PDF herunterladen
MSK – Muskuloskelettale Physiotherapie 2023; 27(02): 100-108
DOI: 10.1055/a-2013-4589
Fachwissen

Die Rolle von Schlafproblemen in der muskuloskelettalen Physiotherapie – Teil 1

The Role of Sleep Problems in Musculoskeletal Physiotherapy – Part 1
Nils Runge 
1   Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium
2   Musculoskeletal Rehabilitation Research Group, Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, KU Leuven, Belgium
,
Melanie Suckow
3   Bewegungswert Physiotherapie, Weinheim, Deutschland
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
    Lizenzen und Reprints

Zusammenfassung

Patient*innen in der physiotherapeutischen Praxis klagen häufig über Schlafprobleme. Die momentane Studienlage zeigt, dass ein direkter Zusammenhang zwischen einem gestörten Schlaf und Schmerz bestehen kann. Weiterhin können Schlafprobleme ein Hindernis für die Rehabilitation von Schmerzproblematiken darstellen. Aus diesen Gründen ist es für Physiotherapeut*innen wichtig, ein grundlegendes Verständnis von Schlafphysiologie, häufigen Schlaferkrankungen und der Therapie von Schlafproblemen zu haben. In diesem Fachwissenartikel haben die Autor*innen relevantes Grundlagenwissen sowie Informationen zu klinischen Aspekten wie der Schlafanamnese und Therapie von Schlafproblemen zusammengetragen.

Abstract

Patients in the physiotherapy practice often complain about sleep problems. The current evidence suggests that there might be a direct connection between these problems and pain. Furthermore, sleep problems can be an obstacle for the rehabilitation of pain problems. For these reasons, it is important for physiotherapists to have a basic understanding of sleep physiology, common sleep disorders, and the treatment of sleep problems. The authors compiled in this article relevant basic knowledge as well as information on clinical aspects such as sleep history, anamnesis and therapy of sleep problems.

Schlüsselwörter

Schlaf - Schmerz - Therapie - Schlafphysiologie

Key words

sleep, pain - therapy - sleep physiology


Publikationsverlauf

Eingereicht: 10. Oktober 2022

Angenommen: 07. November 2022

Artikel online veröffentlicht:
22. Mai 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Mahmud S, Mohsin M, Dewan MDN. et al. The Global Prevalence of Depression, Anxiety, Stress, and Insomnia Among General Population During COVID-19 Pandemic: A Systematic Review and Meta-analysis. Trends Psychol 2022; 31: 143-170
    CrossrefSuche in Google Scholar
  • 2 Sun Y, Laksono I, Selvanathan J. et al. Prevalence of sleep disturbances in patients with chronic non-cancer pain: A systematic review and meta-analysis. Sleep Med Rev 2021; 57: 101467
    CrossrefPubMedSuche in Google Scholar
  • 3 Finan PH, Goodin BR, Smith MT. The association of sleep and pain: An update and a path forward. J Pain 2013; 14: 1539-1552
    CrossrefPubMedSuche in Google Scholar
  • 4 Mathias JL, Cant ML, Burke ALJ. Sleep disturbances and sleep disorders in adults living with chronic pain: a meta-analysis. Sleep Med 2018; 52: 198-210
    CrossrefPubMedSuche in Google Scholar
  • 5 Nijs J, Mairesse O, Leysen L. et al. Sleep disturbances in chronic pain: neurobiology, assessment and treatment in physical therapy practice. Phys Ther 2018; 98: 325-335
    CrossrefPubMedSuche in Google Scholar
  • 6 Van Looveren E, Bilterys T, Munneke W. et al. The Association between Sleep and Chronic Spinal Pain: A Systematic Review from the Last Decade. J Clin Med 2021; 10: 3836
    CrossrefPubMedSuche in Google Scholar
  • 7 Afolalu EF, Ramlee F, Tang NKY. Effects of sleep changes on pain-related health outcomes in the general population: A systematic review of longitudinal studies with exploratory meta-analysis. Sleep Med Rev 2018; 39: 82-97
    CrossrefPubMedSuche in Google Scholar
  • 8 Husak AJ, Bair MJ. Chronic Pain and Sleep Disturbances: A Pragmatic Review of Their Relationships, Comorbidities, and Treatments. Pain Med 2020; 21: 1142-1152
    CrossrefPubMedSuche in Google Scholar
  • 9 Broussard JL, Van Cauter E. Disturbances of sleep and circadian rhythms: novel risk factors for obesity. Curr Opin Endocrinol Diabetes Obes 2016; 23: 353-359
    CrossrefPubMedSuche in Google Scholar
  • 10 Kline CE. The bidirectional relationship between exercise and sleep: Implications for exercise adherence and sleep improvement. Am J Lifestyle Med 2014; 8: 375-379
    CrossrefPubMedSuche in Google Scholar
  • 11 Tang NKY, Sanborn AN. Better Quality Sleep Promotes Daytime Physical Activity in Patients with Chronic Pain? A Multilevel Analysis of the Within-Person Relationship. PLOS ONE 2014; 9: e92158
    CrossrefPubMedSuche in Google Scholar
  • 12 Vitaloni M. Botto-van Bemden A, Sciortino R et al. A patients’ view of OA: the Global Osteoarthritis Patient Perception Survey (GOAPPS), a pilot study. BMC Musculoskelet Disord 2020; 21: 727
    CrossrefPubMedSuche in Google Scholar
  • 13 Goudman L, De Smedt A, Linderoth B. et al. Identifying goals in patients with chronic pain: A European survey. Eur J Pain 2021; 25: 1959-1970
    CrossrefPubMedSuche in Google Scholar
  • 14 Whibley D, AlKandari N, Kristensen K. et al. Sleep and Pain: A Systematic Review of Studies of Mediation. Clin J Pain 2019; 35: 544-558
    CrossrefPubMedSuche in Google Scholar
  • 15 Haack M, Simpson N, Sethna N. et al. Sleep deficiency and chronic pain: potential underlying mechanisms and clinical implications. Neuropsychopharmacology 2020; 45: 205-216
    CrossrefPubMedSuche in Google Scholar
  • 16 Patel AK, Reddy V, Araujo JF. Physiology, Sleep Stages. In: StatPearls. Treasure. Island (FL): StatPearls Publishing; 2022
    Suche in Google Scholar
  • 17 Pires GN, Ishikura IA, Xavier SD. et al. Sleep in Older Adults and Its Possible Relations With COVID-19. Front Aging Neurosci 2021; 13: 647875
    CrossrefPubMedSuche in Google Scholar
  • 18 Berry RB, Brooks R, Gamaldo CE, Harding SM, Lloyd RM, Marcus CL, Vaughn BV. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications. 2nd ed. Darien (USA): American Academy of Sleep Medicine; 2017
    Suche in Google Scholar
  • 19 Borbély A. The two-process model of sleep regulation: Beginnings and outlook. J Sleep Res 2022; 31: e13598
    CrossrefPubMedSuche in Google Scholar
  • 20 Assefa SZ, Diaz-Abad M, Wickwire EM. et al. The Functions of Sleep. AIMS Neurosci 2015; 2: 155-171
    CrossrefSuche in Google Scholar
  • 21 National Institute for Healthcare. Obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s (August 2021). Im Internet: https://www.nice.org.uk/guidance/ng202; Stand: 08.09.2022
  • 22 Kapur VK, Auckley DH, Chowdhuri S. et al. Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline. J Clin Sleep Med 2017; 13: 479-504
    Suche in Google Scholar
  • 23 Deutsche Gesellschaft für Neurologie. Leitlinien für Diagnostik und Therapie in der Neurologie – Restless-Legs Syndrome (September 2022). Im Internet: https://dgn.org/leitlinien/ll-030-081-restless-legs-syndrom/; Stand: 08.10.2022
  • 24 Joseph V, Nagalli S. Periodic Limb Movement Disorder. In: StatPearls[Internet]. Treasure. Island: (FL): StatPearls Publishing; 2022
    Suche in Google Scholar
  • 25 Aurora RN, Kristo DA, Bista SR. et al. The Treatment of Restless Legs Syndrome and Periodic Limb Movement Disorder in Adults – An Update for 2012: Practice Parameters with an Evidence-Based Systematic Review and Meta-Analyses. Sleep 2012; 35: 1039-1062
    CrossrefPubMedSuche in Google Scholar
  • 26 Deutsche Gesellschaft für Schlafforschung und Schlafmedizin. Nicht erholsamer Schlaf/Schlafstörungen – Insomnie bei Erwachsenen (Dezember 2017). Im Internet: https://www.awmf.org/leitlinien/detail/ll/063-003.html; Stand: 08.10.2022
  • 27 Fitbit Health Solutions. How Does Fitbit Track Sleep and What is the Fitbit Sleep Score? (August 2020). Im Internet: https://healthsolutions.fitbit.com/blog/track-sleep/; Stand: 04.09.2022
  • 28 Haghayegh S, Khoshnevis S, Smolensky MH. et al. Accuracy of Wristband Fitbit Models in Assessing Sleep: Systematic Review and Meta-Analysis. J Med Internet Res 2019; 21: e16273
    CrossrefPubMedSuche in Google Scholar
  • 29 Gavriloff D, Sheaves B, Juss A. et al. Sham sleep feedback delivered via actigraphy biases daytime symptom reports in people with insomnia: Implications for insomnia disorder and wearable devices. J Sleep Res 2018; 27: e12726
    CrossrefPubMedSuche in Google Scholar
  • 30 Baron KG, Abbott S, Jao N. et al. Orthosomnia: Are Some Patients Taking the Quantified Self Too Far?. J Clin Sleep Med JCSM Off Publ Am Acad Sleep Med 2017; 13: 351-354
    CrossrefPubMedSuche in Google Scholar
  • 31 De Zambotti M, Cellini N, Goldstone A. et al. Wearable Sleep Technology in Clinical and Research Settings. Med Sci Sports Exerc 2019; 51: 1538-1557
    CrossrefPubMedSuche in Google Scholar
  • 32 Sweetman A, Lack L, Catcheside PG. et al. Cognitive and behavioral therapy for insomnia increases the use of continuous positive airway pressure therapy in obstructive sleep apnea participants with comorbid insomnia: a randomized clinical trial. Sleep 2019; 42: zsz178
    CrossrefPubMedSuche in Google Scholar
  • 33 Sweetman A, Lack L, McEvoy RD. et al. Cognitive behavioural therapy for insomnia reduces sleep apnoea severity: a randomised controlled trial. ERJ Open Res 2020; 6: 00161-2020
    CrossrefPubMedSuche in Google Scholar