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Manuelle Medizin

, Volume 56, Issue 2, pp 147–157 | Cite as

Multimodale Komplexbehandlungen und Funktionstherapien für Kinder und Jugendliche mit Zerebralparese

Kritischer Review der Evidenzlage
  • K. Niemier
Übersichten
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Zusammenfassung

Hintergrund und Ziel

Die infantile Zerebralparese (IZP) ist die häufigste Ursache für spastische Syndrome im Kindes- und Jugendalter. Sie beruht auf einer Schädigung des noch unreifen Zentralnervensystems. Die morphologische Schädigung ist nicht reversibel. Sekundäre funktionelle Veränderungen der Sensomotorik können jedoch durch funktionelle Behandlungen beeinflusst werden. Da die Problematik häufig komplex ist, wurden verschiedene funktionsorientierte multimodale Komplexbehandlungen für diese Patientengruppe entwickelt. In diesem Review soll die wissenschaftliche Grundlage für diese Behandlungsformen dargestellt und gewertet werden.

Methode

Es erfolgte eine Literaturrecherche in der US National Library of Medicine und eine Handsuche in der Zeitschrift Manuelle Medizin.

Ergebnisse

Insgesamt wurden 57 relevante Studien gefunden, davon 6 zu funktionsorientierten multimodalen Komplexbehandlungen. Die anderen Untersuchungen befassten sich mit in den Komplexbehandlungen durchgeführten Einzelbehandlungen. Für alle Verfahren konnten positive wissenschaftliche Evidenzen gefunden werden. Für die funktionsorientierten multimodalen Komplexbehandlungen lassen sich positive Effekte auf die motorische Entwicklung nachweisen.

Schlussfolgerungen

Funktionsorientierte multimodale Komplexbehandlungen und die in diesen Programmen angewandten Funktionstherapien fördern die motorische Entwicklung von Kindern und Jugendlichen mit IZP. Zum Beweis der Nachhaltigkeit dieser Effekte bedarf es noch weiterer wissenschaftlicher Untersuchungen.

Schlüsselwörter

Manuelle Medizin Manipulationstherapie Physiotherapie Trainingstherapie Motorische Aktivität 

Complex multimodal treatments and functional therapy for children and adolescents with cerebral palsy

A critical review of the evidence

Abstract

Background and objective

Infantile cerebral palsy (ICP) is the most common cause of spastic syndromes in children and adolescents. It is caused by damage to the developing central nervous system. The structural damage is irreversible, but secondary functional disturbance of the loco motor system can be influenced by treatment. Since the functional problem is very often complex, different function-orientated multimodal treatment concepts (FMTC) have been developed for this patient group. In this review, the scientific evidence for these complex treatment programs is presented and discussed.

Methods

A literature search was conducted in the US National Library of Medicine, and a manual search in the Manuelle Medizin journal.

Results

A total of 57 relevant studies were found, of which 6 addressed FMTC. The other studies examined individual treatments frequently used in FMTC. Positive scientific evidence was found for all treatments. FMTC positively influenced patients’ motoric development.

Conclusion

FMTC and the functional treatments used in these programs positively influence development of the locomotor system in children and adolescents with ICP. Further studies are needed to assess the long-term sustainability of these effects.

Keywords

Manual medicine Manipulation therapy Physiotherapy Exercise therapy Motor activity 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

K. Niemier gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Supplementary material

337_2018_382_MOESM1_ESM.pdf (45 kb)
ESM 1: Übersicht Studien zur multimodalen Komplexbehandlung von Kindern mit infantiler Zerebralparese
337_2018_382_MOESM2_ESM.pdf (13 kb)
ESM 2: Studienergebnisse manualmedizinische/osteopathische Behandlung bei Kindern mit infantiler Zerebralparese
337_2018_382_MOESM3_ESM.pdf (39 kb)
ESM 3: Studienergebnisse physiotherapeutische Behandlung bei Kindern mit infantiler Zerebralparese
337_2018_382_MOESM4_ESM.pdf (34 kb)
ESM 4: Studienergebnisse neurophysiologische Physiotherapie bei Kindern mit infantiler Zerebralparese
337_2018_382_MOESM5_ESM.pdf (46 kb)
ESM 5: Studienergebnisse Gang- und Koordinationstraining bei Kindern mit infantiler Zerebralparese
337_2018_382_MOESM6_ESM.pdf (40 kb)
ESM 6: Studienergebnisse Krafttraining bei Kindern mit infantiler Zerebralparese
337_2018_382_MOESM7_ESM.pdf (44 kb)
ESM 7: Studienergebnisse allgemeines Training bei Kindern mit infantiler Zerebralparese

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Rückenzentrum am MichelHamburgDeutschland

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