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Chronischer unspezifischer Rückenschmerz

Von der Funktionsmorphologie zur Prävention

Chronic unspecific back pain

From functional morphology to prevention

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Zusammenfassung

Der chronische unspezifische Rückenschmerz ist ein zentrales Thema für Patienten, Versicherer und Berufsgenossenschaften. Mit einer Präventivdiagnostik bestünde die Möglichkeit, für einen momentan beschwerdefreien Menschen eine Prognose zu erstellen, mit welcher Wahrscheinlichkeit er einen chronischen unspezifischen Rückenschmerz erleiden wird, wenn er sich nicht einer präventiven Maßnahme unterzieht.

Jedes Jahr erleiden 20% der Erwachsenen Rückenschmerzen und 70–80% der Bevölkerung bekommen in ihrem Leben einmal oder mehrmals Rückenschmerzen. Meist reduzieren sich die Beschwerden innerhalb der ersten sechs Wochen ohne medizinische Intervention oder verschwinden ganz. Nur in wenigen Fällen sind sie progredient, chronifizieren und verursachen erhebliche Kosten.

Es gilt herauszufinden, ob eine Person zu einer Risikogruppe gezählt werden kann, für die zukünftig eine Chronifizierung des Rückenschmerzes wahrscheinlich wird. Mit dem präventivdiagnostischen Ansatz sollte die Frage beantwortet werden können: Welche Subgruppe von Patienten mit chronischem Rückenschmerz wird besonders von einer Übungstherapie oder von kognitiven verhaltenstherapeutischen Ansätzen profitieren?

Abstract

Chronic low back pain represents an important issue not only for the patients but also for society. Apreventive diagnosis could open the possibility to predict the individual probability of developing chronic low back pain in pain-free persons or persons with sub-acute low back pain if no further preventive interventions would be started.

Every year about 20% of adults will suffer from back pain and 70-80% of society will suffer from back pain during their lives. In most cases back pain is alleviated within the first 6 weeks without any medical intervention. Only a few cases are progredient and chronic with immense costs for society and health care systems.

It is necessary to find out which individuals will probably suffer from chronic back pain in the future. The diagnostic outcome of the classification should help to answer the question which subgroups of patients with chronic low back pain will especially benefit from exercise therapy or cognitive behavior therapy?

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Authors and Affiliations

  1. Bewegungswissenschaft, Westfälische Wilhelms-Universität, Horstmarer Landweg 62 b, 48149, Münster, Deutschland

    H. Wagner

  2. Sportmedizin, Friedrich-Schiller-Universität, Jena, Deutschland

    C. Puta

  3. FB Motorik, Pathophysiologie und Biomechanik, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Friedrich-Schiller-Universität, Jena, Deutschland

    C. Anders & H.C. Scholle

  4. Zentralklinik Bad Berka GmbH, Bad Berka, Deutschland

    A. Petrovitch

  5. Institut für Spezielle Zoologie und Evolutionsbiologie mit Phyletischem Museum, Friedrich-Schiller-Universität , Jena, Deutschalnd

    N. Schilling

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Wagner, H., Puta, C., Anders, C. et al. Chronischer unspezifischer Rückenschmerz. Manuelle Medizin 47, 39–51 (2009). https://doi.org/10.1007/s00337-009-0663-4

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