TQ Aktiv Sanitz

14/02/2026

Seit über 10 Jahren ist Nicole ein fester Bestandteil unseres Teams im TherapeutiQum – und aus unserer Praxis nicht mehr wegzudenken! 🙌

Als erfahrene Physiotherapeutin steht sie für Kompetenz, Engagement und individuelle Betreuung. Ihre Behandlungen sind zielgerichtet, ganzheitlich und stets auf die Bedürfnisse unserer Patientinnen und Patienten abgestimmt.

💼 Seit 02/2026 ist Nicole stellvertretende Praxisleiterin und übernimmt damit zusätzlich Verantwortung in der Organisation und Weiterentwicklung unserer Praxis.

💪 Ihre Qualifikationen und Schwerpunkte:
✔️ Manuelle Therapie
✔️ Manuelle Lymphdrainage
✔️ KG am Gerät
✔️ KG Neuro (PNF)
✔️ Rückenschullehrerin (KddR)
✔️ DOSB Übungsleiterin B & C Lizenz
✔️ Kinesiotaping
✔️ Milon QMed Trainerin

Liebe Nicole, wir freuen uns sehr über dein langjähriges Engagement und gratulieren dir herzlich zu deiner neuen Position! 💐

11/02/2026

10 Jahre Engagement – und jetzt in leitender Funktion!

Christian Aschmann ist seit über einem Jahrzehnt Teil unseres Teams – und aus unserem Praxisalltag nicht mehr wegzudenken. Mit seiner ruhigen Art, seinem Fachwissen und seinem offenen Ohr für Patientinnen, Patienten und Kolleg:innen prägt er unsere Arbeit jeden Tag.

Seit 02/2026 ist er nun Leitender Physiotherapeut – eine Rolle, die er mit viel Verantwortungsbewusstsein und Teamgeist ausfüllt.

Seine fachlichen Schwerpunkte liegen unter anderem in:
✔ Manueller Therapie
✔ Manueller Lymphdrainage
✔ KG ZNS / PNF
✔ Medical Flossing
✔ Kinesiotaping

Wir sagen Danke für deinen Einsatz – und freuen uns auf alles, was noch kommt! 💪

06/02/2026

👉🔥 Gaenslen

Der Gaenslen's Test ist ein Schmerz-Provokationstest, der auf einen nozizeptiven Schmerztreiber im Bereich des Iliosakralgelenks (ISG/SIG) hinweisen kann.

👉Durchführung (3)

1. Der Patient liegt in Rückenlage, wobei das betroffene Bein über die Bankkante herunterhängt. Der Patient zieht das Bein der nicht-betroffenen Seite in Beugung und der Untersucher stabilisiert die gebeugte Seite (z.B. an seiner Brust (siehe Bild)).
Dies hält das Becken auf der nicht getesteten Seite während des Manövers in einer stabilen Position.

2. Der Untersucher übt Druck auf das gebeugte Bein in Richtung Rumpf, und einen Druck am gestreckten Bein in Richtung Streckung aus, sodass eine Torsions- und Kompressionskraft am ISG erzeugt wird.

👉Bewertung

Der Test wird als positiv gewertet, wenn der gewohnte Schmerz reproduziert wird.

👉Testqualität

Die Sensitivität und Spezifität einzelner ISG-Tests sind variabel und einzeln betrachtet nicht ausreichend für eine sichere Diagnose.

Die diagnostische Genauigkeit steigt jedoch, wenn mehrere Provokationstests (z.B. Distraction Test, Thigh Thrust Test, Gaenslen Test, Compression Test, Sacral Thrust Test etc.) als Cluster angewendet werden (z.B. mindestens 3 von 5 positiven Tests).

Eine Meta-Analyse von Saueressig et al. ergab eine positive Likelihood Ratio (LR+) von 2,13 (95% Konfidenzintervall (KI): 1,20-3,90) und eine negative Likelihood Ratio (LR-) von 0,33 (95% KI 0,11-0,72) für ein Testcluster von 3 oder mehr positiven Iliosakralgelenk-Provokationstests. (2)

Den gesamten Test mit Testqualität, Fazit und Quellen jetzt auf physiomeets.science 🤩🥸

06/02/2026

25/12/2025

🎊🌲Between Christmas and the beginning of the new year, we traditionally publish our ‘Best of’ series featuring the most influential posts of the year that is coming to an end.

📣 Today 🥇 # place 14 in 2025

𝗖𝗮𝗻 𝗯𝗮𝘀𝗲𝗹𝗶𝗻𝗲 𝗠𝗥𝗜 𝗳𝗶𝗻𝗱𝗶𝗻𝗴𝘀 𝗶𝗱𝗲𝗻𝘁𝗶𝗳𝘆 𝘄𝗵𝗼 𝗿𝗲𝘀𝗽𝗼𝗻𝗱𝘀 𝗯𝗲𝘁𝘁𝗲𝗿 𝘁𝗼 𝗲𝗮𝗿𝗹𝘆 𝘀𝘂𝗿𝗴𝗲𝗿𝘆 𝘃𝗲𝗿𝘀𝘂𝘀 𝗲𝘅𝗲𝗿𝗰𝗶𝘀𝗲 𝗮𝗻𝗱 𝗲𝗱𝘂𝗰𝗮𝘁𝗶𝗼𝗻 𝗶𝗻 𝘆𝗼𝘂𝗻𝗴 𝗽𝗮𝘁𝗶𝗲𝗻𝘁𝘀 𝘄𝗶𝘁𝗵 𝗺𝗲𝗻𝗶𝘀𝗰𝗮𝗹 𝘁𝗲𝗮𝗿𝘀 ?

Knee arthroscopy for meniscal injuries remains among the most frequently performed orthopedic procedures (https://pmc.ncbi.nlm.nih.gov/articles/PMC6584718/, https://pubmed.ncbi.nlm.nih.gov/21531866/, https://pubmed.ncbi.nlm.nih.gov/37434234/). Recent randomized controlled trials (RCTs) in young adults with meniscal tears found that early arthroscopic surgery did not provide superior patient-reported outcomes at 12 or 24 months compared to a strategy of exercise and education, with subsequent surgery if needed https://pubmed.ncbi.nlm.nih.gov/37879858/, https://pubmed.ncbi.nlm.nih.gov/38319181/, https://pubmed.ncbi.nlm.nih.gov/35676079/).

👉 details of the exercise prograhttps://www.bodyworkmovementtherapies.com/cms/10.1016/j.jbmt.2017.07.010/attachment/31656b55-b97c-4b6a-ac12-7ad51c95a933/mmc1.pdf

👉 However, certain patient subgroups may respond better to one treatment approach over the other (https://pubmed.ncbi.nlm.nih.gov/36878666/). Identifying these subgroups based on clinical characteristics that modify treatment effects (https://pubmed.ncbi.nlm.nih.gov/36244961/) could enhance patient counselling and support more personalized treatment decisions.

📘 A brand-new study by Clausen et al. (2025, https://www.jospt.org/doi/10.2519/jospt.2025.12994), a secondary subgroup analysis of the DREAM trial, investigated whether specific baseline MRI findings could predict which young patients with meniscal tears would benefit more from early surgery compared to exercise and education.

✅ Objectives of the Study

The study focused on three predefined MRI characteristics as potential effect modifiers:

1️⃣ Type of meniscal tear – categorized as simple (radial/longitudinal) or complex (bucket-handle, displaced, or complex tears, s. illustration, https://pubmed.ncbi.nlm.nih.gov/26724644/).

2️⃣ Meniscus affected – whether the tear was located in the medial or lateral meniscus.

3️⃣ Presence of knee effusion/synovitis – present in any knee recess versus no effusion/synovitis

✅ Methods

The study utilized data from the DREAM trial, a randomized controlled trial (RCT) comparing early meniscal surgery to a structured exercise program with patient education. The study population consisted of 121 patients aged 18–40 years with MRI-confirmed meniscal tears, with 60 in the surgical group and 61 in the exercise group. Patients were followed for 12 months, and outcomes were assessed using the Knee Injury and Osteoarthritis Outcome Score (KOOS4).

A linear mixed model was used to analyse treatment effects, and an adjusted effect difference of ≥10 points on KOOS4 was considered clinically relevant.

✅ Key Findings

🔑 Knee Effusion/Synovitis as a Potential Modifier: Patients with knee effusion/synovitis showed a greater improvement in KOOS4 after early surgery compared to exercise therapy.

▶️ The mean improvement was 11.1 points in favour of early surgery (p=0.07), which was considered clinically significant.

▶️ This suggests that signs of persistent inflammation (inflammatory phenotype) of the knee may predict better outcomes with surgery.

🔑 No Effect Modification by Tear Type: Contrary to expectations, patients with complex tears did not benefit more from early surgery than those with simple tears.

▶️ The difference between complex and simple tears was minimal (4.5 vs. 4.8 points on KOOS4, p=0.95), suggesting that both groups responded similarly to treatment.

🔑 No Effect Modification by Meniscus Location: The study hypothesized that medial meniscus tears would respond better to surgery due to biomechanical forces acting more on the medial compartment.

▶️ However, the results showed the opposite trend, with lateral tears showing a greater response to surgery (9.6 points) than medial tears (4.6 points, p=0.47).

▶️ This unexpected finding challenges previous assumptions about meniscus biomechanics.

💡 Discussion and Clinical Implications

▶️ Knee effusion/synovitis may be an MRI-defined effect modifier on patient-reported outcomes in favour of early meniscal surgery. These findings reinforce the importance of personalized treatment planning, considering MRI findings alongside patient symptoms (mechanical symptoms may be better improved by early surgery, https://pubmed.ncbi.nlm.nih.gov/36878666/) and patient preferences.

▶️ The lack of effect modification by tear type and location suggests that meniscal tear morphology alone should not determine treatment strategy.

▶️ The findings challenge the traditional assumption that medial meniscus tears are more problematic than lateral tears.

▶️ Exercise therapy remains a viable first-line treatment for most young adults with meniscal tears, given that complex tears did not significantly favour surgery.

⭕ Limitations

▶️ The study was not powered to detect small subgroup differences, meaning that some trends may not have reached statistical significance due to the sample size.

▶️ MRI scans were conducted at multiple centers, which could introduce variability in image interpretation.

▶️ Long-term effects beyond 12 months were not analyzed, leaving uncertainty about the durability of the observed benefits.

Illustration: https://doi.org/10.1016/j.ejrad.2015.10.022

27/10/2025

09/10/2025

✅ 📃Revealing the complexity of meniscus microvasculature through 3D visualization and analysis

◼️ Background and Motivation
💠 The meniscus is crucial for knee joint health and functionality, and its vascular supply is key to its healing potential.
💠 Tears in vascularized areas (Red-Red zones) can promote tissue healing due to the supply of oxygen and nutrients, while damage in avascular areas (White-White zones) often fails to repair.
💠 Historically, the study of meniscal vascularity has relied primarily on two-dimensional (2D) imaging techniques, making a comprehensive 3D understanding essential.

👇

◼️Methodology
🔹 The study aimed to investigate the feasibility of mapping and visualizing the microvasculature within the human meniscus using advanced 3D imaging techniques, as well as analyzing the network's regional characteristics via quantitative parameters.

▪️ Sample Preparation
🧪 Samples consisted of six menisci from three Thiel-fixated human cadaver legs (male donors, mean age 75).

▪️ Contrast Agent Injection
💉 A polymerizing contrast agent, μAngiofil, was injected through the cannulated femoral artery.
💧 Prior to contrast injection, a low-viscosity silicone oil with blue dye was perfused to flush out postmortem clots and restore flow.

▪️ Micro-CT Imaging

📸 Micro-CT analysis was performed at three gradually increasing spatial resolutions:

Group A (low resolution, 60 μm voxel size)

Group B (medium resolution, 30 μm voxel size)

Group C (high resolution, 15 μm voxel size)

▪️ 3D Quantitative Analysis
🧮 The vascular network was segmented using a combination of the Max Entropy algorithm and the white top-hat operation to capture both large vessels and finer details.
📊 Quantitative parameters, including diameter, length, tortuosity, and branching patterns, were assessed in a zone-based analysis.
🩻 The menisci were divided into four radial portions (anterior, mid-anterior, mid-posterior, and posterior) and four circumferential zones (perimeniscal (PM), zone 1 (RR), zone 2 (RW), and zone 3 (WW)).

👇

◼️ Key Findings

▪️ Vascular Distribution (Circumferential Zones)
🩸 The outer perimeniscal zone exhibited the highest vascular volume contribution, containing more than 72% of the blood vessels in both the lateral and medial menisci.
🩸 When excluding the perimeniscal area, zone 1 (RR) displayed the highest vascular volume.
🩸 The contribution of zone 3 (WW, the innermost third) to the overall meniscal vasculature was less than 5% in the lateral meniscus and less than 2.5% in the medial meniscus.

▪️ Vascular Distribution (Radial Zones)
🧠 In the lateral meniscus, the majority of vessels (68%) were found in the mid-anterior and posterior zones.
🧠 In the medial meniscus, the anterior, mid-anterior, and posterior regions contained over 80% of the total vessel volume.
🧠 In both menisci, the mid-posterior portion showed the lowest contribution to the overall vasculature.

▪️ Vascular Parameters
📈 Variations in vascular parameters were found between the different circumferential and radial meniscal zones.
📈 The vascular segments of the perimeniscal zone had a significantly different diameter compared to the other circumferential zones in both menisci.
📈 The vascular network showed a zone-dependent structure and organization in the radial portions.

▪️ Resolution Importance
🔍 The study emphasized the importance of spatial resolution.
🔍 Analysis performed at higher resolutions (Groups B and C) allowed for the identification of a greater number of vascular segments and nodes compared to the low-resolution scan (Group A).
🔍 Higher resolution analysis also enabled the detection of smaller vessels, resulting in a lower average diameter value in Groups B and C.

👇

◼️ Significance

🌐 The main strength of this work is the 3D non-destructive visualization and quantification of blood vessels, which is an improvement over older, destructive methods like serial sectioning and vascular corrosion casting.
🩺 The ability to perform a detailed study of vascular morphology and topology could be a valuable method to evaluate the arteriogenic and angiogenic response to meniscal repair surgery.

💡 The findings, both from this study and future research using this technique, are expected to improve the understanding of microvascular distribution, potentially leading to improved therapeutic strategies.

-----------------
⚠️Disclaimer: Sharing a study or a part of it is NOT an endorsement. Please read the original article and evaluate critically.⚠️

Link to Article 👇

30/09/2025

09/09/2025

Eine Studie hat ergeben, dass eine frühzeitige, wachstumsadaptierte Operation bei skoliotischen Wirbelsäulenfehlbildungen keine positiven Auswirkungen auf die Lungenfunktion hat. Allenfalls konnte eine Verschlechterung verhindert werden, berichtet springermedizin.de. Die Studie untersuchte die Auswirkungen der Operation auf die forcierte Vitalkapazität (FVC) und das forcierte expiratorische Volumen (FEV1), zwei wichtige Parameter der Lungenfunktion. Obwohl die Operation nicht zu einer Verbesserung der Lungenfunktion führte, konnte sie möglicherweise eine weitere Verschlechterung verhindern. Die Skoliose, eine seitliche Verbiegung der Wirbelsäule, kann die Atmung beeinträchtigen, insbesondere wenn die Verformung des Brustkorbs die Lungenfunktion mechanisch behindert. Bei einer Skoliose mit einem Cobb-Winkel von 10 Grad kann die Vitalkapazität um etwa 10% abnehmen. Es ist wichtig zu beachten, dass diese Ergebnisse sich auf die frühe, wachstumsadaptierte Operation beziehen und nicht auf alle Arten von Skolioseoperationen. Weitere Forschung ist erforderlich, um die langfristigen Auswirkungen von Skolioseoperationen auf die Lungenfunktion besser zu verstehen, so springermedizin.de.
Symbolfoto: © Foto von Pavel Danilyuk: https://www.pexels.com/de-de/foto/frau-madchen-arzt-doktor-7653116/
#сколіоз

07/09/2025

𝗟𝗮𝗯𝗲𝗹𝗹𝗶𝗻𝗴 𝗘𝘅𝗲𝗿𝗰𝗶𝘀𝗲𝘀 𝗼𝗻 𝘂𝗻𝘀𝘁𝗮𝗯𝗹𝗲 𝘀𝘂𝗿𝗳𝗮𝗰𝗲𝘀 𝗮𝘀 “𝗣𝗿𝗼𝗽𝗿𝗶𝗼𝗰𝗲𝗽𝘁𝗶𝘃𝗲 𝗧𝗿𝗮𝗶𝗻𝗶𝗻𝗴” 𝗶𝘀 𝗮 𝗠𝗶𝘀𝗻𝗼𝗺𝗲𝗿

💡 Balance and proprioception are related but distinct concepts. Balance is the ability to maintain the center of mass within the base of support and depends on integrated input from the somatosensory, vestibular, and visual systems, with somatosensory input serving as the primary source in adults【3】. Proprioception, in contrast, is the CNS process of determining the relative position and movement of the limbs and trunk while balancing. The eventual outcome is determined by motor control (neuromuscular function), which is the aspect most likely to adapt with training【3】.

▶️ Using unstable surfaces (e.g., balance boards) is often mislabeled as “proprioceptive training.” Instead, such exercises alter the weighting of sensory information: when standing on an unstable surface, orientationally accurate somatosensory input is reduced, forcing the CNS to depend more on visual and vestibular input【1,2,4,6】. If vision is also removed (eyes closed), balance relies almost exclusively on the vestibular system【1,2,4,6】. Thus, unstable surface training does not directly train proprioception; rather, it reweights multisensory inputs for balance control.

▶️ For optimal training of proprioceptive and balance function, the literature suggests practicing balance on stable surfaces, while progressively adding challenges such as closing the eyes or introducing expected/unexpected perturbations, to enhance CNS processing of somatosensory input【1–6】.

📚 References

1. Reiman BL, Lephart SM. The sensorimotor system, part I: The physiologic basis of functional joint stability. J Athl Train. 2002;37:71–79.

2. Reiman BL, Lephart SM. The sensorimotor system, part II: The physiologic basis of functional joint stability. J Athl Train. 2002;37:80–84.

3. Shumway-Cook A, Woolacott MH. Motor Control: Issues and theory. In: Motor Control: Translating Research Into Clinical Practice (3rd ed). Baltimore, MD: Lippincott Williams & Wilkins; 2007. pp. 3–20.

4. Shumway-Cook A, Woolacott MH. Motor Control: Issues and theory. In: Motor Control: Translating Research Into Clinical Practice (3rd ed). Baltimore, MD: Lippincott Williams & Wilkins; 2007. pp. 157–186.

5. Imbiriba LA, Correia MRA, Farias SG, Silva JM, da Nobrega Ferreira I, Cavalcanti Garcia MA, Sperandei S, Macedo AR. What we know so far about postural balance training: An exploratory scoping review of nomenclature and related issues. J Bodyw Mov Ther. 2020 Jul;24(3):227-234. doi: 10.1016/

6. Ogard, William K PT, PhD. Proprioception in Sports Medicine and Athletic Conditioning. Strength and Conditioning Journal 33(3):p 111-118, June 2011. | DOI: 10.1519/SSC.0b013e31821bf3ae

02/09/2025

🔥👉 Übertragene Schmerzmuster bei zervikalen Facettengelenksschmerzen

a. Diagramm der Schmerzverteilung der zervikalen Facettengelenke (1).

b. Hauptmuster der übertragenen Schmerzen (Referral Patterns) für die Facettengelenke von C0/1 bis C7/T1 sowie für die dorsalen Rami von C3 bis C7 (2).

c. Zusammengesetzte Darstellung der Übertragenen Muster aller Probanden, basierend auf der minimalen Reizschwellenstimulation des rechten dritten Okzipitalnervs und der medialen Äste von C3 bis C8 (3).

👉Jetzt auf physiomeets.science lesen! 🥳💪