Schwerpunkte der Physikalischen Therapie in der Rheumatologie

Abstract: Frequency and importance of rheumatic diseases in medical practice are high and the indispensability of the methods of physical medicine is undisputed in the case of these diseases. Its diverse procedures (physical exercise, ergotherapy, electrotherapy, hydrotherapy and thermotherapy, massage) have to be used according to pathophysiologic and regeneration specific aspects in a comprehensive treatment plan. Therefore, a clear clinical distinction between the inflammatory and degenerative forms of rheumatism as well the symptomatic pain syndromes is imperative. In the case of chronic inflammatory rheumatism, the preventative and rehabilitative effects of physical medicine are most important. They depend on a differentiated adaptation of the therapeutic means to the current inflammatory activity. Therefore, important action spectrums of the forms of therapy and criteria for their implementation are shown with the help of typical case control studies. In the case of degenerative rheumatism, an immediate intervention in the development of a disease is possible with these therapeutic procedures of physical medicine. This is also true for soft tissue rheumatism, where the different causes, degrees of intensity and courses represent basic considerations for a differential therapy. Therefore, criteria and implementation parameters are presented for fibromyalgia, localized epicondylopathies of the elbow, and periarthritis of the shoulder.

Keyword(s): Physikalische Medizin

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