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Möglichkeiten und Wertigkeit technischer Untersuchungen zur Objektivierung von Rückenschmerzen

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Berufsbedingte Erkrankungen der Lendenwirbelsäule

Zusammenfassung

Unsere Alltagserfahrungen legen die Vermutung nahe, daß Schmerz in den meisten Fällen ein körperliches Problem ist. Falls dies zutrifft, wäre zu erwarten, daß der somatische Befund weitgehend das Befinden der Patienten bestimmt, daß also bei Kenntnis des Befundes das Befinden, hier definiert als Schmerz, Behinderung und psychische Belastung, weitgehend geklärt ist.

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Literatur

  1. Basler H-D, Franz C, Kröner-Herwig B, Rehfisch HP, Seemann H (1993) Psychologische Schmerztherapie. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  2. Basler H-D, Kröner-Herwig B (1993) Psychologische Therapie bei Kopf und Rückenschmerzen. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  3. Berwald HG (1993) In: Basler H-D, Franz C, Kröner-Herwig B, Rehfisch HP, Seemann H (Hrsg) Psychologische Schmerztherapie. Springer, Berlin Heidelberg New York Tokyo 174–203

    Google Scholar 

  4. Bergenudd H, Nilsson B (1988) Back pain in middle age; occupational workload and psychological factors: an epidemiologic survey. Spine 12: 58–60

    Article  Google Scholar 

  5. Bigos SJ, Battie MC, Spengler DM et al. (1991) A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine 16: 1–6

    Article  PubMed  CAS  Google Scholar 

  6. Bochdansky T (1994) Die Messung der Muskulatur mittels oberflächlicher EMG-Ableitung: Möglichkeiten und Grenzen. In: Zichner L, Engelhardt M, Freiwald J (Hrsg) Rheumatologie/Orthopädie Bd 3: Die Muskulatur, sensibles, integratives und meßbares Organ. Ciba Geigy, Wehr, S 59–67

    Google Scholar 

  7. Braune W, Fischer O (1987) The human gaft. Springer, Berlin Heidelberg New York Tokyo

    Book  Google Scholar 

  8. Cziske R (1983) Faktoren des Schmerzerlebens und ihre Messung. Revidierte Mehrdimensionale Schmerzskala. Diagnostica 29: 61–64

    Google Scholar 

  9. Eggebrecht DB, Bautz MT, Brenig MJD, Pfingsten M, Franz C (1989) Psychometric evaluation. In: Camic P (eds) Assessing chronic. A multidisciplinary clinic approach. Springer, Berlin Heidelberg New York Tokyo, pp 71–90

    Google Scholar 

  10. Egle UT, Hoffmann SO (1983) Der Schmerzkranke. Schattauer, Stuttgart New York

    Google Scholar 

  11. Flicker PL, Fleckenstein JL, Ferry K et al. (1993) Lumbar muscle usage in chronic low back pain. Spine 18: 582–586

    Article  PubMed  CAS  Google Scholar 

  12. Flor H, Turk DC, Birbaumer N (1985) Assessment of stress related psychphysiological reactions in chronic back pain patients. J Consult Clin Psychol 53: 354–364

    Article  PubMed  CAS  Google Scholar 

  13. Fischer AQ, Carpenter DW, Hartlage PL, Caroll JE, Stephens S (1988) Muscle imaging in neuromuscular disease using computerized real-time sonography. Muscle Nerve 11: 270–275

    Article  PubMed  CAS  Google Scholar 

  14. Fitzmaurice RJ, Cooper R, Freemont AJ (1991) A histomorphometric study of erector spinae muscle biopsies in patients with chronic low back pain and ankylosing spondylitis. J Pathol 163 (2): 182

    Google Scholar 

  15. Frymoyer JW, Pope MH, Clemens JH et al. (1991) Clinical tests applicable to the study of chronic low back disability. Spine 16: 681–682

    Article  PubMed  CAS  Google Scholar 

  16. Gibson MJ, Buckley J, Mawhinney R, Mulholland RC, Worthington BS (1986) Magnetic resonance imaging and discography in the diagnosis of disc degeneration: a comparative study of 50 discs. J Bone Joint Surg Br 68 (3): 369–373

    PubMed  CAS  Google Scholar 

  17. Goldmann J, Nadler G (1956) Electonics for measuring human motions. Science 124: 807–810

    Article  Google Scholar 

  18. Hadar H, Gadoth N, Heifetz M (1983) Fatty replacement of lower paraspinal muscles: Normal and neuromuscular disorders. Am J Neuroradiol 4: 1087–1090

    Google Scholar 

  19. Harke HT, Grissom LE, Finkelstein MS (1988) Evaluation of the musculoskeletal system with sonography. Am J Röntgenol 150: 1253–1261

    Google Scholar 

  20. Herter T (1991) Die gutachterliche Bewertung von Bandscheibenoperationen einschließlich des Postdiskotomie-Syndroms. Versicherungsmedizin 43: 118–122

    PubMed  CAS  Google Scholar 

  21. Holmes TH, Wolff HG (1952) Life situations, emotions and backache. Psychsom Med 14: 18–33

    CAS  Google Scholar 

  22. Holmstroem EB, Lindell J, Moritz U (1992) Low back and neck/shoulder pain in construction workers occupational workload and psychosocial risk factors. Part 1. Spine 7 (6): 663–671

    Article  Google Scholar 

  23. Hoyt W-H, Hunt HJJ, De Pauw HH et al. (1981) Electromyografic assessment of chronic low back Pain syndrome. J Am Osteopath Assoc 80: 57–59

    Google Scholar 

  24. Hultman G, Nordin M, Saraste H, Ohlsen H (1993) Body composition, endurance, strength, cross-sectional area, and density of MM erector spinae in men with and without low back pain. J Spinal Disord 6 (2): 114–123

    Article  PubMed  CAS  Google Scholar 

  25. Jarome A, Richard D, Gross PhD (1990) Pain disability index: construct and discriminant validity. Arch Phys Med Rehabil 72: 920–922

    Article  Google Scholar 

  26. Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic TM, Malkasian D, Ross JS (1994) Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 331: 69–73

    Article  PubMed  CAS  Google Scholar 

  27. Kai M, Fukunaga T (1968) Calculation of muscle strength per unit cross-sectional area of human muscle by means of ultrasonic measurement. Int Z Angew Physiol 26: 26–32

    Google Scholar 

  28. Lancourt J, Kettelhut M (1992) Predicting return to work for lower back pain patients receiving worker’s compensation. Spine 17: 629–640

    Article  PubMed  CAS  Google Scholar 

  29. Leavitt F, Garron D, Bieliauskas L (1979) Psychological disturbance and life event differences among patients with low back pain. J Consult Clin Psychol 48 (1): 115–116

    Google Scholar 

  30. Leavitt F, Garron D, Whisler WW, Sheinkop MB (1978) Affective and sensory dimensions of back pain. Pain 4: 273–281

    Article  PubMed  CAS  Google Scholar 

  31. Loeser JD (1980) Low back pain. Res Publ Assoc Res Nerv Ment Dis 58: 363–377

    PubMed  CAS  Google Scholar 

  32. Mannion AF, Dolan P (1994) Electromyografic median frequency changes during isometric contraction of the back extensors to fatigue. Spine 19: 1223–1229

    PubMed  CAS  Google Scholar 

  33. McLoughlin RF, D’Arcy EM, Brittain MM, Fitzgerald O, Masterson JB (1994) The significance of fat and muscle areas in the lumbar paraspinal space: A CT study. J Comput Assist Tomogr 18 (2): 275–278

    Article  PubMed  CAS  Google Scholar 

  34. Melzack R (1975) The McGill pain questionnaire: major properties and scoring methods. Pain 1: 277–299

    Article  PubMed  CAS  Google Scholar 

  35. a. Melzack R, Belanger E (1989) Habour pain: correlations with menstrual pain and acute low-back pain before and during pregnancy. Pain 36 (2): 225–229

    Article  PubMed  CAS  Google Scholar 

  36. Melzack R, Torgerson WS (1971) One language of pain. Anesthesiology 34: 50–60

    Article  PubMed  CAS  Google Scholar 

  37. Moritz WE, Shreve PL (1977) A system for locating points, lines, and planes in space. IEEE transactions on instrumentation and measurement, vol IM-26, No. 1

    Google Scholar 

  38. Naegele M, Karabensch F, Reimers CD, Hahn D (1983) Work for all. For those with low back pain as well. Clin Orthop 179: 77–85

    Google Scholar 

  39. Nienhaus A (1992) Zur Frage berufsbedingter degenerativer Diskopathien im Lendenwirbelsäulenbereich. Arbeitsmed Sozialmed Präventivmed 27: 415–422

    Google Scholar 

  40. Nilges P, Gerbershagen HU (1994) Befund und Befinden. Report Psychol 19/8: 12–25

    Google Scholar 

  41. Örtengren R, Andersson GBJ (1977) Electromyografic studies of trunc muscles, with special reference to the functional anatomy of the lumbar spine. Spine 2: 44–52

    Article  Google Scholar 

  42. Pollard CA (1984) Preliminary validity study of the pain disability index. Percep Motor Skills 59: 974

    Article  CAS  Google Scholar 

  43. Raspe H (1993) Schmerzepidemiologie. In: Egle UT, Hoffmann SO (Hrsg) Der Schmerzkranke. Schattauer, Stuttgart, S 60–77

    Google Scholar 

  44. Rauber A, Kopsch B (1987) Autochtone Rückenmuskulatur, M. erector Spinae. In: Leonhardt H, Tillmann B, Töndury G (Hrsg) Anatomie des Menschen, Bd I: Bewegungsapparat. Thieme, Stuttgart New York, S 246–258

    Google Scholar 

  45. Robinson ME, Cassisi JE, O’Connor PD, MacMillan M (1992) Lumbar iEMG during iso¬tonic exercise: Chronic back pain patients versus controls. J Spinal Dis 5: 8-15

    Google Scholar 

  46. Seemann AH (1987) Ein Überblick und Verlaufskontrolle chronischer Schmerzen für die Praxis. Schmerz 1: 3–12

    Article  PubMed  CAS  Google Scholar 

  47. Stein C, Mendel G (1988) The German counterpart to McGill Pain Questionnaire. Pain 32: 251–255

    Article  PubMed  CAS  Google Scholar 

  48. Thait RC, Chibnall JT, Krause S (1990) The pain disability index; psychometric properties. Pain 40: 171–182

    Article  Google Scholar 

  49. Thijssen JM, Oosterveld BJ (1990) Texture in tissue echograms. Speckle or information? J Ultrasound Med 9 (4): 215–229

    PubMed  CAS  Google Scholar 

  50. Traue HC, Kessler M, Cram JR (1992) Surface EMG topography and pain distribution in prechronic back pain patients. Intern J Psychosom 39: 1–4

    Google Scholar 

  51. Van Holsbeeck M, Introsaso JH (1992) Musculoskeletal ultrasonography. Radiol Clin North Am 30 (5): 907–925

    PubMed  Google Scholar 

  52. Viemann T, Nurminen M, Troup JDG (1990) Lumbar spinal pathology in cadaveric material in relation to history of back pain, occupation, and physical loading. Spine 16 (8): 728–740

    Google Scholar 

  53. Waddel G, Main C, Morris E (1982) Normality and reliability in the clinical assessment of backache. Br Med J 284: 1519–1523

    Article  Google Scholar 

  54. Wadell G, Sommerville D, Henderson D, Newton M et al. (1992) Objective clinical evaluation of physical impairment on chronic low back pain. Spine 17: 617–628

    Article  Google Scholar 

  55. Waddell G (1987) A new clinical model for the treatment of low back pain. Spine 12: 632–644

    Article  PubMed  CAS  Google Scholar 

  56. Waddell G, Main CJ, Morris EW, Dipaola M, Grey IC (1984) Chronic low back pain, psychologic distress and illness behaviour. Spine 9: 209–213

    Article  PubMed  CAS  Google Scholar 

  57. Waryke B (1980) The neurology of back pain. In: Jayson M (ed) The lumbar spine and back pain, 2nd edn Pitman Medical, Turnbridge, Kent, pp 265–339

    Google Scholar 

  58. Wolf SL, Nacht M, Keffy JL (1982) EMG feedback training during dynamic movement for low back pain patients. Behav Ther 13: 395–406

    Article  Google Scholar 

  59. Wolter D, Seide K (Hrsg) (1995) Berufskrankheit 2108 Kausalität und Abgrenzungskriterien. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  60. Yashimoto K, Itami I, Yamamoto M (1978) Electromyographic study of low back pain. Japan J Rehabil Med 15: 252

    Google Scholar 

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Eisele, R. et al. (1998). Möglichkeiten und Wertigkeit technischer Untersuchungen zur Objektivierung von Rückenschmerzen. In: Wolter, D., Seide, K. (eds) Berufsbedingte Erkrankungen der Lendenwirbelsäule. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72235-6_25

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  • DOI: https://doi.org/10.1007/978-3-642-72235-6_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-64549-8

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