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Akupunktur in der Orthopädie

Acupuncture in orthopedics

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Zusammenfassung

Große randomisierte kontrollierte Studien haben die Wirksamkeit der Akupunktur für chronischen Kreuzschmerz, Gonarthrose, Schulterschmerz, Spannungskopfschmerz und Migräne im Vergleich zu verschiedenen Kontrolltherapien nachgewiesen. Die Kosteneffektivität konnte für diese Krankheitsbilder gezeigt werden. Kleinere gute Studien existieren für Tennisarm und Koxarthrose. Der Einsatz der Akupunktur bei anderen orthopädischen Krankheitsbildern erfolgt auf Grund von Lehrbuch- und Expertenmeinungen. Nach den vorliegenden Daten ist die Akupunktur eine relativ sichere Therapie. International ist sie in mehrere Leitlinien zur Behandlung des Kreuzschmerzes aufgenommen worden. Seit 2007 wird Akupunktur für chronischen Kreuz- und chronischen Gonarthroseschmerz von den gesetzlichen Kassen erstattet. Mindestens 12.000 Ärzte, davon die Mehrzahl Orthopäden, wenden die Methode in Deutschland an. Die Kosten der gesetzlichen Kassen für Akupunkturbehandlungen werden auf 300–700 Mio. EUR (1,0–2% des Arzneimittelbudgets) geschätzt. Das Hauptindikationsgebiet der Akupunktur sind Erkrankungen des Bewegungsapparats.

Abstract

Large randomized controlled trials have shown the effectiveness of acupuncture in comparison to various control treatments for low back pain, osteoarthrosis, shoulder pain, tension type headache, and migraine. For most of these diseases the cost-effectiveness of acupuncture has been proven. A few smaller controlled trials exist for tennis elbow and osteoarthrosis of the hip. The use of acupuncture for other locomotive disorders is based on textbook literature and expert opinion. Current data show that acupuncture is a relatively safe method. Internationally several guidelines for chronic low back pain have integrated acupuncture. In Germany acupuncture has been reimbursed by the state insurance system for chronic low back pain and osteoarthritis since 2007 and the estimated costs are between EUR 300–700 million annually. Acupuncture is offered by at least 12,000 medical doctors and acupuncture is mostly used for locomotive disorders.

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Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehung hin: Er leitet die Fachgesellschaft Forschungsgruppe Akupunktur.

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Authors and Affiliations

  1. Orthopädische Praxis, Kasernenstr. 1b, 40213, Düsseldorf, Deutschland

    A. Molsberger

  2. Ruhr-Universität, Bochum, Deutschland

    A. Molsberger

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  1. A. Molsberger
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Correspondence to A. Molsberger.

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Molsberger, A. Akupunktur in der Orthopädie. Orthopäde 41, 100–105 (2012). https://doi.org/10.1007/s00132-011-1865-8

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