Aktuelle Evidenz physiotherapeutischer Maßnahmen bei Hüftarthrose ^{[ 1 ]}

Zusammenfassung

Hüftarthrose ist eine häufig auftretende degenerative Erkrankung. Aufgrund der steigenden Lebenserwartung gewinnt sie im Gesundheitsmanagement zunehmend an Bedeutung.

Das Ziel der vorliegenden Literaturstudie war, die wissenschaftliche Evidenz hinsichtlich der Wirkung der gängigen Therapiemaßnahmen Manuelle Therapie, Trainingstherapie und eine Kombination beider Maßnahmen aufzuzeigen.

Für den effektiven Einsatz von Manueller Therapie und Trainingstherapie ergaben sich gute Anhaltspunkte. Dagegen blieb der zusätzliche Nutzen einer Kombination aus beiden Maßnahmen fraglich. Alle Therapiemaßnahmen zeigten eine positive Wirkung auf Schmerz und Funktion, jedoch nur einen geringen positiven Effekt auf die Lebensqualität.

Für die Therapiewahl und Interventionswirkung ist eine umfassende ICF-basierte Diagnostik ausschlaggebend. Weitere hüftspezifische Studien sollten dies zusammen mit patientenspezifischen Charakteristika und dem Erkrankungsstadium berücksichtigen.

Abstract

Hip osteoarthritis is a common degenerative disease. It is gaining growing relevance in health care management due to the increasing life expectancy.

The aim of this literature review was to outline the scientific evidence of the effects of the established therapy options manual therapy, training therapy and a combination of both measures.

Good evidence was found for the effective application of manual therapy and training therapy. The additional benefit of a combination of both modalities, however, remained doubtful. All treatment modalities had positive effects on pain and function, however only poor positive effects on quality of life could be shown.

A comprehensive ICF-based diagnosis is crucial for first choice treatment and therapy effects. Future hip-specific studies should considerate this along with patient-specific characteristics and the stage of the disease.

Schlüsselwörter

Hüftarthrose - Physiotherapie - Manuelle Therapie - Trainingstherapie

Key words

Hip osteoarthritis - physiotherapy - manual therapy - training therapy

• Literatur

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