Zusammenfassung
Rehabilitationssport und Funktionstraining sind das vorherrschende Setting für Bewegungsangebote
zur Osteoporosetherapie und Frakturprävention. Ein zentrales Problem beider Formate
ist das Fehlen eines Qualitätsmanagement-Konzepts (QM-Konzepts), in dem neben der
Strukturqualität auch zentrale Aspekte der Prozess- und/oder Ergebnisqualität adressiert
werden. Ziele des vorliegenden Projekts, das in Kooperation mit dem BVS Bayern e. V.
durchgeführt wurde, waren daher (a) die detaillierte Umsetzung eines validierten Trainingsprotokolls
in „Osteoporose“-Rehasportgruppen, (b) die Entwicklung eines QM-Konzepts, das insbesondere
auf die Prozess- und Ergebnisqualität abhebt, und (c) die Weiterentwicklung/Anpassung/Optimierung
des Konzepts.
Nach Evaluierung im Rahmen bestehender Rehabilitationssportgruppen in Bayern zeigte
sich eine hohe Übertragbarkeit des wissenschaftlich evaluierten Trainingsprotokolls
in die Trainingspraxis anerkannter Rehabilitationssportgruppen. Aus dem parallel validierten
QM-Konzept wurde ein Qualitätssiegel ‚Sport pro Reha in Bayern‘ entwickelt, das an
anerkannte Osteoporose-Rehabilitationssportgruppen, die am QM-Konzept des BVS Bayern
teilnehmen, verliehen werden kann.
Abstract
The primary setting of osteoporosis therapy and fracture prevention by means of exercise
in Germany is ‘Rehabilitationssport’ and ‘Funktionstraining’. Based on German law,
people with osteoporosis are entitled to prescribed medical rehabilitation sports.
However, the weak point of the German structure is the lack of mandatory quality management
(QM) with respect to process (i. e. proper application of a validated exercise protocol)
and result (i. e. validation and documentation of exercise-induced changes).
Thus, the aim of the present project, that was conducted in close cooperation with
the Bavarian Disabled and Rehabilitation Sport organisations (BVS Bayern e. V.), was
(a) to provide a reliable concept to transfer a validated exercise programme in clinical
praxis of Rehabilitationssport-groups, (b) to develop and implement a QM-concept that
specifically address process and result-quality aspects and (c) to provide concepts
for the ongoing adaptation and enhancement of the exercise protocol.
After development of the QM-concept and a 12 months test trial with 10 Rehabilitationssport-
groups, all members of BVS Bayern, we observed a high transferability of the validated
exercise protocol in the clinical practice of Rehabilitationssport-groups. After ongoing
adjustments of the QM-concept during this test phase, a quality signet for ‘exercise
in the rehabilitation of osteoporosis’ was released by the BVS Bayern and the Bavarian
Sports Physicians Association that is awarded for participation in this quality concept.
However, due to the acute situation in Germany, that the demand for rehabilitation
sports for osteoporosis exceeds the current supply, most rehabilitation sports groups
might feel that there is no need for enhanced, demanding and at present not mandatory
quality management concepts. Thus, in summary the current situation in Bavaria/Germany
is, that, although a sophisticated concept for the secondary and tertiary prevention
of osteoporosis by means of exercise is already being provided and validated, the
general interest and motivation of the service suppliers (i. e. rehabilitation sport
groups) to apply this concept is low.
Schlüsselworte
körperliches Training - Rehabilitationssport - Osteoporose - Qualitätsmanagement
Key words
Exercise - quality management - osteoporosis therapy - fracture prevention
