Physikalische Maßnahmen in der Schmerztherapie des Bewegungsapparats

Zusammenfassung

In der Schmerztherapie des Bewegungsapparats nehmen physikalische Therapieverfahren eine zentrale Rolle ein.

Die analgetisch wirksamen Maßnahmen können auf 3 Ebenen wirken: kausal auf der Strukturebene; Dämpfung der Übererregbarkeit, sowohl der Gewebe als auch der zentralen Transmissionsstellen; Aktivierung der absteigenden schmerzmodulierenden Systeme.

Die am häufigsten angewandten physikalischen Maßnahmen in der Schmerztherapie des Bewegungsapparats werden in ihrer Evidenz und klinischen Effizienz diskutiert.

Abstract

In the pain therapy of the locomotor apparatus, procedures of physiotherapy play a central role.

The analgetically effective measures can have an effect on three levels: causal on the structural level; reduction of overexcitability of the tissues as well as of the central transmission points, and activation of the descending pain modulating systems.

The physical measures, which are most frequently used in pain therapy of the locomotor apparatus are presented. The effect and the evidence of the clinical efficiency of these measures are discussed.

Schlüsselwörter

Schmerztherapie - physikalische Therapieformen - Indikationen - Wirkmechanismen

Keywords

Analgesic therapy - physical therapy forms - indications - action mechanism

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