Skip to main content

Schädigungen und Verletzungen durch chronische Belastung

  • Chapter
  • First Online:
  • 2745 Accesses

Zusammenfassung

Ein Unfall ist definiert als ein heftiges, ungewöhnliches, möglicherweise gesundheitsschädigendes Ereignis, das plötzlich und unerwartet auftritt und in der Regel von kurzer Dauer ist. Der Ausdruck „chronisch“ impliziert hingegen eine Belastung, die über einen – im Vergleich zur typischen Dauer eines Unfalls – langen Zeitraum wirkt. Entscheidend ist, dass bei chronischer mechanischer Überlastung Gesundheitsschäden und/oder Verletzungen bei Belastungen auftreten können, die für sich genommen unterhalb der individuellen Verletzungstoleranzen liegen. Die Auswirkung der Belastungen wird jedoch durch die lange Einwirkdauer bestimmt und verschärft. Dabei tritt die Belastung nicht zwangsläufig ununterbrochen auf; sie kann regelmäßig oder auch unregelmäßig wirken, z. B. nur während Trainingszeiten (Sport) oder Arbeitszeiten (Baumaschinen). Teilweise wirken diese Belastungen über Jahre hinweg. Die einzelne Belastung selbst ist in der Regel ungefährlich bzw. der Körper kann sich rasch davon erholen. Ursachen, Mechanismen, Belastungsmuster, Toleranzen wie auch Prävention und Möglichkeiten zur Minderung von Gesundheitsschäden unterscheiden sich daher deutlich von denjenigen, die aus der Analyse von Unfällen bekannt sind.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Literatur

  1. Arnold A, Thigpen CA, Beattie PF, Kissenberth MJ, Shanley E (2017) Overuse physeal injuries in youth athletes: risk factors, prevention and treatment strategies. Sports Health 9:139–47

    Article  Google Scholar 

  2. Bartlett R (1999) Sports biomechanics. E & FN Spon Publ, London

    Google Scholar 

  3. bfu – Swiss Council for Accident Prevention (2018) www.bfu.ch. Zugegriffen: 12. Oct. 2018

  4. Boelens C, Hekman E, Verkerke G (2013) Risk factors for falls of older citizens. Tech Health Care 21(5):521–533

    Article  Google Scholar 

  5. Brenner H, Ahern W (2000) Sickness absence and early retirement on health grounds in the construction industry in Ireland. Occup Environ Med 57:615–620

    Article  Google Scholar 

  6. CPWR (Center to Protect Worker’s Rights) now: Center for Construction Work & Training. https://www.cpwr.com/. Zugegriffen: 12. Oct. 2018

  7. Ezechieli M, Siebert CH, Ettinger M, Kieffer O, Weißkopf M, Miltner O (2013) Muscle strength of the lumbar spine in different sports. Tech Health Care 21(4):379–386

    Article  Google Scholar 

  8. Gamboa JM, Roberts LA, Maring J, Fergus A (2008) Injury patterns in elite preprofessional ballet dancers and the utility of screening programs to identify risk characteristics. J Orthop Sports Phys Ther 38:126–136

    Article  Google Scholar 

  9. Gershon RRM, Dailey M, Magda LA, Riley HEM, Conolly J, Silver A (2012) Safety in the home healthcare sector: Development of a new household safety checklist. J Patient Safety 8:51–59

    Article  Google Scholar 

  10. Gouttebarge V, Wind H, Kuijer AP, Sluiter JK, Frings-Dresen MH (2009) Construct validity of functional capacity evaluation lifting tests in construction workers on sick leave as a result of musculoskeletal disorders. Arch Phys Med and Rehab 90:302–308

    Article  Google Scholar 

  11. Kane P (1999) Women and Occupational Health. WHO, Global Commission on Women’s Health

    Google Scholar 

  12. Karamanidis K, Arampatzis A (2007) Age-related degeneration in leg-extensor muscle-tendon units decreases recovery performance after a forward fall: compensation with running experience. Europ J Appl Physiol 99:73–85

    Article  Google Scholar 

  13. Kauther M, Wedemeyer C, Wegner A, Kauther K, von Knoch M (2009) Breakdance injuries and overuse syndromes in amateurs and professionals. Am J Sports Med 37:797–802

    Article  Google Scholar 

  14. Kolata G (2017) Cost of contact sports is estimated at over 600’000 injuries per year. New York Times, 29. September 2017. https://www.nytimes.com/2017/09/29/health/sports-injuries-football-yale.html. Zugegriffen: 30. Oct. 2018

  15. Latza U, Pfahlberg A, Gefeller O (2002) Impact of repetitive manual materials handling and psychosocial work factors on the future prevalence of chronic low-back pain among construction workers. Scand J Work Environ Health 28:314–323

    Article  Google Scholar 

  16. Mack KA, Rudd RA, Mickalide AD, Bellesteros MF (2013) Fatal unintentional injuries in the home in the us 2000–2008. Am J Prev Med 44:239–46

    Article  Google Scholar 

  17. Madeley LT, Munteanu SE, Bonanno DR (2007) Endurance of the ankle joint plantar flexor muscles in athletes with medial tibial stress syndrome: a case control study. J Sci Med Sport 10:356–362

    Article  Google Scholar 

  18. Mandell JC, Khurana B, Smith SE (2017) Stress fractures of the foot and ankle, part 1: biomechanics of bone and principles of imaging and treatment. Skeletal Radiol 46:2021–2029

    Google Scholar 

  19. Martin R (2003) Fatigue microdamage as an essential element of bone mechanics and biology. Calcif Tissue Int 73:101–107

    Article  Google Scholar 

  20. NCSS – National Center for Sports Safety (2018). http://www.sportssafety.org. Zugegriffen: 12. Oct. 2018

  21. Niams – National Institute of Arthritis and Musculoskeletal and Skin Diseases (2013). http://www.niams.nih.gov. Zugegriffen: 12. Oct. 2018

  22. Reinschmidt C, Nigg BM (2000) Current Issues in the Design of Running and Court Shoes. Sportverletz Sportschaden 14:72–81

    Article  Google Scholar 

  23. Riley GP, Harrall RL, Constant CR, Chard MD, Cawston TE, Hazleman BL (1994) Tendon degeneration and chronic shoulder pain: changes in the collagen composition of the human rotator cuff tendons in rotator cuff tendinitis. Ann Rheum Dis 53:359–566

    Article  Google Scholar 

  24. Romano C, Papini M, Ghilardi A, Gianni C (2005) Onychomycosis in children: a survey of 46 cases. Mycoses 48:430–437

    Article  Google Scholar 

  25. Serina ER, Leu DK (1991) Thoracic injury potential of basic competition Taekwondo kicks. J Biomech 24:951–960

    Article  Google Scholar 

  26. Snyder R, Koester M, Dunn W (2006) Epidemiology of stress fractures. Clin Sports Med 25:37–52

    Article  Google Scholar 

  27. Soligard T, Schwellnus M, Alonso J-M et al (2019) How much is too much? Int. Olympic committee consensus statement on load in sports and risk of injury. Br J Sports Med 50:1030–1041

    Article  Google Scholar 

  28. Stefanyshyn DJ, Nigg BM (2000) Energy aspects associated with sport shoes. Sportverletz Sportschaden 14:82–89

    Article  Google Scholar 

  29. Straker L, Mathiassen SE (2009) Increased physical workloads in modern work – a necessity for better health and performance? J Ergonomics 52:1215–1225

    Article  Google Scholar 

  30. Thompson AK, Bertocci G, Rice W, Pierce MC (2011) Pediatric short-distance household falls: Biomechanics and associated injury severity. Acc Anal & Prev 43:143–150

    Article  Google Scholar 

  31. Tibesku CO, Pässler HH (2005) Jumper’s Knee – a review. Sportverletz Sportschaden 19:63–71

    Article  Google Scholar 

  32. UWW – United World Wrestling (2018) https://unitedworldwrestling.org/. Zugegriffen: 30. Oct. 2018

  33. Valderrabano V, Leumann A, Pagenstert G, Frigg A, Ebneter L, Hintermann B (2006) Chronic ankle instability in sports – a review for sports physicians. Sportverletz Sportschaden 20:177–183

    Article  Google Scholar 

  34. Verhagen E (2010) The cost of sports injuries. J Sci Med in Sports 13(suppl):1

    MathSciNet  Google Scholar 

  35. Virk J, Hsu P, Olsen J (2012) Socio-demographic characteristics of women sustaining injury during pregnancy: a study from the Danish national birth cohort. BMJ OPEN 2(4), 2:e000826. https://doi.org/10.1136/bmjopen-2012-000826

  36. Wanke E, Mill H, Arendt M, Wanke A, Koch F, Groneberg D (2014) Occupational accidents in professional dancers with regard to different professional dance styles. Work 49(4):597–606

    Article  Google Scholar 

  37. Warren MP, Brooks-Gunn J, Fox RP, Holderness CC, Hyle EP, Hamilton WG (2002) Osteopenia in exercise-associated amenorrhea using ballet dancers as a model: a longitudinal study. J Clin Endocrinol Metab 87:3162–3168

    Article  Google Scholar 

  38. WBA – World Boxing Association (2018). http://www.wbanews.com/. Zugegriffen: 12. Oct. 2018

  39. Wilder R, Sethi S (2004) Overuse injuries: tendiopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med 23:55–81

    Article  Google Scholar 

  40. Wojtys EM, Beaulieu ML, Ashton-Miller JA (2016) New perspectives of ACL injuries: on the role of repetitive sub-maximal knee loading in causing ACL fatigue failure. J Orthop Res Dec. 2016:2059–2068

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kai-Uwe Schmitt .

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Schmitt, KU., Niederer, P.F., Cronin, D.S., Morrison III, B., Muser, M.H., Walz, F. (2020). Schädigungen und Verletzungen durch chronische Belastung. In: Trauma-Biomechanik. Springer Vieweg, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60936-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-60936-1_10

  • Published:

  • Publisher Name: Springer Vieweg, Berlin, Heidelberg

  • Print ISBN: 978-3-662-60935-4

  • Online ISBN: 978-3-662-60936-1

  • eBook Packages: Computer Science and Engineering (German Language)

Publish with us

Policies and ethics