Zusammenfassung
Die Kraftmessung der peripheren Muskulatur erlaubt eine Einschätzung der muskulären Dysfunktion als eine der relevantesten Komorbiditäten bei COPD und chronischen Lungenerkrankungen. Die Ausprägung der Muskeldysfunktion bestimmt in hohem Maße die Prognose der Erkrankung und bestimmt den Alltag des Patienten. Daher sollte die Kraftmessung unbedingt Teil des pneumologischen Assessments sein. Die Ergebnisse der Messung stellen die Grundlage in der Einschätzung der funktionellen Kapazität dar und können für die Trainingsplanung genutzt werden. Welche Art der Kraftmessung bei Patienten durchgeführt wird, ist abhängig von dem Ziel der Kraftmessung sowie den äußeren Gegebenheiten. Übliche Messverfahren sind die Kraftermittlung mithilfe des Einwiederholungsmaximum (1RM) und die isometrische Handdynamometrie.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Literatur
Barreiro E, Gea J (2015) Respiratory and limb muscle dysfunction in COPD. COPD 12(4):413–426. https://doi.org/10.3109/15412555.2014.974737
Benz E, Trajanoska K, Lahousse L, Schoufour JD, Terzikhan N, de Roos E, de Jonge GB, Williams R, Franco OH, Brusselle G, Rivadeneira F (2019) Sarcopenia in COPD: a systematic review and meta-analysis. Eur Resp Rev 28(154). https://doi.org/10.1183/16000617.0049-2019
Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J (2006) Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy 92(1):11–15. https://doi.org/10.1016/j.physio.2005.05.003
Brandt J de, Spruit MA [Martijn A], Hansen D, Franssen FM, Derave W, Sillen MJ, Burtin C (2018) Changes in lower limb muscle function and muscle mass following exercise-based interventions in patients with chronic obstructive pulmonary disease: a review of the English-language literature. Chron Resp Dis 15(2):182–219. https://doi.org/10.1177/1479972317709642
Bui K-L, Nyberg A, Rabinovich R, Saey D, Maltais F (2019) The relevance of limb muscle dysfunction in chronic obstructive pulmonary disease: a review for clinicians. Clin Chest Med 40(2):367–383. https://doi.org/10.1016/j.ccm.2019.02.013
Büsching G, Widmer Leu C (2009) Kardiologie und Pneumologie (1. Aufl.). Gesundheitsberufe Physiotherapie: Bd. 3. Huber
Clark CJ, Cochrane LM, Mackay E, Paton B (2000) Skeletal muscle strength and endurance in patients with mild COPD and the effects of weight training. Eur Respir J 15(1):92–97. https://doi.org/10.1183/09031936.00.15109200
Cruz-Jentoft AJ, Sayer AA [Avan A] (2019) Sarcopenia. Lancet 393(10191):2636–2646. https://doi.org/10.1016/S0140-6736(19)31138-9
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA [Avan Aihie], Schneider SM, Sieber CC, Topinkova E, Vandewoude M, Visser M, Zamboni M (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 48(1):16–31. https://doi.org/10.1093/ageing/afy169
Deutsches Institut für Medizinische Dokumentation und Information (2018) ICD-10-GM Version 2019, Systematisches Verzeichnis, Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme, 10. Revision, Stand: 21.09.2018. https://www.dimdi.de/static/de/klassifikationen/icd/icd-10-gm/kode-suche/htmlgm2019/block-m60-m63.htm
Engelen MP, Wouters EF, Deutz NE, Does JD, Schols AM (2001) Effects of exercise on amino acid metabolism in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 163(4):859–864. https://doi.org/10.1164/ajrccm.163.4.2006137
Evans RA, Kaplovitch E, Beauchamp MK, Dolmage TE, Goldstein RS, Gillies CL, Brooks D, Mathur S (2015) Is quadriceps endurance reduced in COPD? A systematic review. Chest 147(3):673–684. https://doi.org/10.1378/chest.14-1079
Fisher J, Steele J, Bruce-Low S, Smith D (2011) Evidence-based resistance training recommendations. Med Sport 15(3):147–162. https://doi.org/10.2478/v10036-011-0025-x
Franklin BA, Balady GJ (Hrsg) (2000) ACSM’s guidelines for exercise testing and prescription, 6. Aufl. Lippincott Williams & Wilkins
Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee I-M, Nieman DC, Swain DP (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43(7):1334–1359. https://doi.org/10.1249/MSS.0b013e318213fefb
Gea J, Agustí A, Roca J (2013) Pathophysiology of muscle dysfunction in COPD. J Appl Physiol (Bethesda, Md.: 1985) 114(9):1222–1234. https://doi.org/10.1152/japplphysiol.00981.2012
Global Initiative for Chronic Obstructive Lung Disease (2019) GOLD report: global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. www.goldcopd.org
Gosker HR [Harry R], Zeegers MP, Wouters EFM [Emiel FM], Schols AMWJ [Annemie MWJ] (2007) Muscle fibre type shifting in the vastus lateralis of patients with COPD is associated with disease severity: a systematic review and meta-analysis. Thorax 62(11):944–949. https://doi.org/10.1136/thx.2007.078980
Kaelin ME, Swank AM, Adams KJ, Barnard KL, Berning JM, Green A (1999) Cardiopulmonary responses, muscle soreness, and injury during the one repetition maximum assessment in pulmonary rehabilitation patients. J Cardpulm Rehabil 19(6):366–372. https://doi.org/10.1097/00008483-199911000-00008
Kemmler WK, Lauber D, Wassermann A, Mayhew JL (2006) Predicting maximal strength in trained postmenopausal woman. J Strength Cond Res 20(4):838–842. https://doi.org/10.1519/R-18905.1
Knutzen KM, Brilla LR, Caine D (1999) Validity of 1RM prediction equations for older adults. J Strength Cond Res 13(3):242–246
Levinger I, Goodman C, Hare DL, Jerums G, Toia D, Selig S (2009) The reliability of the 1RM strength test for untrained middle-aged individuals. J Sci Med Sport 12(2):310–316. https://doi.org/10.1016/j.jsams.2007.10.007
Maltais F, Decramer M, Casaburi R, Barreiro E, Burelle Y, Debigaré R, Dekhuijzen PNR, Franssen F, Gayan-Ramirez G, Gea J, Gosker HR [Harry R], Gosselink R, Hayot M, Hussain SNA, Janssens W, Polkey MI [Micheal I], Roca J, Saey D, Schols AMWJ [Annemie MWJ], Wagner PD (2014). An official American Thoracic Society/European Respiratory Society statement: update on limb muscle dysfunction in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 189(9): e15–e62. https://doi.org/10.1164/rccm.201402-0373ST
Nyberg A, Saey D, Maltais F (2015) Why and how limb muscle mass and function should be measured in patients with chronic obstructive pulmonary disease. Ann Am Thorac Soc 12(9):1269–1277. https://doi.org/10.1513/AnnalsATS.201505-278PS
O'Shea SD, Taylor NF, Paratz JD (2009) Progressive resistance exercise improves muscle strength and may improve elements of performance of daily activities for people with COPD: a systematic review. Chest 136(5):1269–1283. https://doi.org/10.1378/chest.09-0029
Pleguezuelos E, Esquinas C, Moreno E, Guirao L, Ortiz J, Garcia-Alsina J, Merí A, Miravitlles M (2016) Muscular dysfunction in COPD: systemic effect or deconditioning? Lung 194(2):249–257. https://doi.org/10.1007/s00408-015-9838-z
Ribeiro F, Thériault M-E, Debigaré R, Maltais F (2013) Should all patients with COPD be exercise trained? J Appl Physiol. (Bethesda, Md.: 1985) 114(9):1300–1308. https://doi.org/10.1152/japplphysiol.01124.2012
Robles PG, Mathur S, Janaudis-Fereira T, Dolmage TE, Goldstein RS, Brooks D (2011) Measurement of peripheral muscle strength in individuals with chronic obstructive pulmonary disease: a systematic review. J Cardiopulm Rehabil Prev 31(1):11–24. https://doi.org/10.1097/HCR.0b013e3181ebf302
Schünke M, Schulte E, Schumacher U (2011) Allgemeine Anatomie und Bewegungssystem: 182 Tabellen, 3. Aufl. Georg Thieme Verlag, Thieme. https://eref.thieme.de/ebooks/866308#/ebook_866308_SL8243813. https://doi.org/10.1055/b-004-134445
Seymour JM [JM], Spruit MA [MA], Hopkinson NS [NS], Natanek SA, Man WD-C [WD-C], Jackson A, Gosker HR [HR], Schols AMWJ, Moxham J [J], Polkey MI [MI], Wouters EFM (2010) The prevalence of quadriceps weakness in COPD and the relationship with disease severity. Eur Respir J 36(1): 81–88. https://doi.org/10.1183/09031936.00104909
Shrikrishna D, Patel M, Tanner RJ, Seymour JM [John M], Connolly BA, Puthucheary, ZA, Walsh SLF, Bloch SA, Sidhu PS, Hart N, Kemp PR, Moxham J [John], Polkey MI [Michael I], Hopkinson NS [Nicholas S] (2012) Quadriceps wasting and physical inactivity in patients with COPD. Eur Respir J 40(5): 1115–1122. https://doi.org/10.1183/09031936.00170111
Swallow EB, Reyes D, Hopkinson NS [Nicholas S.], Man WD-C [William D-C], Porcher R., Cetti EJ, Moore AJ, Moxham J [John], Polkey MI [Michael I] (2007) Quadriceps strength predicts mortality in patients with moderate to severe chronic obstructive pulmonary disease. Thorax 62(2):115–120. https://doi.org/10.1136/thx.2006.062026
Vestbo J, Prescott E, Almdal T, Dahl M, Nordestgaard BG, Andersen T, Sørensen TIA, Lange P (2006) Body mass, fat-free body mass, and prognosis in patients with chronic obstructive pulmonary disease from a random population sample: findings from the Copenhagen City Heart Study. Am J Respir Crit Care Med 173(1):79–83. https://doi.org/10.1164/rccm.200506-969OC
Weineck J (2010) Sportbiologie (10., überarb. u. erw. Aufl). Spitta, Balingen
Wouters EFM (2005) Minimal clinically important differences in COPD: body mass index and muscle strength. COPD 2(1):149–155. https://doi.org/10.1081/copd-200050653
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Der/die Autor(en), exklusiv lizenziert an Springer-Verlag GmbH, DE, ein Teil von Springer Nature
About this chapter
Cite this chapter
Huhn, A. (2022). Kraftmessung der peripheren Muskulatur. In: Steier, J., Rausch-Osthoff, AK. (eds) Physiotherapie bei chronisch-obstruktiven Atemwegs- und Lungenerkrankungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63613-8_25
Download citation
DOI: https://doi.org/10.1007/978-3-662-63613-8_25
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-63612-1
Online ISBN: 978-3-662-63613-8
eBook Packages: Medicine (German Language)