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DOI: 10.1055/s-0029-1245652
© Georg Thieme Verlag KG Stuttgart · New York
Kann zentralisierender Schmerz bei der Erstuntersuchung den Behandlungserfolg bei Erwachsenen mit LWS-Beschwerden vorhersagen?
Sekundäre Analyse einer randomisierten kontrollierten Studie mit 1-jährigem Follow-upDoes Centralising Pain on the Initial Visit Predict Outcomes in Adults with Low Back Pain?A Secondary Analysis of a Randomised Controlled Trial with 1-Year Follow-upPublication History
Manuskript eingetroffen: 6.1.2010
Manuskript akzeptiert: 3.3.2010
Publication Date:
14 September 2010 (online)
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Zusammenfassung
Bisher ließ sich vom in mehreren aufeinanderfolgenden Untersuchungen bestimmten Zentralisationsphänomen eine gute Prognose ableiten, wohingegen eine Nichtzentralisation chronische Kreuzschmerzen und Behinderung vorhersagte.
Diese Studie ging der Frage nach, ob bei der Erstuntersuchung festgestellte zentralisierende Rückenschmerzen in der LWS (LBP) ein besseres Behandlungsresultat vorhersagen als nicht zentralisierende LBP. Dazu wurden die 134 erwachsenen Studienteilnehmer in 3 Behandlungsgruppen eingeteilt: orthopädische Manuelle Therapie, McKenzie-Methode und Ratschläge, aktiv zu bleiben.
Insgesamt zeigten bei der Erstuntersuchung festgestellte zentralisierende LBP tendenziell bessere und langfristigere Vorhersagen.
Abstract
A number of consecutive studies have shown that certain centralisation phenomena indicate a good prognosis whereas non-centralisation predicts chronicification of low back pain and disability.
This study examined whether centralising low back pain (LBP) defined at the initial assessment and treatment session might predict better treatment outcomes than non-centralising LBP. For this purpose the 134 adult study participants were allocated to 3 treatment groups: orthopaedic manual therapy, McKenzie method and advice to stay active. In general centralising LBP defined on the initial visit tended to predict better and longer lasting prognosis.
Schlüsselwörter
Zentralisationsphänomen - Nicht-Zentralisationsphänomen - Behinderung - Rückenschmerzen
Key words
centralisation phenomenon - non-centralisation phenomenon - disability - low back pain
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Sinikka Kilpikoski
MSc PT
Savonmäentie 15
40800 Vaajakoski
Finnland
Email: sinikka.kilpikoski@kolumbus.fi