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Quantitative sensorische Testung (QST)

Praktische Schmerzmedizin

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Zusammenfassung

Die quantitative sensorische Testung (QST) unterscheidet sich von der klinisch-neurologischen Sensibilitätsprüfung durch eine stärkere Formalisierung des Untersuchungsablaufs, die Verwendung von kalibrierten Reizstärken und die Standardisierung der Instruktionen für den Patienten. Auch wenn die Reize teilweise durch einen Computer gesteuert werden, bleibt die Methode abhängig von den subjektiven Angaben der Patienten. Die Standardisierung der QST-Methodik führt jedoch zu reproduzierbaren und vom Untersucher unabhängigen Befunden. Ähnlich wie die klinische Sensibilitätsprüfung soll QST alle Submodalitäten der Somatosensorik erfassen (Tastsinn, Propriozeption, Temperatursinn, Nozizeption). Das Muster von Funktionsverlust und Funktionssteigerung der Somatosensorik erlaubt Rückschlüsse auf die zugrundeliegenden pathophysiologischen Mechanismen: Läsion dicker Afferenzen oder des Hinterstrangsystems, Läsion dünner Afferenzen oder des Vorderseitenstrangsystems, periphere Sensibilisierung, zentrale Sensibilisierung, Defizit der endogenen Schmerzhemmung.

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Authors and Affiliations

  1. Lehrstuhl für Neurophysiologie, Medizinische Fakultät Mannheim, Ludolf-Krehl-Str. 13-17, 68167, Mannheim, Deutschland

    Rolf-Detlef Treede

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  1. Rolf-Detlef Treede
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Correspondence to Rolf-Detlef Treede .

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Editors and Affiliations

  1. Klinik für Neurologie, Universitätsklinikum Kiel, Kiel, Germany

    Ralf Baron

  2. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover, Germany

    Wolfgang Koppert

  3. Göttingen, Germany

    Michael Strumpf

  4. Universitätsmedizin Göttingen, Göttingen, Germany

    Anne Willweber-Strumpf

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Treede, RD. (2014). Quantitative sensorische Testung (QST). In: Baron, R., Koppert, W., Strumpf, M., Willweber-Strumpf, A. (eds) Praktische Schmerzmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54670-9_9-1

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  • DOI: https://doi.org/10.1007/978-3-642-54670-9_9-1

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  • Online ISBN: 978-3-642-54670-9

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Chapter history

  1. Latest

    Psychophysische und Neurophysiologische Messverfahren in der Schmerzmedizin
    Published:
    05 December 2018

    DOI: https://doi.org/10.1007/978-3-642-54670-9_9-2

  2. Original

    Quantitative sensorische Testung (QST)
    Published:
    27 October 2014

    DOI: https://doi.org/10.1007/978-3-642-54670-9_9-1

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