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Individuelle Stereotype der Koordination von Kopf- und Augenbewegungen

Ursache von Nacken und Schulterschmerzen?

Individual stereotype of the coordination of head and eye movements

Cause of neck and shoulder pain?

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Zusammenfassung

Hintergrund

Kombinierte Kopf- und Augenbewegungen zusammen mit Rumpfbewegungen definieren gemeinsam das Blickfeld. Beobachtungen von Blickbewegungen zeigen ein individuelles stereotypes Verhalten beim Vergleich der Anteile von Augen- und Kopfbewegung. Veränderungen der Umgebungsbedingungen für Blickbewegungen führen möglicherweise zur veränderten Benutzung von Nacken- und Schultermuskulatur, die von Verspannungen und Schmerzen in diesen Muskeln begleitet sein können.

Methode

Kinder verschiedenen Alters und eine Patientengruppe mit Nacken-Schulter-Syndrom wurden aufgefordert, alternierend von einer zentralen Diode auf eine stochastisch rechts oder links vom Probanden aufleuchtende Diode zu schauen, wodurch eine Blickbewegung im Winkel von 40° nach rechts bzw. links provoziert wird. Ein Ultraschallsystem greift die Kopfbewegung relativ zur Mittellinie ab.

Ergebnis

Bei den Patienten mit Nacken- und Schulterbeschwerden wiesen 82% einen über 50%igen Anteil von Augenbewegung an der Blickbewegung auf. Bei Kindern von 6–7 Jahren dagegen überwog die Kopfbewegung.

Schlussfolgerung

Bei Kindern herrscht ein Typ der Blickmotorik vor, der vorwiegend Kopfbewegungen beinhaltet. Physiologische Grundlagen für einen Zusammenhang zwischen den Stereotypen der Blickmotorik und der Entstehung eines Nacken-Schulter-Syndroms werden diskutiert.

Abstract

Background

Combined head and eye movements together with trunk movements define the visual field. Changes in surrounding conditions for the combination of eye and head movements in gaze shift movements cause changes in the use of neck and shoulder muscles. The individual relationship between head and eye movement may influence the development of painful symptoms in neck and shoulder muscles if the individual relationship cannot be realized.

Method

Children of various age groups and a group of patients with neck and shoulder pain were tested by alternately looking at a centrally and two peripherally placed shining diodes. This resulted in a gaze shift of 40° to the left or right. An ultrasound system was used to detect the horizontal head movement relative to the midline.

Results

In the group of patients with neck and shoulder pain 82% of subjects showed a proportion of eye movement in gaze shift of greater than 50%. In the age group of 6- and 7-year-old children, the proportion of head movement was greater than 50%.

Conclusion

In children a type of gaze motoric is dominant which predominantly consists of head movement. Physiological foundations for a connection between the stereotypes of gaze motoric and the origin of neck and shoulder pain are discussed.

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Authors and Affiliations

  1. Ärztehaus Mitte, Westbahnhofstraße 2, 07745, Jena, Deutschland

    L. Beyer

  2. Zentrum für Physikalische und Rehabilitative Medizin, Sophien- und Hufeland Klinikum Weimar, Weimar, Deutschland

    E.J. Seidel & J. Hartmann

  3. Studiengang Augenoptik/Optometrie, Fachhochschule Jena, Jena, Deutschland

    H.J. Grein

Authors
  1. L. Beyer
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  2. E.J. Seidel
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  3. H.J. Grein
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  4. J. Hartmann
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Correspondence to L. Beyer.

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Beyer, L., Seidel, E., Grein, H. et al. Individuelle Stereotype der Koordination von Kopf- und Augenbewegungen. Manuelle Medizin 45, 398–401 (2007). https://doi.org/10.1007/s00337-007-0560-7

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  • DOI: https://doi.org/10.1007/s00337-007-0560-7

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