Verhaltensbezogene Bewegungstherapie - Bindung an einen körperlich aktiven Lebensstil

Geidl, Wolfgang; Hofmann, Jana; Göhner, Wiebke; Sudeck, Gorden; Pfeifer, Klaus

doi:10.1055/s-0031-1280803

Cited by 45 publications

(25 citation statements)

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“…Promoting a physical active lifestyle with appropriate levels of physical activity might therefore reduce disability in this study population. But, adherence to prescribed exercises and recommended levels of physical activity [68] is generally low and the use of strategies to improve adherence has been recommended [38,47,66,69–71]. In contrast to the exercise therapy in MOR, was the exercise therapy module in PASTOR explicitly based on a behavioural approach to promote a physically active lifestyle [71].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Effects of Interprofessional Biopsychosocial Rehabilitation for Adults with Chronic Non-Specific Low Back Pain: A Multicentre, Quasi-Experimental Study

et al. 2015

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BackgroundImprovement of the long-term effectiveness of multidisciplinary ortho-paedic rehabilitation (MOR) in the management of chronic non-specific low back pain (CLBP) remains a central issue for health care in Germany. We developed an interprofessional and interdisciplinary, biopsychosocial rehabilitation concept named “PASTOR” to promote self-management in adults with CLBP and compared its effectiveness with the current model of MOR.MethodsA multicentre quasi-experimental study with three measurement time points was implemented. 680 adults aged 18 to 65 with CLBP were assed for eligibil-ity in three inpatient rehabilitation centres in Germany. At first the effects of the MOR, with a total extent of 48 hours (control group), were assessed. Thereafter, PASTOR was implemented and evaluated in the same centres (intervention group). It consisted of six interprofessional modules, which were provided on 12 days in fixed groups, with a total extent of 48 hours. Participants were assessed with self-report measures at baseline, discharge, and 12 months for functional ability (primary outcome) using the Hannover Functional Ability Questionnaire (FFbH-R) and vari-ous secondary outcomes (e.g. pain, health status, physical activity, pain coping, pain-related cognitions).ResultsIn total 536 participants were consecutively assigned to PASTOR (n=266) or MOR (n=270). At 12 months, complete data of 368 participants was available. The adjusted between-group difference in the FFbH-R at 12 months was 6.58 (95% CI 3.38 to 9.78) using complete data and 3.56 (95% CI 0.45 to 6.67) using available da-ta, corresponding to significant small-to-medium effect sizes of d=0.42 (p<0.001) and d=0.10 (p=0.025) in favour of PASTOR. Further improvements in secondary out-comes were also observed in favour of PASTOR.ConclusionThe interprofessional and interdisciplinary, biopsychosocial rehabilita-tion program PASTOR shows some improvements of the long-term effectiveness of inpatient rehabilitation in the management of adults with CLBP. Further insights into mechanisms of action of complex intervention programs are required.Trial RegistrationClinicalTrials.gov NCT02056951

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Section: Discussionmentioning

confidence: 99%

Long-Term Effects of Interprofessional Biopsychosocial Rehabilitation for Adults with Chronic Non-Specific Low Back Pain: A Multicentre, Quasi-Experimental Study

et al. 2015

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“…In Insbesondere die gestiegene Inanspruchnahme könnte u. U. zudem durch vermehrte Anstrengungen zur nachhaltigen Bindung an Bewegungsprogramme im Anschluss an die Rehabilitationsphase begründet sein. So wurden in den zurückliegenden 15 Jahren vermehrt Programme und Konzepte zur verhaltensbezogenen Bewegungstherapie entwickelt und in der Praxis eingeführt [13][14][15][16]. Ziel dieser Programme ist es evidenzbasierte verhaltenspsychologische Modelle in den Rehabilitationsprozess zu integrieren und dadurch die Voraussetzung für eine nachhaltige Bindung an körperliche Aktivität zu erreichen und die Gesundheitskompetenz der Rehabilitanden zu erhöhen.…”

Section: Materials Und Methodenunclassified

Verordnungshäufigkeit und Inanspruchnahme von sport- und bewegungstherapeutischen Leistungen in der kardiologischen Rehabilitation 2006–2013

Gabrys

Schmidt

2019

Rehabilitation

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Zusammenfassung Ziel der Studie Maßnahmen der Sport- und Bewegungstherapie stellen sowohl inhaltlich als auch umfänglich den weitaus größten Teil therapeutischer Maßnahmen in der kardiologischen Rehabilitation dar. Zur Sicherung des Behandlungserfolgs und zum Erhalt der körperlichen Leistungs- und Arbeitsfähigkeit wird zudem eine langfristige Bindung an sporttherapeutische Angebote wie den Rehabilitationssport im Anschluss an die Rehabilitation angestrebt. Ziel der Studie ist es sowohl Verordnungsraten als auch die tatsächliche Inanspruchnahme von Nachsorgeleistungen im Anschluss an die kardiologische Rehabilitation systematisch zu evaluieren. Methodik Es werden Verordnungs- und Inanspruchnahmeraten von Nachsorgeleistungen in Abhängigkeit einer Anschlussrehabilitation bzw. eines Heilverfahrens im Zeitverlauf der Reha-Kohorten 2006–2013 unter der Verwendung von Versichertendaten der Deutschen Rentenversicherung analysiert. Ergebnisse Trotz abnehmender Verordnungsraten stellt Rehabilitationssport mit 55,7% (M) und 62,6 (F) die am häufigsten verordnete Nachsorgeleistung im Jahr 2013 dar. Im Gegensatz zu abnehmenden Verordnungsraten von 64,2 auf 55,7% (M) und von 68,0 auf 62,6% (F) in der Anschlussrehabilitation, kann je nach Geschlecht und Art der sporttherapeutischen Leistung eine Steigerung der Inanspruchnahme zwischen 3–7% über die Zeit beobachtet werden. Schlussfolgerung Insgesamt erscheinen Inanspruchnahmeraten von 9,7–22,5% (2012) jedoch als nach wie vor zu gering zur Erzielung der angestrebten Bindung an körperliche Aktivität. Zukünftig sollten verstärkt Determinanten die einer Inanspruchnahme im Wege stehen evaluiert werden.

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“…B. das Ausdauertraining und das Training der Körperwahrnehmung ebenso wie die Psychotherapie. Weiterhin sollten im Sinne der Nachhaltigkeit FollowupStudien durchgeführt werden, die sich damit beschäftigen, ob Patienten auch nach der Rehabilitation ihr verbessertes Gleichgewicht und einen körperlich aktiveren Lebensstil beibehalten [41].…”

Section: Limitationen Der Studieunclassified

Veränderung motorischer Gleichgewichtsfähigkeit im Verlauf einer stationären psychosomatischen Rehabilitationsmaßnahme

et al. 2017

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For many rehabilitants both the motor balance and the feeling of being emotionally stable and in balance are essential preconditions for participation in employment and society. The goal of this study was to capture changes in motor balance in the course of an inpatient psychosomatic rehabilitation and to set them in relation to changes in mental variables. 118 patients of a psychosomatic clinic (49.3±8.6 years; 75.4 % women) were examined at the beginning and the end of rehabilitation. To measure motor balance the balance test (GGT) of Bös, Wydra and Karisch, the timed up and go test (TUG), eight tasks of standing balance on an unstable surface as well as eight tasks on a stable surface were used. As psychological variables, self-esteem (MSWS), degree of depressive (BDI-II) and anxiety symptoms (BAI) were measured. The motor balance ability, assessed by the GGT (d=1,37), the TUG (d=0,56), tasks of standing balance on an unstable surface (d=1,48) as well as on a stable surface (d=0.67), increased significantly in the course of rehabilitation and was also reflected in the self-evaluation of motor balance (d=0,97). Correlations in the change of motor and mental variables were particularly evident between the balance tasks on an unstable and a stable surface and different scales of the MSWS. In the course of rehabilitation, an improvement in psychological symptoms as well as the balance ability was found, however, contrary to our expectations, no significant correlations were observed. At the first view it seems like there would be no relationship between psychological factors and the motor balance of the patients. However it should be noted that motor balance was examined in a standardized situation in which the patients were not exposed to any particular psychological distress. Observations during the conduct of the study suggest that changes in motor balance could be shown rather in observable characteristics of postural control (for example in contraction and relaxation) than in the number of fulfilled tasks. The motor balance tests were not only accepted very well by the rehabilitants but often also provoked self-reflection processes on topics such as balance and stability in a psychosomatic sense. Further research both on the factors influencing the motor balance ability as well as on their relation to the improvement in activity and participation appears promising.

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Verhaltensbezogene Bewegungstherapie - Bindung an einen körperlich aktiven Lebensstil

Abstract: The integration of behaviour-related techniques in the context of exercise therapy interventions shows great promise as a means of initiating and promoting a physically active lifestyle.

Cited by 45 publications

References 0 publications

Long-Term Effects of Interprofessional Biopsychosocial Rehabilitation for Adults with Chronic Non-Specific Low Back Pain: A Multicentre, Quasi-Experimental Study

Long-Term Effects of Interprofessional Biopsychosocial Rehabilitation for Adults with Chronic Non-Specific Low Back Pain: A Multicentre, Quasi-Experimental Study

Verordnungshäufigkeit und Inanspruchnahme von sport- und bewegungstherapeutischen Leistungen in der kardiologischen Rehabilitation 2006–2013

Veränderung motorischer Gleichgewichtsfähigkeit im Verlauf einer stationären psychosomatischen Rehabilitationsmaßnahme

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