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Sensomotorik und Schmerz pp 303–317Cite as

Schmerz und multidisziplinäre Therapieansätze

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Zusammenfassung

Das Gehirn ist ein biologisches und sozial geprägtes Organ, so dass multimodale Faktoren die Schmerzen bedingen und therapeutisch zu beachten sind. Physische Berufsbelastungen erhalten die Gesundheit nicht, und nur angeleitete Therapie sichert keine nachhaltige Wirkung. Therapievergleiche sind kaum möglich, da Ansatzpunkte, Ziele, Inhalte und Patienten variieren. Lange Entwicklungszeiten der Erkrankungen benötigen lange Therapiezeiten. Die Dosis-Wirkungs-Beziehungen des Reha-Trainings sind kaum untersucht. Bisher kann kein klarer Vorteil für eine Interventionsart benannt werden. Die Wirksamkeit steht in Bezug zur Dauer der Krankheit, zu den SMS-Defiziten und schmerzbedingten Sensibilisierungen. Ausdauer und Kraft sind wirksam und benötigen höhere Intensitäten. Kurzfristig scheint das Krafttraining schneller zu wirken. Bei langen Interventionen ergänzen sich beide Trainingsmodi und optimieren die antinozizeptive Wirkung. Das Wichtigste sind Adhärenz und Gesundheitskompetenz.

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  1. Altach, Österreich

    Wolfgang Laube

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  1. Wolfgang Laube
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Correspondence to Wolfgang Laube .

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Laube, W. (2020). Schmerz und multidisziplinäre Therapieansätze. In: Sensomotorik und Schmerz. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60512-7_14

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  • DOI: https://doi.org/10.1007/978-3-662-60512-7_14

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