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Kinder- und Jugendmedizin 2018; 18(02): 80-86
DOI: 10.1055/s-0038-1646134
Knochengesundheit/Skeletterkrankungen
Schattauer GmbH

Physiologie der Muskel- und Skelettentwicklung

Perspektiven für die KinderrehabilitationPhysiology of muscle and bone developmentPerspectives for pediatric rehabilitation
C. Stark
1   Klinik und Poliklinik für Kinder- und Jugendmedizin, Uniklinik Köln
,
O. Semler
1   Klinik und Poliklinik für Kinder- und Jugendmedizin, Uniklinik Köln
,
H.-K. Hoyer-Kuhn
1   Klinik und Poliklinik für Kinder- und Jugendmedizin, Uniklinik Köln
,
M. Rehberg
1   Klinik und Poliklinik für Kinder- und Jugendmedizin, Uniklinik Köln
,
E. Schönau
1   Klinik und Poliklinik für Kinder- und Jugendmedizin, Uniklinik Köln
2   Zentrum für Prävention und Rehabilitation, UniReha GmbH, Uniklinik Köln
› Author Affiliations
Further Information

Publication History

Eingereicht am: 22 September 2017

angenommen am: 30 September 2017

Publication Date:
27 April 2018 (online)

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Zusammenfassung

Mechanische Kräfte sind essenziell, um die Funktionen von Geweben, wie dem Knochen, aufrechtzuerhalten. Die Wichtigkeit der Muskulatur und deren einwirkende Kräfte auf den Knochen für die Skelettentwicklung sind seit langem bekannt. Das Konzept der funktionellen Muskel-Knochen-Einheit empfiehlt die konsequente Überprüfung der Muskulatur, um primäre von sekundären Skeletterkrankungen zu unterscheiden. Beide haben ein erhöhtes Frakturrisiko gemeinsam, welches es gilt, durch rehabilitative Maßnahmen zu minimieren. Effektive Rehabilitationskonzepte mit Schwerpunkt der Mobilität sollten die Zusammenhänge der Inaktivität und neuromuskulären Kommunikation berücksichtigen. Das multimodale Rehabilitationsprogramm „Auf die Beine“ für Kinder und Jugendliche mit Bewegungsstörungen ist translational aus Modellen zur funktionellen Muskel-Knochen-Einheit entstanden und es konnte eine positive Entwicklung der Mobilität bei Kindern und Jugendlichen mit Störungen der Mobilität nach Teilnahme festgestellt werden.

Summary

Mechanical forces are essential to maintain the homeostasis of tissues, such as bone. The importance of muscles and their forces acting on bone are well known for skeletal development. The concept of the functional muscle-bone unit recommends the consequent muscular testing to discriminate between primary and secondary skeletal disorders. Both have an increased risk of fracture, which should be minimized by rehabilitation strategies. Effective rehabilitation concepts with emphasis on mobility should take the relationships of inactivity and neuromuscular communication into account. The multimodal rehabilitation program „Auf die Beine“ for children and adolescents with movement disorders has emerged translationally from the functional muscle-bone unit model. A positive development of mobility has been shown for children and adolescents with mobility disorders after participation.

Schlüsselwörter

Funktionelle Muskel-Knochen-Einheit - Skeletterkrankungen - Frakturrisiko - Rehabilitation

Keywords

Functional muscle-bone-unit - skeletal disorders - fracture risk - rehabilitation
 

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