Periphere Schmerzmechanismen und evidente Therapieoptionen

Arthrose ist nicht heilbar. Der Schaden an Knorpel und Knochen ist irreversibel. Schmerzen und Bewegungsdefizite prägen das klinische Bild der Volkskrankheit. Um ein Fortschreiten der Degeneration zu verhindern und die Beschwerden des Patienten zu lindern, bieten sich zahlreiche physiotherapeutische Interventionen an. Nicht alle sind effektiv, um die Symptomquellen und Schmerzmechanismen in den Griff zu bekommen.

• Literatur

• 1 Anwer S, Alghadir A, Zafar H. et al.. Effects of orthopaedic manual therapy in knee osteoarthritis: a systematic review and meta-analysis. Physiotherapy 2018; 104 (03) 264-276 doi:10.1016/j.physio.2018.05.003
• 2 Beckwée D, Vaes P, Cnudde M. et al.. Osteoarthritis of the knee: why does exercise work? A qualitative study of the literature. Ageing Res Rev 2013; 12 (01) 226-236 doi:10.1016/j.arr.2012.09.005
• 3 Button K, Roos P, Spasić I. et al.. The clinical effectiveness of self-care interventions with an exercise component to manage knee conditions: A systematic review. Knee 2015; 22 (05) 360-371 doi:10.1016/j.knee.2015.05.003
• 4 Cho Y, Kim M, Lee W. Effect of proprioceptive training on foot posture, lower limb alignment, and knee adduction moment in patients with degenerative knee osteoarthritis: a randomized controlled trial. J Phys Ther Sci 2015; 27 (02) 371-374 doi:10.1589/jpts.272.371
• 5 Coudeyre E, Sanchez K, Rannou F. et al.. Impact of self-care programs for lower limb osteoarthritis and influence of patientsʼ beliefs. Ann Phys Rehabil Med 2010; 53 (6 – 7): 434-450 doi:10.1016/j.rehab.2010.07.002
• 6 Courtney CA, Steffen AD, Fernández-de-Las-Peñas C. et al.. Joint Mobilization Enhances Mechanisms of Conditioned Pain Modulation in Individuals With Osteoarthritis of the Knee. J Orthop Sports Phys Ther 2016; 46 (03) 168-176 doi:10.2519/jospt.2016.6259
• 7 da Costa BR, Ramos Vieira E, Gadotti IE. et al.. How do Physical Therapists Treat People with Knee Osteoarthritis, and What Drives Their Clinical Decisions? A Population-Based Cross-Sectional Survey. Physiother Can 2017; 69 (01) 30-37 doi:10.3138/ptc.2015-83
• 8 Debrunner AM. Orthopädie/Orthopädische Chirurgie. 4., vollst. neu bearb. Aufl. Bern: Huber; 2005
• 9 Deyle GD, Henderson NE, Matekel RL. et al.. Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee. A randomized, controlled trial. Ann Intern Med 2000; 132 (03) 173-181
• 10 French SD, Bennell KL, Nicolson PJ. et al.. What do people with knee or hip osteoarthritis need to know? An international consensus list of essential statements for osteoarthritis. Arthritis Care Res (Hoboken) 2015; 67 (06) 809-816 doi:10.1002/acr.22518
• 11 Hassan BS, Doherty SA, Mockett S. et al.. Effect of pain reduction on postural sway, proprioception, and quadriceps strength in subjects with knee osteoarthritis. Ann Rheum Dis 2002; 61 (05) 422-428 doi:10.1136/ard.61.5.422
• 12 Holden MA, Nicholls EE, Hay EM. et al.. Physical therapistsʼ use of therapeutic exercise for patients with clinical knee osteoarthritis in the United kingdom: in line with current recommendations?. Phys Ther 2008; 88 (10) 1109-1121 doi:10.2522/ptj.20080077
• 13 Jansen MJ, Viechtbauer W, Lenssen AF. et al.. Strength training alone, exercise therapy alone, and exercise therapy with passive manual mobilisation each reduce pain and disability in people with knee osteoarthritis: a systematic review. J Physiother 2011; 57 (01) 11-20 doi:10.1016/S1836-9553(11)70002-9
• 14 Kapandji IA. Funktionelle Anatomie der Gelenke. Stuttgart: Thieme; 2006
• 15 Köcker S. Physiotherapie bei Gonarthrose – Krafttraining ist Spitzenreiter. physiopraxis 2016; 14 (09) 35-37 doi:10.1055/s-0042-111569
• 16 Krauss I, Mueller G, Haupt G. et al.. Effectiveness and efficiency of an 11-week exercise intervention for patients with hip or knee osteoarthritis: a protocol for a controlled study in the context of health services research. BMC Public Health 2016; 16: 367 doi:10.1186/s12889-016-3030-0
• 17 Luomajoki H, Schesser R. Schmerzmechanismen und Clinical Reasoning. Der Schmerzpatient 2018; 1 (01) 7-18 doi:10.1055/s-0043-122097
• 18 Mangold S. Evidenzbasiertes Arbeiten in der Physio- und Ergotherapie. Heidelberg: Springer; 2011
• 19 March LM, Bachmeier CJ. Economics of osteoarthritis: a global perspective. Baillieres Clin Rheumatol 1997; 11 (04) 817-834
• 20 Otterness IG, Eskra JD, Bliven ML. et al.. Exercise protects against articular cartilage degeneration in the hamster. Arthritis Rheum 1998; 41: 2068-2076 doi:10.1002/1529-0131(199811)41:11<2068::AID-ART23>3.0.CO;2-L
• 21 Pelland L, Brosseau L, Wells G. et al.. Efficacy of strengthening exercises for osteoarthritis (Part I): A meta-analysis. Physical Therapy Reviews 2004; 9: 77-108 doi:10.1179/108331904225005052
• 22 Roemer FW, Kassim Javaid M, Guermazi A. et al.. Anatomical distribution of synovitis in knee osteoarthritis and its association with joint effusion assessed on non-enhanced and contrast-enhanced MRI. Osteoarthritis Cartilage 2010; 18 (10) 1269-1274 doi:10.1016/j.joca.2010.07.008
• 23 Romero-Franco N, Martínez-Amat A, Hita-Contreras F. et al.. Short-term effects of a proprioceptive training session with unstable platforms on the monopodal stabilometry of athletes. J Phys Ther Sci 2014; 26 (01) 45-51 doi:10.1589/jpts.26.45
• 24 Rutjes AW, Nüesch E, Sterchi R. et al.. Therapeutic ultrasound for osteoarthritis of the knee or hip. Cochrane Database Syst Rev 2010; 20 (01) CD003132 doi:10.1002/14651858.CD003132.pub2
• 25 Sofat N, Ejindu V, Kiely P. What makes osteoarthritis painful? The evidence for local and central pain processing. Rheumatology (Oxford) 2011; 50 (12) 2157-2165 doi:10.1093/rheumatology/ker283
• 26 Sung-Bum J, Gi Duck P, Sang-Soo K. Effects of proprioceptive circuit exercise on knee joint pain and muscle function in patients with knee osteoarthritis. J Phys Ther Sci 2015; 27 (08) 2439-2441 doi:10.1589/jpts.27.2439
• 27 Vincent KR, Vincent HK. Resistance exercise for knee osteoarthritis. PM R 2012; 4 (5 Suppl): S45-S52 doi:10.1016/j.pmrj.2012.01.019
• 28 Xiang J, Wu D, Li J. Clinical Efficacy of Mudpack Therapy in Treating Knee Osteoarthritis: A Meta-Analysis of Randomized Controlled Studies. Am J Phys Med Rehabil 2016; 95 (02) 121-131 doi:10.1097/PHM.0000000000000354
• 29 Zhang W, Moskowitz RW, Nuki G. et al.. OARSI recommendations for the management of hip and knee osteoarthritis, part I: critical appraisal of existing treatment guidelines and systematic review of current research evidence. Osteoarthritis Cartilage 2007; 15 (09) 981-1000 doi:10.1016/j.joca.2007.06.014
• 30 Zeng C, Li H, Yang T. et al.. Electrical stimulation for pain relief in knee osteoarthritis: systematic review and network meta-analysis. Osteoarthritis Cartilage 2015; 23 (02) 189-202 doi:10.1016/j.joca.2014.11.014