 37 Shacklock M. Clinical Neurodynamics. A new system of musculosceletal treatment. Amsterdam: Elsevier; 2005
- 38 Słupik A, Dwornik M, Białoszewski D et al. Effect of Kinesio Taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Orthop Traumatol Rehabil 2007; 9: 644-651
- 39 Thelen M, Dauber J, Stoneman P. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther 2008; 387: 389-395
- 40 Tsai HJ, Hung HC, Yang JL et al. Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study. Supp Care Can 2009; 2: 1-8
- 41 Valentine RE, Lewis JS. Intraobserver reliability of 4 physiologic movements of the shoulder in subjects with and without symptoms. Arch Phys Med Rehabil 2006; 87: 1242-1249
- 42 Viitanen JV, Lehtinen K, Suni J et al. Fifteen months follow-up of intensive inpatient physiotherapy and exercise in ankylosing spondylitis. Clin Rheumatol 1995; 14: 413-419
- 43 Wilgis S, Murphy R. The significance of longitudinal excursions in peripheral nerves. Hand Clinics 1986; 2: 761-786
- 44 Yasukawa A, Patel P, Sisung C. Pilot study: investigating the effects of Kinesio Taping in an acute pediatric rehabilitation setting. Am J Occup Ther 2006; 60: 104-110
- 45 Yoshida A, Kahanov L. The effect of kinesio taping on lower trunk range of motions. Res Sports Med 2007; 15: 103-112