Der Jenaer-Stand-Stabilitäts-Score (JESS-Score)

Background!#!Standing can be understood as a motor process in addition to the stereotypes of movement described by Janda. Atypical stress during standing leads to overstraining of myofascial structures and to pain. The search for a specific examination possibility with the prospect of individual therapy recommendations was the reason for the development of this score.!##!Methodology!#!In this study 80 healthy volunteers were examined for their stance stability by means of established as well as proportionally newly described test procedures. The equally weighted results were combined into a score and its standard values were determined.!##!Results!#!For the age group 18-44 years old the norm is the completion of 10 out of the total of 13 individual tasks. For the age group 45-59 years old, according to current measurements 8 out of 13 achieved points are the norm. In the age group from the age of 60 years onwards, no reliable statements can so far be made.!##!Discussion!#!The age group up to 44 years old provided reliable data. The age group above that shows at least a clear trend. The existing tests and scores are increasingly concerned with the risk of falling and the dexterity in movements and complex tasks. The status as a motor stereotype has not yet been described. After an examination using the Jena standing stability (JESS) score it is possible to make statements about individual therapy priorities.!##!Conclusion!#!The JESS score is a practicable test to verify the standing stereotype. The extension of the norm group by including further study participants will decide on a stabilization or modification of the current results. The testing of further cohorts will show to what extent these items are sensitive to changes caused by training methods and whether the score can also be used to congruently map clinical changes

Klinische Anwendung des Bregmatests

Background!#!The Bregma test as an investigation of sensorimotor deficits has not yet been broadly applied. It is considered to be a test for the presentation of general sensorimotor abilities in a standing position. Pain patients often show disorders in physical perception and movement.!##!Objective!#!Are there differences in the point prevalence of the Bregma test in patients (with and without diagnosis F45.41) or healthy persons? In a second part the development of pathological Bregma test values was observed in the context of an interdisciplinary multimodal pain therapy (IMST).!##!Material and methods!#!Point prevalence of pathological test results in 3 groups, total n = 218. Monitoring of the course of an IMST at the beginning and end of a day clinic setting, n = 60.!##!Results!#!Healthy and 'non-F45.41' patients showed a <15% frequency of pathological Bregma test results. In 'F45.41 patients' the frequency was >50%. Within the framework of an IMST the pathological movements could be reduced to approximately 33%.!##!Conclusion!#!Increased body perception disorders are known in chronic pain patients. The Bregma test is able to detect at least some of the patients with sensorimotor deficits. Chronic pain patients significantly differ from healthy or other patient groups. The deficits in the controllability of myofascial tissue (coordination) can also be improved during a 4-week IMST