VPT Magazin, Table of Contents VPT Magazin 2025; 11(01): 24-29DOI: 10.1055/s-0045-1803005 Wissen Unspezifische Effekte in der PhysiotherapieKontextfaktoren Hannu Luomajoki Leiter Master-Programm Muskuloskelettale Physiotherapie, Zürcher Hochschule für Angewandte Wissenschaften ZHAW, Winterthur, Schweiz , Christoph Schwertfellner Dozent Berner Fachhochschule BFH, Bern, Schweiz Mitbegründer, Geschäftsführer und Kursleiter bei BEST – Basis effektiver Schmerztherapie› Author AffiliationsRecommend Article Abstract Buy Article Zusammenfassung Moderne Physiotherapie ist im besten Fall evidenzbasiert und orientiert sich an den Bedürfnissen der Patient*innen. Neben der Fachkompetenz der Therapeut*innen tragen sogenannte Kontextfaktoren zum Behandlungserfolg bei. Full Text References Literatur 1 Carlino E, Frisaldi E, Benedetti F. Pain and the context. Nat Rev Rheumatol 2014; 10: 348-355 2 Rossettini G, Carlino E, Testa M. Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain. BMC Musculoskelet Disord 2018; 19: 27 3 Wampold BE. The Contextual Model. In: Wampold BE, Imel ZE, Hrsg. The Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work. Oxfordshire: Routledge; 2015 4 Flückiger C, Grosse Holtforth M. Bedürfnisorientierung in der Psychotherapie: Motivorientierte Beziehungsgestaltung und ressourcenorientierte Gesprächsführung. In: Frank R, Flückiger C. Hrsg. Therapieziel Wohlbefinden – Ressourcen aktivieren in der Psychotherapie. Berlin: Springer; 2022 5 Norcross JC, Wampold BE. A new therapy for each patient: Evidence-based relationships and responsiveness. J Clin Psychol 2018; 74: 1889-1906 6 Flückiger C, Del Re AC, Wampold BE. et al. The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy (Chic) 2018; 55: 316-340 7 Krause M. Lessons from ten years of psychotherapy process research. Psychother Res 2024; 34: 261-275 8 Norcross JC, Lambert MJ. Psychotherapy relationships that work III. Psychotherapy (Chic) 2018; 55: 303-315 9 Elliott R, Bohart AC, Watson JC. et al. Therapist empathy and client outcome: An updated meta-analysis. Psychotherapy (Chic) 2018; 55: 399-410 10 Strauss AY, Huppert JD, Simpson HB. et al. What matters more? Common or specific factors in cognitive behavioral therapy for OCD: Therapeutic alliance and expectations as predictors of treatment outcome. Behav Res Ther 2018; 105: 43-51 11 Hall AM, Ferreira PH, Maher CG. et al. The influence of the therapist-patient relationship on treatment outcome in physical rehabilitation: a systematic review. Phys Ther 2010; 90: 1099-1110 12 Kinney M, Seider J, Beaty AF. et al. The impact of therapeutic alliance in physical therapy for chronic musculoskeletal pain: A systematic review of the literature. Physiother Theory Pract 2020; 36: 886-898 13 Holmes MB, Scott A, Camarinos J. et al. Working Alliance Inventory (WAI) and its relationship to patient-reported outcomes in painful musculoskeletal conditions. Disabil Rehabil 2023; 45: 1363-1369 14 Alodaibi F, Beneciuk J, Holmes R. et al. The Relationship of the Therapeutic Alliance to Patient Characteristics and Functional Outcome During an Episode of Physical Therapy Care for Patients With Low Back Pain: An Observational Study. Phys Ther 2021; 101: pzab026 15 Bishop F, Al-Abbadey M, Roberts L. et al. Direct and mediated effects of treatment context on low back pain outcome: a prospective cohort study. BMJ Open 2021; 11: e044831 16 Lawford BJ, Bennell KL, Campbell PK. et al. Association Between Therapeutic Alliance and Outcomes Following Telephone-delivered Exercise by a Physical Therapist for People With Knee Osteoarthritis: Secondary Analyses From a Randomized Controlled Trial. JMIR Rehabil Assist Technol 2021; 8: e23386 17 Ebling C. Muskuloskelettale Therapie im Praxisalltag bei Patienten mit Gonarthrose. MSK – Muskuloskeletale Physiotherapie 2021; 25: 25-32 18 Babatunde F, MacDermid J, MacIntyre N. Characteristics of therapeutic alliance in musculoskeletal physiotherapy and occupational therapy practice: a scoping review of the literature. BMC Health Serv Res 2017; 17: 375 19 Moore AJ, Holden MA, Foster NE. et al. Therapeutic alliance facilitates adherence to physiotherapy-led exercise and physical activity for older adults with knee pain: a longitudinal qualitative study. J Physiother 2020; 66: 45-53 20 Vestol I, Debesay J, Pajalic Z. et al. The importance of a good therapeutic alliance in promoting exercise motivation in a group of older Norwegians in the subacute phase of hip fracture; a qualitative study. BMC Geriatr 2020; 20: 118 21 Brown MT, Bussell JK. Medication adherence: WHO cares?. Mayo Clin Proc 2011; 86: 304-314 22 Bordin ES. The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research Practice 1979; 16: 252-260 23 Bartscher M. „Haltung“ entwickeln! Professionelle Beziehungsgestaltung in „Bildungs- und Erziehungspartnerschaften“ – Anregungen für die Arbeit mit „Haltungskarten“. Heidelberg: GK Quest Akademie; 2018 24 Rodríguez-Nogueira Ó, Leirós-Rodríguez R, Pinto-Carral A. et al. The association between empathy and the physiotherapy-patient therapeutic alliance: A cross-sectional study. Musculoskelet Sci Pract 2022; 59: 102557 25 Hellwig C. Wertebasierte Gesprächsführung. Wirkprinzipien der Personzentrierten Theorie. Wiesbaden: Springer; 2022 26 Feldman C. Compassion; Listening to the Cries of the World. Boulder: Rodmell; 2005 27 Watzlawick P. Man kann nicht nicht kommunizieren: Das Lesebuch. Göttingen: Hogrefe; 2016 28 DeRubeis RJ, Brotman MA, Gibbons CJ. A Conceptual and Methodological Analysis of the Nonspecifics Argument. Clin Psychol: Sci Pract 2005; 12: 174-183 29 Oliveira VC, Ferreira ML, Pinto RZ. et al. Effectiveness of Training Clinicians’ Communication Skills on Patients’ Clinical Outcomes: A Systematic Review. J Manipulative Physiol Ther 2015; 38: 601-616 30 Søndenå P, Dalusio-King G, Hebron C. Conceptualisation of the therapeutic alliance in physiotherapy: is it adequate?. Musculoskelet Sci Pract 2020; 46: 102131 31 Luomajoki H, Schwertfellner C. Hrsg. Hands-off in der Physiotherapie. Schmerzedukation, Kommunikation, Soft Skills und Behandlungsansätze. Stuttgart: Thieme; 2024 32 Muschalla B, Muller J, Grocholewski A. et al. Effects of talking about side effects versus not talking about side effects on the therapeutic alliance: A controlled clinical trial. Acta Psychiatr Scand 2023; 148: 208-221 33 Rohr D. Der Gesprächsansatz nach C. Rogers. In: Szczyrba B, van Treeck T, Wildt B. et al. Hrsg. Coaching (in) Diversity an Hochschulen: Hintergründe – Ziele – Anlässe – Verfahren. Heidelberg: Springer; 2017 34 Crits-Christoph P, Rieger A, Gaine A. et al. Trust and respect in the patient--clinician relationship: preliminary development of a new scale. BMC Psychol 2019; 7: 91 35 Kee JWY, Khoo HS, Limb I. et al. Communication Skills in Patient-Doctor Interactions: Learning from Patient Complaints. Health Professions Educ 2018; 4: 97-118 36 Knobloch-Fedders L. et al. The Importance of the Relationship with the Therapist. Clinical Science Insights: Knowledge Families Count On. 2008 Im Internet: www.family-institute.org/sites/default/files/pdfs/csi_fedders_relationship_with_therapist.pdf Stand: 22.12.2024 37 Myers S. Empathic listening: reports on the experience of being heard. J Human Psychol 2000; 40: 148-173 38 Noyce R, Simpson J. The Experience of Forming a Therapeutic Relationship from the Client’s Perspective: A Metasynthesis (dagger). Psychother Res 2018; 28: 281-296 Quelle Luomajoki H, Schwertfellner C. Hrsg. Hands-off in der Physiotherapie. Schmerzedukation, Kommunikation, Soft Skills und Behandlungsansätze. Stuttgart: Thieme; 2024