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Selbstmanagement in der Manualtherapie bei Patienten mit chronischen Rückenschmerzen

Self-management as part of manual therapy in patients with chronic back pain

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Zusammenfassung

Bei chronischen unspezifischen Rückenschmerzen besteht meist kein direkter Zusammenhang mit einer messbaren Pathologie. Dennoch leiden die betroffenen Patienten teilweise unter erheblichen Funktionseinschränkungen im Alltag und Beruf. Dabei fügen sich oft mehrere Einzelbefunde, insbesondere auch auf psychosozialer Ebene, zu einem Gesamtbeschwerdebild zusammen. Halten anfangs akute Beschwerden trotz fundierter Applikation von wirksamen Techniken an oder sind die Schmerzen bereits chronifiziert, sollte die Teilnahme an einem interdisziplinären Assessments geprüft werden. Die leitlinienkonforme multimodale interdisziplinäre Therapie besteht aus verschiedenen Bausteinen: intensive Edukation unter Berücksichtigung eines biopsychosozialen Krankheitsmodells, medikamentöse Schmerztherapie, Physiotherapie, Alltagstraining, Stressbewältigung und Sporttherapie. Um den langfristigen Erfolg zu sichern, ist die Integration eines entsprechenden Selbstmanagements in den Alltag zur Bewältigung der Rückenschmerzen unerlässlich. In diesem Beitrag werden Ziel, Inhalt und Umsetzung eines solchen Selbstmanagements erläutert.

Abstract

Chronic non-specific back pain usually has no direct association with a measurable pathology. Nevertheless, affected patients can experience significant functional impairment in their everyday lives and work. As such, several individual findings, particularly on a psychosocial level, go to make up the overall clinical presentation. If acute symptoms persist despite the sound application of effective techniques or if pain has already become chronic, an interdisciplinary assessment should be considered. Guideline-compliant multimodal interdisciplinary treatment comprises various components: intensive education that takes a biopsychosocial disease model into account, medicinal pain therapy, physiotherapy, everyday training, stress management and sports therapy. To guarantee long-term success, it is essential to integrate an appropriate self-management program into everyday life in order to cope with back pain. This article discusses the aim, content, and implementation of a self-management program of this type.

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Authors and Affiliations

  1. Rückenzentrum am Michel, Ludwig-Erhardt-Str. 18, 20459, Hamburg, Deutschland

    M. Richter

  2. Hochschule für Gesundheit Gera – University of Applied Health Sciences, Neue Str. 28–30, 07548, Gera, Deutschland

    M. Mohokum

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Correspondence to M. Richter.

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Interessenkonflikt

M. Richter und M. Mohokum geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben.

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Richter, M., Mohokum, M. Selbstmanagement in der Manualtherapie bei Patienten mit chronischen Rückenschmerzen. Manuelle Medizin 55, 205–210 (2017). https://doi.org/10.1007/s00337-017-0291-3

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