physiopraxis 2023; 21(04): 26-29
DOI: 10.1055/a-2009-5464
Therapie

Mammutaufgabe – Untersuchung der LWS

Hannu Luomajoki

Die Wissenschaft betitelt Kreuzschmerzen mittlerweile als die größte Katastrophe der Medizin, denn sie verursachen in Deutschland jährlich Kosten von rund 50 Milliarden Euro. Auch in der Physiotherapie ist diese Klientel am häufigsten vertreten. In der Untersuchung hilft ein festes Schema aus Red Flags, der Abklärung von spezifischen medizinischen Ursachen, des Chronifizierungsrisikos, der Abfrage psychosozialer Faktoren sowie einer körperlichen Untersuchung.



Publication History

Article published online:
12 April 2023

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  • Literaturverzeichnis

  • 1 Buchbinder R, van Tulder M, Oberg B, Costa LM, Woolf A, Schoene M. et al Low back pain: a call for action. Lancet 2018
  • 2 George SZ, Fritz JM, Silfies SP, Schneider MJ, Beneciuk JM, Lentz TA. et al Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. J Orthop Sports Phys Ther. 2021; 51 (11) CPG1-CPG60
  • 3 Oliveira CB, Maher CG, Pinto RZ, Traeger AC, Lin CC, Chenot JF. et al Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur Spine J. 2018; 27 (11) 2791-803
  • 4 Qaseem A, Wilt TJ, McLean RM, Forciea MA. Clinical Guidelines Committee of the American College of P. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med 2017
  • 5 Simula AS, Ruokolainen O, Oura P, Lausmaa M, Holopainen R, Paukkunen M. et al Association of STarT Back Tool and the short form of the Orebro Musculoskeletal Pain Screening Questionnaire with multidimensional risk factors. Sci Rep. 2020; 10 (01) 290
  • 6 Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP. et al Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet 2018
  • 7 Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S. et al What low back pain is and why we need to pay attention. Lancet. 2018; 391 10137 2356-67
  • 8 Henschke N, Maher CG, Ostelo RW, de Vet HC, Macaskill P, Irwig L.. Red flags to screen for malignancy in patients with low-back pain. Cochrane Database Syst Rev 2013; 02: CD008686
  • 9 Schmid AB, Nee RJ, Coppieters MW. Reappraising entrapment neuropathies--mechanisms, diagnosis and management. Man Ther. 2013; 18 (06) 449-57
  • 10 Martin BI, Mirza SK, Spina N, Spiker WR, Lawrence B, Brodke DS.. Trends in Lumbar Fusion Procedure Rates and Associated Hospital Costs for Degenerative Spinal Diseases in the United States, 2004 to 2015; Spine (Phila Pa 1976). 2019; 44 (05) 369-76
  • 11 Holopainen R, Vuoskoski P, Piirainen A, Karppinen J, O'Sullivan P.. Patients' conceptions of undergoing physiotherapy for persistent low back pain delivered in Finnish primary healthcare by physiotherapists who had participated in brief training in cognitive functional therapy. Disabil Rehabil 2020: 1-12
  • 12 Holopainen R, Piirainen A, Heinonen A, Karppinen J, O'Sullivan P. From “Non-encounters” to autonomic agency. Conceptions of patients with low back pain about their encounters in the health care system. Musculoskeletal Care. 2018; 16 (02) 269-77
  • 13 Foster NE, Delitto A. Embedding Psychosocial Perspectives Within Clinical Management of Low Back Pain: Integration of Psychosocially Informed Management Principles Into Physical Therapist Practice--Challenges and Opportunities. Physical Therapy. 2011; 91 (05) 790-803
  • 14 O'Keeffe M, George SZ, O'Sullivan PB, O'Sullivan K. Psychosocial factors in low back pain: letting go of our misconceptions can help management. Br J Sports Med. 2019; 53 (13) 793-4
  • 15 Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP. et al Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018; 391 10137 2368-83
  • 16 Schmid AB, Fundaun J, Tampin B. [Entrapment neuropathies: a contemporary approach to pathophysiology, clinical assessment, and management : German version]. Schmerz. 2021; 35 (06) 419-33
  • 17 Luomajoki H. Sechs richtige: mit Testbatterie die Bewegungskontrolle untersuchen. In: Julitta Rössler JB, Claus Beyerlein, Trisha Davies-Knorr, Sebastian Klien, Jan Herman van Minnen, Arne Vielitz, Fiona Morrison, Jochen Schomacher, editor. manuelletherapie Expertenwissen: Die besten Schwerpunkt-Artikel 2012 - 2016: Thieme;. 2018
  • 18 Luomajoki H.. Bewegunsgdysfunktion und Bewegungskontrolle Thieme verlag. 2022
  • 19 Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005; 10 (03) 207-18
  • 20 Luomajoki H, Pfeiffer F. Validierte Evaluation von Angst, Kinesiophobie und Katastrophisierung. Der Schmerzpatient. 2020; 03 (01) 26-30
  • 21 Special Jahresrückblick 2012; Rückenschmerzen in den Griff kriegen. Focus Online; 2013; Im Internet. https://www.focus.de/panorama/jahresrueckblick-2012/wie-sie-bekommen-was-sie-wollen-erfolg-glueck-geld-die-focus-titelthemen-2012-teil-1_id_2379994.html letzter Zugriff: 22.03.2023