Clinical Reasoning mit Algorithmus und Achtsamkeit

Zusammenfassung

EFFEKTIV PROBLEME LÖSEN: Physiotherapeuten sind täglich mit neuen Problemen konfrontiert, die sie zügig erkennen müssen, um wirksam therapieren zu können. Wie ein Algorithmus und kommunikative Achtsamkeit den Clinical-Reasoning-Prozess unterstützen, zeigt dieses Fallbeispiel. Auf den ersten Blick schien alles ganz eindeutig zu sein…

• Literatur

• 1 Abbott JH. Mobilization with movement applied on the elbow effects shoulder range of movement in subject with lateral epicondylalgia. Manual Therapy 2001; 3: 170-177
• 2 Berglund KM, Persson BH, Denison E. Prevalence of pain and dysfunction in the cervical and thoracic spine in persons with and without lateral elbow pain. Manual Therapy 2008; 4: 295-299
• 3 Bisset L, Beller E, Jull G et al. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ 2006; 333: 939-45
• 4 Butler D, Moseley L. Schmerzen verstehen. Berlin: Springer; 2006
• 5 Cleland JA, Flynn TW, Palmer JA. Incorporation of Manual Theapy directed at the Cervicothoracic spine in Patients with LE: A Pilot Clinical Trial. JM&MT 2005; 3: 143-151
• 6 Delisle A, Larviere C, Plamondon A et al. Comparison of three computer office workstations offering forearm support: impact on upper limb posture and muscle activation. Ergonomics 2006; 2: 139-160
• 7 Glatthaar P, Morrison F, Wiesner R. Entwicklung eines Algorhythmus zur Behandlung der Epicondylopathia Lateralis (Tennisellenbogen) an Hand evidenzbasierter physiotherapeutischer Studien. Manuelle Therapie 2011; 15: 80-92
• 8 Khan MK, Cook JL, Kannus P et al. Time to abandon the „tendinitis“ myth. BMJ 2002; 324-324
• 9 Kraushaar BS, Nirschl R. Current Concepts Review - Tendinosis of the Elbow. Journal of Bone & Joint Surgery 1999; 2: 259-278
• 10 Manchanda G, Grover D. Effectiveness of movement with mobilization compared with manipulation of wrist in case of lateral epicondylitis. Indian Journal of Physiotherapy and Occupational Therapy 2008; 1: 16-25
• 11 Pascarelli EM, Hsu JP. Understanding Work-related upper Extremity Disorders: Clinical Findings in 485 Computer Users, Musicians and Others. Journal of Occupational Rehabilitation 2001; 11: 1-21
• 12 Paungmali A, O‘Leary S, Souvlis T et al. Hypoalgesic and Sympathoexcitatory Effects of Mobilization with Movement for Lateral Epiconylalgia. Physical Therapy 2003; 4: 374-383
• 13 Smidt N, Van der Windt DA, Devillé WLJM et al. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial. Lancet 2002; 9307: 657-62
• 14 Struijs PAA, Kerkhoffs GMMJ, Assendelft WJJ et al. Conservative Treatment of Lateral Epiconylitis: Brace versus Physical Therapy or a Combination of Both - A Randomized Clinical Trial. American Journal of Sports Medcine 2004; 32: 462-469
• 15 Upton AR, Mc Comas AJ. The double crush in nerve entrapment syndromes. Lancet 1973; 2: 359-62
• 16 Vicenzino B, Collins D, Wright A. The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia. Pain 1996; 1: 69-74
• 17 Vicenzino B, Paungmali A, Buratowski S et al. Specific manipulative therapy treatment for chronic lateral epicondylalgia produces uniquely characteristic hypoalgesia. Man Ther 2001; 4: 205-12
• 18 Walker-Bone K, Palmer K, Reading I et al. Prevalence and Impact of Musculoskeletal Disorders of the Upper Limb in the General Population. Arthritis & Rheumtism 2004; 4: 642-651
• 19 Yaxley G, Jull G. Adverse neural tension. Australian Physiotherapy 1993; 1: 15-22