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Schmerz und Kraft

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Sensomotorik und Schmerz

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Zusammenfassung

Schmerzen stören die Koordination, und mit der Atrophie bedingen sie Defizite der Kraft. Die Biomechanik leidet, die Belastbarkeit fällt, und Schmerzen werden gefördert. Intensive Belastungen steigern die Belastbarkeit bis zu 20 %, und Inaktivität minderen sie schnell bis 40 %. Bei Arthrosen, Schmerzsyndromen und der Sturzgefahr spielt die Kraft eine Rolle. Untrainierte und Schmerzpatienten haben eine reduzierte anabole Kapazität. Die Stimulation, das Ansprechen der Gewebe und folglich die Trainierbarkeit sind eingeschränkt. Das Therapiedenkschema muss dies implementieren. Die Kraft ist bei einem Trainingsmindestumfang von 8–12 Wochen mit 2–3 Trainingseinheiten(TE)/Woche immer mit der Schmerzminderung verbunden. Isometrie ist jederzeit zumutbar. Generell scheint die Intensität gegenüber der Kontraktionsform vorrangig zu sein. Der Krafteffekt ist größer als ein alleiniges koordinatives Ziel. Kraft ist eine wesentliche Komponente zur Prävention und Linderung muskuloskelettaler wie auch neurologisch bedingter Schmerzen.

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Literatur

  • Akella SV, Regatte RR, Gougoutas AJ, Borthakur A, Shapiro EM, Kneeland JB, Leigh JS, Reddy R (2001) Proteoglycan-induced changes in T1rho-relaxation of articular cartilage at 4T. Magn Reson Med 46(3):419–423

    Article  CAS  Google Scholar 

  • Alnahdi AH, Zeni JA, Snyder-Mackler L (2012) Muscle impairments in patients with knee osteoarthritis. Sports Health 4:284–292

    Article  Google Scholar 

  • Antony B, Jones G, Venn A, Cicuttini F, March L, Blizzard L, Dwyer T, Cross M, Ding C (2015) Association between childhood overweight measures and adulthood knee pain, stiffness and dysfunction: a 25-year cohort study. Ann Rheum Dis 74(4):711–717. https://doi.org/10.1136/annrheumdis-2013-204161 (Epub 17 Dec. 2013)

    Article  PubMed  Google Scholar 

  • Antony B, Jones G, Jin X, Ding C (2016) Do early life factors affect the development of knee osteoarthritis in later life: a narrative review. Arthritis Res Ther 18(1):202. https://doi.org/10.1186/s13075-016-1104-0

    Article  PubMed  PubMed Central  Google Scholar 

  • Baldon Rde M, Piva SR, Scattone Silva R, Serrão FV (2015) Evaluating eccentric hip torque and trunk endurance as mediators of changes in lower limb and trunk kinematics in response to functional stabilization training in women with patellofemoral pain. Am J Sports Med 43(6):1485–1493. https://doi.org/10.1177/0363546515574690 (Epub 19 Mar. 2015)

    Article  PubMed  Google Scholar 

  • Bastick AN, Belo JN, Runhaar J, Bierma-Zeinstra S (2015) What are the prognostic factors for radiographic progression of knee osteoarthritis? A meta-analysis. Clin Orthop Relat Res 473(9):2969–2989

    Article  Google Scholar 

  • Bennell KL, Wrigley TV, Hunt MA, Lim B, Hinman RS (2013) Update on the role of muscle in the genesis and management of knee osteoarthritis. Rheum Dis Clin North Am 39(1):145–176

    Article  Google Scholar 

  • Beyer R, Kongsgaard M, Hougs Kjær B, Øhlenschlæger T, Kjær M, Magnusson SP (2015) Heavy slow resistance versus eccentric training as treatment for Achilles tendinopathy: a randomized controlled trial. Am J Sports Med 43(7):1704–1711. https://doi.org/10.1177/0363546515584760 (Epub 27 May 2015)

  • Bieler T, Siersma V, Magnusson SP, Kjaer M, Beyer N (2018) Exercise induced effects on muscle function and range of motion in patients with hip osteoarthritis. Physiother Res Int 23(1). https://doi.org/10.1002/pri.1697 (Epub 3 Oct. 2017)

  • Brandt C, Pedersen BK (2010) The role of exercise-induced myokines in muscle homeostasis and the defense against chronic diseases. J Biomed Biotechnol 2010:520258. https://doi.org/10.1155/2010/520258 (Epub 9 Mar. 2010)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cotofana S, Ring-Dimitriou S, Hudelmaier M, Himmer M, Wirth W, Sänger AM, Eckstein F (2010) Effects of exercise intervention on knee morphology in middle-aged women: a longitudinal analysis using magnetic resonance imaging. Cells Tissues Organs 192(1):64–72. https://doi.org/10.1159/000289816 (Epub 26 Febr. 2010)

    Article  CAS  PubMed  Google Scholar 

  • Dalager T, Justesen JB, Sjøgaard G (2017) Intelligent physical exercise training in a workplace setting improves muscle strength and musculoskeletal pain: a randomized controlled trial. Biomed Res Int 2017:7914134. https://doi.org/10.1155/2017/7914134 (Epub 7 Aug. 2017)

  • DeVita P, Aaboe J, Bartholdy C, Leonardis JM, Bliddal H, Henriksen M (2018) Quadriceps-strengthening exercise and quadriceps and knee biomechanics during walking in knee osteoarthritis: a two-centre randomized controlled trial. Clin Biomech (Bristol, Avon) 59:199–206. https://doi.org/10.1016/j.clinbiomech.2018.09.016 (Epub 15 Sept. 2018)

    Article  Google Scholar 

  • Drew BT, Smith TO, Littlewood C, Sturrock B (2014) Do structural changes (eg, collagen/matrix) explain the response to therapeutic exercises in tendinopathy: a systematic review. Br J Sports Med 48(12):966–972. https://doi.org/10.1136/bjsports-2012-091285 (Epub 31 Oct. 2012)

  • Fisher J, Steele J, Smith D (2017) High- and low-load resistance training: interpretation and practical application of current research findings. Sports Med 47(3):393–400. https://doi.org/10.1007/s40279-016-0602-1

    Article  PubMed  Google Scholar 

  • Fisher JP, Stuart C, Steele J, Gentil P, Giessing J (2018) Heavier- and lighter-load isolated lumbar extension resistance training produce similar strength increases, but different perceptual responses, in healthy males and females. PeerJ 6:e6001. https://doi.org/10.7717/peerj.6001 (eCollection 2018)

  • Fuchs J, Kuhnert R, Scheidt-Nave Ch (2017) 12-Monats-Prävalenz von Arthrose in Deutschland. J Health Monit 2(3). https://doi.org/10.17886/RKI-GBE-2017-054

  • Gregory JE, Brockett CL, Morgan DL, Whitehead NP, Proske U (2002) Effect of eccentric muscle contractions on Golgi tendon organ responses to passive and active tension in the cat. J Physiol 538(Pt 1):209–218

    Article  CAS  Google Scholar 

  • Gregory JE, Morgan DL, Proske U (2004) Responses of muscle spindles following a series of eccentric contractions. Exp Brain Res 157(2):234–240 (Epub 26 Febr. 2004)

    Article  CAS  Google Scholar 

  • Häkkinen K, Kallinen M, Izquierdo M, Jokelainen K, Lassila H, Mälkiä E, Kraemer WJ, Newton RU, Alen M (1998) Changes in agonist-antagonist EMG, muscle CSA, and force during strength training in middle-aged and older people. J Appl Physiol 84:1341–1349

    Article  Google Scholar 

  • Harrison AL (2004) The influence of pathology, pain, balance, and self-efficacy on function in women with osteoarthritis of the knee. Phys Ther 84(9):822–831

    Article  Google Scholar 

  • Kennedy DS, Fitzpatrick SC, Gandevia SC, Taylor JL (2015) Fatigue-related firing of muscle nociceptors reduces voluntary activation of ipsilateral but not contralateral lower limb muscles. J Appl Physiol 118(4):408–418. https://doi.org/10.1152/japplphysiol.00375.2014 (Epub 18 Dec. 2014)

  • Kjaer M, Jørgensen NR, Heinemeier K, Magnusson SP (2015) Exercise and regulation of bone and collagen tissue biology. Prog Mol Biol Transl Sci 135:259–291. https://doi.org/10.1016/bs.pmbts.2015.07.008 (Epub 17 Aug. 2015)

    Article  CAS  PubMed  Google Scholar 

  • Kus G, Yeldan I (2018) Strengthening the quadriceps femoris muscle versus other knee training programs for the treatment of knee osteoarthritis. Rheumatol Int. https://doi.org/10.1007/s00296-018-4199-6 (Epub ahead of print)

  • Lim HY, Wong SH (2018) Effects of isometric, eccentric, or heavy slow resistance exercises on pain and function in individuals with patellar tendinopathy: a systematic review. Physiother Res Int 23(4):e1721. https://doi.org/10.1002/pri.1721 (Epub 4 Jul 2018)

  • Malliaras P, Barton CJ, Reeves ND, Langberg H (2013) Achilles and patellar tendinopathy loading programmes: a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness. Sports Med 43(4):267–286. https://doi.org/10.1007/s40279-013-0019-z

    Article  PubMed  Google Scholar 

  • Marcora S (2009) Perception of effort during exercise is independent of afferent feedback from skeletal muscles, heart, and lungs. J Appl Physiol (1985). 106(6):2060–2062. https://doi.org/10.1152/japplphysiol.90378.2008 (Epub 15 May 2008)

  • Mat S, Tan MP, Kamaruzzaman SB, Ng CT (2015) Physical therapies for improving balance and reducing falls risk in osteoarthritis of the knee: a systematic review. Age Ageing 44(1):16–24. https://doi.org/10.1093/ageing/afu112 (Epub 22 Aug. 2014)

    Article  PubMed  Google Scholar 

  • Mathur N, Pedersen BK (2008) Exercise as a mean to control low-grade systemic inflammation. Hindawi Publishing Corporation, Mediators of Inflammation, Vol. 2008, article ID 109502. https://doi.org/10.1155/2008/109502

  • Nash MS, van de Ven I, van Elk N, Johnson BM (2007) Effects of circuit resistance training on fitness attributes and upper-extremity pain in middle-aged men with paraplegia. Arch Phys Med Rehabil 88(1):70–75

    Article  Google Scholar 

  • Neogi T (2013) The epidemiology and impact of pain in osteoarthritis. Osteoarthritis Cartilage 21(9):1145–1153. https://doi.org/10.1016/j.joca.2013.03.018

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nestler K, Witzki A, Rohde U, Rüther T, Tofaute KA, Leyk D (2017) Strength training for women as a vehicle for health promotion at work. Dtsch Arztebl Int 114(26):439–446. https://doi.org/10.3238/arztebl.2017.0439

    Article  PubMed  PubMed Central  Google Scholar 

  • Pazit L, Jeremy D, Nancy B, Michael B, George E, Hill KD (2018) Safety and feasibility of high speed resistance training with and without balance exercises for knee osteoarthritis: a pilot randomised controlled trial. Phys Ther Sport 34:154–163. https://doi.org/10.1016/j.ptsp.2018.10.001 (Epub 3 Oct. 2018)

    Article  PubMed  Google Scholar 

  • Pfeiffer S, Harkey MS, Stanley LE, Blackburn JT, Padua DA, Spang JT, Marshall SW, Jordan JM, Schmitz R, Nissman D, Pietrosimone B (2018) Associations between slower walking speed and T1ρ magnetic resonance imaging of femoral cartilage following anterior cruciate ligament reconstruction. Arthritis Care Res (Hoboken) 70(8):1132–1140. https://doi.org/10.1002/acr.23477 (Epub 4 Jul. 2018)

    Article  CAS  Google Scholar 

  • Pietrosimone B, Pfeiffer SJ, Harkey MS, Wallace K, Hunt C, Blackburn JT, Schmitz R, Lalush D, Nissman D, Spang JT (2018) Quadriceps weakness associates with greater T1ρ relaxation time in the medial femoral articular cartilage 6 months following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-018-5290-y (Epub ahead of print)

  • Rabelo NDDA, Costa LOP, Lima BM, Dos Reis AC, Bley AS, Fukuda TY, Lucareli PRG (2017) Adding motor control training to muscle strengthening did not substantially improve the effects on clinical or kinematic outcomes in women with patellofemoral pain: a randomised controlled trial. Gait Posture 58:280–286. https://doi.org/10.1016/j.gaitpost.2017.08.018 (Epub 18 Aug. 2017)

    Article  PubMed  Google Scholar 

  • Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, Cook J (2015) Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med 49(19):1277–1283. https://doi.org/10.1136/bjsports-2014-094386 (Epub 15 May 2015)

    Article  PubMed  Google Scholar 

  • Rio E, van Ark M, Docking S, Moseley GL, Kidgell D, Gaida JE, van den Akker-Scheek I, Zwerver J, Cook J (2017) Isometric contractions are more analgesic than isotonic contractions for patellar tendon pain: an in-season randomized clinical trial. Clin J Sport Med 27(3):253–259. https://doi.org/10.1097/JSM.0000000000000364

    Article  PubMed  Google Scholar 

  • Roig M, O’Brien K, Kirk G, Murray R, McKinnon P, Shadgan B, Reid WD (2009) The effects of eccentric versus concentric resistance training on muscle strength and mass in healthy adults: a systematic review with meta-analysis. Br J Sports Med 43(8):556–568. https://doi.org/10.1136/bjsm.2008.051417 (Epub 3 Nov. 2008)

    Article  CAS  PubMed  Google Scholar 

  • Salo PK, Häkkinen AH, Kautiainen H, Ylinen JJ (2010) Effect of neck strength training on health-related quality of life in females with chronic neck pain: a randomized controlled 1-year follow-up study. Health Qual Life Outcomes 14(8):48. https://doi.org/10.1186/1477-7525-8-48

    Article  Google Scholar 

  • Segal NA, Glass NA (2011) Is quadriceps muscle weakness a risk factor for incident or progressive knee osteoarthritis? Phys Sportsmed 39(4):44–50. https://doi.org/10.3810/psm.2011.11.1938

    Article  PubMed  Google Scholar 

  • Sjøgaard G, Justesen JB, Murray M, Dalager T, Søgaard K (2014) A conceptual model for worksite intelligent physical exercise training–IPET–intervention for decreasing life style health risk indicators among employees: a randomized controlled trial. BMC Public Health 26(14):652. https://doi.org/10.1186/1471-2458-14-652

    Article  Google Scholar 

  • Sjøgaard G, Christensen JR, Justesen JB, Murray M, Dalager T, Fredslund GH, Søgaard K (2016) Exercise is more than medicine: the working age population’s well-being and productivity. J Sport Health Sci 5(2):159–165. https://doi.org/10.1016/j.jshs.2016.04.004 (Epub 7 Apr. 2016)

    Article  PubMed  PubMed Central  Google Scholar 

  • Skoffer B, Dalgas U, Mechlenburg I (2015) Progressive resistance training before and after total hip and knee arthroplasty: a systematic review. Clin Rehabil 29(1):14–29. https://doi.org/10.1177/0269215514537093 (Epub 3 July 2014)

    Article  PubMed  Google Scholar 

  • Steele J (2014) Intensity; in-ten-si-ty; noun. 1. Often used ambiguously within resistance training. 2. Is it time to drop the term altogether? Br J Sports Med 48(22):1586–1588. https://doi.org/10.1136/bjsports-2012-092127 (Epub 12 Febr. 2013)

  • Steele J, Bruce-Low S, Smith D, Jessop D, Osborne N (2014) Lumbar kinematic variability during gait in chronic low back pain and associations with pain, disability and isolated lumbar extension strength. Clin Biomech (Bristol, Avon) 29(10):1131–1138. https://doi.org/10.1016/j.clinbiomech.2014.09.013 (Epub 5 Oct. 2014)

    Article  Google Scholar 

  • Steele J, Bruce-Low S, Smith D, Jessop D, Osborne N (2017) Isolated lumbar extension resistance training improves strength, pain, and disability, but not spinal height or shrinkage (“creep”) in participants with chronic low back pain. Cartilage 1947603517695614. https://doi.org/10.1177/1947603517695614 (Epub ahead of print)

  • Sundstrup E, Jakobsen MD, Brandt M, Jay K, Aagaard P, Andersen LL (2016) Strength training improves fatigue resistance and self-rated health in workers with chronic pain: a randomized controlled trial. Biomed Res Int 2016:4137918 (Epub 17 Oct. 2016)

    Article  Google Scholar 

  • Teichtahl AJ, Wluka AE, Forbes A, Wang Y, English DR, Giles GG, Cicuttini FM (2009) Longitudinal effect of vigorous physical activity on patella cartilage morphology in people without clinical knee disease. Arthritis Rheum 61(8):1095–1102. https://doi.org/10.1002/art.24840

    Article  PubMed  Google Scholar 

  • Tucker KJ, Hodges PW (2009) Motoneurone recruitment is altered with pain induced in non-muscular tissue. Pain 141(1–2):151–155. https://doi.org/10.1016/j.pain.2008.10.029 (Epub 17 Dec. 2008)

    Article  PubMed  Google Scholar 

  • Tucker K, Butler J, Graven-Nielsen T, Riek S, Hodges P (2009) Motor unit recruitment strategies are altered during deep-tissue pain. J Neurosci 29(35):10820–10826. https://doi.org/10.1523/JNEUROSCI.5211-08.2009

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wilder J (1931) „Ausgangswert-Gesetz“ – Ein unbeachtetes Gesetz, seine Bedeutung für Forschung und Praxis. Klin Wschr 10:1189–1194

    Article  Google Scholar 

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  1. Altach, Österreich

    Wolfgang Laube

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Laube, W. (2020). Schmerz und Kraft. In: Sensomotorik und Schmerz. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60512-7_12

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