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manuelletherapie 2018; 22(05): 233-240
DOI: 10.1055/a-0764-5166
Fallbericht
© Georg Thieme Verlag KG Stuttgart · New York

Funktionsbasierte Beurteilung der Belastbarkeit nach Wirbelsäulenverletzungen – Entscheidungshilfe für die Rückkehr zur körperlichen Aktivität

Function-Based Assessment of Physical Capacity after Spinal Injuries – Decision Making Guidance for Return to Daily Activities
Matthias Keller
1   OSINSTITUT, Bewegung für Orthopädie und Sportmedizin, München
,
Georg Supp
2   PULZ im Rieselfeld, Freiburg
,
Bernd Steinhoff
1   OSINSTITUT, Bewegung für Orthopädie und Sportmedizin, München
3   Achtzehn99 Reha GmbH, Zuzenhausen
,
Wolfgang Schoch
1   OSINSTITUT, Bewegung für Orthopädie und Sportmedizin, München
2   PULZ im Rieselfeld, Freiburg
,
Eduard Kurz
1   OSINSTITUT, Bewegung für Orthopädie und Sportmedizin, München
4   Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Martin-Luther-Universität Halle-Wittenberg , Halle (Saale)
› Author Affiliations
Further Information

Publication History

09/15/2018

10/08/2018

Publication Date:
07 January 2019 (online)

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Zusammenfassung

Bei einem jungen Fußballspieler mit Pedikelfraktur des 5. Lendenwirbelkörpers wurde der Verlauf der Rehabilitation mithilfe eines funktionsbasierten Return to Activity Algorithmus evaluiert und der Trainingsplan wöchentlich angepasst, um auf die nächsten Belastungsstufen vorzubereiten. 18 Wochen nach dem Trauma konnte der Patient so wieder mit einem fußballspezifischen Training beginnen und stufenweise ins Mannschaftstraining einsteigen. Nach 21 Wochen bestritt er sein erstes Pflichtspiel und blieb auch in der Folge verletzungsfrei.

Abstract

The rehabilitation of a young football player with a pedicle fracture of the 5th lumbar vertebral body was evaluated using a function-based return to activity algorithm. The training schedule was adapted weekly in order to prepare for the following rehabilitation steps. 18 weeks after the trauma the patient was able to start a soccer specific training and gradually join in the team training. After 21 weeks he performed his first regular game and afterwards remained without injury.

Schlüsselwörter

Pedikelfraktur - LWS - Testbatterie - funktionsbasierte Übungen - Return to Activity - Algorithmus

Key words

pedicle fracture - lumbar spine - test battery - function-based exercises - return to activity - algorithm
 

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