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Physikalische medizinische Modalitäten bei Nackenschmerzen

Physical medical modalities for neck pain

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Zusammenfassung

Hintergrund

Physikalische medizinische Modalitäten beschreiben eine Untergruppe physikalisch-medizinischer Therapien, die nicht notwendigerweise von einem Bewegungstherapeuten, sondern von medizinischen Masseuren und medizinisch-technischen Fachkräften unter Aufsicht eines Arztes am Patienten durchgeführt werden können. Sie sind wesentlicher Bestandteil des reichhaltigen therapeutischen Armamentariums in der Behandlung von akuten und chronischen Nackenschmerzen mit und ohne Schmerzausstrahlung in den Schulter-Arm-Bereich.

Therapie

Die Effekte der physikalischen Modalitäten im Gewebe zielen bei Patienten mit Nackenschmerzen auf eine Minderung des Schmerzerlebens sowie eine Funktionsverbesserung ab. Dabei aktivieren einzelne Modalitäten unterschiedliche physiologische Mechanismen, die über ihre direkten Effekte oder indirekten/reflexiven die Funktionsstörungen reduzieren oder gar beseitigen sowie die Regeneration veränderter Gewebe und/oder die Resilienz des Patienten fördern können. Mögliche Risiken insbesondere bei unsachgemäßer Anordnung und Anwendung v. a. bei älteren, kranken Patienten sowie existierende Kontraindikationen sind unbedingt bei der Anwendung physikalisch-medizinischer Modalitäten zu berücksichtigen.

Abstract

Background

The term“physical medical modalities” refers to a subgroup of physical medical therapies which may be administered to patients not only by movement therapists but also by medical technical staff and medical masseurs under the supervision of a physician. These modalities represent an essential component within the armamentarium of therapeutic remedies intended to treat patients suffering from acute and chronic neck pain disorders with and without pain radiation into the shoulder arm region.

Therapy

The effects of physical modalities in different tissues aim at alleviating pain perception and improving function in neck pain patients. Individual modalities may activate different physiological mechanisms thereby improving function, facilitating tissue regeneration and/or promoting the resilience of the patient. Risks attributed to the inappropriate administration of physical modalities as well as possible side effects that may be caused by physical modalities need to be considered especially in elderly and ill patients.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. G. Ebenbichler gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Univ.-Klinik für Physikalische Medizin und Rehabilitation, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18–20, 1090, Wien, Österreich

    G. Ebenbichler

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Correspondence to G. Ebenbichler.

Additional information

Dieser Beitrag basiert auf einem Vortrag, gehalten auf dem Kongress „Das Zervikalsyndrom mit seinen ‚Facetten’. Die Halswirbelsäule: was sie kann, was sie stört und was ihr hilft!“ in Pörtschach am Wörthersee im Juli 2014.

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Ebenbichler, G. Physikalische medizinische Modalitäten bei Nackenschmerzen. Manuelle Medizin 53, 121–126 (2015). https://doi.org/10.1007/s00337-015-1204-y

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  • DOI: https://doi.org/10.1007/s00337-015-1204-y

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