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Der Muskulatur mehr Aufmerksamkeit schenken!

More attention to the muscles!

Zusammenfassung

Kein aktives Programm ist einem anderen überlegen, was auch beim „unspezifischen“ unteren Rückenschmerz (LBP) gilt. Die Koordination ist nur eine Komponente. Ausdauer und Kraft sind die Logistikleistungen. Alle Funktionen stehen unter dem „Primat“ der Muskeltätigkeit. „Unspezifischer“ chronischer LBP bedeutet keine sicheren Schmerzursachen (?). Es ist das Stadium der sensomotorischen Defizite und Störungen. Standardmäßig wird aber im Magnetresonanztomogramm, obwohl ein Hauptbefund, eine sarkopenische Entwicklung nicht diagnostiziert. Das primäre Outcome ist die Muskelmorphologie. Das sekundäre sind Funktion, Schmerzen, Lebensqualität, Behinderung und psychische Faktoren. Der muskuläre Status bestimmt jedes Outcome.

Abstract

No active program is superior to another, which also applies to “nonspecific” lower back pain (LBP). Coordination is just one component. Endurance and strength are logistic functions. All functions are under the “primacy” of muscle activity. Nonspecific chronic LBP means no certain causes of pain (?). It is the stage of sensorimotor deficits and disturbances. However, although a main finding, sarcopenia development is not diagnosed on the MRI scan as standard. Primary outcome is the muscle morphology. Secondary outcomes are function, pain, quality of life, disability, and psychological factors. The muscular status determines every outcome.

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Laube, W. Der Muskulatur mehr Aufmerksamkeit schenken!. Manuelle Medizin (2021). https://doi.org/10.1007/s00337-021-00821-7

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Schlüsselwörter

  • Physische Aktivität
  • Funktionsstatus
  • Unterer Rückenschmerz
  • Motorische Kontrolle
  • Muskuloskeletales System

Keywords

  • Physical activity
  • Functional status
  • Low back pain
  • Motor control
  • Muskuloskeletal system