Skip to main content

Beurteilung des neuromuskulären Funktionszustands bei Berufssportlern

Knie > Bänder

Arthropedia – Grundlagenwissen und Fallbeispiele

06.07.2022 | Arthropedia | Online-Artikel

Fallbeispiel

Beurteilung des neuromuskulären Funktionszustands bei Berufssportlern

Ergänzende Diagnostik der muskulären Leistungsbereitschaft

Tab. 1 Demografische Daten der untersuchten Athleten. Angegeben sind Mittelwerte (Standardabweichungen) sowie Minimum und Maximum

Literatur
  1. Ardern CL, Taylor NF, Feller JA et al (2014) Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 48:1543–1552
  2. Badawy CR, Jan K, Beck EC et al (2022) Contemporary principles for postoperative rehabilitation and return to sport for athletes undergoing anterior cruciate ligament reconstruction. Arthrosc Sports Med Rehabil 4:e103–e113
  3. Brophy R, Silvers HJ, Gonzales T et al (2010) Gender influences: the role of leg dominance in ACL injury among soccer players. Br J Sports Med 44:694–697
  4. Cavanaugh JT, Powers M (2017) ACL rehabilitation progression: where are we now? Curr Rev Musculoskelet Med 10:289–296
  5. Gokeler A, Dingenen B, Hewett TE (2022) Rehabilitation and return to sport testing after anterior cruciate ligament reconstruction: where are we in 2022? Arthrosc Sports Med Rehabil 4:e77–e82
  6. Henneman E (1957) Relation between size of neurons and their susceptibility to discharge. Science 126:1345–1347
  7. Henneman E, Somjen G, Carpenter DO (1965) Excitability and inhibitability of motoneurons of different sizes. J Neurophysiol 28:599–620
  8. Henneman E, Somjen G, Carpenter DO (1965) Functional significance of cell size in spinal motoneurons. J Neurophysiol 28:560–580
  9. Hermens HJ, Freriks B, Merletti R et al (1999) SENIAM 8. European recommendations for surface ElectroMyoGraphy. Roessingh Research and Development b.v., Enschede
  10. Herrington L, Ghulam H, Comfort P (2021) Quadriceps strength and functional performance after anterior cruciate ligament reconstruction in professional soccer players at time of return to sport. J Strength Cond Res 35:769–775
  11. Hoover DL, Vanwye WR, Judge LW (2016) Periodization and physical therapy: bridging the gap between training and rehabilitation. Phys Ther Sport 18:1–20
  12. Kohn L, Rembeck E, Rauch A (2020) Verletzung des vorderen Kreuzbandes beim Erwachsenen: Diagnostik und Therapie. Orthopade 49:1013–1028
  13. Kotsifaki A, Whiteley R, Van Rossom S et al (2022) Single leg hop for distance symmetry masks lower limb biomechanics: time to discuss hop distance as decision criterion for return to sport after ACL reconstruction? Br J Sports Med 56:249–256
  14. Kurz E, Pröger S, Brehme K et al (2019) Does blood flow restriction alter the motor unit recruitment of the muscles at the knee? Ger J Exerc Sport Res 49:S19
  15. Kurz E, Schwesig R, Pröger S et al (2022) Foot tapping and unilateral vertical jump performance in athletes after knee surgery: an explorative cross-sectional study. BMC Sports Sci Med Rehabil 14:34
  16. Lai CCH, Ardern CL, Feller JA et al (2018) Eighty-three per cent of elite athletes return to preinjury sport after anterior cruciate ligament reconstruction: a systematic review with meta-analysis of return to sport rates, graft rupture rates and performance outcomes. Br J Sports Med 52:128–138
  17. Laube W (2000) Die funktionellen Störungen im sensomotorischen System infolge struktureller Veränderungen im afferenten Teil nach Gelenkverletzungen (ACL) oder degenerativer Erkrankung (TEP des Hüftgelenkes) und der sensomotorische Stereotyp der Hüftgelenkextension bei klinisch gesunden Personen und low back pain Patienten als pathogenetischer Faktor. In: Jerosch J (ed) Sensomotorik 2000. Aktuelle Aspekte zur Sensomotorik und Propriozeption in Forschung, Klinik und Praxis. Prosympos Eigenverlag, Essen, p 9–26
  18. Laube W (Hrsg) (2009) Sensomotorisches System: Physiologisches Detailwissen für Physiotherapeuten. Thieme, Stuttgart
  19. Laube W, Kibittel W, Schreiter W et al (1987) Zur Möglichkeit der neurophysiologischen Charakterisierung des M. quadr. fem. sowie der Diagnostik seines aktuellen funktionellen Zustandes mit Hilfe der Methodenkombination Stimulationsmyographie/Mechanographie. Med Sport 27:72–77
  20. Laube W, Weber J, Thue L et al (1998) Persistierende Kraftdefizite nach Hüft-TEP und Kreuzband-OP infolge gestörter Muskelaktivierung. Kinesiologische Elektromyographie, Teil II. Man Ther 2:120–129
  21. Luc B, Gribble PA, Pietrosimone BG (2014) Osteoarthritis prevalence following anterior cruciate ligament reconstruction: a systematic review and numbers-needed-to-treat analysis. J Athl Train 49:806–819
  22. Mall NA, Chalmers PN, Moric M et al (2014) Incidence and trends of anterior cruciate ligament reconstruction in the United States. Am J Sports Med 42:2363–2370
  23. Marom N, Xiang W, Wolfe I et al (2022) High variability and lack of standardization in the evaluation of return to sport after ACL reconstruction: a systematic review. Knee Surg Sports Traumatol Arthrosc 30:1369–1379
  24. Mclean SG, Samorezov JE (2009) Fatigue-induced ACL injury risk stems from a degradation in central control. Med Sci Sports Exerc 41:1661–1672
  25. Mehl J, Otto A, Baldino JB et al (2019) The ACL-deficient knee and the prevalence of meniscus and cartilage lesions: a systematic review and meta-analysis (CRD42017076897). Arch Orthop Trauma Surg 139:819–841
  26. Nuccio S, Del Vecchio A, Casolo A et al (2021) Deficit in knee extension strength following anterior cruciate ligament reconstruction is explained by a reduced neural drive to the vasti muscles. J Physiol 599:5103–5120
  27. Nuccio S, Del Vecchio A, Casolo A et al (2020) Muscle fiber conduction velocity in the vastus lateralis and medialis muscles of soccer players after ACL reconstruction. Scand J Med Sci Sports 30:1976–1984
  28. Paterno MV, Rauh MJ, Schmitt LC et al (2014) Incidence of second ACL injuries 2 years after primary ACL reconstruction and return to sport. Am J Sports Med 42:1567–1573
  29. Pietrosimone B, Lepley AS, Harkey MS et al (2016) Quadriceps strength predicts self-reported function post-ACL reconstruction. Med Sci Sports Exerc 48:1671–1677
  30. Pincheira PA, Silvestre R, Armijo-Olivo S et al (2018) Ankle perturbation generates bilateral alteration of knee muscle onset times after unilateral anterior cruciate ligament reconstruction. PeerJ 6:e5310
  31. Taylor JB, Ford KR, Queen RM et al (2021) Incorporating internal and external training load measurements in clinical decision making after ACL reconstruction: a clinical commentary. Int J Sports Phys Ther 16:565–578
  32. Yung KK, Ardern CL, Serpiello FR et al (2022) Characteristics of complex systems in sports injury rehabilitation: examples and implications for practice. Sports Med Open 8:24