Download PDF
Aktuelle Rheumatologie 2019; 44(01): 45-51
DOI: 10.1055/s-0044-100489
Übersichtsarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Posttraumatische Rehabilitation von Patienten aus dem rheumatischen Formenkreis

Posttraumatic Rehabilitation of Patients with Rheumatological Diseases
Benjamin Ulmar
1   Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg
,
Tobias Dorn
1   Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg
,
Nikolay Dimitrov
1   Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg
,
Alin-Ionud Mandache
1   Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg
,
Stefan Rehart
2   Klinik für Orthopädie und Unfallchirurgie, Agaplesion Frankfurter Diakonie, Frankfurt
,
Stefan Sell
1   Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg
› Author Affiliations
Further Information

Publication History

Publication Date:
22 February 2018 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

„Rheumatiker“ haben ein erhöhtes Frakturrisiko. Die chirurgische Versorgung eines akuten Traumas bzw. der eingetretenen Traumafolgen ist aufgrund der schlechten ossären und weichteiligen Gewebestrukturen anspruchsvoll. Das Risiko für perioperative Komplikationen ist erhöht. Die Behandlung von „Rheumatikern“ nach Trauma ist komplex und erfordert eine individuelle multimodale Rehabilitation in spezialisierten Einrichtungen, welche die muskulo-skelettale und systemische Manifestation der Grunderkrankung und der additiv vorliegenden Traumafolgen adressieren kann.

Abstract

„Rheumatic patients” have an increased fracture risk. Surgical treatment of an acute trauma or sequelae of a trauma is very demanding due to poor bone and soft tissue structures, and there is an increased risk of perioperative complications. The posttraumatic treatment of patients with rheumatic diseases is complex and requires individual multimodal rehabilitation in specialised institutions capable of targeting the musculoskeletal and systemic manifestation of the underlying disease and the additional trauma sequelae.

Schlüsselwörter

Trauma - Rheumatoide Arthritis - Rehabilitation - Physiotherapie - Physikalische Therapie

Key words

Trauma - rheumatoid arthritis - rehabilitation - physiotherapy - physical therapy
 

  • Literatur

  • 1 Brennan SL, Toomey L, Kotowicz MA. et al. Rheumatoid arthritis and incident fracture in woman: A case-control study. BMC Muskuloskeletal Disorders 2014; 15: 13
    PubMedGoogle Scholar
  • 2 AIHW: Snapshot of arthritis in Australia . Canberra: Australian institute of Health and Welfare; 2010
  • 3 Wegierska M, Dura M, Blumfield E. et al. Osteoporosis diagnostics in patients with rheumatoid arthritis. Rheumatologica 2016; 54: 29-34
    PubMedGoogle Scholar
  • 4 Berliner M. Physikalische Therapie. In: Deutsche Gesellschaft Rheumatologie e.V. (Hrsg) Qualitätssicherung in der Rheumatologie. München: Steinkopff; 2007. 2. Auflage S 489-500
    Google Scholar
  • 5 Smolenski UC, Seidel EJ. (editing and revisions) Physical and rehabilitative medicine – terms and definitions. Results of the consensus conference 2013/2014. Phys Med Rehab Kuror 2014; 24 (Suppl. 01) e1-e15
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Patschan D, Loddenkemper K, Buttgereit F. Molecular mechanisms of glucocorticoid-induced osteoporosis. Bone 2001; 29: 498-505
    CrossrefPubMedGoogle Scholar
  • 7 Buckley L, Leib E, Cartularo KS. et al. Calcium and vitamin D3 supplementation prevents bone loss in the spine secondary to low-dose corticosteroids in patients with rheumatoid arthritis. A randomized, double-blind, placebo-controlled trial. Ann Intern Med 1996; 125: 961-968
    PubMedGoogle Scholar
  • 8 Arnett F, Edwothy S, Bloch DA. et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988; 31: 315-324
    CrossrefPubMedGoogle Scholar
  • 9 Gough A, Sambrook P, Devlin J. et al. Osteoclastic activation is the principal mechanism leading to secondary osteoporosis in rheumatoid arthritis. J Rheumatol 1998; 25: 1282-1289
    PubMedGoogle Scholar
  • 10 Honokanen K, Honokanen R, Heikkinen L. et al. Validity of self-reports of fractures in perimenopausal women. Am J Epidemiol 1999; 150: 511-516
    CrossrefPubMedGoogle Scholar
  • 11 Sambrook P, Eisman J, Champion GD. et al. Determinants of axial bone loss in rheumatoid arthritis. Arthritis Rheum 1987; 30: 721-728
    CrossrefPubMedGoogle Scholar
  • 12 Sambrook PN, Ansell BM, Foster S. et al. Bone turnover in early rheumatoid arthritis. 2. longitudinal bone density studies. Ann Rheum Dis 1985; 44: 580-584
    CrossrefPubMedGoogle Scholar
  • 13 Hooyman JR, Melton LJ, Nelson AM. et al. Fractures after rheumatoid arthritis. A popular-based study. Arthritis Rheum 1984; 27: 1353-1361
    CrossrefPubMedGoogle Scholar
  • 14 Ghazi M, Kolta S, Briot K. et al. Prevalence of vertebral fractures in patients with rheumatoid arthritis: Revisiting the role of glucocorticoids. Osteoporos Int 2012; 23: 581-587
    CrossrefPubMedGoogle Scholar
  • 15 Furuya T, Inoue E, Hosoi T. et al. Risk factors associated with the occurrence of hip fractures in Japanese patients with rheumatoid arthritis: a prospective observational cohort study. Osteoporos Int 2013; 24: 1257-1265
    CrossrefPubMedGoogle Scholar
  • 16 Stanmore EK, Oldham J, Skelton DA. et al Fall incidence an outcomes of falls in a prospective study of adults with rheumatoid arthritis. Arthritis Care Res 2013; 65: 737-744
    CrossrefPubMedGoogle Scholar
  • 17 Ochi K, Furuya T, Ikari K. et al. Sites, frequencies, and causes of self-reported fractures in 9720 rheumatoid arthritis patients: a large prospective observational cohort study in Japan. Arch Osteopors 8: 130-138
    PubMedGoogle Scholar
  • 18 Ravi B, Croxford R, Hollands S. et al. Increased risk of complications following total joint arthroplasty in patients with rheumatoid arthritis. Arthritis Rheumatol 2014; 66: 254-263
    CrossrefPubMedGoogle Scholar
  • 19 Spector TD, Hall GM, McCloskey EV. et al. Risk of vertebral fracture in women with rheumatoid arthritis. BMJ 1993; 306: 558
    CrossrefPubMedGoogle Scholar
  • 20 Pickhardt PJ, Lee LJ, del Rio AM. et al. Simultaneous screening for osteoporosis at CT tomography: bone mineral density assessment using MDCT attenuation techniques compared with the DXA reference standard. J Bone Miner Res 2011; 26: 2194-2203
    CrossrefPubMedGoogle Scholar
  • 21 Kanis JA, McCloskey EV, Johanson H. et al. Scientific Advisory Board of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) and the Committee of Scientific Advisors of the International Osteoporosis Foundation (IOF). European guidance for the diagnosis and management of the osteoporosis in postmenopausal women. Osteoporos Int 2013; 24: 23-57
    CrossrefPubMedGoogle Scholar
  • 22 Richold JA, Barth C. Operative Versorgung der Halswirbelsäule. Technische Optionen und Indikationen in Abhängigkeit der jeweiligen Krankheitsbilder. Akt Rheumatol 2015; 40: 388-397
    Article in Thieme ConnectPubMedGoogle Scholar
  • 23 Pap G, Neumann HW. Periprothetische Frakturen bei Patienten mit rheumatoider Arthritis. Z Rheumatol 2007; 66: 20-27
    CrossrefPubMedGoogle Scholar
  • 24 Masri BA, Meek RM, Duncan CP. Periprosthetic fractures evaluation and treatment. Clin Orthop Relat Res 2004; 420: 80-95
    CrossrefPubMedGoogle Scholar
  • 25 Palm TM, Kaarela K, Hakala MS. et al. Need and sequence of large joint replacements in rheumatoid arthritis. A 25-year follow-up study. Clin Exp Rheumatol 2002; 20: 392-394
    PubMedGoogle Scholar
  • 26 Hopf C, Hopf T, Rompe JD. Fractures after total knee joint endoprosthesis. Results of treatment with various stabilizing methods. Unfallchirurg 1997; 23: 92-99
    PubMedGoogle Scholar
  • 27 Sarvilinna R, Huhtala H, Pajamaki J. Young age and wedge stem design are risk factors for periprosthetic fracture after arthroplasty due to hip fracture. A case-control study. Acta Orthop 2005; 76: 56-60
    CrossrefPubMedGoogle Scholar
  • 28 Kanis JA, Oden A, Johnell O. et al. The components of excess mortality after hip fracture. Bone 2003; 32: 468-473
    CrossrefPubMedGoogle Scholar
  • 29 Slavici A, Rauschmann M, Fleege C. Conservative management of osteoporotic vertebnral fractures: an update. Eur J Trauma Emerg Surg 2017; 43: 19-26
    CrossrefPubMedGoogle Scholar
  • 30 Goodwin VA, Hall AJ, Rogers E. et al. Orthotics and taping in the management of vertebral fractures in people with osteoporosis: a systematic review. BMJ Open 2016; 6: e010657
    CrossrefPubMedGoogle Scholar
  • 31 Reißhauer A, Elmer N, Liebl ME. Physical therapy of selected rheumatic diseases with muscular dysfunction. Akt Rheumatol 2016; 41: 81-85
    Article in Thieme ConnectPubMedGoogle Scholar
  • 32 Lange U, Rehart S. Stellenwert und Bedeutung der „physikalischen Medizin“ im Kontext der konservativen Therapie bei rheumatologischen Patienten. Orthopäde 2013; 42: 813-821
    CrossrefPubMedGoogle Scholar
  • 33 Grebe P, Trimborn A, Henniger M. et al. Konservative Therapie bei Erkrankungen des rheumatischen Formenkreises. OUP 2014; 3: 420-425
    PubMedGoogle Scholar
  • 34 Bönisch A, Ehlebracht-König I. Change in exercise behavior after medical rehabilitation in patients with spondylarthritis, arthritis and fibromyalgia. Akt Rheumatol 2006; 31: 75-82
    Article in Thieme ConnectPubMedGoogle Scholar
  • 35 Hartmann F, Zeitler H. Chronische Polyarthritis. In: Zeidler H. (Hrsg.) Rheumatologie, Teil C. München: Urban & Schwarzenberg; 1989: 372-392
    Google Scholar
  • 36 Hidding A, van der Linden S, Gielen X. et al. Continuation of group physical therapy is necessary in ankylosing spondylitis: results of a randomized controlled trial. Arthrtis Car Res 1994; 7: 90-96
    PubMedGoogle Scholar
  • 37 Hidding A, van der Linden S, Boers M. et al. Is group physiotherapy superior to individual therapy in ankylosing spondylitis. A randomized controlled trial. Arthritis Car res 1993; 6: 117-125
    PubMedGoogle Scholar
  • 38 Bochdansky T, Ammer K. Trainingstherapie bei Rheumatischen Erkrankungen. Grundlagen und praktische Empfehlungen zur Sportausübung. Österr Z Phys Med Rehabil 2006; 16: 15-27
    PubMedGoogle Scholar
  • 39 de Jong Z, Munneke M, Zwindermann AH. et al. Long term high intensity, exercise and damage of small joints in rheumatoid arthritis. Ann Rheum Dis 2004; 63: 1399-1405
    CrossrefPubMedGoogle Scholar
  • 40 Munneke M, de Jong Z, Zwinderman AH. et al Effect of high-intensity weight-bearing exercise program on radiologic damage progression of large joints in subgroups of patients with rheumatoid arthritis. Arthritis & Rheumatism (Arthritis Care & Research) 2005; 53: 410-417
    CrossrefPubMedGoogle Scholar
  • 41 Biehl C, Jung J. Perioperative complications in rheumatoid diseases. Akt Rheumatol 2015; 40: 45-50
    Article in Thieme ConnectPubMedGoogle Scholar
  • 42 Smolens JS, Landewe R, Breeveld FC. et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2013 update. Annals of the rheumatic disease 2014; 73: 492-509
    PubMedGoogle Scholar