Physikalische Therapie für Patienten in der Allgemeinpraxis

Journal/Book: Schweiz Rundschau Med (PRAXIS). 1989; 78: 281-289.

Abstract: The choice of a treatment concept in physical/ therapy: Iargely depends on whether the presenting functional disorder is of an acute or of a chronic nature. The classification acute or chronic has to be made according to two cri-teria: acute or chronic course in time./acute or chronic type of disorder.The main concern of physical therapy is pro-phylaxis of chronic disorders. Chronification of symptoms quite often leads to human tra-gedy and. moreover, to higher costs, since the total medical and social costs for the chronic cases are higher than those for acute cases.The general practitioner has an important function in the prophylaxis of chronic muscu-losceletal disorders. Three to four weeks af-ter the onset of the symptoms he should per-form a special evaluation of every patient, thereby assessing the risk of chronification. When a chronic course is considered to be probable. an activating treatment concept should be initiated which in general com-prises the following components: comprehen-sive information and instruction, active exer-cising (especially training therapy). automo-bilization and soonest possible return to work within the limits of stress the condition can be exposed to.

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