Der Nervenarzt

, Volume 83, Issue 4, pp 467–475 | Cite as

Therapiestrategien in der Schlaganfallnachsorge

Inhalte und Effekte
Originalien

Zusammenfassung

In Deutschland fehlen einheitliche Standards für Nachsorgemaßnahmen bei Schlaganfallpatienten. Ziel dieser Arbeit ist es, den aktuellen Forschungsstand hinsichtlich der Inhalte und Wirksamkeit bewegungs-/physio- und ergotherapeutischer Nachsorgemaßnahmen und deren geeignete Dosis (Intensität, Dauer, Häufigkeit) zusammenzufassen. Bewegungstherapeutische Maßnahmen (u. a. Physiotherapie, Kraft-, Ausdauer-, Gangtraining) zeigen gute Ergebnisse hinsichtlich der Verbesserung körperlicher Funktionen (muskuläre-, kardiopulmonale Leistungsfähigkeit, motorische Funktion), die sich besonders günstig auf die Gehfähigkeit, Mobilität und Alltagsfunktion der Schlaganfallpatienten auswirken. Ergotherapie zeigt ebenfalls eine gute Wirksamkeit, besonders wenn es um die Wiederherstellung der Alltagsfähigkeit und die Wiederaufnahme von sozialen und freizeitbezogenen Aktivitäten geht. Weitere Untersuchungen sind nötig, um die spezifischen Wirkmechanismen der einzelnen Therapiestrategien und deren geeignete Dosis klarer zu differenzieren und somit eine gezielte Verordnung zu erleichtern.

Schlüsselwörter

Schlaganfall Nachsorge Bewegungstherapie Physiotherapie Ergotherapie 

Therapeutic strategies in stroke aftercare

Contents and effects

Summary

No generally accepted guidelines for stroke aftercare exist in Germany. This literature review summarizes the current evidence regarding the content and the effectiveness of aftercare strategies (exercise therapy, physiotherapy, occupational therapy) and their specific dose (intensity, duration, frequency). Exercise therapy (inter alia physiotherapy, resistance, endurance and gait training) has been shown to be effective for improving physical performance (strength, cardiopulmonary fitness, motor function) resulting in beneficial effects on gait, mobility and activities of daily living (ADL). As for the restoration of ADL and the resumption of social and leisure activities occupational therapy proved to be particularly effective. More research is needed to identify the specific effects of different aftercare strategies and their dose-response relationship to provide physicians a better foundation for therapy prescriptions.

Keywords

Stroke Aftercare Exercise therapy Physiotherapy Occupational therapy 

Notes

Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehung hin: Dieses Teilprojekt „Nachsorge“ der DGNR Leitlinieninitiative wurde aus Mitteln der Deutsche Rentenversicherung (DRV Bund, Bereich Reha-Wissenschaften) finanziell unterstützt.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Institut für Sportwissenschaft und SportFriedrich-Alexander Universität Erlangen-NürnbergErlangenDeutschland
  2. 2.Abteilung Neurologie & Neuropsychologiem&i-Fachklinik HerzogenaurachHerzogenaurachDeutschland

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