{"id":4011,"date":"2025-11-04T17:53:17","date_gmt":"2025-11-04T16:53:17","guid":{"rendered":"https:\/\/www.vitalibera.org\/community\/?p=4011"},"modified":"2025-11-04T17:53:21","modified_gmt":"2025-11-04T16:53:21","slug":"schultersubluxation-2","status":"publish","type":"post","link":"https:\/\/www.vitalibera.org\/community\/2025\/11\/04\/schultersubluxation-2\/","title":{"rendered":"Schultersubluxation"},"content":{"rendered":"\n
\"\"<\/figure>
\n

Eine Schultersubluxation nach einem Schlaganfall ist eine\u00a0teilweise (partielle) Auskuglung des Oberarmkopfes aus der Schulterpfanne aufgrund von Muskelschw\u00e4che und L\u00e4hmungen.

Dies kann sehr schmerzhaft sein und wird oft durch eine Entlastung und Ruhigstellung des Arms sowie durch Physiotherapie, erg\u00e4nzt durch unterst\u00fctzende Ma\u00dfnahmen wie Orthesen, Taping oder neuromuskul\u00e4re Elektrostimulation, behandelt. Ziel ist es, die Muskulatur zu st\u00e4rken, die Beweglichkeit zu erhalten und den Humeruskopf zu zentrieren, um weitere Sch\u00e4den zu verhindern.\u00a0<\/p>\n\n\n\n

Ursachen<\/p>\n\n\n\n

    \n
  • Muskul\u00e4re Schw\u00e4che:<\/strong>\u00a0L\u00e4hmungen und muskul\u00e4re Schw\u00e4che auf der betroffenen Seite (plegische Seite) nach einem Schlaganfall f\u00fchren dazu, dass die Muskeln den Oberarmkopf nicht mehr richtig in der Schulterpfanne halten k\u00f6nnen.<\/li>\n\n\n\n
  • Sensibilit\u00e4tsst\u00f6rungen:<\/strong>\u00a0Wenn die Betroffenen Fehlstellungen oder Belastungen nicht sp\u00fcren, kann dies die Situation verschlimmern, da sie die sch\u00e4dliche Wirkung oft nicht rechtzeitig wahrnehmen.\u00a0<\/li>\n<\/ul>\n\n\n\n

    Behandlung und Therapie<\/p>\n\n\n\n

      \n
    • Physiotherapie:<\/strong>\n
        \n
      • Behutsame Mobilisation:<\/strong>\u00a0Der Arm wird nur bis zur Waagerechten und ohne Zug bewegt, um die Beweglichkeit zu erhalten und die Gelenkkapsel zu sch\u00fctzen.<\/li>\n\n\n\n
      • Kr\u00e4ftigung der Muskulatur:<\/strong>\u00a0Gezielte \u00dcbungen zur besseren Zentrierung des Humeruskopfes und zur Vermeidung von Zugsch\u00e4den sind essenziell.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
      • Unterst\u00fctzende Hilfsmittel:<\/strong>\n
          \n
        • Schulterorthesen:<\/strong>\u00a0Sie stabilisieren das Gelenk und k\u00f6nnen helfen, die richtige Position zu finden.<\/li>\n\n\n\n
        • Kinesio-Taping:<\/strong>\u00a0Kann Schmerzen reduzieren und das Gelenk unterst\u00fctzen.<\/li>\n\n\n\n
        • Neuromuskul\u00e4re Elektrostimulation (NMES):<\/strong>\u00a0Sanfte Stromimpulse k\u00f6nnen die geschw\u00e4chten Muskeln aktivieren, was die Stabilisierung und den Erhalt der Muskulatur unterst\u00fctzt.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
        • Ruhigstellung und Lagerung:<\/strong>\n
            \n
          • Der Arm sollte richtig gelagert werden, beispielsweise auf einem Rollstuhltisch, mit einer weichen Unterlage und einer weichen Auflage in der Hand, um Verkrampfungen zu verhindern.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
          • Weitere Ma\u00dfnahmen:<\/strong>\n
              \n
            • Lymphdrainage-Massage:<\/strong>\u00a0Kann bei Schwellungen helfen.<\/li>\n\n\n\n
            • Injektionen:<\/strong>\u00a0Bei starken Verkrampfungen kann ein Arzt Botulinumtoxin spritzen.\u00a0<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n

              Wichtiger Hinweis<\/strong><\/p>\n\n\n\n

              Die Subluxation kann schmerzhaft sein und die Rehabilitation erschweren. Eine fr\u00fchzeitige Diagnose und Behandlung durch einen Physiotherapeuten und Arzt ist entscheidend f\u00fcr die Genesung. <\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":4012,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"yes","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[159],"tags":[],"class_list":["post-4011","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fachwissen"],"yoast_head":"\r\nSchultersubluxation - vitalibera.org<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"http:\/\/www.vitalibera.org\/community\/2025\/11\/04\/schultersubluxation-2\/\" \/>\r\n<meta property=\"og:locale\" content=\"de_DE\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Schultersubluxation - 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