Klinimetrie der Halspropriozeption

Zusammenfassung

Nackenschmerzen sind ein weit verbreitetes Problem, dessen pathophysiologische Ursache in einer gestörten Halspropriozeption liegen kann. Die in den dem vorliegenden Review zugrunde liegenden Untersuchungen zur Halspropriozeption verwendeten Testmethoden wurden bezüglich Test-Retest-Zuverlässigkeit, Sensitivität, Spezifität und Validität beurteilt. Außerdem wurde die Eignung der in der Literatur beschriebenen Tests für ein klinisches Setting nach Maitland geprüft. Bis zur letzten Dekade war der Relokationstest der entscheidende Test zur Objektivierung propriozeptiver Störungen. Aufgrund neuer Erkenntnisse und technischer Fortschritte wurden in letzter Zeit weitere Tests entwickelt und geprüft, von denen der Smooth Pursuit Neck Torsion Test (SPNTT) derzeit der sensitivste, spezifischste und valideste ist.

Abstract

Neck pain is a common problem whose pathophysiology may originate in a cervical proprioceptive disorder. This review evaluates test methods applied in the examination of neck proprioception regarding their test-retest reliability, sensitivity, specificity and validity. In addition, the suitability of the tests described in the literature for a clinical Maitland setting was assessed. Up until the last decade the relocation test was the key test for objective assessment of proprioceptive disorders. Recent findings and technical expertise have led to the development and evaluation of further tests of which the smooth pursuit neck torsion test (SPNTT) is currently the most sensitive, specific and valid test.

Schlüsselwörter

Nackenschmerzen - Gelenkpositionsfehler - Gelenkpositionssinn - Kinästhesie - kraniozervikaler Relokationstest - kraniozervikale Sensibilität

Key words

neck pain - joint position error - joint position sense - kinesthetics - craniocervical relocation test - craniocervical sensibility

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