Subscribe to RSS
DOI: 10.1055/s-0028-1109538
© Georg Thieme Verlag KG Stuttgart · New York
Welchen Einfluss haben schriftliche Patienteninformationen in der Physiotherapie auf das Therapieresultat?[1]
What Influence Does Written Patient Information Have on Therapy Results in Physiotherapy?Publication History
Manuskript eingetroffen: 8.5.2008
Manuskript akzeptiert: 29.8.2008
Publication Date:
15 July 2009 (online)

Zusammenfassung
Die Literaturstudie untersuchte, ob Physiotherapie besser wirkt, wenn Patienten zusätzlich zur Therapie auch schriftliche Informationen erhalten. Da nur sehr wenige qualitativ hochwertige Studien zum Thema vorlagen, ließ sich die Frage nicht abschließend beantworten. Es fanden sich aber Hinweise auf einen Mehrwert.
Sicher ist, dass ermutigende Informationen im Sinne des biopsychosozialen Modells, die das Angst-Vermeidungs-Verhalten vermindern, besser wirken als solche mit herkömmlichen Informationen über Anatomie, Pathologie und Ergonomie.
Abstract
This literature review investigated whether physiotherapy is more effective if patients receive written information in addition to treatment. Since only few high quality studies concerning the topic were available this question could not be answered conclusively. However, indications of additional benefit were found.
It is clear that encouraging information, oriented to the biopsychosocial model and which reduces fear avoidance behaviour is more effective than the use of conventional information on anatomy, pathology and ergonomics.
Schlüsselwörter
Physiotherapie - schriftliche Patienteninformationen - Wirksamkeit
Key words
physiotherapy - written patient information - efficacy
1 Die Arbeit wurde als Bestandteil der SVOMP-OMT-Ausbildung verfasst.
Literatur
- 1
Box R C, Reul-Hirche H M, Bullock-Saxton J E. et al .
Shoulder movement after breast cancer surgery: results of a randomised controlled
study of postoperative physiotherapy.
Breast cancer research and treatment.
2002;
75
35-50
Reference Ris Wihthout Link
- 2
Burton A K, Waddell G, Tillotson K M. et al .
Information and advice to patients with back pain can have a positive effect. A randomized
controlled trial of a novel educational booklet in primary care.
Spine.
1999;
24
2484-2891
Reference Ris Wihthout Link
- 3
Cherkin D C, Deyo R A, Street J H. et al .
Pitfalls of patient education: limited success of a program for back pain in primary
care.
Spine.
1996;
21
345-355
Reference Ris Wihthout Link
- 4
Cherkin D C, Deyo R A, Battié M. et al .
A comparison of physical therapy, chiropractic manipulation, and provision of an educational
booklet for the treatment of patients with low back pain.
The New England Journal of Medicine.
1998;
339
1021-1029
Reference Ris Wihthout Link
- 5
Coudeyre E, Givron P, Vanbiervliet W. et al .
Un simple livret d’information peut contribuer à réduire l’incapacité fonctionnelle
de patients lombalgiques subaigus et chroniques. Étude contrôlée randomisée en milieu
de rééducation.
Annales de réadaptation et de médecine physique.
2006;
49
600-608
Reference Ris Wihthout Link
- 6 Ehlert U. Verhaltensmedizin. Berlin; Springer 2003
Reference Ris Wihthout Link
- 7
Friedrich M, Cermak T, Maderbacher P.
The effect of brochure use versus therapist teaching on patients performing therapeutic
exercise and on changes in impairment status.
Physical Therapy.
1996;
76
1082-1088
Reference Ris Wihthout Link
- 8
Goldby L J, Moore A P, Doust J. et al .
A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy
on chronic low back disorder.
Spine.
2006;
31
1083-1093
Reference Ris Wihthout Link
- 9
Goode P S, Burgio K L, Locher J L. et al .
Effect of behavioral training with or without pelvic floor electrical stimulation
on stress incontinence in women: a randomized controlled trial.
JAMA.
2003;
290
345-352
Reference Ris Wihthout Link
- 10
Hay E M, Foster N E, Thomas E. et al .
Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain
in people aged over 55 presenting to primary care: pragmatic randomised trial.
BMJ.
2006;
333
995
Reference Ris Wihthout Link
- 11
Hengeveld E.
Compliance und Verhaltensänderung in Manueller Therapie.
Manuelle Therapie.
2003;
7
122-132
Reference Ris Wihthout Link
- 12
Henrotin Y E, Cedraschi C, Duplan B. et al .
Information and low back pain management: a systematic review.
Spine.
2006;
31
E326-E334
Reference Ris Wihthout Link
- 13
Liddle S D, Gracey J H, Baxter G D.
Advice for the management of low back pain: a systematic review of randomised controlled
trials.
Manual Therapy.
2007;
12
310-327
Reference Ris Wihthout Link
- 14
Little P, Roberts L, Blowers H. et al .
Should we give detailed advice and information booklets to patients with back pain?
A randomized controlled factorial trial of a self-management booklet and doctor advice
to take exercise for back pain.
Spine.
2001;
26
2065-2672
Reference Ris Wihthout Link
- 15 McKenzie R. Treat Your Own Back. Milburn; New Zealand University Press 1980
Reference Ris Wihthout Link
- 16
Moseley G L, Nicholas M K, Hodges P W.
A randomized controlled trial of intensive neurophysiology education in chronic low
back pain.
The Clinical Journal of Pain.
2004;
20
324-330
Reference Ris Wihthout Link
- 17
Pengel L H, Refshauge K M, Maher C G. et al .
Physiotherapist-Directed Exercise, Advice, or Both for Subacute Low Back Pain. A Randomized
Trial.
Annals of Internal Medicine.
2007;
146
787-796
Reference Ris Wihthout Link
- 18
Ravaud P, Giraudeau B, Logeart I. et al .
Management of osteoarthritis (OA) with an unsupervised home based exercise programme
and/or patient-administered assessment tools. A cluster randomised controlled trial
with a 2 × 2 factorial design.
Annals of the Rheumatic Diseases.
2004;
63
703-708
Reference Ris Wihthout Link
- 19
Roland M, Dixon M.
Randomized controlled trial of an educational booklet for patients presenting with
back pain in general practice.
The Journal of the Royal College of General Practitioners.
1989;
39
244-246
Reference Ris Wihthout Link
- 20
Schneiders A G, Zusman M, Singer K E.
Exercise therapy compliance in acute low back pain patients.
Manual Therapy.
1998;
3
147-152
Reference Ris Wihthout Link
- 21
Sherman K J, Cherkin D C, Erro J. et al .
Comparing yoga, exercise, and a self-care book for chronic low back pain: a randomized,
controlled trial.
Annals of Internal Medicine.
2005;
143
849-856
Reference Ris Wihthout Link
- 22
Sweeney S, Tayler G, Calin A.
The Effect of a Home-Based Exercise Intervention Package on Outcome in Ankylosing
Spondylitis.
The Journal of Rheumatology.
2002;
29
763-766
Reference Ris Wihthout Link
- 23
Udermann B E, Spratt K F, Donelson R G. et al .
Can a patient educational book change behavior and reduce pain in chronic low back
pain patients?.
The Spine Journal.
2004;
4
425-435
Reference Ris Wihthout Link
- 24
Wright A, Lloyd-Davies A, Williams S. et al .
Individual Active Treatment Combined with Group Exercise for Acute and Subacute Low
Back Pain.
Spine.
2005;
30
1235-1241
Reference Ris Wihthout Link
- 25
Yardley L, Donovan-Hall M, Smith H E. et al .
Effectiveness of primary care-based vestibular rehabilitation for chronic dizziness.
Annals of Internal Medicine.
2004;
141
598-605
Reference Ris Wihthout Link
- 26
Yardley L, Kirby S.
Evaluation of booklet-based self-management of symptoms in Menière disease: a randomized
controlled trial.
Psychosomatic Medicine.
2006;
68
762-769
Reference Ris Wihthout Link
- 27
Young R, Guzman de C P, Matis M S. et al .
Effect of preadmission brochures on surgical patients’ behavioral outcomes.
AORN Journal.
1994;
60
232-236, 239 – 241
Reference Ris Wihthout Link
1 Die Arbeit wurde als Bestandteil der SVOMP-OMT-Ausbildung verfasst.
Theo Geser
Kirchgasse 23
8706 Meilen
Schweiz
Email: theogeser@sunrise.ch