PDF herunterladen
Aktuelle Rheumatologie 2016; 41(01): 81-85
DOI: 10.1055/s-0042-100615
Übersichtsarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Physikalische Therapie ausgewählter Erkrankungen aus der Rheumatologie mit Funktionsstörungen der Muskulatur

Physical Therapy of Selected Rheumatic Diseases with Muscular Dysfunction
A. Reißhauer
1   Arbeitsbereich Physikalische Medizin und Rehabilitation, Charité Universitätsmedizin Berlin, Berlin
,
N. Elmer
1   Arbeitsbereich Physikalische Medizin und Rehabilitation, Charité Universitätsmedizin Berlin, Berlin
,
M. E. Liebl
1   Arbeitsbereich Physikalische Medizin und Rehabilitation, Charité Universitätsmedizin Berlin, Berlin
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
16. Februar 2016 (online)

Auch verfügbar auf
    Lizenzen und Reprints

Zusammenfassung

Die physikalische Therapie muskulärer Erkrankungen und Funktionsstörungen in der Rheumatologie erfordert eine besonders ausgewogene und befundorientierte Behandlungsstrategie und individuelle Therapieplanung. Art, Intensität und Dauer der Anwendung physikalischer Therapeutika bei diesen Krankheitsbildern sind zum Teil nicht ausreichend geklärt. Die Arbeit gibt einen Überblick zu evidenzbasierten Anwendungen und Empfehlungen im Rahmen klinischer Erfahrungen.

Abstract

Physical therapy of muscular dysfunctions in rheumatic diseases requires a well-balanced strategy based on individual findings. Type, intensity and length of therapeutic interventions have not been sufficiently evaluated in these disorders. The authors provide an overview of evidence-based interventions and recommendations based on clinical experience.

Schlüsselwörter

Physikalische Therapie - Rheumatische Muskelerkrankungen - Polymyalgia rheumatica - Myositis - Fibromyalgiesyndrom

Key words

physical therapy - rheumatic muscle disease - polymyalgia rheumatica - myositis - fibromyalgia
 

  • Literatur

  • 1 Smolenski UC, Seidel EJ (editing and revision) Physical and rehabilitative medicine – terms and definitions – results of the consensus conference 2013/2014. Phys Rehab Kur Med 2014; 24 (S 01) e1-e15
    Thieme ConnectPubMedSuche in Google Scholar
  • 2 Reißhauer A, Liebl ME. Minimalstandards in einer physikalisch-medizinischen Abteilung im akutstationären Bereich in der Rheumatologie. Z Rheumatol 2012; 71: 364-368
    CrossrefPubMedSuche in Google Scholar
  • 3 Lange U. Physiotherapie in der Rheumatologie. Z Rheumatol 2015; 74: 701-710
    CrossrefPubMedSuche in Google Scholar
  • 4 Meier FM, Müller-Ladner U, Lange U. Efficacy of intensive physiotherapy in combination with low-dose etanercept in active spondyloarthritis: a monocentric pilot study. J Rheumatol 2014; 41: 1897-1898
    CrossrefPubMedSuche in Google Scholar
  • 5 Mau W, Beyer W, Ehlebracht-König I et al. für die Kommission Rehabilitation, Physikalische Medizin und Sozialmedizin der DGRh. Treat to Participation – DGRh-Positionspapier zur nachhaltigen Verbesserung des funktionalen Gesundheitszustandes von Rheumakranken. Z Rheumatol 2015; 74: 553-557
    CrossrefPubMedSuche in Google Scholar
  • 6 Soriano A, Landolfi R, Manna R. Polymyalgia rheumatica in 2011. Best Pract Res Clin Rheumatol 2012; 26: 91-104
    CrossrefPubMedSuche in Google Scholar
  • 7 Pipitone N, Salvarani C. Update on Polymyalgia rheumatica. Eur J Intern Med 2013; 24: 583-589
    CrossrefPubMedSuche in Google Scholar
  • 8 Talke M, Schmidt A. Polymyalgia rheumatica in der täglichen Praxis. Z Rheumatol 2014; 73: 408-414
    CrossrefPubMedSuche in Google Scholar
  • 9 Seitz M. Polymyalgia rheumatica. Z Rheumatol 2015; 74: 507-510
    CrossrefPubMedSuche in Google Scholar
  • 10 Dasgupta B, Cimmino M, Maradit- Kremers H et al. 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. Ann Rheum Dis 2012; 71: 484-492
    CrossrefPubMedSuche in Google Scholar
  • 11 Frearson R, Cassidy T, Newton J. Polymyalgia rheumatica and temporal arteritis: evidence and guidelines for diagnosis and management in older people. Age Ageing 2003; 32: 370-374
    CrossrefPubMedSuche in Google Scholar
  • 12 Li C, Dasgupta B. Corticosteroids in polymyalgia rheumatic – a review of different treatment schedules. Clin Exp Rheumatol 2002; 18 (Suppl. 20) 56-57
    PubMedSuche in Google Scholar
  • 13 Ettlinger R, Hunder G, Emmerson L et al. Polymyalgia and giant cell arteritis. Ann Rev Med 1978; 29: 15-22
    CrossrefPubMedSuche in Google Scholar
  • 14 Hennell S, Busteed S, George E. Evidence-based management for polymyalgia rheumatica for rheumatology practitioners, nurses and physiotherapists. Musculoskele Care 2007; 5: 65-71
    PubMedSuche in Google Scholar
  • 15 Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V. (AWMF). S3 Leitlinie Myositissyndrome. Im Internet www.awmf.org Stand: 26.05.2015
    PubMed
  • 16 Rösler K, Scheidegger O. Myositiden. Z Rheumatol 2015; 74: 496-506
    CrossrefPubMedSuche in Google Scholar
  • 17 Alexanderson H. Exercise: an important component of treatment in the idiopathic inflammatory myopathies. Curr Rheumatol Rep 2005; 7: 115-124
    CrossrefPubMedSuche in Google Scholar
  • 18 Alexanderson H, Lundberg I. The role of exercise in the rehabilitation of idiopathic inflammatory myopathies. Curr Opin Rheumatol 2005; 17: 164-171
    CrossrefPubMedSuche in Google Scholar
  • 19 Alexanderson H, Lundberg I. Exercise as a therapeutic modality in patients with idiopathic inflammatory myopathies. Curr Opin Rheumatol 2012; 24: 201-207
    CrossrefPubMedSuche in Google Scholar
  • 20 Wiesinger G, Quittan M, Aringer M et al. Improvement of physical fitness and muscle strength in polymyositis/dermatomyositis patients by a training programme. Br J Rheumatol 1998; 37: 196-200
    CrossrefPubMedSuche in Google Scholar
  • 21 Wiesinger G, Quittan M, Graninger M et al. Benefit of 6-months long-term physical training in polymyositis/dermatomyostiis patients. Br J Rheumatol 1998; 37: 1338-1342
    CrossrefPubMedSuche in Google Scholar
  • 22 Lundberg I, Vencovsky J, Alexanderson H. Therapy of myositis: biological and physical. Curr Opin Rheumatol 2014; 26: 704-711
    CrossrefPubMedSuche in Google Scholar
  • 23 Munters L, Dastmalchi M, Andgren V et al. Improvement in health and possible reduction in disease activity using endurance exercise in patients with established polymyositis and dermatomyositis: a multicenter randomized controlled trial with a 1-year open extension followup. Arthritis Care Res 2013; 65: 1959-1968
    CrossrefPubMedSuche in Google Scholar
  • 24 Habers G, Takken T. Safety and efficacy of exercise training in patients with an idiopathic inflammatory myopathy – a systematic review. Rheumatology (Oxford) 2011; 50: 2113-2124
    CrossrefPubMedSuche in Google Scholar
  • 25 Alexanderson H, Stenstrom C, Jenner G et al. The safety of a resistive home exercise program in patients with recent onset active polymyositis or dermatomyositis. Scand J Rheumatol 2000; 29: 295-301
    CrossrefPubMedSuche in Google Scholar
  • 26 Varju C, Petho E, Kutas R et al. The effect of physical exercise following acute disease exacerbation in patients with dermato/polymyositis. Clin Rehabil 2003; 17: 83-87
    CrossrefPubMedSuche in Google Scholar
  • 27 Escalante A, Miller L, Beardmore TD. Resistive exercise in the rehabilitation of polymyositis/dermatomyositis. J Rheumatol 1993; 20: 1340-1344
    PubMedSuche in Google Scholar
  • 28 Alexanderson H, Munters L, Dastmalchi M et al. Resistive home exercise in patients with recent-onset polymyositis and dermatomyositis: a randomized controlled single-blinded study with a 2-year followup. J Rheumatol 2014; 41: 1124-1132
    CrossrefPubMedSuche in Google Scholar
  • 29 Mattar M, Gualano B, Roschel H et al. Exercise as an adjuvant treatment inpersistent active polymyositis. J Clin Rheumatol 2014; 20: 11-15
    CrossrefPubMedSuche in Google Scholar
  • 30 Hejazi S, Engkasan J, Qomi M. Intensive exercise and a patient in acute phase of polymyositis. J Back Musculoskelet Rehabil 2012; 25: 231-234
    PubMedSuche in Google Scholar
  • 31 Hicks J, Miller F, Plotz P et al. Isometric exercise increases strength and does not produce sustained creatinine phosphokinase increases in a patient with polymyositis. J Rheumatol 1993; 20: 1399-1401
    PubMedSuche in Google Scholar
  • 32 Heikkila S, Viitanen J, Kautiainen H et al. Rehabilitation in myositis: preliminary study. Physiotherapy 2001; 87: 301-309
    CrossrefPubMedSuche in Google Scholar
  • 33 Harris-Love M. Safety and efficacy of submaximal eccentric strength training for a subject with polymyositis. Arthritis Rheum 2005; 53: 471-474
    CrossrefPubMedSuche in Google Scholar
  • 34 Alexanderson H, Dastmalchi M, Esbjörnsson-Liljedahl M et al. Benefits of intensive resistance training in patients with chronic polymyositis or dermatomyositis. Arthritis Rheum 2007; 57: 768-777
    CrossrefPubMedSuche in Google Scholar
  • 35 Chung Y, Alexanderson H, Pipitone N et al. Creatine supplements in patients with idiopathic inflammatory myopathies who are clinically weak after conventional pharmacologic treatment: six-month, double-blind, randomized, placebo-controlled trial. Arthritis Rheum 2007; 57: 694-702
    CrossrefPubMedSuche in Google Scholar
  • 36 Regardt M, Schult M, Axelsson Y et al. Hand exercise intervention in patients with polymyositis and dermatomyositis: a pilot study. Musculoskele Care 2014; 12: 160-172
    PubMedSuche in Google Scholar
  • 37 Spector S, Lemmer J, Koffmann B et al. Safety and efficacy of strength training in patients with sporadic inclusion body myositis. Muscle Nerve 1997; 20: 1242-1248
    CrossrefPubMedSuche in Google Scholar
  • 38 Johnson L, Collier K, Edwards D et al. Improvement in aerobic capacity after an exercise program in sporadic inclusion bodymyositis. J Clin Neuromuscul Dis 2009; 10: 178-184
    CrossrefPubMedSuche in Google Scholar
  • 39 Boonen A, van den Heuvel R, van Tubergen A et al. Large differences in cost of illness and wellbeing between patients with fibromyalgia, chronic low back pain, or ankylosing spondylitis. Ann Rheum Dis 2005; 64: 396-402
    CrossrefPubMedSuche in Google Scholar
  • 40 Wolfe F, Anderson J, Harkness D et al. Work and disability status of persons with fibromyalgia. J Rheumatol 1997; 24: 1171-1178
    PubMedSuche in Google Scholar
  • 41 Köllner V, Bernardy K, Sommer C et al. Diagnostik und Therapie des Fibromyalgiesyndroms. Dtsch Med Wochenschr 2009; 134: 1163-1174
    Thieme ConnectPubMedSuche in Google Scholar
  • 42 Eich W, Häuser W, Friedel E et al. Definition, Klassifikation und Diagnose des Fibromyalgiesyndroms. Schmerz 2008; 22: 255-266
    CrossrefPubMedSuche in Google Scholar
  • 43 Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V. (AWMF). S3 Leitlinie Fibromyalgiesyndrom. Im Internet www.awmf.org Stand: 26.05.2015
    PubMed
  • 44 Tomas-Carus P, Häkkinen A, Gusi N et al. Aquatic training and detraining on fitness and quality of life in fibromyalgia. Med Sci Sports Exerc 2007; 39: 1044-1050
    CrossrefPubMedSuche in Google Scholar
  • 45 Tomas-Carus P, Gusi N, Häkkinen A et al. Eight months of physical training in warm water improves physical and mental health in women with fibromyalgia: A randomized controlled trial. J Rehabil Med 2008; 40: 248-252
    CrossrefPubMedSuche in Google Scholar
  • 46 Langhorst J, Musial F, Klose P et al. Efficacy of hydrotherapy in fibromyalgia syndrome-a meta-analysis of randomized controlled clinical trials. Rheumatology (Oxford) 2009; 48: 1155-1159
    CrossrefPubMedSuche in Google Scholar
  • 47 Schiltenwolf M, Häuser W, Felde E et al. Physiotherapie, medizinische Trainingstherapie und physikalische Therapie beim Fibromyalgiesyndrom. Schmerz 2008; 22: 303-312
    CrossrefPubMedSuche in Google Scholar
  • 48 Jones K, Adams D, Winters-Stone K et al. A comprehensive review of 46 exercise treatment studies in fibromyalgia (1988–2005). Health Qual Life Outcomes 2006; 4: 67-72
    CrossrefPubMedSuche in Google Scholar
  • 49 Blunt K, Rajwani M, Guerriero R. The effectiveness of chiropractic management of fibromyalgia patients: a pilot study. J Manipulative Physiol Ther 1997; 20: 389-399
    PubMedSuche in Google Scholar
  • 50 Gamber R, Shores J, Russo D et al. Osteopathic manipulative treatment in conjunction with medication relieves pain associated with fibromyalgia syndrome: results of a randomized clinical pilot project. J Am Osteopath Assoc 2002; 102: 321-325
    PubMedSuche in Google Scholar
  • 51 Buskila D, Abu-Shakra M, Neumann L et al. Balneotherapy for fibromyalgia at the Dead Sea. Rheumatol Int 2002; 20: 105-108
    PubMedSuche in Google Scholar
  • 52 Dönmez A, Karagulle M, Dinler M et al. SPA therapy in fibromyalgia: a randomised controlled clinic study. Rheumatol Int 2005; 26: 168-172
    CrossrefPubMedSuche in Google Scholar
  • 53 Evcik D, Kizilay B, Gokcen E. The effects of balneotherapy on fibromyalgia patients. Rheumatol Int 2002; 22: 56-59
    CrossrefPubMedSuche in Google Scholar
  • 54 Altan L, Bingöl U, Aykac M et al. Investigation of the effects of pool-based exercise on fibromyalgia syndrome. Rheumatol Int 2004; 24: 272-277
    PubMedSuche in Google Scholar
  • 55 Vitorino D, Carvalho L, Prado G. Hydrotherapy and conventional physiotherapy improve total sleep time and quality of life of fibromyalgia patients: randomized clinical trial. Sleep Med 2006; 7: 293-296
    CrossrefPubMedSuche in Google Scholar
  • 56 Schwedtke C, Kujath K Riemekasten et al. Infrarot A – Eine neue Therapiemöglichkeit des Fibromyalgiesyndroms?. Poster, 33. Kongress der Deutschen Gesellschaft für Rheumatologie, Dresden, 14.–17. September 2005
    PubMedSuche in Google Scholar
  • 57 Dachverband Osteologie e. V. (DVO). DVO Leitlinie Osteoporose 2014. Im Internet www.dv-osteologie.org/dvo_leitlinien/osteoporose-leitlinie-2014 Stand: 20.08.2015
    PubMed