Zusammenfassung
In der konservativen Behandlung der Arthrose stehen im Rahmen der physikalischen Therapie vielfältige Therapieverfahren zur Verfügung. Die positiven Effekte von krankengymnastischen Übungsprogrammen und von Sport- und Bewegungstherapie dürfen hinsichtlich der Verbesserung von Schmerz und Funktion auch unter evidenzbasierten Kriterien als gesichert gelten. Die Thermotherapie führt neben einer Änderung der Schmerzschwelle zu intraartikulären Temperaturveränderungen. Für verschiedene Verfahren der Elektrotherapie einschließlich der therapeutischen Ultraschallanwendung finden sich deutlich positive Therapieeffekte. Physikalische Therapie wird in zahlreichen Leitlinien zur Arthrosetherapie empfohlen. Wenngleich auch weiterer Forschungsbedarf besteht, so haben die Verfahren aufgrund der bisherigen Studienlage und der umfangreichen Erfahrungswerte einen festen Platz in der Therapie der Arthrose.
Summary
Physical therapy is part of guidelines and recommendations in the treatment of osteoarthritis. Different methods of physical therapy are used in osteoarthritis. There is evidence that manual physical therapy and exercise improve function and reduce pain in osteoarthritic joints. Thermal modalities are employed for short-term pain relief and change the intraarticular temperature. Electrotherapy, therapeutic ultrasound and balneotherapy show positive therapeutic effects. Based on studies and clinical experience, physical therapy must be recommended in the therapy of osteoarthritis.
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Kladny, B. Physikalische Therapie der Arthrose. Z. Rheumatol. 64, 448–455 (2005). https://doi.org/10.1007/s00393-005-0776-7
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DOI: https://doi.org/10.1007/s00393-005-0776-7