Die wirbelsäulenstabilisierende Muskulatur chronischer Rückenpatienten

Spinal Alignment and Low Back Pain Indicating Spine Shape Parameters

“…According to this instability hypothesis, significant associations could be verified between low back pain and functional deficits of trunk muscle peak force (Cady et al, 1979;Denner, 1997;McNeill et al, 1980) and neuromuscular coordination patterns (Richardson, Hodges & Hides, 2004). Resulting deconditioning syndromes might not only be accompanied by functional disorders, but also by spinal mal-alignment and postural abberations (Müller, 1999).…”

“…Spine shape abberations might be one organic risk factor for the development of low back pain, but -on the other hand -it might also be a symptom of deconditioning processes in chronic low back complaints, as is well known for deficits of muscle function (Cady et al, 1979;Denner, 1997;McNeill et al, 1980).…”

“…The exercise program was determinded by individual spine shape parameter findings, muscle function findings, and anamnestic data related to individual back complaints -comparable to programs based only on functional profiles of trunk muscle performance, evaluated earlier (Denner, 1997). Patients were meant to face individually composed tasks to generate almost individual adaptations -with an idea of treatment specificity.…”

“…These decreases were accompanied by peak force increases ranging from about 20% to approximately 40% ( fig. 5), assigning that kind of reconditioning process described elsewhere for low back patients who went through an active rehabilitation program (Denner, 1997;Mannion et al, 2001a;2001b;2001c;). Multivariate analysis procedures seeking for a direct correlation between pain decrease and muscle function increases could not reveal significant coefficients (R=0, 292).…”

“…The findings mentioned above might provide an opportunity to create therapeutic exercise programs based on spinal form deviation signs, comparable to individualized exercise programs based on muscle function deficits (Denner, 1997). So far, specific correlations between adaptations of muscle function and clinical out-come parameters could hardly be established (Mannion et al, 2001b;2001c).…”