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Sportphysio 2017; 05(03): 135-141
DOI: 10.1055/s-0043-105610
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Georg Thieme Verlag KG Stuttgart · New York

Adäquate Aktivierung der Arm- und Schultermuskeln

Martin Pühringer
,
Gerda Strutzenberger
,
Konrad Holzner
,
Hermann Schwameder
Further Information

Publication History

Publication Date:
10 August 2017 (online)

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Zusammenfassung

REHA AN DER KLETTERWAND Therapeutisches Klettern wird zunehmend in der Behandlung von orthopädisch-traumatischen Erkrankungen eingesetzt. Allerdings liegen nur wenige wissenschaftliche Erkenntnisse über die Wirkungsweise dieser Behandlungsmethode vor. Die vorliegende Studie liefert erstmals Daten über die Aktivierung der Arm- und Schultermuskeln während einer statischen therapeutischen Kletterübung und zeigt Möglichkeiten auf, diese mittels verschiedener Übungsvariationen zu verändern.

 

  • Literatur

  • 1 Boettcher CE, Ginn KA, Cathers I. Standard maximum isometric voluntary contraction tests for normalizing shoulder muscle EM G. J Orthop Res 2008; 26: 1591-1597
    CrossrefPubMedGoogle Scholar
  • 2 Buechter RB, Fechtelpeter D. Climbing for preventing and treating health problems: A systematic review of randomized controlled trials. GM S Ger Med Sci. 2011 09. Doc19
    Google Scholar
  • 3 Cools AM, Borms D, Cottens S. et al. Rehabilitation exercises for athletes with biceps disorders and SLAP lesions: A continuum of exercises with increasing loads on the biceps. Am J Sports Med 2014; 42: 1315-1322
    CrossrefPubMedGoogle Scholar
  • 4 Cools AM, 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: 692-697
    CrossrefPubMedGoogle Scholar
  • 5 Ekstrom RA, Donatelli RA, Soderberg GL. Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles. J Orthop Sports Phys Ther 2003; 33: 247-258
    CrossrefPubMedGoogle Scholar
  • 6 Ellenbecker TS, Cools A. Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: An evidence-based review. Br J Sports Med 2010; 44: 319-327
    CrossrefPubMedGoogle Scholar
  • 7 Engbert K, Weber M. The effects of therapeutic climbing in patients with chronic low back pain. Spine (Phila Pa 1976) 2011; 36: 842-849
    CrossrefPubMedGoogle Scholar
  • 8 Grzybowski C, Donath L, Wagner H. Association between trunk muscle activation and wall inclination during various static climbing positions: Implications for therapeutic climbing. Sportverletz · Sportschaden 2014; 28: 75-84
    PubMedGoogle Scholar
  • 9 Grzybowski C, Eils E. Therapeutic climbing – Barely explored but widely used. Sportverletz · Sportschaden 2011; 25: 87-92
    PubMedGoogle Scholar
  • 10 Heitkamp H-C, Mayer F, Böhm S. Effekte eines Klettertrainings im Vergleich zu isokinetischem Krafttraining auf die wirbelsäulenstabilisierende Muskulatur. Aktuelle Rheumatol 1999; 24: 40-46
    Article in Thieme ConnectGoogle Scholar
  • 11 Heitkamp HC, Wörner C, Horstmann T. Klettertraining bei Jugendlichen: Erfolge für die wirbelsäulenstabilisierende Muskulatur. Sportverletz · Sportschaden 2005; 19: 28-32
    PubMedGoogle Scholar
  • 12 Hermens HJ, Freriks B, Disselhorst-Klug C. et al. Development of recommendations for SE MG sensors and sensor placement procedures. J Electromyogr Kinesiol 2000; 10: 361-374
    CrossrefPubMedGoogle Scholar
  • 13 Ben KiblerW, Sciascia AD, Uhl TL. et al. Electromyographic analysis of specific exercises for scapular control in early phases of shoulder rehabilitation. Am J Sports Med 2008; 36: 1789-1798
    CrossrefPubMedGoogle Scholar
  • 14 Kim S-H, Seo D-Y. Effects of a therapeutic climbing program on muscle activation and SF -36 scores of patients with lower back pain. J Phys Ther Sci 2015; 27: 743-746
    CrossrefPubMedGoogle Scholar
  • 15 Lazik D, Bernstädt W, Kittel R. et al. Therapeutisches Klettern. Stuttgart: Thieme; 2008
    Google Scholar
  • 16 Ludewig P, Borstead J. The shoulder complex. In: Levangie P, Norkin C (eds.). Joint structure and function. A comprehensive analysis 2005; 233-271
    Google Scholar
  • 17 Ludewig PM, Braman JP. Shoulder impingement: Biomechanical considerations in rehabilitation. Man Ther 2011; 16: 33-39
    CrossrefPubMedGoogle Scholar
  • 18 Ludewig PM, Reynolds JF. The association of scapular kinematics and glenohumeral joint pathologies. J Orthop Sports Phys Ther 2009; 39: 90-104
    CrossrefPubMedGoogle Scholar
  • 19 Mally F, Litzenberger S, Sabo A. Surface electromyography measurements of dorsal muscle cross-activation in therapeutic climbing. Procedia Eng 2013; 60: 22-27
    CrossrefGoogle Scholar
  • 20 Muehlbauer T, Granacher U, Jockel B. et al. Muscle activation during therapeutic climbing exercises. Sportverletz · Sportschaden 2013; 27: 162-168
    PubMedGoogle Scholar
  • 21 Muehlbauer T, Stuerchler M, Granacher U. Effects of climbing on core strength and mobility in adults. Int J Sports Med 2012; 33: 445-451
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Park B, Kim J, Kim J. et al. Comparative analysis of trunk muscle activities in climbing of during upright climbing at different inclination angles. J Phys Ther Sci 2015; 27: 3137-3139
    CrossrefPubMedGoogle Scholar
  • 23 Struyf F, Nijs J, Baeyens J-P. et al. Scapular positioning and movement in unimpaired shoulders, shoulder impingement syndrome, and glenohumeral instability. Scand J Med Sci Sports 2011; 21: 352-358
    CrossrefPubMedGoogle Scholar
  • 24 Tucci HT, Ciol MA, De Araújo RC. et al. Muscle activation of selected shoulder muscles during unilateral wall and bench press tasks under submaximal isometric effort. J Orthop Sport Phys Ther 2011; 41: 520-525
    Google Scholar
  • 25 Wilk K, Reinold M, Dugas J. et al. Current concepts in the recognition and treatment of superior labral (SLAP ) lesions. J Orthop Sport Phys Ther 2005; 35: 273-291
    Google Scholar