Kopf-Nacken-Schulter-Arm-Beschwerden: arbeitsplatzbedingt?

Tilscher, H.; Pirker-Binder, Ingrid; Kollegger, M.; Pfeiffer, Fabian

doi:10.1007/s00337-004-0336-2

Cited by 6 publications

(2 citation statements)

References 2 publications

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“…The study anticipated a number of sources of bias, such as the influence of osteoarthritic changes with age [[21]], possible gender effects on neck pain disability [[22],[23]] and complaint duration on both clinical and biomechanical outcomes. In an attempt to minimise these, we aimed to recruit 36 participants to each group, and match them by age and gender, with an age boundary of 18–70 years and minimum complaint duration of 2 weeks.…”

Section: Methodsmentioning

confidence: 99%

Does inter-vertebral range of motion increase after spinal manipulation? A prospective cohort study

Branney

Breen

2014

Chiropr Man Therap

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BackgroundSpinal manipulation for nonspecific neck pain is thought to work in part by improving inter-vertebral range of motion (IV-RoM), but it is difficult to measure this or determine whether it is related to clinical outcomes.ObjectivesThis study undertook to determine whether cervical spine flexion and extension IV-RoM increases after a course of spinal manipulation, to explore relationships between any IV-RoM increases and clinical outcomes and to compare palpation with objective measurement in the detection of hypo-mobile segments.MethodThirty patients with nonspecific neck pain and 30 healthy controls matched for age and gender received quantitative fluoroscopy (QF) screenings to measure flexion and extension IV-RoM (C1-C6) at baseline and 4-week follow-up between September 2012-13. Patients received up to 12 neck manipulations and completed NRS, NDI and Euroqol 5D-5L at baseline, plus PGIC and satisfaction questionnaires at follow-up. IV-RoM accuracy, repeatability and hypo-mobility cut-offs were determined. Minimal detectable changes (MDC) over 4 weeks were calculated from controls. Patients and control IV-RoMs were compared at baseline as well as changes in patients over 4 weeks. Correlations between outcomes and the number of manipulations received and the agreement (Kappa) between palpated and QF-detected of hypo-mobile segments were calculated.ResultsQF had high accuracy (worst RMS error 0.5o) and repeatability (highest SEM 1.1o, lowest ICC 0.90) for IV-RoM measurement. Hypo-mobility cut offs ranged from 0.8o to 3.5o. No outcome was significantly correlated with increased IV-RoM above MDC and there was no significant difference between the number of hypo-mobile segments in patients and controls at baseline or significant increases in IV-RoMs in patients. However, there was a modest and significant correlation between the number of manipulations received and the number of levels and directions whose IV-RoM increased beyond MDC (Rho=0.39, p=0.043). There was also no agreement between palpation and QF in identifying hypo-mobile segments (Kappa 0.04-0.06).ConclusionsThis study found no differences in cervical sagittal IV-RoM between patients with non-specific neck pain and matched controls. There was a modest dose-response relationship between the number of manipulations given and number of levels increasing IV-RoM - providing evidence that neck manipulation has a mechanical effect at segmental levels. However, patient-reported outcomes were not related to this.

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Section: Methodsmentioning

confidence: 99%

Does inter-vertebral range of motion increase after spinal manipulation? A prospective cohort study

Branney

Breen

2014

Chiropr Man Therap

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“…Eine Studie weist auf den Zusammenhang von Nackenbeschwerden und längerer Arbeit am Computer hin [ 4 ] . Obwohl der Nackenschmerz zu den häufi gsten chronischen Schmerzen zählt, gibt es bisher keine diff erenzierten Studien zur Prävalenz.…”

Section: Der Einfl Uss Der Peripheren Dekontraktion Auf Physiologischunclassified

Der Einfluss der peripheren Dekontraktion auf physiologische Parameter der Halswirbelsäule am Beispiel der Dekontraktion nach dem Brügger-Konzept

Loudovici-Krug

2014

Phys Rehab Kur Med

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Zusammenfassung Fragestellung: Welchen Einfluss hat die periphere Dekontraktion nach dem Br?gger-Konzept auf das Bewegungsausma? (BAM) der Halswirbels?ule (HWS) sowie auf die Muskelspannung der Nackenmuskulatur? Studiendesign: Randomisierte kontrollierte Studie (RCT). Methoden: 40 Probanden wurden entweder mit der Dekontraktion der Plantarflexoren (Interventionsgruppe, IG) oder der Knieextensoren (Kontrollgruppe, KG) behandelt. Gemessen wurde das BAM der HWS mittels Ultraschalltopometrie und der Muskeltonus des M. Trapezius pars descendens (M. TPD) mittels oberfl?chlicher Elektromyografie, vor und nach einmaliger Intervention (mit 10 Wiederholungen). Ergebnisse: BAM: Zunahme in allen 3 Bewegungsrichtungen au?er in Flexion-Extension der KG, signifikant in Lateralflexion der IG und KG; Muskeltonus: Abnahme in IG, Zunahme in KG, signifikant M. TPD rechts der IG gegen?ber KG; H?ufigkeiten nach Gruppen: BAM in IG h?ufiger verbessert, Muskeltonus nur in IG verbessert. Schlussfolgerung: Die Dekontraktion der Plantarflexoren nach dem Br?gger-Konzept hat einen positiven Einfluss auf das BAM der HWS sowie auf den Muskeltonus des M. TPD. Weiterf?hrende Studien, bspw. mit Patienten und einer gr??eren Stichprobenzahl, sind n?tig, um die Resultate zu best?tigen.

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Die Halswirbelsäule der Frau

Tilscher

2013

Manuelle Medizin

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Kopf-Nacken-Schulter-Arm-Beschwerden: arbeitsplatzbedingt?

Cited by 6 publications

References 2 publications

Does inter-vertebral range of motion increase after spinal manipulation? A prospective cohort study

Does inter-vertebral range of motion increase after spinal manipulation? A prospective cohort study

Der Einfluss der peripheren Dekontraktion auf physiologische Parameter der Halswirbelsäule am Beispiel der Dekontraktion nach dem Brügger-Konzept

Die Halswirbelsäule der Frau

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