Subscribe to RSS
DOI: 10.1055/s-0031-1281909
© Georg Thieme Verlag KG Stuttgart · New York
Symptome der medialen Epikondylopathie aufgrund von Schulterinstabilität im Kampfsport
Bedeutung der funktionellen Bewegungsanalyse anhand eines FallbeispielsMedial Epicondylopathy Symptoms Due to Shoulder Instability in Combatant SportsRelevance of Functional Movement Analysis by Means of a Case StudyPublication History
Manuskript eingetroffen: 19.5.2011
Manuskript akzeptiert: 11.8.2011
Publication Date:
19 December 2011 (online)
![](https://www.thieme-connect.de/media/manuelletherapie/201105/lookinside/thumbnails/10.1055-s-0031-1281909-1.jpg)
Zusammenfassung
Die vorliegende Einzelfallstudie beschreibt die Bedeutung der im Maitland-Konzept vorkommenden funktionellen Demonstration. Es konnte gezeigt werden, dass beim klinischen Bild der medialen Epikondylopathie die Schulter als beitragender Faktor zu sehen ist, was bereits in der 1. Untersuchung durch funktionelle Bewegungsanalyse erkennbar war. Bei der Untersuchung des geraden Fauststoßes eines Kickboxers ließ sich eindeutig feststellen, dass eine Protraktion der Schulter Symptome im medialen Bereich des Ellenbogens auslöste.
Abstract
This single case study describes the importance of the functional demonstration in Maitland’s concept. It could be shown that the shoulder is a contributing factor to the clinical manifestation of medial epicondylopathy. Functional movement indicated this early during the initial examination. The examination of a kick boxer’s frontal jab revealed explicitly that shoulder protraction produced symptoms on the medial side of the elbow.
Schlüsselwörter
mediale Epikondylopathie - Schulter - funktionelle Demonstration - funktionelle Bewegungsanalyse - neurale Beteiligung - Fauststoß - Kampfsport
Key words
medial epicondylopathy - shoulder - functional demonstration - funtional movement analysis - neural involvement - jab - combatant sports
Literatur
- 1 Butler D S. Mobilisation des Nervensystems. Berlin: Springer; 1998
- 2 Coury H G, Kumar S, Narayan Y. An electromyographic study of upper limb adduction force with varying shoulder and elbow postures. Journal of Electromyography and Kinesiology. 1998; 8 157-168
- 3 Croxford K, Henry S O. Comparison of Peak Forces Associated with Six Common Martial Arts Striking Techniques. Medicine & Science in Sports & Exercise. 2009; 41 388
- 4 Devitt B M. Use of Conservative and Sport-Specific Management Strategies for Baseball Pitchers with Persistent Elbow Pain. Journal of Chiropractic Medicine. 2006; 5 97-100
- 5 Drake R L, Vogl W, Mitchell A WM. Gray’s Anatomie für Studenten. München: Urban & Fischer/Elsevier; 2008
- 6 Gifford L S. Pain, the tissues and the nervous system. A conceptual model. Physiotherapy. 1998; 84 27-36
- 7 Gong H S, Chung M S, Kang E S et al. Musculofascial lengthening for the treatment of patients with medial epicondylitis and coexistent ulnar neuropathy. Journal of Bone and Joint Surgery Br. 2010; 92 823-827
- 8 Gulledge K J. Power Punch vs. Revers Punch. Official Journal of the American College of Sports Medicine. 2007; 39 5
- 9 Halloran L. Bilateral epicondylitis in a karate instructor. Orthopedic Nursing. 1998; 17 28-30
- 10 Hengeveld E, Banks K. Maitland’s Peripheral Manipulation. New York: Elsevier; 2005
- 11 Jones M A. Clinical Reasoning und Schmerz. Manual Therapy. 1995; 1 17-24
- 12 Jones M A. Clinical Reasoning in Manual Therapy. Physical Therapy. 1992; 72 875-884
- 13 Maitland G D, Hengeveld E. Maitland’s vertebral manipulation. Edinburgh: Elsevier Butterworth-Heinemann; 2009
- 14 McIntyre D I. Subcoracoid neurovascular entrapment. Clinical Orthoaedics and Related Research. 1975; 108 27-30
- 15 Miller A, Heckert K, Davis B A. The 3-Minute Musculoskeletal & Peripheral Nerve Exam. New York: Demos Medical; 2009
- 16 Neal S, Fields K B. Peripheral nerve entrapment and injury in the upper extremity. American Family Physician. 2010; 81 147-155
- 17 Ngai K M, Levy F, Hsu E B. Injury trends in sanctioned mixed martial arts competition: a 5-year review from 2002 to 2007. British Journal of Sports Medicine. 2008; 42 686-689
- 18 Nordander C, Ohlsson K, Akesson I et al. Risk of musculoskeletal disorders among females and males in repetitive/constrained work. Ergonomics. 2009; 52 1226-1239
- 19 Reinhold H, Sauerbrey R. Contribution to the pathogenesis of epicondylitis of the shoulder and elbow. Zeitschrift für die Gesamte Innere Medizin und ihre Grenzgebiete. 1959; 14 804-810
- 20 Russell B S. Carpal tunnel syndrome and the “double crush” hypothesis: a review and implications for chiropractic. Chiropractic & Osteopathy. 2008; 16 2
- 21 Schwier J. “Do the right things” – Trends im Feld des Sports. dvs-Information. 1998; 13 1-13
- 22 Shacklock M. Angewandte Neurodynamik – Neuromuskoloskeletale Strukturen verstehen und behandeln. München: Elsevier Urban & Fischer; 2008
- 23 Shiri R, Viikari-Juntura E, Varonen H et al. Prevalence and Determinants of Lateral and Medial Epicondylitis: A Population Study. American Journal of Epidemiology. 2006; 164 1065-1074
- 24 Sims K, Spina A. Traumatic anterior shoulder dislocation: a case study of nonoperative management in a mixed martial arts athlete. Journal of the Canadian Chiropractic Association. 2009; 53 4
- 25 Stewart L K, Taylor W C. Shoulder Pain – Mixed Martial Arts. Medicine & Science in Sports & Exercise. 2010; 42 188-189
- 26 Van Tulder, Malmivaara A, Koes B. Repetitive strain injury. Lancet. 2007; 369 1815-1822
- 27 Upton A R, McComas A J. The double crush in nerve entrapment syndromes. Lancet. 1973; 2 359-362
- 28 Walz D M, Newman J S, Konin G P et al. Epicondylitis: Pathogenesis, Imaging, and Treatment. Radiographics. 2010; 30 167-184
- 29 Van Wingerden B AM. Bindegewebe in der Rehabilitation. Vaduz: SCIPRO; 1998
- 30 World Health Organization (WHO) .International Classification of Disease Functioning and Health. http://www3.who.int/icf/icftemplate.cfm
- 31 Yxley G A, Jull G A. A modified upper limb test: An investigation of responses in normal subjects. Australian Journal of Physiotherapy. 1991; 3 143-152
- 32 Zetaruk M N. Injuries in martial arts: a comparison of five styles. British Journal of Sports Medicine. 2005; 39 29-33
René Bakodi
PT, OMT
Holzplatz 2
2620 Neunkirchen
Österreich
Email: rene.bakodi@physio-point.at