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Multimodale Therapie bei chronischem HWS- und LWS-Schmerz

Ergebnisse einer prospektiven Vergleichsstudie

Multimodal therapy patients with chronic cervical and lumbar pain

Results of a comparative prospective study

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Zusammenfassung

Hintergrund

Die multimodale Schmerztherapie ist beim chronischen LWS-Schmerz etabliert, Studien über Ergebnisse bei Patienten mit chronischen HWS-Beschwerden sind rar.

Methode

Diese prospektive klinische Studie vergleicht die Ergebnisse nach einer 3-wöchigen multimodalen Schmerztherapie bei aufgrund von chronischen HWS- (n=97) oder LWS-Schmerzen (n=231) arbeitsunfähigen Patienten. Beide Gruppen wurden zu Beginn und nach 6 Monaten hinsichtlich der Parameter Arbeitsfähigkeit, klinische Funktion und Schmerzausmaß untersucht.

Ergebnisse

In beiden Gruppen zeigte sich nach 6 Monaten eine signifikante Verbesserung hinsichtlich aller erhobenen Parameter. Hinsichtlich der Outcomeparameter Funktionskapazität und Arbeitsfähigkeit zeigten sich keine signifikanten Unterschiede in beiden Gruppen, 67,4% kehrten in der Gesamtgruppe wieder zur Arbeit zurück. Die LWS-Gruppe zeigte nach 6 Monaten allerdings ein signifikant geringeres Schmerzausmaß als die HWS-Gruppe.

Schlussfolgerung

Die multimodale Schmerztherapie stellt auch für Patienten mit chronischem HWS-Schmerz eine effiziente Therapieform dar, wie es zuvor in Studien bereits für den chronischen LWS-Schmerz gezeigt worden war.

Abstract

Background

Multimodal therapy has been established for patients with chronic low back pain, but studies reporting results in patients with chronic neck pain are rare.

Methods

This prospective clinical study compared the results in 97 patients with chronic cervical pain and 231 patients with chronic lumbar pain after three weeks of multimodal therapy. The following factors were analyzed in both groups at the beginning and after 6 months: ability to work, pain intensity and functional back capacity.

Results

Both groups had improved significantly after 6 months in all outcome parameters. Functional back capacity and ability to work at 6 months were not different between the two groups, but pain intensity was significantly lower in patients with low back pain compared to patients with neck pain.

Conclusion

Multimodal therapy is also an efficient treatment strategy for patients with chronic cervical pain as has already been shown for patients with chronic lumbar pain.

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Authors and Affiliations

  1. Orthopädische Universitätsklinik, Heidelberg

    E. Neubauer, A. Zahlten-Hinguranage, M. Schiltenwolf &  M. Buchner

  2. Orthopädische Universitätsklinik, Schlierbacher Landstraße 200a, 69118 , Heidelberg

    M. Buchner

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  1. E. Neubauer
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  2. A. Zahlten-Hinguranage
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  3. M. Schiltenwolf
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  4. M. Buchner
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Correspondence to M. Buchner.

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Neubauer, E., Zahlten-Hinguranage, A., Schiltenwolf, M. et al. Multimodale Therapie bei chronischem HWS- und LWS-Schmerz. Schmerz 20, 210–218 (2006). https://doi.org/10.1007/s00482-005-0434-7

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  • DOI: https://doi.org/10.1007/s00482-005-0434-7

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