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DOI: 10.1055/a-1213-0172
Prädiktive Faktoren für die zentrale Sensibilisierung bei Patienten mit Low Back Pain
Predictive Factors for Central Sensitisation in Patients with Low Back PainZusammenfassung
Bei den pathophysiologischen Mechanismen der zentralen Sensitivierung ist die Sensibilität des ZNS auf einen normalen oder unterschwelligen afferenten Input gesteigert. Dieser Vorgang ist ein potenzieller Mechanismus, der einer Gruppe chronischer Krankheitsbilder unterliegt (Fibromyalgie, Kiefergelenkbeschwerden, Reizdarmsyndrom, Spannungskopfschmerz, andauernde Nacken- und Rückenschmerzen).
Aufgrund eines fehlenden Goldstandards für den diagnostischen Prozess war das Ziel dieser Literatursuche, prädiktive Faktoren für eine zentrale Sensibilisierung bei Patienten mit Rückenschmerzen zu identifizieren. Die Recherche nach relevanter Literatur fand in den Datenbanken PubMed, PEDro, CINAHL und Sport Discus statt. Zehn selektierte Arbeiten wiesen auf verschiedene Faktoren für die Bestimmung der zentralen Sensitivierung sowie drei mögliche Klassifizierungssysteme hin.
Abstract
Pathophysiological mechanisms of central sensitisation explain increased sensitivity of the central nervous system to normal or subliminal afferent input. This process is a potential mechanism underlying several chronic clinical patterns (fibromyalgia, temporomandibular joint complaints, irritable bowel syndrome, tension headache, persisting neck and back pain).
Due to the lack of a gold standard for the diagnostic process the aim of this literature search was to identify predictive factors for a central sensitisation in patients with low back pain. The review of relevant literature was performed in the databases PubMed, PEDro, CINAHL and Sport Discus. Ten selected articles indicated different factors for determination of central sensitisation as well as three possible classification systems.
Schlüsselwörter
Rückenschmerzen - zentrale Sensibilisierung - Diagnose - körperliche Untersuchung - klinische LeitlinienKey words
low back pain - central sensitisation - diagnosis - physical examination - clinical guidelinesZUSATZINFO
- Supplementary material
Die Tabellen Beurteilung der Qualität der Reviews nach Crombie [12], Beurteilung der Qualität der Querschnittsstudien nach Joanna Briggs Institut [13] und Beurteilung der Qualität des Fallberichts nach Joanna Briggs Institut [13] unter: https://doi.org/10.1055/a-1213–0172).
Publication History
Received: 05 June 2019
Accepted: 31 July 2019
Article published online:
14 September 2020
© Georg Thieme Verlag KG
Stuttgart · New York
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