Subscribe to RSS
DOI: 10.1055/s-2004-812805
Wirkung von REPEX bei Patienten mit Rückenschmerzen[*]
Publication History
Manuskript eingetroffen: 28.4.2003
Manuskript akzeptiert: August 2003
Publication Date:
25 February 2004 (online)
Zusammenfassung
Mechanische Diagnose und Therapie (MDT) ist eine Evidence-based Therapie bei Rückenschmerzen. Der REPEX-Tisch wurde für Patienten entwickelt, die infolge zusätzlicher Erkrankungen therapeutische MDT-Übungen nicht adäquat durchführen können.
Die vorliegende prospektive und partiell randomisierte Studie sollte feststellen, wie wirkungsvoll der Einsatz eines REPEX-Tisches bei der Behandlung von Rückenschmerzen ist.
Das Ergebnis legt nahe, dass mit REPEX behandelte Patienten mit Rückenschmerzen - vor allem solche mit bis unterhalb des Knies übertragenem Schmerz - möglicherweise weniger physiotherapeutische Behandlungen benötigen.
Effect of REPEX in patients with low back pain
Mechanical Diagnosis and Therapy (MDT) is an evidence-based therapy approach for patients with low back pain. REPEX table was developed for patients who are unable to adequately perform MDT therapeutic exercises due to comorbidity.
This prospective partially randomised study was aimed to determine the effect of using a REPEX table for the treatment of low back pain.
The results suggest that patients with low back pain - especially those with related pain below the knee - may require less physiotherapy visits when treated with REPEX.
Schlüsselwörter
Kreuzschmerzen - kontinuierliche passive Bewegung - Physiotherapie
Key words
Low back pain - continuous passive motion - physiotherapy
1 *Teilweise finanziert von: Orthopaedic Section APTA, Inc., IRB: Texas Woman’s University (Dallas, USA), MIRB (Austin, TX, USA).
Literatur
- 1 Donelson R, Aprill C, Medcalf R, Grant W. A prospective study of centralization of lumbar and referred pain: a predictor of symptomatic discs and anular competence. Spine. 1990; 15 211-213
- 2 Donelson R, Silva G, Murphy K. Centralization phenomenon: its usefulness in evaluating and treating referred pain. Spine. 1990; 15 211-213
- 3 Fairbanks J, Davies J, Couper J, O’Brien J. The Oswestry low back pain disability questionnaire. Physiother. 1980; 66 217-223
- 4 Hazard R, McKenzie R, Mooney V. Helping your back pain patients make the most out of spinal motion. J Musculoskel Med. 1995; 11 24-31
- 5 Huskisson E. Measurement of pain. Lancet. 1974; 1127-1131
- 6 Jette A, Smith K, Davis K. Physical therapy episodes for care for patients with low back pain. Phys Ther. 1994; 74 101-115
- 7 Kilpikoski S, Airakinen O, Kankaapaa M. et al . Interexaminer reliability of low back pain assessment using the McKenzie method. Spine. 2002; 27 E207-E214
- 8 McKenzie R. The lumbar spine mechanical diagnosis and therapy. New Zealand; Spinal Publications 1981
- 9 Monk C, McKenzie R. McKenzie REPEX manual. Pennsylvania; Hill Laboratories Company 1992
- 10 Portney L, Watkins M. Foundations for clinical research: applications to practice. New York; Harcourt Brace and World 2000
- 11 Rantanen P. Physical measurements and questionnaires as diagnostic tools in chronic low back pain. J Rehab Med. 2001; 1 31-35
- 12 Razmjou H, Kramer J, Yamanda R. Intertester reliability of the McKenzie evaluation in assessing patients with mechanical low back pain. J Orthop Sports Phys Ther. 2000; 30 368-383
- 13 Spitzer W. Scientific approach to the assessment and management of activity related disorders: Report of the Quebec Task Force on spinal disorders. Spine. 1987; 12 7S
- 14 U.S. Department of Health And Human Services NIOSH . Work practices guide for manual lifting. NTIS Publication. 1981; 81 122
- 15 Van Wijmen P. The use of repeated movements in the McKenzie method of spinal examination. Boyling, Pastanga; Grieve’s modern manual therapy: the vertebral column Edinburgh; Churchill Livingstone 1993
1 *Teilweise finanziert von: Orthopaedic Section APTA, Inc., IRB: Texas Woman’s University (Dallas, USA), MIRB (Austin, TX, USA).
Carol Dionne
PT
PhD
Cert MDT
University of Texas at El Paso, College of Health Sciences, Physical Therapy
1101 N. Campbell Street
USA-El Paso 79 902, TX
Phone: 0 01-9 15-7 47 82 10
Fax: 0 01-9 15&-7 47 82 11
Email: cdionne@utep.edu