Funktionelles Assessment am Bewegungssystem

Schreiber, Tobias; Bak, P.; Müller, Wolf‐Dieter; Ziegenthaler, Hans; Smolenski, U.

doi:10.1055/s-2008-1061795

Cited by 6 publications

(3 citation statements)

References 2 publications

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“…Wie ist das bei Ihnen? Bitte sagen Sie uns, wie wichtig nachfolgende Überlegungen für Sie sind, körperlich aktiv zu sein Wenn ich täglich für mindestens 30 prägten FABs hingegen berichten bereits zum 1. Messzeitpunkt von einer geringeren Funktion.…”

Section: Tab 1 Fear-avoidance-belief-skalaunclassified

Fear Avoidance Beliefs und Funktion bei älteren Personen mit chronischem Rückenschmerz

Basler

Quint

Wolf

2006

Schmerz

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Fear Avoidance Beliefs and physical function in elderly individuals with chronic low back pain This analysis assessed how fear avoidance beliefs (FABs) affected subjective and objective functional parameters as well as pain in elderly individuals. The study comprised 152 elderly patients with low back pain, which was attributed to spondylosis in almost half of the cases. Their average age was 70.1 years (SD=4.3, range 65-84). All of the patients participated in a physiotherapeutic program including data acquisition before treatment (t1), immediately after its completion (t2), and 6 months later (t3). FABs were assessed by a five-item scale with satisfying psychometric properties. The primary outcome criterion was function, which was evaluated as a subjective measure using the Hannover functional disability scale and as an objective measure based on the anteflexion determined by ultrasound topometry. Secondary outcome criteria were pain parameters. At the time o the first measurement (t1), the patients were classified into three groups with strong, intermediate, or weak FABs. Analyses of variance reveal an improvement of subjective functional capacity in every FAB group between t1 and t2. At t3, there is a decline of these values only in the group of the high fear avoiders. High fear avoiders also show lower values in the objective measure at all three measurement points. No influence of the FABs on the pain parameters could be determined. It would be expected that the efficacy of physiotherapy could be improved if the patients' FABs are taken into consideration when planning the treatment regimen.

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Section: Tab 1 Fear-avoidance-belief-skalaunclassified

Fear Avoidance Beliefs und Funktion bei älteren Personen mit chronischem Rückenschmerz

Basler

Quint

Wolf

2006

Schmerz

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“…In der internationalen Literatur sind für die unterschiedlichen Ebenen der körperlichen Leistungsfähigkeit bereits Tests beschrieben und z. T. evaluiert worden [9,20,37,39,40,49,50].…”

Section: Physiotherapeutische Diagnostikunclassified

Physiotherapy in low back pain – indications and limits

Seeger

2001

Der Schmerz

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These times of changing paradigms raise the question of the indications for and limits of physical therapy in back pain management. At present, several national and international guidelines for the care of chronic back pain are available. Unfortunately, the guidelines are often inconsistent concerning physiotherapy. An encompassing framework for an effective, efficient, and appropriate physiotherapy treatment needs to be developed. Within the German national health system, the "Arzneimittelkommission" [2] issued guidelines for low back pain. These guidelines endeavour to distinguish between disease related specific back pain and non specific back pain of a more functional or mechanical origin. Furthermore, the "Bundesausschuss der Arzte und Krankenkassen" in Germany dispatched guidelines (Heilmittelrichtlinien) for the prescription of "Heilmittel" (remedies other than drugs) on October 16th, 2000. These guidelines seek to appropriately refer, assign and limit the physiotherapy treatment of back pain according to a set indications catalogue. On an international basis, the World Health Organisation (WHO) [21] offers well established guidelines for the "International Classification of Functioning and Disability", 2nd version (ICIDH-2). These guidelines describe the progressive health dysfunction over three major levels: 1) body functions and structures, 2) activities of an individual, and 3) participation of an individual in social and other essential aspects of life. National and international scientific studies support the use of ICIDH-2-categories and suggest that different back pain management is required at different levels of dysfunction. For example, there is a trend to prescribe increasingly active types of treatment instead of passive ones for increasing levels of dysfunction [54]. Multimodal treatment programs [17, 29], which include physical activity, training and psychological programs as well as training of activities of daily living (ADL) ("workhardening program") demonstrate particular benefit in the treatment of chronic low back pain at the disability and handicap level. Current physical therapy on back pain management operates at all three categories of ICIDH-2. Therapists aim to treat local spinal symptoms and their secondary functional changes, reorganise altered physiological patterns and improve the psycho-social state of the patient. This level overlaps with the fields of occupational therapy (training of work related tasks), psychosocial therapy (training of social competence etc.) and physical training (improvement of physical performance). Physical training as a means of physical therapy, combined with certain aspects of occupational therapy, offers an important possibility of transfer into workday life. Borders between neighbouring fields are not sharp. Physical therapy is contraindicated only in rare cases (e.g. clear indications for surgery; predominant psychological disorder). Unfortunately, the national German guidelines for physical therapy (Heilmittelrichtlinien) which have been put i...

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“…Für die Untersuchung des aktiven Bewegungsumfanges gibt es eine Vielzahl von Methoden und Messhilfsmitteln: Distanzmessungen nach Schober [14], Macrae u. Wright [15] sowie Moll u. Wright [16], des Weiteren goniometrische Untersuchungen [9,13], digitale radiologische Messungen [17] und computergestützte 3-dimensionale Bewegungsfunktionsanalysen [1].…”

Section: Introductionunclassified