Skip to main content
SpringerLink
Log in

Insuffiziente Stabilisation der Wirbelsäule

  • Chapter
Funktionelle Schmerztherapie des Bewegungssystems

  • 4417 Accesses

Zusammenfassung

Die unzureichende muskuläre Stabilisierung der Wirbelsäule wird häufig als andauende Ursache von noziozeptiven Reizen im muskuloskelettalen System [41] betrachtet. Insbesondere die für segmentale Instabilitäten typischen unkontrollierten Bewegungen in der Neutralzone (► Kap. 1.5.1 ) können durch Überbelastung oder wiederholte Mikrotraumata zur Sensibilisierung der umliegenden osseoligamentären und neuralen Gewebe sowie zur Entstehung von Funktionsstörungen der Gelenke und Muskulatur beitragen [40]. Eine ausreichende Stabilität bietet daher einen wichtigen Schutz für diese Strukturen und Funktionen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  1. Bouche K, Stevens V, Cambier D et al. (2006) Comparison of postural control in unilateral stance between healthy controls and lumbar discectomy patients with and without pain. Eur Spine J. 15:423–432. Epub 2005 Aug 2018

    Article  PubMed  Google Scholar 

  2. Brumagne S, Cordo P, Lysens R et al. (2000) The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine 25:989–994

    Article  PubMed  CAS  Google Scholar 

  3. Brumagne S, Lysens R, Swinnen S et al. (1999) Effect of paraspinal muscle vibration on position sense of the lumbosacral spine. Spine 24:1328–1331

    Article  PubMed  CAS  Google Scholar 

  4. Brumagne S, Lysens R, Verschueren S et al. (1998) Effect of multifidus muscle vibration on position sense of the lumbosacral spine in men and women without low back pain. In: Vleeming A, Mooney V, Tilscher H, Dorman T, Snijders C (eds) Third interdisciplinary World Congress on Low Back and Pelvic Pain. Vienna, p 285–286

    Google Scholar 

  5. Cholewicki J, Panjabi MM, Khachatryan A (1997) Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture. Spine 22:2207–2212

    Article  PubMed  CAS  Google Scholar 

  6. Cowan SM, Bennell KL, Crossley KM et al. (2002) Physical therapy alters recruitment of the vasti in patellofemoral pain syndrome. Med Sci Sports Exerc 34:1879–1885

    Article  PubMed  Google Scholar 

  7. Cowan SM, Bennell KL, Hodges PW et al. (2003) Simultaneous feedforward recruitment of the vasti in untrained postural tasks can be restored by physical therapy. J Orthop Res 21:553–558

    Article  PubMed  Google Scholar 

  8. Cowan SM, Hodges PW, Bennell KL et al. (2002) Altered vastii recruitment when people with patellofemoral pain syndrome complete a postural task. Arch Phys Med Rehabil 83:989–995

    Article  PubMed  Google Scholar 

  9. Critchley D, Coutts F (2002) Abdominal muscle function in chronic low back pain patients: measurement with real-time ultrasound scanning. Physiotherapy Canada 88:322–332

    Google Scholar 

  10. Della Volpe R, Popa T, Ginanneschi F et al. (2006) Changes in coordination of postural control during dynamic stance in chronic low back pain patients. Gait Posture. 24:349–355. Epub 2005 Nov 2028

    Article  Google Scholar 

  11. Falla D (2004) Unravelling the complexity of muscle impairment in chronic neck pain. Man Ther 9:125–133

    Article  PubMed  CAS  Google Scholar 

  12. Falla D, Jull G, Russell T et al. (2007) Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 87:408–417. Epub 2007 Mar 2006

    Article  PubMed  Google Scholar 

  13. Falla D, O’Leary S, Fagan A et al. (2007) Recruitment of the deep cervical flexor muscles during a posturalcorrection exercise performed in sitting. Man Ther. 12:139–143. Epub 2006 Aug 2008

    Article  PubMed  Google Scholar 

  14. Falla D, O’Leary S, Fagan A et al. (2006) Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Man Ther 7:7

    Google Scholar 

  15. Goldby LJ, Moore AP, Doust J et al. (2006) A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy on chronic low back disorder. Spine. 31:1083–1093

    Article  PubMed  Google Scholar 

  16. Hamilton C (2006) Physiotherapie bei Schleudertrauma (Beilage in physiopraxis 11–12/06). Physiopraxis 11–12

    Google Scholar 

  17. Hamilton CF, Richardson CA (1998) Active Control of the Neutral Lumbopelvic Posture: Comparison between Back Pain and Non Back Pain Subjects. In: Vleeming A, Mooney V, Tilscher H, Dorman T, Snijders C (eds) 3rd Interdisciplinary World Congress on Low back and Pelvic pain. Vienna, Austria

    Google Scholar 

  18. Hamilton Cf, Richardson Ca (1999) Stabilität eine vielfältige Aufgabe. In: Klein-Vogelbach S, Werbeck B, Spirgi- Gantert I (eds) Funktionelle Bewegungslehre. Springer, p 297–340

    Google Scholar 

  19. Hides J, Stokes M, Jull G et al. (1994) Evidence of lumbar spine multifidus muscle wasting ipsilateral to symptoms in patients with low back pain. Spine 19:165–172

    Article  PubMed  CAS  Google Scholar 

  20. Hides JA, Jull GA, Richardson CA (2001) Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine 26:243–248

    Article  Google Scholar 

  21. Hides JA, Miokovic T, Belavy Dl et al. (2007) Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study. J Orthop Sports Phys Ther. 37:480–486

    PubMed  Google Scholar 

  22. Hodges PW, Gandevia SC (2000) Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. J Appl Physiol 89:967–976

    PubMed  CAS  Google Scholar 

  23. Hodges PW, Gandevia SC, Richardson CA (1997) Contractions of specific abdominal muscles in postural tasks are affected by respiratory maneuvers. J Appl Physiol 83:753–760

    PubMed  CAS  Google Scholar 

  24. Hodges PW, Heijnen I, Gandevia SC (2001) Postural activity of the diaphragm is reduced in humans when respiratory demand increases. J Physiol 537:999–1008

    Article  PubMed  CAS  Google Scholar 

  25. Hodges PW, Richardson CA (1996e) Inefficient muscular stabilization of the lumbar spine associated with low back pain. Spine 21:2640–2650

    Article  CAS  Google Scholar 

  26. Hodges PW, Sapsford R, Pengel LH (2007) Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn. 26:362–371

    Article  PubMed  CAS  Google Scholar 

  27. Hurwitz El, Morgenstern H (1999) Cross-sectional associations of asthma, hay fever, and other allergies with major depression and low-back pain among adults aged 20–39 years in the United States. Am J Epidemiology 150:1107–1116

    Article  CAS  Google Scholar 

  28. Jackson M, Solomonow M, Zhou B et al. (2001) Multifi- dus EMG and tension-relaxation recovery after prolonged static lumbar flexion. Spine 26:715–723

    Article  PubMed  CAS  Google Scholar 

  29. Jull G, Sterling M, Kenardy J et al. (2007) Does the presence of sensory hypersensitivity influence outcomes of physical rehabilitation for chronic whiplash?–A preliminary RCT. Pain. 129:28–34. Epub 2007 Jan 2010

    Article  PubMed  CAS  Google Scholar 

  30. Jull G, Trott P, Potter H et al. (2002) A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine 27:1835–1843

    Article  PubMed  Google Scholar 

  31. Jull GA, Richardson CA, Hamilton CF et al. (1995) Towards the validation of a clinical test for the deep abdominal muscles in back pain patients. In: Jull GA (ed) Ninth Biennial Conference of the Manipulative Physiotherapists Association of Australia. Manipulative Therapists Association of Australia, Gold Coast, Queensland, Australia, p 65–66

    Google Scholar 

  32. Mok NW, Brauer SG, Hodges PW (2004) Hip strategy for balance control in quiet standing is reduced in people with low back pain. Spine. 29:E107–112

    Article  PubMed  Google Scholar 

  33. Moseley L (2002) Combined physiotherapy and education is efficacious for chronic low back pain. Aust J Physiother 48:297–302

    PubMed  Google Scholar 

  34. Nordin M, Hiebert R, Pietrek M et al. (2002) Association of comorbidity and outcome in episodes of nonspecific low back pain in occupational populations. J Occup Environ Med 44:677–684

    Article  PubMed  Google Scholar 

  35. O’Sullivan P, Dankaerts W, Burnett A et al. (2006) Lumbopelvic kinematics and trunk muscle activity during sitting on stable and unstable surfaces. J Orthop Sports Phys Ther. 36:19–25

    PubMed  Google Scholar 

  36. O’Sullivan PB, Beales DJ, Beetham JA et al. (2002) Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test. Spine 27:E1–8

    Article  PubMed  Google Scholar 

  37. O’Sullivan PB, Dankaerts W, Burnett AF et al. (2006) Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population. Spine. 31:E707–712

    Article  PubMed  Google Scholar 

  38. O’Sullivan PB, Grahamslaw KM, Kendell M et al. (2002) The effect of different standing and sitting postures on trunk muscle activity in a pain-free population. Spine 27:1238–1244

    Article  PubMed  Google Scholar 

  39. O’Sullivan PB, Phyty GD, Twomey LT et al. (1997) Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine 22:2959–2967

    Article  PubMed  Google Scholar 

  40. Panjabi M (1992) The stabilising system of the spine. Part II. Neutral zone and stability hypothesis. Journal of Spinal Disorders 5:390–397

    Article  PubMed  CAS  Google Scholar 

  41. Panjabi MM (1992) The stabilizing system of the spine. Part I. Function, dysfunction, adaptation and enhancement. Journal of Spinal Disorders 5:383–389

    Article  PubMed  CAS  Google Scholar 

  42. Popa T, Bonifazi M, Della Volpe R et al. (2007) Adaptive changes in postural strategy selection in chronic low back pain. Exp Brain Res. 177:411–418

    Article  PubMed  Google Scholar 

  43. Radebold A, Cholewicki J, Polzhofer GK et al. (2001) Impaired postural control of the lumbar spine is associated with delayed muscle response times in patients with chronic idiopathic low back pain. Spine 26:724–730

    Article  PubMed  CAS  Google Scholar 

  44. Ratzon Nz, Froom P (2006) Postural control in nurses with and without low back pain. Work. 26:141–145

    PubMed  Google Scholar 

  45. Revel M, Minguet M, Gregory P et al. (1994) Changes in cervicocephalic kinaesthesia after a proprioceptive rehabilitation program in patients with neck pain: A ramdomised control study. Archives of Physical Medicine and Rehabilitation 75:895–899

    Article  PubMed  CAS  Google Scholar 

  46. Richardson C, Jull G, Hodges P et al. (2004) Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain: Scientific basis and clinical approach. Churchil Livingstone, London

    Google Scholar 

  47. Richardson CA, Snijders CJ, Hides JA et al. (2002) The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine 27:399–405

    Article  PubMed  Google Scholar 

  48. Sapsford RR, Hodges PW, Richardson CA et al. (2001) Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn 20:31–42

    Article  PubMed  CAS  Google Scholar 

  49. Scheffer AC, Schuurmans MJ, van Dijk N et al. (2008) Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing. 37:19–24

    Article  PubMed  Google Scholar 

  50. Smith M, Coppieters MW, Hodges PW (2005) Effect of experimentally induced low back pain on postural sway with breathing. Exp Brain Res. 166:109–117. Epub 2005 Jul 2020

    Article  PubMed  Google Scholar 

  51. Smith MD, Coppieters MW, Hodges PW (2008) Is balance different in women with and without stress urinary incontinence? Neurourol Urodyn. 27:71–78

    Article  PubMed  Google Scholar 

  52. Smith MD, Coppieters MW, Hodges PW (2007) Postural response of the pelvic floor and abdominal muscles in women with and without incontinence. Neurourol Urodyn. 26:377–385

    Article  PubMed  Google Scholar 

  53. Smith MD, Russell A, Hodges PW (2006) Disorders of breathing and continence have a stronger association with back pain than obesity and physical activity. Aust J Physiother. 52:11–16

    Article  PubMed  Google Scholar 

  54. Teyhen DS, Gill NW, Whittaker Jl et al. (2007) Rehabilitative ultrasound imaging of the abdominal muscles. J Orthop Sports Phys Ther. 37:450–466

    PubMed  Google Scholar 

  55. Treleaven J, Jull G, Lowchoy N (2005) Smooth pursuit neck torsion test in whiplash-associated disorders: relationship to self-reports of neck pain and disability, dizziness and anxiety. J Rehabil Med. 37:219–223

    Article  PubMed  Google Scholar 

  56. Treleaven J, Jull G, Sterling M (2003) Dizziness and unsteadiness following whiplash injury: characteristic features and relationship with cervical joint position error. J Rehabil Med 35:36–43

    Article  PubMed  Google Scholar 

  57. Tsao H, Hodges PW (2007) Immediate changes in feedforward postural adjustments following voluntary motor training. Exp Brain Res 3:3

    Google Scholar 

  58. Tsao H, Hodges PW (2007) Persistence of improvements in postural strategies following motor control training in people with recurrent low back pain. J Electromyogr Kinesiol 1:1

    Google Scholar 

  59. Zhao WP, Kawaguchi Y, Matsui H et al. (2000) Histochemistry and morphology of the multifidus muscle in lumbar disc herniation: comparative study between diseased and normal sides. Spine 25:2191–2199

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Anna-Rosenthal Weg 41, 91052, Erlangen

    Christine Hamilton

Authors
  1. Christine Hamilton
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Klinik für Manuelle Therapie, Ostenallee 83, 59071, Hamm

    Kay Niemier (Chefarzt) (Chefarzt)

  2. Klinik für Manuelle Medizin, Sana Kliniken Sommerfeld, Waldhausstraße, 16766, Kremmen

    Wolfram Seidel (Chefarzt) (Chefarzt)

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Hamilton, C. (2012). Insuffiziente Stabilisation der Wirbelsäule. In: Niemier, K., Seidel, W. (eds) Funktionelle Schmerztherapie des Bewegungssystems. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20576-7_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-20576-7_21

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-20575-0

  • Online ISBN: 978-3-642-20576-7

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation