Skip to main content

Physiotherapie bei der Multiplen Sklerose

  • Conference paper
Multiple Sklerose
  • 229 Accesses

Zusammenfassung

Die Physiotherapie spielt eine fundamentale Rolle in der ambulanten wie stationären Basistherapie der Multiplen Sklerose (MS) neben Ergotherapie, physikalischer Therapie, Logopädie sowie klinischer und Neuropsychologie. Hier wird oft der Begriff der Neurorehabilitation angewandt (Aisen 1999), obwohl der Rehabilitationsbegriff (Mauritz 1996) bei einer prozesshaften Erkrankung wie der MS mit zum Teil parallelen Phasen von Krankheitsaktivität und Symptomrückbildung nur bedingt gültig sein kann. Der Wert eines stationären integrativen Behandlungskonzeptes bei der MS in einem interdisziplinären Team (Kesselring u. Mertin 1991; Mertin 1994; Thompson 1999) ist inzwischen durch wissenschaftliche Untersuchungen abgesichert: Ein stationäres physiotherapeutisches 3-wöchiges Intensivprogramm erbrachte gegenüber ambulanter Therapie Verbesserungen im Bereich Disability (Solari et al. 1999). Sogar über 6 Monate hielten nach stationärer Rehabilitationsbehandlung erreichte Verbesserungen von Disability und Handicap an (Freemann et al. 1997, 1999). Die Aufgaben der Physiotherapie sind bei der MS besonders vielfältig und bedürfen einer engmaschigen Zusammenarbeit zwischen Patient, seinen Angehörigen, dem behandelnden Neurologen und Hausarzt und den anderen genannten Disziplinen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Albrecht H, Pöllmann W, König N (1996) Akute Fußheberparese bei multipler Sklerose. Nervenarzt 67:163–169

    PubMed  CAS  Google Scholar 

  • Albrecht H, Schwecht M, Pöllmann W, Parag D, Erasmus LP, König N (1998) Lokale Eisapplikation in der Therapie der gliedkinetischen Ataxie. Nervenarzt 69:1066–1073

    Article  PubMed  CAS  Google Scholar 

  • Aisen ML (1999) Justifying neurorehabiltation. A few steps forward. Neurology 52:8–10

    PubMed  CAS  Google Scholar 

  • Benedetti MG, Piperno R, Simoncini L, Bonato P, Tonini A, Giannini S (1999) Gait abnormalities in minimally impaired multiple sclerosis patients. Multiple Sclerosis 5:363–368

    PubMed  CAS  Google Scholar 

  • Brar SP, Smith MB, Nelson LM, Franklin GM, Cobble ND (1991) Evaluation of treatment protocols on minimal to moderate spasticity in multiple sclerosis. Arch Phys Med Reha- bil 72(3):186–189

    CAS  Google Scholar 

  • Cutter GR, Baier ML, Rudick RA et al. (1999) Development of a Multiple Sclerosis functional composite as a clinical trial outcome measure. Brain 122:871–882

    Article  PubMed  Google Scholar 

  • De Souza LH (1983) Physiotherapy for multiple sclerosis patients. Lancet 1(8339):1444

    Article  PubMed  Google Scholar 

  • Francabandera FL, Holland NJ, Wiesel-Levison P, Scheinberg LC (1988) Multiple sclerosis rehabilitation: inpatient vs. outpatient. Rehab il Nurs 13:251–253

    CAS  Google Scholar 

  • Freeman JA, Langdon DW, Hobart JC, Thompson AJ (1999) Inpatient rehabilitation in multiple sclerosis. Do the benefits carry over into the community? Neurology 52:50–56

    PubMed  CAS  Google Scholar 

  • Freeman JA, Langdon DW, Hobart JC, Thompson AJ (1997) The impact of inpatient rehabilitation on progressive multiple sclerosis. Ann Neurol 42:236–244

    Article  PubMed  CAS  Google Scholar 

  • Gosselink R, Kovacs L, Ketelaer P, Carton H, Decramer M (2000) Respiratory muscle weakness and respiratory muscle training in severely disabled multiple sclerosis patients. Arch Phys Med Rehabil 81:747–51

    PubMed  CAS  Google Scholar 

  • Guthrie TC, Nelson DA (1995) Influence of temperature changes on multiple sclerosis: critical review of mechanisms and research potential. J Neurol Sci 129:1–8

    Article  PubMed  CAS  Google Scholar 

  • Hauser SL, Dawson DM, Lehrich JR, Beai MF, Kevy SV, Propper RD, Mills JA, Weiner HL (1983) Intensive immunosuppression in progressive multiple sclerosis. N Engl J Med 308:173–180

    Article  PubMed  CAS  Google Scholar 

  • Kesselring J, Mertin J (1991) Rehabilitation bei multipler Sklerose. Schweiz Rundsch Med Prax 80:1120–1123

    PubMed  CAS  Google Scholar 

  • Kidd D, Howard RS, Losseff NA, Thompson AJ (1995) The benefit of inpatient neurorehabilitation in multiple sclerosis. Clin Rehabil 9:198–203

    Article  Google Scholar 

  • Kraft GH (1999) Rehabilitation still the only way to improve function in multiple sclerosis. Lancet 354:2016–2017

    Article  PubMed  CAS  Google Scholar 

  • Kraft GH (1986) Rehabilitation principles for patients with multiple sclerosis. J Spinal Cord Med 21 (2):117–120

    Google Scholar 

  • Kurtzke JF (1983) Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology 33:1444–1452

    PubMed  CAS  Google Scholar 

  • La Ban MM, Martin T, Pechur J, Sarnacki S (1998) Physical and occupational therapy in the treatment of patients with multiple sclerosis. Phys Med Rehabil Clin N Am 9:603–614

    Google Scholar 

  • Laufens G, Reimann G, Poltz W, Schmiegelt (1996) Behandlungserfolge und Bedingungen der Vojta-Therapie bei MS-Patienten. Krankengymnastik 48:518–532

    Google Scholar 

  • Lee M, Reddy H, Johansen-Berg H, Pendlebury S, Jenkinson M, Smith S, Palace J, Matthews PM (2000) The motor cortex shows adaptive functional changes to brain injury from multiple sclerosis. Ann Neurol 47:606–613

    Article  PubMed  CAS  Google Scholar 

  • Lord SE, Halligan PW, Wade DT (1998) Visual gait analysis: the development of a clinical assessment and scale. Clin Rehabil 12:107–119

    Article  PubMed  CAS  Google Scholar 

  • Lord SE, Wade DT, Halligan PW (1998) A comparison of two physiotherapy treatment approaches to improve walking in multiple sclerosis: a pilot randomized controlled study. Clin Rehabil 12:477–486

    Article  PubMed  CAS  Google Scholar 

  • Mauritz KH (1996) Rehabilitation — Begriffsbestimmung. Nervenheilkunde 15:184–189

    Google Scholar 

  • Mauritz KH, Hesse S, Hummelsheim H (1995) Effizienzkontrolle in der motorischen Rehabilitation hemiparetischer Patienten. Nervenheilkunde 14:342–347

    Google Scholar 

  • Mertin J (1994) Rehabilitation in multiple sclerosis. Ann Neurol 36 (Suppl):130–133

    Article  Google Scholar 

  • Mertin J, Paeth B (1994) Physiotherapy and multiple sclerosis — application of the Bobath concept. MS Management 1:10–13

    Google Scholar 

  • Petajan JH, Gappmaier E, White AT, Spencer MK, Mino L, Hicks RW (1996) Impact of aerobic training on fitness and quality of life in multiple sclerosis. Ann Neurol 39:432–441

    Article  PubMed  CAS  Google Scholar 

  • Petajan JH, White AT (1999) Recommendations for physical activity in patients with multiple sclerosis. Sports Med 27:179–191

    Article  PubMed  CAS  Google Scholar 

  • Pöllmann W, Feneberg W (1999) Schmerzen bei Multipler Sklerose — moderne Möglichkeiten der neurologischen Rehabilitation. Nervenheilkunde 18:526–531

    Google Scholar 

  • Quintern J, Immisch I, Albrecht H, Pöllmann W, Glasauer S, Straube A (1999) Influence of visual and proprioceptive afferences on upper limb ataxia in patients with multiple sclerosis. J Neurol Sci 163:61–69

    Article  PubMed  CAS  Google Scholar 

  • Rösche J, Rüb K, Niemann-Delius B, Mauch E, Kornhuber HH (1996) Effects of physiotherapy on F-wave-amplitudes in spasticity. Electromyogr Clin Neurophysiol 36:509–511

    PubMed  Google Scholar 

  • Schapiro RT, Langer SL (1994) Symptomatic therapy of multiple sclerosis. Curr Opin Neurol 7:229–233

    Article  PubMed  CAS  Google Scholar 

  • Smeltzer SC, Lavietes MH, Cook SD (1996) Expiratory training in multiple sclerosis. Arch Phys Med Rehabil 77:909–912

    Article  PubMed  CAS  Google Scholar 

  • Solari A, Filippini G, Gaseo P et al. (1999) Physical rehabilitation has a positive effect on disability in multiple sclerosis patients. Neurology 52:57–62

    PubMed  CAS  Google Scholar 

  • Stolp-Smith KA, Carter JL, Rohe DE, Knowland DP (1997) Management of impairment, disability, and handicap due to multiple sclerosis. Mayo Clin Proc 72:1184–1196

    Article  PubMed  CAS  Google Scholar 

  • Thompson AJ (1999) Measuring handicap in multiple sclerosis. Multiple Sclerosis 5:260–262

    PubMed  CAS  Google Scholar 

  • Thompson AJ (1998) Symptomatic treatment in multiple sclerosis. Curr Opin Neurol 11: 305–309

    Article  PubMed  CAS  Google Scholar 

  • Thompson AJ (1999) Advances in multiple sclerosis rehabilitation. In: Fredrikson S, Link H (eds) Advances in Multiple Sclerosis. Martin Dunitz, London, pp 157–162

    Google Scholar 

  • Vahtera T, Haaranen M, Viramo-Koskela AL, Ruutiainen J (1997) Pelvic floor rehabilitation is effective in patients with multiple sclerosis. Clin Rehabil 11:211–219

    Article  PubMed  CAS  Google Scholar 

  • Westarp ME (2000) Medical rehabilitation of chronic progressive disseminated encephalomyelitis (MS). J Neurovirol 6 (Suppl 2):176–178

    Google Scholar 

  • World Health Organisation WHO (1997) ICIDH-2: International classification of impairments, activities, and participation. World Health Organisation, Genf

    Google Scholar 

  • Wötzel C, Wehner C, Pöllmann W, König N (2000) Therapie der Multiplen Sklerose. Ein interdisziplinäres Behandlungskonzept, 2. Aufl. Pflaum, München, S 1–230

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Pöllmann, W., Albrecht, H., Wötzel, C., König, N.H. (2001). Physiotherapie bei der Multiplen Sklerose. In: Zettl, U.K., Mix, E. (eds) Multiple Sklerose. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59453-3_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-59453-3_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-41121-5

  • Online ISBN: 978-3-642-59453-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics