Zusammenfassung
Diese Literaturarbeit untersuchte, ob ein propriozeptives Training an der HWS bessere Resultate erzielt als andere physiotherapeutische Interventionen. Die wenigen qualitativ guten Studien liefern Hinweise für die Effektivität eines propriozeptiven Trainings. Kopfpositionierungs-, okulomotorische und Augen-Kopf-Koordinationsübungen führen zusätzlich zu vermehrter Schmerzreduktion und verbesserter Tiefensensibilität. Zur Beurteilung koordinativer Störungen im klinischen Alltag ist der Joint position error (JPE) ein geeignetes Messinstrument. Er stellt die Abweichung von der natürlichen Kopfposition nach einer aktiven HWS-Bewegung dar.
Abstract
This review aims to assess whether a tailored sensorimotor exercise program achieves better results in patients with neck disorders than other treatments. The few good quality studies indicated the proprioceptive training’s effectiveness. In addition, exercises on cervical joint position sense, oculomotor exercises and exercises for eye-head coordination produce higher pain reduction and better joint position sense. The joint position error seems to be an appropriate tool for the clinical assessment of sensorimotor control disturbances in neck disorders. It shows the deviation from natural head position after active neck movement.
Schlüsselwörter
Nackenschmerzen - Propriozeption - Sensomotorik - Wahrnehmung der Gelenkposition - joint position error
Key words
neck pain - proprioception - sensorimotor control - joint position sense - joint position error
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1 Die Arbeit wurde im Rahmen des SVOMP-Nachdiplomstudiums zur Dipl.-Manualtherapeutin OMT SVOMP erstellt.
Evelyn Bärtschi
Uniklinik Balgrist
Zürich
Schweiz
eMail: evelyn.baertschi@googlemail.com
