Funktionelle Einflussfaktoren



„Schmerz ist ein unangenehmes Sinnes- und Gefühlserlebnis, das mit aktueller oder potentieller Gewebeschädigung verknüpft ist oder mit Begriffen einer solchen Schädigung beschrieben wird.“ [10]


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  1. 1.
    Niemier K, Seidel W. Der Einfluss von muskulo-skeletaler Funktionsstörung auf chronische Schmerzsyndrome des Bewegungssystems. Schmerz 2007;21:139–145CrossRefPubMedGoogle Scholar
  2. 2.
    Bardeen C. The Muscularture. In Morris’s Human Anatomy. Ed. Jackson C, Blakiston’s Son and Co. 1921; 5:355Google Scholar
  3. 3.
    Graven-Nielsen. Fundamentals of muscle pain, referred pain, and deep tissue hyperalgesia. Scand J Rheumatol 2006; 35: 1–43CrossRefGoogle Scholar
  4. 4.
    Brückle W, Suckfüll M, Fleckstein W, Weiss C, Müller W Gewebe-pO2-Messungen in der verspannten Rückenmuskulatur (M. erector spinae). Z Rheumatol 1990; 49:208–216PubMedGoogle Scholar
  5. 5.
    Shah JP, Phillips TM, Danoff JV, Gerber LH. An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle. J Appl Physiol. 2005; 99(5):1977–1984CrossRefPubMedGoogle Scholar
  6. 6.
    Mense S. Neurobiologische Grundlagen der Chronifizierung vonMuskelschmerz. In: Mense S, Pongratz D (Hrsg) Chronischer Muskelschmerz. Steinkopf, Darmstadt 2003; 1:1–22Google Scholar
  7. 7.
    Janda V. Muskelfuntionstest. In: Janda V (Hrsg) Manuelle Muskelfunktionsdiagnostik. Ullstein-Mosby, 1994; 3: 11–248Google Scholar
  8. 8.
    Travell JG, Simons DG Background and Principles. In: Travell JG and Simons DG (eds) Myofacial pain and dysfunktion. The triggerpoint manual. Volume 1. Williams and Wilkins, 1983;1: 5–45Google Scholar
  9. 9.
    Lewit K. Verkettungen vonfunktionellen Störungen und Programmen der Motorik. In: Lewit K. Manuelle Medizin. Urban und Fischer 2007; 8:174–181Google Scholar
  10. 10.
    Merskey H, Albe-Fessard D, Bonica JJ et al. Pain terms: a list of definitions and notes on usage. Recommendet by IASP subcommittee on taxonomy. Pain 1979; 6: 249–252CrossRefGoogle Scholar
  11. 11.
    Cyriax J. Textbook of Orthopaedic Medicine, vol I. Diagnosis of Soft Tissue Lesions, 6th edn, 1975. BailliereTindall, LondonGoogle Scholar
  12. 12.
    Sachse J. Differentialdiagnostik der reversibel hypomobilen artikuláren Dysfunktion. Manuelle Med. 36. 1998: 176–181CrossRefGoogle Scholar
  13. 13.
    Barrack RL, Skinner HB, Buckley. SL Proprioception in the anterior cruciate deficient knee. Am J Sports Med 1989;17:1–6CrossRefPubMedGoogle Scholar
  14. 14.
    Barret D, Cobb A, Bentley G. Joint proprioception in normal, osteoarthritic and replaced knee. J Bone Joint Surg 1991;73:53–56Google Scholar
  15. 15.
    Revel M, Minguet M, Gregoy P, Valliant J, Manuel JL. Changes in cervicocephal kinesthesia after a proprioceptive rehabilitation programme in patients with neck pain: A randomized controlled study: Arch Phys Med Rehabil 1994; 75:895–899CrossRefPubMedGoogle Scholar
  16. 16.
    Hodges PW, Richardson C. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of the transverses abdominis. Spine 1996; 21(22): 2640–2650CrossRefPubMedGoogle Scholar
  17. 17.
    Hodges PW, Richardson CA. Delayed postural contraction of the transverses abdominis in low back pain associated with movement of the lower limb. J Spinal Disord 1998;11(1):46–56CrossRefPubMedGoogle Scholar
  18. 18.
    Byl N, Sinnott P. Variation in balance and body sway in middle aged addults. Spine 1991; 16:325–330CrossRefGoogle Scholar
  19. 19.
    Venna S, Hurri H, Alaranta H. Correlation between neurological leg deficit and reaction time of upper limbs among low back pain patients. Svand J Rehabil Med 1994; 26: 87–90Google Scholar
  20. 20.
    Taimela S, Osterman K, Alantara H, Soukka A, Kujala U. Long psychomotor reaction time in patients with chronic low back pain: Prelimanary report. Arch Phys Med Rehabil 1993;74:1161–1164PubMedGoogle Scholar
  21. 21.
    Videman T, Rauhala H, Asp S, Lindstrom K, Cedercreutz G, Kamppi M, Tola S. Patient handeling skill, back injuries and back pain: An intervention study in nursing. Spine 1989; 14:148–155CrossRefPubMedGoogle Scholar
  22. 22.
    Cholewicki J, Panjabi MM, Khachatryan A. Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture. Spine 1997; 22(19):2207–2212CrossRefPubMedGoogle Scholar
  23. 23.
    Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation and enhancement. J. spine diso. 1992;5(4):383–389CrossRefGoogle Scholar
  24. 24.
    Panjabi MM. The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J. spine diso. 1992;5(4):390–397CrossRefGoogle Scholar
  25. 25.
    Smith MD, Coppieters MW, Hodges PW. Postural activity of the pelvic floor muscles is delayed during rapid arm movements in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2007;18(8):901–911CrossRefPubMedGoogle Scholar
  26. 26.
    Panjabi M, Abumi K, Duranceau J, Oxland T. Spinal stability and intersegmental forces. A biomechanical model. Spine 1989;14(2):194–200CrossRefPubMedGoogle Scholar
  27. 27.
    Moseley GL, Hodges PW, Gandevia SC. Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements. Spine 2002; 27(2): E29–36CrossRefPubMedGoogle Scholar
  28. 28.
    Hides JA. Stokes MJ, Saide M, Jull GA, Cooper DH. Evidence of lumbar multifidus muscle waisting ispilateral to symptoms in patients with acute/subacute low back pain. Spine 1994; 19(2): 165–172PubMedGoogle Scholar
  29. 29.
    Parkola R, Rytökoski U, Kormano M. Magnetic resonance imaging of discs and trunk muscles in patients with chronic low back pain and healthy control subjects. Spine 1993;18(7):830–836CrossRefGoogle Scholar
  30. 30.
    Mattila M, Hurme M, Alaranta H, Paljärvi L, Kalimo H, Falck B, Letho M, Einola S, Järvinen M. The multifidus muscle in patients with lumbar disc herniation. A histochemical and morphometric analysis of intraoperative biopsies. Spine 1986; 11(7): 732–738CrossRefPubMedGoogle Scholar
  31. 31.
    Zhao WP, Kawaguchi Y, Matsui H, Kanamori M, Kimura. Histochemestry and morphology of the multifidus muscle in lumbar disk herniation. Spine 2000; 25(17):2191–2199CrossRefPubMedGoogle Scholar
  32. 32.
    Hodges PW, Eriksson AEM, Shirley D, Gandevia SC. Intraabdominal pressure increases the stiffness of the spine. J Biomech 2005; 38:1873–1880CrossRefPubMedGoogle Scholar
  33. 33.
    Smith MD, Russel A, Hodges PW. Disorders of breathing and continence have a stronger association with back pain than obesity and physical activity. Aust J Physiother 2006; 52(1):11–16PubMedGoogle Scholar
  34. 34.
    Radebold A, Cholewicki J, Panjabi M, Patel TC. Muscle responce pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine 2000;25(8):947–957CrossRefPubMedGoogle Scholar
  35. 35.
    Adkins DL, Boychuk J, Remple MS, Kleim JA. Motor training induces experience-specific patterns of plasticity across motor cortex and spinal cord. J Appl Physiol 2006; 101:1776–1782CrossRefPubMedGoogle Scholar
  36. 36.
    Sanes JN, Donoghue JP. Plasticity and primary motor cortex. Annu Rev Neurosci 2000; 23:393–415CrossRefPubMedGoogle Scholar
  37. 37.
    Tsao H, Hodges PW. Immediate changes in feedforward postural adjustments following voluntary motor training. Exp. Brain Res 2007;181:537–546CrossRefPubMedGoogle Scholar
  38. 38.
    O Sullivan PB, Twomey LT, Allison GT. Evaluation of specific stabilizing exercise in the tratment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine 1997;22: 2959–2967CrossRefPubMedGoogle Scholar
  39. 39.
    10. Pool-Goudzwaard A, van Dijke GH, van Gurp M, Mulder P, Snijders C, Stoeckart R. Contribution of pelvic floor muscles to the stiffness of the pelvic ring. Clin Biomech 2004;19(6):564–571CrossRefGoogle Scholar
  40. 40.
    Richardson CA, Snijders CJ, Hides JA, Damen L, Pas MS, Storm J. The relation between the transversus abdominis muscles, sacroiliac joint mechanics and low back pain. Spine 2002; 27(4): 399–405CrossRefPubMedGoogle Scholar
  41. 41.
    Vitti M, Fujiwara M, Basmajian J, lida M. The integrated roles of longus colli and sternoclaidomastoideus muscles: An electromyographic study. Anat Rec 1973;177:471–484CrossRefPubMedGoogle Scholar
  42. 42.
    Conley MS, Meyer RA, Bloomberg JJ, Feeback DL, Dudley GA. Noninvasive analysis of human neck muscle function. Spine 1995; 20:2505–2512CrossRefPubMedGoogle Scholar
  43. 43.
    Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine., 2004. 29(19): p. 2108–2114CrossRefPubMedGoogle Scholar
  44. 44.
    Falla DL, Jull GA, Hodges PW. Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res., 2004. 157(1): p. 43–48. Epub 2004, Feb 5CrossRefPubMedGoogle Scholar
  45. 45.
    Jull GA. Deep cervical flexor muscle dysfunction in whiplash. J Musculoskeletal Pain 2000;8:143–154CrossRefGoogle Scholar
  46. 46.
    Schleip R, Zorn A, Lehmann-Horn F, Klinger W. Active fascial contractibility: An in vitro mechanographic investigation. In: Findley TW, Schleip R (eds) Fascia Research-Basic science and implications for conventional and complementary health care. Elsevier Science Munich 2007Google Scholar
  47. 47.
    Zorn A, Schmitt FJ, Hodeck KF, Schleip R, Klingler W. The spring-like function of the lumbar fascia in human walking. In: Findley TW, Schleip R (eds) Fascia ResearchBasic science and implications for conventional and complementary health care. Elsevier Science Munich 2007Google Scholar
  48. 48.
    Vleeming A, Pool-Goudzwaard AL, Stoeckart R, van Wingerden JP, Snijders CJ. The posterior layer of the thoracolumbar fascia. 1st function in load transfer from spine to legs. Spine 1995;290(7):753–758CrossRefGoogle Scholar
  49. 49.
    Sachse J (1983) Die konstitutionelle Hypermobilität als Problem in der Rehabilitation von „vertebragenen“ Schmerzsyndromen. Psychiatr Neurol Med Psychol 35/10:629–633Google Scholar
  50. 50.
    Sachse J, Lewit K, Berger M (2004) Die lokale pathologische Hypermobilität. Man Med 42:17–26CrossRefGoogle Scholar
  51. 51.
    Schlling F (2007) Das familiäre systematisierte Hypermobilitätssyndrom bei generalisierter Bindegewebsschwäche. Akt Rheumat 32/6:341–348CrossRefGoogle Scholar
  52. 52.
    Jirout J (1966) Neuroradiologie. Volk und Gesundheit, Berlin 703Google Scholar
  53. 53.
    Sachse J (1984) Konstitutionelle Hypermobilität als Zeichen einer zentralen motorischen Koordinationsstörung. Man Med 22:116–121Google Scholar
  54. 54.
    Beighton PH, Grahame R, Bird HA (1983) Hypermobility of joints. Springer, Berlin Heidelberg New YorkGoogle Scholar
  55. 55.
    Hinzmann J (1989) Untersuchung der Beweglichkeit an jungen Erwachsenen im Alter von 18 bis unter 23 Jahren — Messungen von Gelenk-und Wirbelsäulenbewgungen mit Lotbzw. Kompasswinkelmesser. Med Diss, Med Fakultät Humboldt-Universität zu BerlinGoogle Scholar
  56. 56.
    Sachse J, Janda V (2002) Normuntersuchung der Beweglichkeit junger Erwachsener. Phys Med Rehab Med Kurort Med, 12:325–329CrossRefGoogle Scholar
  57. 57.
    Barron DF, Cohen BA, Geraghty MT, Violand R, Rowe PC (2002) Joint hypermobility is more common in children with chronic fatigue syndrome than in healthy controls. J Pediatr 141/3:421–425CrossRefGoogle Scholar
  58. 58.
    Acasuso-Diaz M, Collantes-Estevez E, Sanches-Guijo P (1993) Joint hyperlaxity and musculoligamentous lesions: study of a population of homogenous age, sex and physical exertion. Br J Rheumatol 32/2:120–122CrossRefGoogle Scholar
  59. 59.
    Scott D, Bird H, Wright V (1979) Joint Laxity leading to osteoarthrosis. Rheumatol Rehabil 18:167–169CrossRefPubMedGoogle Scholar
  60. 60.
    Otte P. Der Arthrose-Prozess I. Rheumatologie/Orthopädie 2000; 11:41Google Scholar
  61. 61.
    Al-Rawi Z, Nessan AH (1997) Joint hypermobility in patients with chondromalacia patellae. Br J Rheumatol 36/12;1324–1327CrossRefGoogle Scholar
  62. 62.
    Karaaslan Y, Haznedaroglu S, Ozturk M (2000) Joint hypermobility and primary fibromyalgia: a clinical enigma. J Rheumatol 27/7:1774–1776Google Scholar
  63. 63.
    Travell JG, Simons D G (1999) Myofascial pain and dysfunction. The trigger point manual. Vol 1: The upper half, 2nd edn. William Wilkins, Baltimore LondonGoogle Scholar
  64. 64.
    Sack RL, Auckley D, Auger R, Carskadon MA, Wright KP, Vitiello MV, Zhdanova IV. Circadian sleep disorder: Part I, Basic principles, shift work and jet lag disorders. An American Academie of sleep medicine review. Sleep 2007;30(11):1460–1483PubMedGoogle Scholar
  65. 65.
    Martinez-Lavin M, Hermosillo AG, Rosas M, Soto ME. Circadian studies of autonomic nervous balance in patients with fibromyalgia. A heart rate variability analysis. Arthritis Rheumathism 1998;41(11):1966–1971CrossRefGoogle Scholar
  66. 66.
    Samborski W, Stratz T, Kretzman WM, Mennet P, Müller W. Vergleichende Untersuchung über das Vorkommen vegetativer und funktioneller Beschwerden bei Lumbalgien und generalisierten Tendomyopathien. Z Rheumatol 1991;50:378–381PubMedGoogle Scholar
  67. 67.
    Friedrich HC, Schellberg D, Mueller K, Bieber C, Zipfel S, Eich W. Stress and autonome Dysregulation bei Patienten mit einem Fibromyalgiesyndrom. Schmerz 2005; 19:184–194Google Scholar
  68. 68.
    McLean SA, Williams DA, Stein PK et al. Cerebrospinal fluid corticotropin-releasing factor concentration is associated with pain but not fatigue symptoms in patients with fibromyalgia. Neuropharmacology 2006;31:2776–2782Google Scholar
  69. 69.
    Baraniuk JN, Whalen G, Cunningham J, Clauw DJ. Cerebrospinal fluid levels of opioid peptides in fibromyalgia and chronic low back pain. J Muscularskeletal disorders 2004; 5:48–58CrossRefGoogle Scholar
  70. 70.
    Laviriere WR, Melzack R The role of corticotropin releasing factor in pain and analgesia. Pain 2000;84:1–12CrossRefGoogle Scholar
  71. 71.
    Cohen H, Benjamin J, Geva AB, Matar MA, Kaplan Z, Kotier M. Autonomic dysregulation in panic disorder and in post-traumatic stress disorder: application of power spectrum analysis of heart rate variability at rest and in responce to recollection of trauma or panic attacks. Psychiatry Res 2000; 96:1–13CrossRefPubMedGoogle Scholar
  72. 72.
    Udupa K, Sathyaprabha TN, Thirthalli J, Kishore KR, Lavekar GS, Raju TR, Gangadhar BN. Alteration of cardiac autonomie functions in patients with major depression: A study using heart rate variability measures J Affect Disord 2007;100:137–141CrossRefPubMedGoogle Scholar
  73. 73.
    Wolff HD. Bemerkungen zum Begriff „Das Arthron“. 1981. Man. MedizinGoogle Scholar

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© Springer Medizin Verlag Heidelberg 2009

Authors and Affiliations

  1. 1.Klinik für Manuelle TherapieHamm
  2. 2.Klinik für Manuelle MedizinSana Kliniken SommerfeldKremmen

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