„Work hardening“ bei chronischen Rückenschmerzen

Hamel, M.; Maier, Andrea; Weh, L.; Klein, Anke; Lucan, Sean C.; Marnitz, U.

doi:10.1007/s00132-009-1485-8

Cited by 13 publications

(3 citation statements)

References 13 publications

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“…Eine Visualisierung des Fortschritts ist empfehlenswert. Konkrete Darstellungen des therapeutischen Vorgehens finden sich an anderer Stelle [11,13]. Zielgruppe Als Zielgruppe für die MBOR gelten v. a. Personen mit langer Arbeitsunfähigkeit, Arbeitslosigkeit, negativer subjektiver Erwerbsprognose oder einer aus sozialmedizinischer Sicht notwendigen Veränderung ihres Arbeitsplatzes [1].…”

Section: Introductionunclassified

Medizinisch-beruflich orientierte Rehabilitation

Bethge

2017

Rehabilitation

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Work-related medical rehabilitation (WMR) is a strategy to improve work participation in patients with poor work ability. This review summarizes the state of knowledge on WMR. The prevalence of poor work ability and corresponding need for WMR is high (musculoskeletal disorders: 43%; mental disorders: 57%). The meta-analysis of randomized controlled trials in patients with musculoskeletal disorders shows better return to work outcomes after one year in favor of WMR patients than compared to patients participating in usual medical rehabilitation. The amount of work-related measures in rehabilitation was clearly increased during recent years. A direct involvement of the workplace and a closer cooperation with employers and occupational health physicians may further improve the outcomes of WMR.

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Section: Introductionunclassified

Medizinisch-beruflich orientierte Rehabilitation

Bethge

2017

Rehabilitation

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“…In addition, patients were offered physiotherapy, sports therapy, group exercises, aqua training, electrotherapy, thermotherapy, progressive muscle relaxation according to Jacobsen, 15 and coordination training. 16 …”

Section: Methodsmentioning

confidence: 99%

Positive medium-term influence of multimodal pain management on socioeconomic factors and health care utilization in patients with lumbar radiculopathy: a prospective study

Benditz

Loher

Boluki

et al. 2017

JPR

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BackgroundMultimodal pain management (MPM) represents a central approach to avoiding surgery in patients with lumbar radiculopathy. Independent of the type of health system, cost effectiveness and socioeconomic factors are becoming increasingly important. This study investigated the medium-term influence of conservative MPM on health care utilization and socioeconomic factors.MethodsThis study compared subjective, objective, and socioeconomic factors of 60 patients after inpatient MPM because of lumbar radiculopathy, before and 1 year ± 2 weeks after treatment.ResultsOver the course of the 1-year follow-up, one-third of the patients had not required any conservative treatment in comparison to 100% of patients before MPM therapy. The number of patients requiring analgesics could be significantly reduced from 26 to 12, and the number of patients who did not require any analgesics had increased from 14 to 32. After 1 year, the number of patients who had to regularly contact a physician because of low back pain (once per month for 6 months) had been reduced from 58 to 27.ConclusionMPM is an effective approach to treating lumbar radiculopathy and reducing its negative influence on socioeconomic factors. Therapeutic benefits also include a decrease in health care utilization. Therefore, health care providers should place the mid-term success for patients and socioeconomic factors before the short-term costs of therapy.

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“…The main goal is recovery of the load-bearing capacity and reduction in pain-avoidance behaviour. The success of MPM depends on accurate patient information and consultation, continuous motivation, a systematic increase of load and permanent feedback12.…”

Section: Methodsmentioning

confidence: 99%

Prospective medium-term results of multimodal pain management in patients with lumbar radiculopathy

Benditz

Madl

Loher

et al. 2016

Sci Rep

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Lumbar radiculopathy is one of the most common diseases of modern civilisation. Multimodal pain management (MPM) represents a central approach to avoiding surgery. Only few medium-term results have been published in the literature so far. This study compared subjective and objective as well as anamnestic and clinical parameters of 60 patients who had undergone inpatient MPM because of lumbar radiculopathy before and 1 year ±2 weeks after treatment. The majority of patients were very satisfied (35%) or satisfied (52%) with the treatment outcome. Merely 8 patients commented neutrally and none negatively. The finger-floor distance had decreased significantly (p < 0.01), and 30 patients (50%) had shown improved mobility of the spine after therapy. The need for painkillers had also been significantly reduced after 1 year. The arithmetical average of pain on a visual analogue scale was 7.21 before treatment, which had significantly decreased to 3.58 at follow-up (p < 0.01). MPM is an effective approach for treating lumbar radiculopathy by mechanical nerve root irritation. Therefore, in the absence of an absolute indication for surgery or an absolute contradiction for MPM, patients should first be treated with this minimally invasive therapy.

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„Work hardening“ bei chronischen Rückenschmerzen

Cited by 13 publications

References 13 publications

Medizinisch-beruflich orientierte Rehabilitation

Medizinisch-beruflich orientierte Rehabilitation

Positive medium-term influence of multimodal pain management on socioeconomic factors and health care utilization in patients with lumbar radiculopathy: a prospective study

Prospective medium-term results of multimodal pain management in patients with lumbar radiculopathy

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