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physiopraxis 2022; 20(07/08): 52-55
DOI: 10.1055/a-1838-7632
Therapie

Hör mal, was da knackt! – Spinale Manipulationen

Karim Alam
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Manipulationstechniken sind Bestandteil vieler Behandlungsschemata auch und vor allem bei Wirbelsäulenbeschwerden. Ein dabei häufig auftretendes Phänomen ist das hörbare Knacken, für das Patient*innen regelmäßig nach einer Erklärung fragen. Konträre Hypothesen sowie eine nicht lückenlose Evidenz lassen bis dato jedoch keine eindeutige Aussage darüber zu.



Publication History

Article published online:
19 July 2022

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  • Literaturverzeichnis

  • 1 Curtis P.. Spinal manipulation: does it work?. Occupational Med: State of the Art Reviews 1988; 03: 31-44
    Google Scholar
  • 2 Flynn TW.. There‘s more than one way to manipulatea spine. J Orthop Sports Phys Ther 2006; Apr 36 (04) 198-9 DOI: 10.2519/jospt.2006.0105.PMID: 16676868..
    CrossrefGoogle Scholar
  • 3 Maigne JY, Vautravers P. Mechanism of action ofspinal manipulative therapy. Joint Bone Spine 2003; 70: 336-41
    CrossrefPubMedGoogle Scholar
  • 4 Gál JM, Herzog W, Kawchuk GN, Conway PJ, Zhang YT. Biomechanical studies of spinal manipulativetherapy (SMT): Quantifying the movements ofvertebral bodies during SMT. J Can Chiro Assoc 1994; 38: 11-24
    Google Scholar
  • 5 Gál JM, Herzog W, Kawchuk GN, Conway PJ, Zhang YT. Forces and relative vertebral movements duringSMT to unembalmed post-rigor human cadavers:peculiarities associated with joint csvitation. J Manipulative Physiol Ther 1995; 18: 4-9
    PubMedGoogle Scholar
  • 6 Gál JM, Herzog W, Kawchuk GN, Conway PJ, Zhang YT. Movements of vertebrae during manipulativethrusts to unembalmed human cadavers. J Manipulative Physiol Ther 1997; 20: 30-40
    PubMedGoogle Scholar
  • 7 Herzog W. The mechanical, neuromuscular, andphysiologic effects produced by spinal manipulation.In: Herzog W, editor. Clinical biomechanicsof spinal manipulation. New York, NY: Churchill Livingstone; 2000: p. 191-207
    Google Scholar
  • 8 Lee M, Gál JM, Herzog W. Biomechanics of manualtherapy. In: Dvir Z, editor. Clin Biomech. Philadelphia: Churchill Livingstone; 2000: p. 209-38
    Google Scholar
  • 9 Fick R.. Zum Streit um den Gelenkdruck.Anat. Hefte. Springer-Verlag 1911; 43: 397-414
    Google Scholar
  • 10 Nordheim Y.. 1938. Eine neue Methode, den Gelenkknorpel,besonders die Kniegelenkmenisken,röntgenologisch darzustellen (ohne Zuhilfenahmeeingespritzten Kontrastmittels). Fortschr.Röntgenstr. 57: 479-495
    Google Scholar
  • 11 Roston JB, Haines RW.. Cracking in the metacarpo-phalangeal joint. J Anat., 1947; Apr 81 (02) 165-73
    PubMedGoogle Scholar
  • 12 Demoulin C, Baeri D, Toussaint G, Cagnie B, Beernaert A, Kaux JF, Vanderthommen M.. Beliefs inthe population about cracking sounds producedduring spinal manipulation. Joint Bone Spine. 2018; Mar 85 (02) 239-242 DOI: 10.1016/j.jbspin.2017.04.006. Epub 2017 Apr 26. PMID:28456600..
    CrossrefGoogle Scholar
  • 13 Robertson CJ, Hurley M, Jones F.. People‘s beliefsabout the meaning of crepitus in patellofemoralpain and the impact of these beliefs on theirbehaviour: A qualitative study. Musculoskeletci Pract. 2017; Apr 28: 59-64 DOI: 10.1016/j.msksp.2017.01.012. Epub 2017 Feb 2. PMID:28171780..
    CrossrefGoogle Scholar
  • 14 Pazzinatto MF, de Oliveira Silva D, Azevedo FM, Pappas E. Knee crepitus is not associated withthe occurrence of total knee replacement inknee osteoarthritis - a longitudinal study withdata from the Osteoarthritis Initiative. Braz JPhys Ther. 2019; 23 (04) 329-336 DOI: 10.1016/j.bjpt.2018.09.009.
    CrossrefPubMedGoogle Scholar
  • 15 Swezey RL, Swezey SE.. The consequences ofhabitual knuckle cracking. West J Med. 1975, May 122 (05) 377-9 PMID: 113 0029; PMCID:PMC1129752
    Google Scholar
  • 16 Boutin RD, Netto AP, Nakamura D. et al „KnuckleCracking“: Can Blinded Observers Detect Changeswith Physical Examination and Sonography?. Clin OrthopRelat Res. 2017; 475 (04) 1265-1271 DOI: 10.1007/s11999-016-5215-3.
    CrossrefPubMedGoogle Scholar
  • 17 Deweber K, Olszewski M, Ortolano R.. Knuckle crackingand hand osteoarthritis. J Am Board FamMed. 2011; Mar-Apr 24 (02) 169-74 DOI: 10.3122/jabfm.2011.02.100156. PMID: 21383216..
    CrossrefGoogle Scholar
  • 18 Rizvi A, Loukas M, Oskouian RJ, Tubbs RS.. Let‘sget a hand on this: Review of the clinical anatomyof „knuckle cracking“. Clin Anat. 2018; sep 31 (06) 942-945 DOI: 10.1002/ca.23243.Epub 2018 Oct 18. PMID: 30080300..
    CrossrefGoogle Scholar
  • 19 Unsworth A, Dowson D, Wright V. A bioengineeringstudy of cavitation in the metacarpophalangealjoint. Ann Rheum Dis 1971; 30: 348-58
    CrossrefPubMedGoogle Scholar
  • 20 Kawchuk GN, Fryer J, Jaremko JL, Zeng H, Rowe L, Thompson R.. Real-time visualization of joint cavitation. PLoS One. 2015; Apr 15 10 (04) e0119470 DOI: 10.1371/journal.pone.0119470. PMID:2587 5374; PMCID: PMC4398549..
    CrossrefGoogle Scholar
  • 21 Cascioli V, Corr P, Till Ag AG.. An investigation intthe production of intra-articular gas bubbles andincrease in joint space in the zygapophyseal jointsof the cervical spine in asymptomatic subjectsafter spinal manipulation. J Manipulative Physiol Ther. 2003; Jul-Aug 26 (06) 356-64 DOI: 10.1016/S0161-4754(03)00075-7. PMID: 12902964..
    CrossrefGoogle Scholar
  • 22 Mierau D, Cassidy JD, Bowen V, Dupuis P, Notfall F.. Manipulation and mobilization of the third metacarpophalangealjoint - a quantitative radiographicand range of motion study. Manual Med 1988; 03: 135 (40)
    Google Scholar
  • 23 Méal GM, Scott RA.. Analysis of the joint crackby simultaneous recording of sound and tension. J Manipulative Physiol Ther. 1986, Sep. 09 (03) 189-95 PMID: 3772264
    Google Scholar
  • 24 Reggars JW.. Recording techniques and analysisof the articular crack. A critical review of the literature. AustralasChiropr Osteopathy. 1996, Nov 05 (03) 86-92 PMID: 1798 7144;PMCID:PMC2050620
    Google Scholar
  • 25 Harwich AS.. Joint Manipulation: Toward a GeneralTheory of High-Velocity, Low-AmplitudeThrust Techniques. J ChiroprHumanit. 2017; Mar 31 24 (01) 15-23 DOI: 10.1016/j.echu.2017.01.001. PMID: 2946 3963; PMCID:PMC5812894..
    CrossrefGoogle Scholar
  • 26 Conway P, Herzog W, Zhang Y. et al Forces requiredto cause cavitation during spinal manipulationof the thoracic spine. Clin Biomech. 1993; 08: 210-214
    CrossrefPubMedGoogle Scholar
  • 27 Cramer GD, Tuck Jr NR, Knudsen JT, Fonda SD, Schliesser JS, Fournier JT, Patel P.. Effects of side-posture positioning and side-posture adjustingon the lumbar zygapophysial joints as evaluatedby magnetic resonance imaging: a before andafter study with randomization. J Manipulative Physiol Ther. 2000; Jul-Aug 23 (06) 380-94 DOI: 10.1067/mmt.2000.108145. PMID: 10951308..
    CrossrefGoogle Scholar
  • 28 Evans DW.. Mechanisms and effects of spinalhigh-velocity, low-amplitude thrust manipulation:previous theories. J Manipulative Physiol Ther. 2002 May 25 (04) 251-62 10.1067/
    CrossrefPubMedGoogle Scholar
  • 29 Suter E, Herzog W, Conway PJ, Zhang YT. Reflex responseassociated with manipulative treatmentof the thoracic spine. J Neuromusculoskelet Syst 1994; 02: 124-30
    Google Scholar
  • 30 Bolton A, Moran RW, Standen C.. An investigationinto the side of joint cavitation associatedwith cervical spine manipulation. International Journal of Osteopathic Medicine 10 (04) 88-96 DOI: 10.1016/j.ijosm.2007.10.004.
    CrossrefGoogle Scholar
  • 31 Sandoz R. The significance of the manipulativecrack andother articular noises. Ann Swiss ChiroprAssoc 1969; 04: 47-68
    Google Scholar
  • 32 Cyriax J.. Textbook of orthopaedic medicine. Vol 2.9th ed. London: Bailliere Tindall; 1974
    Google Scholar
  • 33 Brodeur R. The audible release associated withjoint manipulation. JMPT. 1995; 18: 155-164
    PubMedGoogle Scholar
  • 34 Bialosky JE, Bishop MD, Robinson ME, George SZ.. The relationship of the audible pop to hypoalgesiaassociated with high-velocity, low-amplitudethrust manipulation: a secondary analysis ofan experimental study in pain-free participants. J Manipulative Physiol Ther. 2010 Feb 33 (02) 117-24 DOI: 10.1016/j.jmpt.2009.12.008. PMID:2017 0777; PMCID: PMC2837475
    CrossrefPubMedGoogle Scholar
  • 35 Childs JD, Fritz JM, Flynn TW, Irrgang JJ, Johnson KK, Majkowski GR, Delitto A.. A clinical predictionrule to identify patients with low back painmost likely to benefit from spinal manipulation:a validation study. Ann Intern Med. 2004 Dec 21 141 (12) 920-8 DOI: 10.7326/0003-4819-141-12-200412210-00008. PMID: 15611489
    CrossrefPubMedGoogle Scholar
  • 36 Saavedra-Hernández M, Castro-Sánchez AM, Fernández-de-Las-Peñas C, Cleland JA, Ortega-Santiago R, Arroyo-Morales M.. Predictors foridentifying patients with mechanical neck painwho are likely to achieve short-term success withmanipulative interventions directed at the cervicaland thoracic spine. J Manipulative Physiol Ther. 2011; Mar-Apr 34 (03) 144-52
    CrossrefPubMedGoogle Scholar
  • 37 Alrwaily M, Timko M, Schneider M, Kawchuk G, Bise C, Hariharan K, Stevans J, Delitto A.. Treatment-based Classification System for PatientsWith Low Back Pain: The Movement Control Approach. Phys Ther. 2017, Dec 1 97 (12) 1147-1157 DOI: 10.1093/ptj/pzx087. PMID: 30010971
    CrossrefPubMedGoogle Scholar