Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00029347.xml
VPT Magazin 2025; 11(01): 24-29
DOI: 10.1055/s-0045-1803005
DOI: 10.1055/s-0045-1803005
Wissen
Unspezifische Effekte in der Physiotherapie
KontextfaktorenHannu Luomajoki
Leiter Master-Programm Muskuloskelettale Physiotherapie, Zürcher Hochschule für Angewandte
Wissenschaften ZHAW, Winterthur, Schweiz
,
Christoph Schwertfellner
Dozent Berner Fachhochschule BFH, Bern, Schweiz
Mitbegründer, Geschäftsführer und Kursleiter bei BEST – Basis effektiver
Schmerztherapie
› Author Affiliations


Zusammenfassung
Moderne Physiotherapie ist im besten Fall evidenzbasiert und orientiert sich an den Bedürfnissen der Patient*innen. Neben der Fachkompetenz der Therapeut*innen tragen sogenannte Kontextfaktoren zum Behandlungserfolg bei.
Publication History
Article published online:
10 February 2025
© 2025. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
-
Literatur
- 1 Carlino E, Frisaldi E, Benedetti F. Pain and the context. Nat Rev Rheumatol 2014; 10: 348-355
- 2 Rossettini G, Carlino E, Testa M. Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain. BMC Musculoskelet Disord 2018; 19: 27
- 3 Wampold BE. The Contextual Model. In: Wampold BE, Imel ZE, Hrsg. The Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work. Oxfordshire: Routledge; 2015
- 4 Flückiger C, Grosse Holtforth M. Bedürfnisorientierung in der Psychotherapie: Motivorientierte Beziehungsgestaltung und ressourcenorientierte Gesprächsführung. In: Frank R, Flückiger C. Hrsg. Therapieziel Wohlbefinden – Ressourcen aktivieren in der Psychotherapie. Berlin: Springer; 2022
- 5 Norcross JC, Wampold BE. A new therapy for each patient: Evidence-based relationships and responsiveness. J Clin Psychol 2018; 74: 1889-1906
- 6 Flückiger C, Del Re AC, Wampold BE. et al. The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy (Chic) 2018; 55: 316-340
- 7 Krause M. Lessons from ten years of psychotherapy process research. Psychother Res 2024; 34: 261-275
- 8 Norcross JC, Lambert MJ. Psychotherapy relationships that work III. Psychotherapy (Chic) 2018; 55: 303-315
- 9 Elliott R, Bohart AC, Watson JC. et al. Therapist empathy and client outcome: An updated meta-analysis. Psychotherapy (Chic) 2018; 55: 399-410
- 10 Strauss AY, Huppert JD, Simpson HB. et al. What matters more? Common or specific factors in cognitive behavioral therapy for OCD: Therapeutic alliance and expectations as predictors of treatment outcome. Behav Res Ther 2018; 105: 43-51
- 11 Hall AM, Ferreira PH, Maher CG. et al. The influence of the therapist-patient relationship on treatment outcome in physical rehabilitation: a systematic review. Phys Ther 2010; 90: 1099-1110
- 12 Kinney M, Seider J, Beaty AF. et al. The impact of therapeutic alliance in physical therapy for chronic musculoskeletal pain: A systematic review of the literature. Physiother Theory Pract 2020; 36: 886-898
- 13 Holmes MB, Scott A, Camarinos J. et al. Working Alliance Inventory (WAI) and its relationship to patient-reported outcomes in painful musculoskeletal conditions. Disabil Rehabil 2023; 45: 1363-1369
- 14 Alodaibi F, Beneciuk J, Holmes R. et al. The Relationship of the Therapeutic Alliance to Patient Characteristics and Functional Outcome During an Episode of Physical Therapy Care for Patients With Low Back Pain: An Observational Study. Phys Ther 2021; 101: pzab026
- 15 Bishop F, Al-Abbadey M, Roberts L. et al. Direct and mediated effects of treatment context on low back pain outcome: a prospective cohort study. BMJ Open 2021; 11: e044831
- 16 Lawford BJ, Bennell KL, Campbell PK. et al. Association Between Therapeutic Alliance and Outcomes Following Telephone-delivered Exercise by a Physical Therapist for People With Knee Osteoarthritis: Secondary Analyses From a Randomized Controlled Trial. JMIR Rehabil Assist Technol 2021; 8: e23386
- 17 Ebling C. Muskuloskelettale Therapie im Praxisalltag bei Patienten mit Gonarthrose. MSK – Muskuloskeletale Physiotherapie 2021; 25: 25-32
- 18 Babatunde F, MacDermid J, MacIntyre N. Characteristics of therapeutic alliance in musculoskeletal physiotherapy and occupational therapy practice: a scoping review of the literature. BMC Health Serv Res 2017; 17: 375
- 19 Moore AJ, Holden MA, Foster NE. et al. Therapeutic alliance facilitates adherence to physiotherapy-led exercise and physical activity for older adults with knee pain: a longitudinal qualitative study. J Physiother 2020; 66: 45-53
- 20 Vestol I, Debesay J, Pajalic Z. et al. The importance of a good therapeutic alliance in promoting exercise motivation in a group of older Norwegians in the subacute phase of hip fracture; a qualitative study. BMC Geriatr 2020; 20: 118
- 21 Brown MT, Bussell JK. Medication adherence: WHO cares?. Mayo Clin Proc 2011; 86: 304-314
- 22 Bordin ES. The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research Practice 1979; 16: 252-260
- 23 Bartscher M. „Haltung“ entwickeln! Professionelle Beziehungsgestaltung in „Bildungs- und Erziehungspartnerschaften“ – Anregungen für die Arbeit mit „Haltungskarten“. Heidelberg: GK Quest Akademie; 2018
- 24 Rodríguez-Nogueira Ó, Leirós-Rodríguez R, Pinto-Carral A. et al. The association between empathy and the physiotherapy-patient therapeutic alliance: A cross-sectional study. Musculoskelet Sci Pract 2022; 59: 102557
- 25 Hellwig C. Wertebasierte Gesprächsführung. Wirkprinzipien der Personzentrierten Theorie. Wiesbaden: Springer; 2022
- 26 Feldman C. Compassion; Listening to the Cries of the World. Boulder: Rodmell; 2005
- 27 Watzlawick P. Man kann nicht nicht kommunizieren: Das Lesebuch. Göttingen: Hogrefe; 2016
- 28 DeRubeis RJ, Brotman MA, Gibbons CJ. A Conceptual and Methodological Analysis of the Nonspecifics Argument. Clin Psychol: Sci Pract 2005; 12: 174-183
- 29 Oliveira VC, Ferreira ML, Pinto RZ. et al. Effectiveness of Training Clinicians’ Communication Skills on Patients’ Clinical Outcomes: A Systematic Review. J Manipulative Physiol Ther 2015; 38: 601-616
- 30 Søndenå P, Dalusio-King G, Hebron C. Conceptualisation of the therapeutic alliance in physiotherapy: is it adequate?. Musculoskelet Sci Pract 2020; 46: 102131
- 31 Luomajoki H, Schwertfellner C. Hrsg. Hands-off in der Physiotherapie. Schmerzedukation, Kommunikation, Soft Skills und Behandlungsansätze. Stuttgart: Thieme; 2024
- 32 Muschalla B, Muller J, Grocholewski A. et al. Effects of talking about side effects versus not talking about side effects on the therapeutic alliance: A controlled clinical trial. Acta Psychiatr Scand 2023; 148: 208-221
- 33 Rohr D. Der Gesprächsansatz nach C. Rogers. In: Szczyrba B, van Treeck T, Wildt B. et al. Hrsg. Coaching (in) Diversity an Hochschulen: Hintergründe – Ziele – Anlässe – Verfahren. Heidelberg: Springer; 2017
- 34 Crits-Christoph P, Rieger A, Gaine A. et al. Trust and respect in the patient--clinician relationship: preliminary development of a new scale. BMC Psychol 2019; 7: 91
- 35 Kee JWY, Khoo HS, Limb I. et al. Communication Skills in Patient-Doctor Interactions: Learning from Patient Complaints. Health Professions Educ 2018; 4: 97-118
- 36 Knobloch-Fedders L. et al. The Importance of the Relationship with the Therapist. Clinical Science Insights: Knowledge Families Count On. 2008 Im Internet: www.family-institute.org/sites/default/files/pdfs/csi_fedders_relationship_with_therapist.pdf Stand: 22.12.2024
- 37 Myers S. Empathic listening: reports on the experience of being heard. J Human Psychol 2000; 40: 148-173
- 38 Noyce R, Simpson J. The Experience of Forming a Therapeutic Relationship from the Client’s Perspective: A Metasynthesis (dagger). Psychother Res 2018; 28: 281-296