Schmerzedukation – aktueller denn je

Die immer komplexeren Patientenprobleme verlangen von Therapeuten den bewussten Einsatz von Edukationsstrategien. Schmerzedukation zählt zu den wichtigsten edukativen Maßnahmen bei Menschen mit chronischen Schmerzen. Dabei zeigt eine individualisierte Edukation den größten Effekt. Die wenigsten physiotherapeutischen Curricula berücksichtigen Schmerzedukation. Diese könnte jedoch einen wichtigen Schritt in Richtung weiterer Professionalisierung der Physiotherapie darstellen. Sie ist ein Tool im Rahmen des Patientenmanagements und sollte ebenso wie andere Herangehensweisen auf metakognitiver Ebene reflektiert werden.

Publication History

Article published online:
06 June 2024

• Literatur

• 1 World Health Organisation (WHO). Global strategy on diet, physical activity and health: A framework to monitor and evaluate implementation. 2004. Im Internet: https://www.who.int/publications/i/item/9241592222 Stand: 22.03.2024
• 2 Butler DS, Moseley GL. Explain Pain. Adelaide: NOI Group; 2003
• 3 Reuben D, Tinetti M. Goal-oriented patient care: An alternative health outcomes paradigm. N Engl J Med 2012; 366: 777-779 DOI: 10.1056/nejmp1113631.
• 4 Roberts L, Whittle C, Cleland J. et al. Measuring verbal communication in initial physical therapy encounters. Phys Ther 2012; 93: 479-491 DOI: 10.2522/ptj.20120089.
• 5 Edwards R, Dworkin R, Sullivan M. et al. The role of psychosocial processes in the development and maintenance of chronic pain. J Pain 2016; 17: T70-T92 DOI: 10.1016/j.jpain.2016.01.001.
• 6 Vlaeyen J, Linton S. Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain 2000; 85: 317-332 DOI: 10.1016/s0304-3959(99)00242-0.
• 7 Vlaeyen J, Linton S. Fear-avoidance model of chronic musculoskeletal pain: 12 years on. Pain 2012; 153: 1144-1147 DOI: 10.1016/j. pain.2011.12.009.
• 8 Vlaeyen JW, Crombez G, Linton SJ. The fear-avoidance model of pain. Pain 2016; 157: 1588-1589 DOI: 10.1097/j.pain.0000000000000574.
• 9 Watson J, Ryan C, Cooper L. et al. Pain neuroscience education for adults with chronic musculoskeletal pain: A mixed-methods systematic review and meta-analysis. J Pain 2019; 20: 1140e1-1140e20 DOI: 10.1016/j.jpain.2019.02.011.
• 10 Lim Y, Chou L, Au R. et al. People with low back pain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies: A systematic review. J Physiother 2019; 65: 124-135 DOI: 10.1016/j.jphys.2019.05.010.
• 11 Fletcher C, Bradnam L, Barr C. The relationship between knowledge of pain neurophysiology and fear avoidance in people with chronic pain: A point in time, observational study. Physiother Theory Pract 2016; 32: 1-6 DOI: 10.3109/09593985.2015.1138010.
• 12 Barbosa FM, Vieira de Moraes EB, Garcia JBS. Beliefs and attitudes in patients with chronic low back pain. BrJP 2018; 1: 116-121 DOI: 10.5935/2595-0118.20180023.
• 13 Tan BK, Smith AJ, O‘Sullivan PB. et al. Low back pain beliefs are associated to age, location of work, education and pain-related disability in Chinese healthcare professionals working in China: A cross sectional survey. BMC Musculoskelet Disord 2014; 15: 255 DOI: 10.1186/1471-2474-15-255.
• 14 Setchell J, Costa N, Ferreira M. et al. Individual’s explanations for their persistent or recurrent low back pain: A cross-sectional survey. BMC Musculoskelet Disord 2017; 18: 466 DOI: 10.1186/s12891-017-1831-7.
• 15 Foster N, Anema J, Cherkin D. et al. Prevention and treatment of low back pain: Evidence, challenges, and promising directions. Lancet 2018; 391: 2368-2383 DOI: 10.1016/S0140-6736(18)30489-6.
• 16 National Institute for Health and Care Excellence (NICE). Low back pain and sciatica in over 16 s: Assessment and management (NICE guideline NG59). 2016. Im Internet: www.nice.org.uk/guidance/ng59 Stand: 22.03.2024
• 17 Moseley GL, Butler DS. Explain Pain Super Charged. Adelaide: NOI Group; 2017
• 18 Slater H, Sluka K, Hoeger Bement M. et al. IASP Curriculum Outline on pain for physical therapy. Im Internet: www.iasp-pain.org/education/curricula/iasp-curriculum-outline-on-pain-for-physical-therapy/ Stand: 22.03.2024
• 19 Louw A, Nijs J, Puentedura E. A clinical perspective on a pain neuroscience eudcation approach to manual therapy. J Man Manip Ther 2017; 25: 160-168 DOI: 10.1080/10669817.
• 20 Van Ittersum M, van Wilgen C, Hilberdink W. et al. Written pain neuroscience education in fibromyalgia: A multicenter randomized controlled trial. Pain Pract 2014; 14: 689-700 DOI: 10.1111/papr.12137.
• 21 Moseley L, Nicholas M, Hodges P. A randomized controlled trial of intensive neurophysiology education in chronic low back pain. Clin J Pain 2004; 20: 324-330 DOI: 10.1097/00002508-200409000-00007.
• 22 Meeus M, Nijs J, van Oosterwijck J. et al. Pain physiology education improves pain beliefs in patients with chronic fatigue syndrome compared with pacing and self-management education: A doubleblind randomized controlled trial. Arch Phys Med Rehabil 2010; 91: 1153-1159 DOI: 10.1016/j.apmr.2010.04.020.
• 23 Louw A, Diener I, Landers M. et al. Preoperative pain neuroscience education for lumbar radiculopathy: A multicenter randomized controlled trial with 1-year follow-up. Spine 2014; 39: 1449-1457 DOI: 10.1097/BRS.0000000000000444.
• 24 Hyrkas K, Wiggins M. A comparison of usual care, a patient-centred education intervention and motivational interviewing to improve medication adherence and readmissions of adults in an acute-care setting. J Nurs Manag 2014; 22: 350-361 DOI: 10.1111/jonm.12221.
• 25 Forbes R, Mandrusiak A, Smith M. et al. Training physiotherapy students to educate patients: A randomised controlled trial. Patient Educ Couns 2018; 101: 295-303 DOI: 10.1016/j.pec.2017.08.009.