Zusammenfassung
Patienten mit einer Fibromyalgie weisen tendenziell eine verminderte aerobe und anaerobe
Ausdauer auf. Zumindest stärkere körperliche Belastungen führen bei Patienten mit
einer Fibromyalgie zu Schmerzen. Viele Patienten neigen daher zu körperlicher Inaktivität.
Wenig intensive aerobe Trainingsprogramme haben einen positiven Einfluss auf das Befinden
der Patienten, lindern aber nicht immer die Schmerzen. Schmerzfreiheit wird jedoch
durch Sport ebenso wenig erzielt wie durch die anderen Therapiemaßnahmen. Geeignet
sind wenig anstrengende, dynamische Sportarten wie Walking, Joggen oder Radfahren.
Empfohlen wird eine sehr behutsame Steigerung der Trainingsdauer und -intensität.
Ziel ist eine tägliche halbe Stunde Sport oder eine ähnliche Belastung. Wegen oft
geringer Compliance ist Fremdmotivation sehr wichtig (z. B. Sport in der Gruppe).
Ungeeignet sind alle intensiven Sportarten. Krankheitsspezifische Anforderungen an
sportärztliche Voruntersuchungen gibt es nicht.
Abstract
Fibromyalgia patients tend towards reduced aerobic and anaerobic endurance. In such
patient severe muscular exercise provokes pain. Hence, many patients become physically
inactive. Whereas, low-intensity aerobic training programmes improve their feeling
tone, pain is not always alleviated. Freedom from pain cannot be achieved by sports
activities as well as by any other treatment. Suitable sports activities for patients
suffering from fibromyalgia are usually dynamic exercises such as walking, jogging,
or cycling, whereas static and heavy physical activity are not tolerated. Patients
should gradually increase duration and intensity of training with caution. The aim
of sports therapy is a daily half-hour or a similar amount of sports activities. Because
of low compliance motivating the patients by others is often very important, e. g.
in sports groups. Before starting sports activities patients with fibromyalgia should
undergo a medical (cardiological and orthopedic) examination. However, no specific
requirements on details of the examination must be made when examining fibromyalgia
patients.
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Prof. Dr. med. Carl D. Reimers
Klinik für Neurologie, Sächsisches Krankenhaus
Postfach 1165
01475 Arnsdorf
eMail: carl.reimers@skhar.sms.sachsen.de
