Multimodale Schmerztherapie für die Behandlung chronischer Schmerzsyndrome

Abstract

Multimodal pain management is a comprehensive treatment of complex chronic pain syndromes. In addition to medical therapy various other specialized therapeutic interventions based on the biopsychosocial model of pain origin and chronic pain development, are added. During the last few years treatment centers for chronic pain have been established throughout Germany. Multimodal pain management has been included in the official catalogue of the recognized medical procedures for day clinic units as well as for inpatient pain management. In daily practice there is, however, still a lack of clarity and of consistency about the components that multimodal pain management should contain. This is the reason for the ad hoc commission on multimodal interdisciplinary pain management of the German Pain Society to propose the following position paper that has been worked out in a multilevel and interdisciplinary consensus process. The paper describes the mandatory treatment measures in the four core disciplines of multimodal pain management, pain medicine, psychotherapy, exercise therapy including physiotherapy and assistant medical professions including nurses.

The Unholy Trinity: Childhood Trauma, Adulthood Anxiety, and Long-Term Pain

“…Patients with anxiety and some chronic pain condition should be screened for the occurrence of childhood trauma, because it could be helpful in planning effective therapeutic strategies. In patients with chronic pain and a history of childhood trauma, multimodal therapeutic approaches comprised of-e.g., education about mechanisms maintaining chronic pain, better self-awareness training, fostering positive self-body image, relaxation techniques training, etc.-can be useful [57]. Primary prevention strategies centered on education of the general population regarding the negative health consequences of child abuse and neglect (especially less visible emotional abuse and neglect) and on increasing the responsiveness of the population to this problematic field could be valuable.…”

Klinische Anwendung des Bregmatests

“…3 [18]. Arnold et al bestätigen in ihrer 2014 veröffentlichten Arbeit, dass multimodale Therapieansätze in jeden Fall auch zur "Förderung einer positiven Körperwahrnehmung" eingesetzt werden müssen und geeignet seien [2].…”

Fine-Grained Recognition of Rotating Machinery Axis Trajectory Based on Deep Learning

“…Finally, the color recognition accuracy rate is 94.7%. The two-way CNN model is used to solve the problem of vehicle color recognition [9]. There are different colors on the body of the same motor vehicle.…”