Koordinatives Training bei Coxarthrose - Die Auswirkungen auf das ...

Inhaltsverzeichnis
VORWORT...........................................................................................................................................3
ERKLÄRUNG ......................................................................................................................................4
ABSTRACT...........................................................................................................................................5
INHALTSVERZEICHNIS...................................................................................................................6
ABKÜRZUNGSVERZEICHNIS ........................................................................................................8
1. EINLEITUNG...................................................................................................................................9
2. ANATOMIE DES HÜFTGELENKS ............................................................................................10
2.1 GELENKSAUFBAU........................................................................................................................10
2.2 BEWEGUNGSAUSMAß DES HÜFTGELENKS ...................................................................................11
2.3 MUSKELN DES HÜFTGELENKS.....................................................................................................12
2.3.1 Flexoren des Hüftgelenks ...................................................................................................13
2.3.2 Extensoren des Hüftgelenks................................................................................................15
2.3.3 Abduktoren des Hüftgelenks ...............................................................................................16
2.3.4 Adduktoren des Hüftgelenks ...............................................................................................16
2.3.5 Innenrotatoren....................................................................................................................17
2.3.6 Außenrotatoren...................................................................................................................17
2.4 KAPSELMUSTER DES HÜFTGELENKS ...........................................................................................17
2.5 BIOMECHANIK.............................................................................................................................19
2.5.1 Corpus- Collum Winkel ......................................................................................................19
3. COXARTHROSE ...........................................................................................................................20
3.1 PATHOPHYSIOLOGIE....................................................................................................................20
3.2 PRIMÄRE COXARTHROSE ............................................................................................................21
3.3 SEKUNDÄRE COXARTHROSE .......................................................................................................21
3.4 LEITSYMPTOME DER COXARTHROSE...........................................................................................21
3.5 KLINISCHES MUSTER...................................................................................................................22
3.6 THERAPIE....................................................................................................................................22
3.6.1 medikamentöse Therapie....................................................................................................22
3.6.2 Operative Therapie.............................................................................................................22
3.6.3. Konservative Behandlung..................................................................................................23
4. FALLSTUDIE.................................................................................................................................24
4.1 EINLEITUNG ................................................................................................................................24
4.2 DEFINITION KOORDINATION .......................................................................................................25
5. KOORDINATIVES TRAINING BEI COXARTHROSIS DEFORMANS ...............................27
5.1 ZIEL DES KOORDINATIVEN TRAININGS ........................................................................................28
5.2 DIE WIDERLAGERNDE MOBILISATION .........................................................................................29
5.2.1 Definition der widerlagernden Mobilisation ......................................................................29
5.2.2 Ausführung der widerlagernden Mobilisation....................................................................29
5.3 BESCHREIBUNG DER ÜBUNGEN...................................................................................................31
5.3.1 Widerlagernde Mobilisation in Extension..........................................................................31
5.3.3 Widerlagernde Mobilisation in ASTE Sitz für die Flexion .................................................34
5.3.3 Widerlagernde Mobilisation in Halbsitz ............................................................................34
5.3.4 Widerlagernde Mobilisation in Flexion ASTE RL..............................................................35
6. HYPOTHESE..................................................................................................................................36
6.1 HYPOTHESE.................................................................................................................................36
7. MATERIAL UND METHODIK ...................................................................................................37
6