Sechs Richtige: Mit der Testbatterie die lumbale Bewegungskontrolle untersuchen

Zusammenfassung

WENIGER IST MEHR: Rückenschmerzen sind ein weit verbreitetes Problem, viele Physiotherapeuten behandeln sie sehr häufig. Inzwischen wissen wir, strukturelle Befunde sagen kaum etwas über die Beschwerden aus. Heute orientieren wir uns zunehmend an funktionellen Befunden, wie die klinische Instabilität. Wie können wir sie unkompliziert, mit wenigen Tests messen und behandeln?

• Literatur

• 1 Cheung KM, Karppinen J, Chan D et al. Prevalence and pattern of lumbar magnetic resonance imaging changes in a population study of one thousand forty-three individuals. Spine (Phila Pa 1976) 2009; 34: 934-40
• 2 Comerford MJ, Mottram SL. Functional stability re-training: principles and strategies for managing mechanical dysfunction. Manual Therapy 2001; 6: 3-14
• 3 Cook C, Brismee JM, Sizer PS. Subjective and objective descriptors of clinical lumbar spine instability: a Delphi study. Manual therapy 2006; 11: 11-21
• 4 Costa LO, Costa Lda C, Cancado RL et al. Short report: intra-tester reliability of two clinical tests of transversus abdominis muscle recruitment. Physiotherapy Research International : The Journal for Researchers and Clinicians in Physical Therapy; Physiotherapy Research International. The Journal for Researchers and Clinicians in Physical Therapy 2006; 11: 48-50
• 5 Flor H, Braun C, Elbert T et al. Extensive reorganization of primary somatosensory cortex in chronic back pain patients. Neurosci Lett 1997; 224: 5-8
• 6 Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine (Phila Pa 1976) 1996; 21: 2640-50
• 7 Jensen MC, Brant-Zawadzki MN, Obuchowski N et al. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 1994; 331: 69-73
• 8 Kjaer P, Leboeuf-Yde C, Korsholm L et al. Magnetic resonance imaging and low back pain in adults: a diagnostic imaging study of 40-year-old men and women. Spine (Phila Pa 1976) 2005; 30: 1173-80
• 9 Luomajoki H, Kool J, de Bruin ED et al. Movement control tests of the low back; evaluation of the difference between patients with low back pain and healthy controls. BMC Musculoskelet Disord 2008; 9: 170
• 10 Luomajoki H, Kool J, de Bruin ED et al. Improvement in low back movement control, decreased pain and disability, resulting from specific exercise intervention. Sports Med Arthrosc Rehabil Ther Technol 2010; 2: 11
• 11 Luomajoki H, Kool J, de Bruin ED et al. Reliability of movement control tests in the lumbar spine. BMC Musculoskelet Disord 2007; 8: 90
• 12 Luomajoki H, Moseley GL. Tactile acuity and lumbopelvic motor control in patients with back pain and healthy controls. Br J Sports Med 2011; 45: 437-40
• 13 Mannion AF, Pulkovski N, Gubler D et al. Muscle thickness changes during abdominal hollowing: an assessment of between-day measurement error in controls and patients with chronic low back pain. Eur Spine J 2008; 17: 494-501
• 14 O‘Sullivan P. Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism. Manual Therapy 2005; 10: 242-255
• 15 Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of spinal disorders 1992; 5: 383-9 discussion 397
• 16 Pulkovski N, Mannion AF, Caporaso F et al. Ultrasound assessment of transversus abdominis muscle contraction ratio during abdominal hollowing: a useful tool to distinguish between patients with chronic low back pain and healthy controls?. Eur Spine J 2011; 750-759
• 17 Rackwitz B, de Bie R, Limm H et al. Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials. Clin Rehabil 2006; 20: 553-67
• 18 Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. St.Louis: Mosby; 2002
• 19 van Dillen LR, Sahrmann SA, Norton BJ et al. Reliability of physical examination items used for classification of patients with low back pain. Physical Therapy 1998; 78: 979-988
• 20 van Trijffel E, Anderegg Q, Bossuyt PMM et al. Inter-examiner reliability of passive assessment of intervertebral motion in the cervical and lumbar spine: A systematic review. Manual Therapy 2005; 10: 256-269