Posttraumatische Rehabilitation von Patienten aus dem rheumatischen Formenkreis

Benjamin Ulmar; Tobias Dorn; Nikolay Dimitrov; Alin-Ionud Mandache; Stefan Rehart; Stefan Sell

doi:10.1055/s-0044-100489

Aktuelle Rheumatologie, Inhaltsverzeichnis

Aktuelle Rheumatologie 2019; 44(01): 45-51
DOI: 10.1055/s-0044-100489

Übersichtsarbeit

Posttraumatische Rehabilitation von Patienten aus dem rheumatischen Formenkreis

Posttraumatic Rehabilitation of Patients with Rheumatological Diseases

Benjamin Ulmar

¹Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg

,

Tobias Dorn

¹Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg

,

Nikolay Dimitrov

¹Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg

,

Alin-Ionud Mandache

¹Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg

,

Stefan Rehart

²Klinik für Orthopädie und Unfallchirurgie, Agaplesion Frankfurter Diakonie, Frankfurt

,

Stefan Sell

¹Krankenhaus Neuenburg, Gelenkzentrum Schwarzwald, Neuenburg

› Institutsangaben

Abstract

Zusammenfassung

„Rheumatiker“ haben ein erhöhtes Frakturrisiko. Die chirurgische Versorgung eines akuten Traumas bzw. der eingetretenen Traumafolgen ist aufgrund der schlechten ossären und weichteiligen Gewebestrukturen anspruchsvoll. Das Risiko für perioperative Komplikationen ist erhöht. Die Behandlung von „Rheumatikern“ nach Trauma ist komplex und erfordert eine individuelle multimodale Rehabilitation in spezialisierten Einrichtungen, welche die muskulo-skelettale und systemische Manifestation der Grunderkrankung und der additiv vorliegenden Traumafolgen adressieren kann.

Abstract

„Rheumatic patients” have an increased fracture risk. Surgical treatment of an acute trauma or sequelae of a trauma is very demanding due to poor bone and soft tissue structures, and there is an increased risk of perioperative complications. The posttraumatic treatment of patients with rheumatic diseases is complex and requires individual multimodal rehabilitation in specialised institutions capable of targeting the musculoskeletal and systemic manifestation of the underlying disease and the additional trauma sequelae.

Schlüsselwörter

Trauma - Rheumatoide Arthritis - Rehabilitation - Physiotherapie - Physikalische Therapie

Key words

Trauma - rheumatoid arthritis - rehabilitation - physiotherapy - physical therapy

Volltext

Referenzen

Literatur
1 Brennan SL, Toomey L, Kotowicz MA. et al. Rheumatoid arthritis and incident fracture in woman: A case-control study. BMC Muskuloskeletal Disorders 2014; 15: 13
2 AIHW: Snapshot of arthritis in Australia . Canberra: Australian institute of Health and Welfare; 2010
3 Wegierska M, Dura M, Blumfield E. et al. Osteoporosis diagnostics in patients with rheumatoid arthritis. Rheumatologica 2016; 54: 29-34
4 Berliner M. Physikalische Therapie. In: Deutsche Gesellschaft Rheumatologie e.V. (Hrsg) Qualitätssicherung in der Rheumatologie. München: Steinkopff; 2007. 2. Auflage S 489-500
5 Smolenski UC, Seidel EJ. (editing and revisions) Physical and rehabilitative medicine – terms and definitions. Results of the consensus conference 2013/2014. Phys Med Rehab Kuror 2014; 24 (Suppl. 01) e1-e15
6 Patschan D, Loddenkemper K, Buttgereit F. Molecular mechanisms of glucocorticoid-induced osteoporosis. Bone 2001; 29: 498-505
7 Buckley L, Leib E, Cartularo KS. et al. Calcium and vitamin D3 supplementation prevents bone loss in the spine secondary to low-dose corticosteroids in patients with rheumatoid arthritis. A randomized, double-blind, placebo-controlled trial. Ann Intern Med 1996; 125: 961-968
8 Arnett F, Edwothy S, Bloch DA. et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988; 31: 315-324
9 Gough A, Sambrook P, Devlin J. et al. Osteoclastic activation is the principal mechanism leading to secondary osteoporosis in rheumatoid arthritis. J Rheumatol 1998; 25: 1282-1289
10 Honokanen K, Honokanen R, Heikkinen L. et al. Validity of self-reports of fractures in perimenopausal women. Am J Epidemiol 1999; 150: 511-516
11 Sambrook P, Eisman J, Champion GD. et al. Determinants of axial bone loss in rheumatoid arthritis. Arthritis Rheum 1987; 30: 721-728
12 Sambrook PN, Ansell BM, Foster S. et al. Bone turnover in early rheumatoid arthritis. 2. longitudinal bone density studies. Ann Rheum Dis 1985; 44: 580-584
13 Hooyman JR, Melton LJ, Nelson AM. et al. Fractures after rheumatoid arthritis. A popular-based study. Arthritis Rheum 1984; 27: 1353-1361
14 Ghazi M, Kolta S, Briot K. et al. Prevalence of vertebral fractures in patients with rheumatoid arthritis: Revisiting the role of glucocorticoids. Osteoporos Int 2012; 23: 581-587
15 Furuya T, Inoue E, Hosoi T. et al. Risk factors associated with the occurrence of hip fractures in Japanese patients with rheumatoid arthritis: a prospective observational cohort study. Osteoporos Int 2013; 24: 1257-1265
16 Stanmore EK, Oldham J, Skelton DA. et al Fall incidence an outcomes of falls in a prospective study of adults with rheumatoid arthritis. Arthritis Care Res 2013; 65: 737-744
17 Ochi K, Furuya T, Ikari K. et al. Sites, frequencies, and causes of self-reported fractures in 9720 rheumatoid arthritis patients: a large prospective observational cohort study in Japan. Arch Osteopors 8: 130-138
18 Ravi B, Croxford R, Hollands S. et al. Increased risk of complications following total joint arthroplasty in patients with rheumatoid arthritis. Arthritis Rheumatol 2014; 66: 254-263
19 Spector TD, Hall GM, McCloskey EV. et al. Risk of vertebral fracture in women with rheumatoid arthritis. BMJ 1993; 306: 558
20 Pickhardt PJ, Lee LJ, del Rio AM. et al. Simultaneous screening for osteoporosis at CT tomography: bone mineral density assessment using MDCT attenuation techniques compared with the DXA reference standard. J Bone Miner Res 2011; 26: 2194-2203
21 Kanis JA, McCloskey EV, Johanson H. et al. Scientific Advisory Board of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) and the Committee of Scientific Advisors of the International Osteoporosis Foundation (IOF). European guidance for the diagnosis and management of the osteoporosis in postmenopausal women. Osteoporos Int 2013; 24: 23-57
22 Richold JA, Barth C. Operative Versorgung der Halswirbelsäule. Technische Optionen und Indikationen in Abhängigkeit der jeweiligen Krankheitsbilder. Akt Rheumatol 2015; 40: 388-397
23 Pap G, Neumann HW. Periprothetische Frakturen bei Patienten mit rheumatoider Arthritis. Z Rheumatol 2007; 66: 20-27
24 Masri BA, Meek RM, Duncan CP. Periprosthetic fractures evaluation and treatment. Clin Orthop Relat Res 2004; 420: 80-95
25 Palm TM, Kaarela K, Hakala MS. et al. Need and sequence of large joint replacements in rheumatoid arthritis. A 25-year follow-up study. Clin Exp Rheumatol 2002; 20: 392-394
26 Hopf C, Hopf T, Rompe JD. Fractures after total knee joint endoprosthesis. Results of treatment with various stabilizing methods. Unfallchirurg 1997; 23: 92-99
27 Sarvilinna R, Huhtala H, Pajamaki J. Young age and wedge stem design are risk factors for periprosthetic fracture after arthroplasty due to hip fracture. A case-control study. Acta Orthop 2005; 76: 56-60
28 Kanis JA, Oden A, Johnell O. et al. The components of excess mortality after hip fracture. Bone 2003; 32: 468-473
29 Slavici A, Rauschmann M, Fleege C. Conservative management of osteoporotic vertebnral fractures: an update. Eur J Trauma Emerg Surg 2017; 43: 19-26
30 Goodwin VA, Hall AJ, Rogers E. et al. Orthotics and taping in the management of vertebral fractures in people with osteoporosis: a systematic review. BMJ Open 2016; 6: e010657
31 Reißhauer A, Elmer N, Liebl ME. Physical therapy of selected rheumatic diseases with muscular dysfunction. Akt Rheumatol 2016; 41: 81-85
32 Lange U, Rehart S. Stellenwert und Bedeutung der „physikalischen Medizin“ im Kontext der konservativen Therapie bei rheumatologischen Patienten. Orthopäde 2013; 42: 813-821
33 Grebe P, Trimborn A, Henniger M. et al. Konservative Therapie bei Erkrankungen des rheumatischen Formenkreises. OUP 2014; 3: 420-425
34 Bönisch A, Ehlebracht-König I. Change in exercise behavior after medical rehabilitation in patients with spondylarthritis, arthritis and fibromyalgia. Akt Rheumatol 2006; 31: 75-82
35 Hartmann F, Zeitler H. Chronische Polyarthritis. In: Zeidler H. (Hrsg.) Rheumatologie, Teil C. München: Urban & Schwarzenberg; 1989: 372-392
36 Hidding A, van der Linden S, Gielen X. et al. Continuation of group physical therapy is necessary in ankylosing spondylitis: results of a randomized controlled trial. Arthrtis Car Res 1994; 7: 90-96
37 Hidding A, van der Linden S, Boers M. et al. Is group physiotherapy superior to individual therapy in ankylosing spondylitis. A randomized controlled trial. Arthritis Car res 1993; 6: 117-125
38 Bochdansky T, Ammer K. Trainingstherapie bei Rheumatischen Erkrankungen. Grundlagen und praktische Empfehlungen zur Sportausübung. Österr Z Phys Med Rehabil 2006; 16: 15-27
39 de Jong Z, Munneke M, Zwindermann AH. et al. Long term high intensity, exercise and damage of small joints in rheumatoid arthritis. Ann Rheum Dis 2004; 63: 1399-1405
40 Munneke M, de Jong Z, Zwinderman AH. et al Effect of high-intensity weight-bearing exercise program on radiologic damage progression of large joints in subgroups of patients with rheumatoid arthritis. Arthritis & Rheumatism (Arthritis Care & Research) 2005; 53: 410-417
41 Biehl C, Jung J. Perioperative complications in rheumatoid diseases. Akt Rheumatol 2015; 40: 45-50
42 Smolens JS, Landewe R, Breeveld FC. et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2013 update. Annals of the rheumatic disease 2014; 73: 492-509