Empfehlungen zur Manuellen Therapie bei lumbalen Rückenschmerzen in klinischen Leitlinien

Zusammenfassung

Leitlinien gewinnen für Physiotherapeuten und Ärzte bei der Versorgung von Patienten mit lumbalen Rückenschmerzen (LRS) immer mehr an Bedeutung. Frühere Übersichtsarbeiten zeigen, dass die Manuelle Therapie in Leitlinien kontrovers bewertet wurde. Die vorliegende Arbeit untersuchte die Empfehlungen für Manuelle Therapie und deren Grundlage in ab 2001 veröffentlichten klinischen Leitlinien.

Bei Patienten mit akuten und chronischen LRS ist Manuelle Therapie eine leitliniengerechte Behandlungsform. Die Empfehlungen der Leitlinien sind aber sehr unspezifisch und bieten dem Nutzer nur eine geringe Unterstützung bei der klinischen Entscheidungsfindung. Für bessere und spezifischere Leitlinienempfehlungen ist mehr und einträglichere Forschung erforderlich.

Abstract

Clinical guidelines are gaining increasing importance for physiotherapists and physicians in the care of patients with low back pain (LBP). Previous reviews show that manual therapy is discussed controversially in these guidelines. This article investigated recommendations for manual therapy and their basis in clinical guidelines published from 2001 onwards.

In acute and chronic LBP manual therapy is a guideline-compatible treatment option. However, the guidelines are very unspecific and hardly support the user in clinical decision making. More research and better evidence is needed to strengthen and specify guideline recommendations for the use of manual therapy.

Schlüsselwörter

klinische Leitlinien - lumbale Rückenschmerzen - Manuelle Therapie - spinale Manipulationen - systematischer Review

Key words

clinical guidelines - low back pain - manual therapy - spinal manipulation - systematic review

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