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Zurück ins Leben trotz Schmerzen – Rehabilitation

Back to life despite pain—rehabilitation

Zusammenfassung

Rehabilitation bedeutet Wiederherstellung oder Wiederbefähigung und hat zum Ziel, die Patienten „zurück ins Leben“ zu bringen. Bei chronischen Schmerzen geht es nicht darum, die Patienten vom Schmerz zu heilen, sondern zu helfen, ihre Lebensqualität wiederherzustellen. Neben der Mobilität sowie der Wiederherstellung ihrer sozialen Beziehungen und Teilhabe steht hierfür die Funktion im Mittelpunkt des therapeutischen Interesses. Daher ist es für die Therapie essenziell, dass die Bewegungsaktivität im Hauptfokus steht und gleichzeitig intrinsische und extrinsische Hindernisse identifiziert und parallel adressiert werden. Insbesondere Konzepte, die auf maladaptive Schmerzverarbeitungsmechanismen wie „fear avoidance“ oder „endurance“ wirken können, sollten frühzeitig in aktivierende Therapiemaßnahmen einbezogen werden.

Abstract

Rehabilitation refers to restoration or re-empowerment and aims to bring the patient “back to life”. In the case of chronic pain, the aim is not to cure the patient of pain, but to help ease their limitations and restore quality of life. In addition to mobility and restoration of the patient’s social relationships and participation, function is at the center of rehabilitation. It is therefore essential for the therapy that movement activity is the primary focus and that intrinsic and extrinsic barriers are identified and addressed in parallel. In particular, concepts that can act on maladaptive pain-processing mechanisms such as fear avoidance or endurance should be included in activating treatment concepts at an early stage.

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Abbreviations

CPAQ:

Chronic Pain Acceptance Questionnaire

FABQ:

Fear Avoidance Beliefs Questionnaire

ICF:

International Classification of Functioning, Disability and Health

SMART:

Spezifisch, messbar, attraktiv, realistisch, terminiert

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Correspondence to Susanne Westphal.

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Interessenkonflikt

S. Westphal, S. Schäfer und A. Steinmetz geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Westphal, S., Schäfer, S. & Steinmetz, A. Zurück ins Leben trotz Schmerzen – Rehabilitation. Manuelle Medizin 60, 136–142 (2022). https://doi.org/10.1007/s00337-022-00888-w

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Schlüsselwörter

  • Funktionsstatus
  • Schmerzbeurteilung
  • Körperliche Aktivität
  • Lebensqualität
  • Patientenedukation

Keywords

  • Functional status
  • Pain assessment
  • Physical activity
  • Quality of life
  • Patient education