Zusammenfassung
63 kontrollierte klinische Studien und 9 systematische Reviews zur Wirksamkeit physikalischer
Therapie bei der Rheumatoidarthritis werden berichtet. Der Großteil der Studien untersuchte
den Effekt von Krankengymnastik bzw. Trainingstherapie. Diese Therapieformen weisen
auch die größte Wirksamkeit im Sinne einer Leistungsverbesserung auf, ohne die Schmerzen
und Krankheitsaktivität zu vermehren. Andere physikalische Behandlungen wie Elektrotherapie,
Balneotherapie, Laserbehandlung, Kryo- und Thermotherapie führen nur kurzdauernd zu
einer Symptomminderung vorwiegend im Sinne einer Schmerzreduktion. Lediglich bei der
Behandlung mit Radonbädern scheint ein über Monate andauernder Therapieeffekt gegeben
zu sein. Eine endgültige Stellungnahme zum Effekt einzelner Therapiemaßnahmen kann
aufgrund des oft mangelnden Studiendesigns nicht erfolgen.
Abstract
63 controlled clinical trials and 9 systematic reviews on the efficacy of physical
therapy for rheumatoid arthritis are reported. The majority of studies has investigated
clinical effects of exercise or dynamic training. Both treatment modalities are effective
in increasing physical capacity without provocation of pain or elicitation of disease
flare ups. Other physical treatment modalities such as electrotherapy, balneotherapy,
treatment with low level Laser, cryo- and thermotherapy are followed by short lasting
reduction of symptoms i. e. mainly pain reduction. Only after treatment with radon
baths long lasting effects for months may be obtained. Due to the poor study design
of many studies, a final conclusion on the efficacy of particular treatment modalities
cannot be drawn.
Schlüsselwörter
Kontrollierte klinische Studie - systematischer Review - Rheumatoidarthritis - Wirksamkeit
- Trainingstherapie
Key words
Controlled clinical trial - systematic review - rheumatoid arthritis - efficacy -
exercise
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Oberarzt Prof. Dr. Kurt Ammer
Ludwig-Boltzmann-Forschungsstelle für Physikalische Diagnostik · Hanuschkrankenhaus
Heinrich-Collin-Straße 30
1140 Wien · Österreich
