DO - Deutsche Zeitschrift für Osteopathie 2010; 8(01): 14-19
DOI: 10.1055/s-0029-1202911
Hippokrates Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG Stuttgart

Osteopathische Betrachtung der Narbenbehandlung

Osteopathic Reflection on the Treatment of Scars
Christof Plothe
Further Information

Publication History

Publication Date:
26 January 2010 (online)


Mit der Narbenbildung gehen unterschiedliche Problematiken einher. Die Fachliteratur benennt zahlreiche Behandlungsansätze. Ausführlich beschreibt der Artikel die osteopathische Narbenbehandlung in Literatur und Praxis. Er erläutert die weitreichenden Folgen von Narben für den gesamten Organismus und fordert die Einbeziehung von Kenntnissen aus anderen Disziplinen, um eine effektivere, ganzheitliche Behandlung zu gewährleisten


The formation of scars is accompanied by different problems. In specialist literature several treatment approaches are described. The article describes in detail the osteopathic scar treatment in literature and practice, explains the far–reaching consequences of scars for the whole organism, and demands the inclusion of the knowledge from other disciplines, to ensure a more effective holistic treatment.


Considération ostéopathique du traitement des cicatrices

Des problématiques différentes accompagnent la cicatrisation. La littérature spécialisée nomme de nombreuses approches de traitements. L'article décrit en détail le traitement ostéopathique des cicatrices dans la littérature et dans la pratique, explique les suites de longue portée des cicatrices sur l'organisme entier et revendique l'intégration de connaissances venant d'autres disciplines afin d'assurer un traitement global effectif.

  • Literatur

  • 1 Abergel RP, Pizzuro D, Meeker CA et al. Biochemical composition of the connective tissue in keloids and analysis of collagen metabolism in keloid fibroblast cultures. Jf Invest Dermatol 1985; 84: 384-90
  • 2 Ärzte Zeitung. Bei Narbenschmerz hilft tiefe Lokalanästhesie (2004. Im Internet:.–hilft–tiefe–lokalanaesthesie.html Stand 04 11: 2009-2009
  • 3 Baisch A, Riedel F.. Hyperplastic scars and keloids, Part I: basics and prevention. HNO 2006; 11: 893-904
  • 4 Bánfalvi T, Boér A, Remenár E et al. Treatment of keloids (review of the literature, therapeutic suggestions). Orv Hetil 1996; 34: 1861-4
  • 5 Barral P.J. Trauma: Ein ganzheitlicher Ansatz. Bad Kötzting: : VGM; 2003
  • 6 Becker OR, Selden G.. The body electric. New York: : Wiliam Morrow and Co; 1985
  • 7 Chin MS, Lancerotto L, Helm DL et al. Analysis of neuropeptides in stretched skin. Plast Reconstr Surg 2009; 1: 102-13
  • 8 Chauffour P, Prat E, Bureau M.. Mechanical link. Fundamental Principles, Theory following an osteopathic approach. Berkley: : North atlantic books; 2002
  • 9 Cosman B, Crickelair GF, Ju MC et al. The surgical treatment of keloids. Plast Reconstr Surg 1961; 27: 335-8
  • 10 Del'vig AA.. Collagen metabolism in hypertrophic and keloid scars. Vestn Ross Akad Med Nauk 1995; 12: 41-45
  • 11 Djokovic R, Karadaglic Dj.. Modern treatment of keloids. Srp Arh Celok Lek; 1997: 176-80
  • 12 Gailloud-Matthieu MC, Raffoul W, Egloff DV.. Hypertrophic scars and keloids: which therapeutic options today?. Rev Med Suisse Romande 1999; 9: 721-8
  • 13 Gold MH.. Topical silicone gel sheeting in the treatment of hypertrophic scars and keloids: a dermatologic experience. J Dermatol Surg Oncol 1993; 19: 912-16
  • 14 Goldman MP, Fitzpatrick RE.. Laser treatment of scars. Plast Reconstr Surg 1995; 8: 685-7
  • 15 Gradl J.. Osteopathie und ihre Wirkung auf Frauen mit schmerzhaften Episiotomienarben. (Thesenarbeit). Rohrdorf: : DOK; 2009
  • 16 Hallam MJ, Shirley R, Dheansa B et al. Scar massage therapy: a new technique. J Wound Care 2009; 6: 258-258
  • 17 Har-Shai Y, Lindenbaum E, Tendler M et al. Negatively charged static electricity stimulation as a possible mechanism for enhancing the involution of hypertrophic and keloid scars. Isr Med Assoc J 1999; 3: 203-5
  • 18 Hazzard C.. Some observations upon the reactions of muscles and nerves. The Journal of Osteopathy 1900; 2: 52-55
  • 19 Hirshowitz B, Lindenbaum E, Har-Shai Y et al. Static–electric field induction by a silicone cushion for the treatment of hypertrophic and keloid scars. Plast Reconstr Surg 1998; 5: 1173-83
  • 20 Höppe P, von SMackensen, Nowak D et al. Prevalence of weather sensitivity in Germany. Dtsch Med Wochenschr 2002; 127: 15-20
  • 21 Hunt V.. Infinite Mind: Science of the Human Vibrations of Consciousness. Malibu: : Malibu publishing; 1996
  • 22 Kelemen O, Kollár L.. Current methods of treatment and prevention of pathologic scars. 2007; 2: 63-70
  • 23 Kischer CW, Shetlar MR, Chvapil M.. Hypertrophic scars and keloids: a review and new concept concerning their origin. Scanning Elect Microsc 1982; 4: 1699-713
  • 24 Kobesova A, Lewit K.. A case of a pothogenic active scar. Australas Chiropr Osteopathy 2000; 1: 17-19
  • 25 Larrabee Jr WF, East CA, Jaffee HS et al. Intralesional interferon–gamma treatment of keloids and hypertrophic scars. Arch Otolaryngol Head Neck Surg 1990; 116: 1159-62
  • 26 Louw L.. The keloid phenomenon: progress toward a solution. Clin Anat 2007; 1: 3-14
  • 27 Mayer J.. Osteopathische Narbenbehandlung. Osteopathische Medizin 2005; 6: 11-18
  • 28 Mayer J.. Preliminary Study: Osteopathic approach to Scars. (2007). Im Internet ; Stand: 04.11.2009
  • 29 Mc L.Taggert. The intention experiment. Using thoughts to change your life. New York: : Free Press; 2007
  • 30 Minaev SV, Obozin VS, Pustoshkina LT et al. New aspects of pathogenesis of adhesive process in the abdominal cavity. Vestn Khir Im I I Grek 2009; 1: 45-9
  • 31 Moore RD.. Scar tissue and adhesions. The Osteopathic Profession 1938; 5: 7-7
  • 32 Mordon S.. Thermal lasers and wound healing. Rev Med Suisse 2009; 5: 890-890
  • 33 O'Connell J.. Bioelectric Responsiveness of Fascia: A Model for Understanding the Effects of Manipulation. Techniques in Orthopaedics 2003; 1: 67-73
  • 34 O'Sullivan TS, O'Shaughnessy M, O'Connor P.T. Aetiology and management of hypertrophic scars and keloids. Ann R Coll Surg Engl 1996; 78: 168-175
  • 35 Oschman J.. Persönliche Kommunikation, Nov. 2008
  • 36 Palatinus JA, Rhett JM, Gourdie RG.. Translational lessons from scarless healing of cutaneous wounds and regenerative repair of the myocardium. J Mol Cell Cardiol 2009; 2: 141-147
  • 37 Patiño O, Novick C, Merlo A, Benaim F.. Massage in hypertrophic scars. J Burn Care Rehabil 1999; 3: 268-71
  • 38 Pert B.C.. Opiate Receptor – Demonstration in Nervous Tissue. Science 1973; 179: 1011-1014
  • 39 Pischinger A, Heine H.. Das System der Grundregulation. Stuttgart: : Haug Verlag; 2004
  • 40 Plothe C.. Vorstellung der biophysikalischen Osteopathie. Berlin: : OSD–Kongress; 2008
  • 41 Prathiba V, Rao KS, Gupta PD.. Altered expression of keratins during abnormal wound healing in human skin. Cytobios 2001; 405: 43-51
  • 42 Richard RL, Lester ME, Miller SF et al. Identification of cutaneous functional units related to burn scar contracture development. Journal of burn care & reaearch 2009; 4: 625-31
  • 43 Russell SB, Russell JD, Trupin JS.. Alteration of amino acid transport by hydrocortisone. J Biol Chem 1982; 257: 9525-31
  • 44 Seitz R.. Heilung in Sekunden durch Narbenentstörung: Warum Narben krank machen. Wie sie kranke Narben erkennen. Köln: NGW: 2008
  • 45 Upledger J.. Somato Emotionale Praxis der Craniosacralen Therapie. Heidelberg: Haug: 2000
  • 46 Valouchová P, Lewit K.. Surface electromyography of abdominal and back muscles in patients with active scars. J Bodyw Mov Ther 2009; 3: 262-7
  • 47 Weiss D, Eaglstein HW, Falanga V.. Exogenous electric current can reduce the formation of Hypertrophic Scars. Dermatologic Surgery 1994; 12: 1272-1276
  • 48 Wound Healing and Scar Formation (2006). Im Internet: ; Stand04 11: 2009-2009
  • 49 Ziegler UE.. International clinical recommendations on scar management. Zentralblatt für Chirurgie 2004; 4: 296-306