Sind verspannte Muskeln verkürzt oder zu schwach? Steif oder verhärtet? Was genau hinter den häufigen Symptomen steckt, bleibt umstritten. Eine aktuelle Übersichtsarbeit zeigt, wie widersprüchlich die wissenschaftliche Literatur zum Thema Muskelsteifigkeit und Schmerz steht. Gleichzeitig zeigen einige Studien diverse methodische Mängel.
Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany
Literaturverzeichnis
1
Castelein B,
Cools A,
Bostyn E.
et al
Analysis of scapular muscle EMG activity in patients with idiopathic neck pain: A systematic review. J Electromyogr Kinesiol 2015; 25: 371-386
3
Falla D,
Cescon C,
Lindstroem R.
et al
Muscle Pain Induces a Shift of the Spatial Distribution of Upper Trapezius Muscle Activity During a Repetitive Task: A Mechanism for Perpetuation of Pain With Repetitive Activity?. Clin J Pain 2017; 33: 1006-1013
4
Geri T,
Gizzi L,
Di Marco A.
et al
Myofascial trigger points alter the modular control during the execution of a reaching task: a pilot study. Sci Rep 2019; 09: 16065
6
Madeleine P,
Leclerc F,
Arendt-Nielsen L.
et al
Experimental muscle pain changes the spatial distribution of upper trapezius muscle activity during sustained contraction. Clin Neurophysiol 2006; 117: 2436-2445
8
Haueise A,
Le Sant G,
Eisele-Metzger A.
et al
Is musculoskeletal pain associated with increased muscle stiffness? Evidence map and critical appraisal of muscle measurements using shear wave elastography. Clin Physiol Funct Imaging. 2024; 44: 187-204
10
Dieterich AV,
Yavuz UŞ,
Petzke F.
et al
Neck Muscle Stiffness Measured With Shear Wave Elastography in Women With Chronic Nonspecific Neck Pain. J Orthop Sports Phys Ther 2020; 50: 179-188
11
Kolding LT,
Do TP,
Ewertsen C.
et al
Muscle stiffness in tension-type headache patients with pericranial tenderness: A shear wave elastography study. Cephalalgia Rep 2018; 01: 251581631876029
12
Hvedstrup J,
Kolding LT,
Ashina M.
et al
Increased neck muscle stiffness in migraine patients with ictal neck pain: A shear wave elastography study. Cephalalgia 2020; 40: 565-574
13
Andersen H,
Ge H-Y,
Arendt-Nielsen L.
et al
Increased Trapezius Pain Sensitivity Is Not Associated With Increased Tissue Hardness. J Pain 2010; 11: 491-499
14
Opara M,
Kozinc Ž..
Which muscles exhibit increased stiffness in people with chronic neck pain? A systematic review with meta-analysis. Front Sports Act Living 2023; 05: 1172514
15
Maigne J-Y,
Cornelis P,
Chatellier G.
Lower back pain and neck pain: Is it possible to identify the painful side by palpation only?. Ann Phys Rehabil Med 2012; 55: 103-111
16
Nolet PS,
Yu H,
Côté P.
et al
Reliability and validity of manual palpation for the assessment of patients with low back pain: a systematic and critical review. Chiropr Man Ther 2021; 29: 33