Manuelle Therapie und gezielte Übungstherapie bei einer jungen Sportlerin mit patellofemoralen Schmerzen

Zusammenfassung

Der Fallbericht beschreibt den manualtherapeutischen Behandlungsprozess bei einer 25-jährigen Patientin mit patellofemoralem Schmerzsyndrom (PFPS). Grundlage der Behandlung bildete die systematische Analyse der Bewegungsfunktion im Hinblick auf proximale und distale Einflussfaktoren auf das Patellofemoralgelenk. Im Rahmen der 3-wöchigen Behandlung wurden die Schmerzintensität, die funktionelle und schmerzbedingte Einschränkung bei Alltagsaktivitäten, das Bewegungsausmaß und die subjektive Wahrnehmung der Veränderung gemessen.

Während der Behandlung ging die Schmerzintensität zurück, und die subjektive Wahrnehmung der funktionellen und schmerzbedingten Einschränkungen sowie die Bewegungsfunktion der behandelten Gelenke verbesserten sich klinisch relevant.

Im klinischen Alltag sollte besonderer Wert auf die individualisierte Analyse der Bewegungsstörung und proximalen sowie distalen Einflussfaktoren gelegt werden.

Abstract

This case report describes the manual therapeutic management of a 25-year old female patient with patellofemoral pain syndrome (PFPS). Treatment was based on a systematic analysis of the movement function of proximal and distal factors which influence the patellopfemoral joint. Within the scope of the 3-week treatment programme the pain intensity, functional and pain-related reduction in daily activities, range of motion and the subjective perception of changes were assessed.

During the treatment the pain intensity decreased, and the subjective perception of functional and pain-related disabilities and the joints’ functional mobility improved with clinical relevance.

In clinical practice special emphasis should be put on the individual analysis of movement dysfunction as well as proximal and distal influencing factors.

Schlüsselwörter

patellofemorales Schmerzsyndrom (PFPS) - clinical reasoning - malalignment - proximale Einflussfaktoren - distale Einflussfaktoren - Manipulation - Mobilisation - Stabilisierung Beinachse

Keywords

patellofemoral pain syndrome (PFPS) - clinical reasoning - malalignment - proximal influencing factors - distal influencing factors - manipulation - mobilisation - leg axis stabilisation

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