manuelletherapie 2010; 14(2): 68-74
DOI: 10.1055/s-0029-1245378
Fallstudie

© Georg Thieme Verlag KG Stuttgart · New York

Physiotherapie bei mit Schleudertrauma assoziierten Störungen (WAD)

Überlegungen zu neuen Modellen der WAD-BehandlungPhysiotherapy after Whiplash-Associated Disorders (WAD)Considerations of New Models for WAD ManagementP. Brem1
  • 1Zentrum für Schmerzmedizin Schweizer Paraplegiker Zentrum Nottwil, CH-Nottwil/Luzern
Further Information

Publication History

Manuskript eingetroffen: 3.8.2009

Manuskript akzeptiert: 28.9.2009

Publication Date:
19 May 2010 (online)

Zusammenfassung

Für Physiotherapeuten, die Patienten mit WAD behandeln, sind Schmerzlinderung, aktive Bewegungsstrategien und Edukation von Schmerzphysiologie maßgebliche Behandlungsziele. Da die klinische Präsentation der Behinderung variiert, spielen unterschiedliche Aspekte der physiologischen und psychologischen Symptome eine wichtige Rolle. Zu behandelnde Symptome umfassen z. B. Hyperalgesie, Allodynie, posttraumatisches Stresssyndrom und Verlust der Bewegungsfähigkeit. Diese Faktoren können durch physiologische oder psychologische Mechanismen ausgelöst werden.

In der vorliegenden Fallstudie wird eine junge Frau mit WAD mit einem Therapieregime behandelt, dessen Schwerpunkt auf einem Angst-Vermeidungs-Modell (FAM = Fear-Avoidance Model) liegt.

Abstract

For physiotherapists treating individuals with whiplash-associated disorders (WAD) pain relief, active exercise and pain physiology education are treatment goals. As the clinical presentation differs varying aspects of physiological and psychological features are important. Symptoms that often need to be treated include hyperalgesia, allodynia, posttraumatic stress syndrome and loss of mobility. These factors can be provoked by physiological or psychological mechanisms.

In this case report a young woman with WAD is treated by a therapy regime with emphasis on a fear-avoidance model (FAM).

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Peter Brem, MSc Pain Management University of Leicester, PT-OMT Dipl PT Physiotherapieschule der Universität Göttingen

Zentrum für Schmerzmedizin Schweizer Paraplegiker Zentrum Nottwil

Guido-Zäch-Straße

6207 Nottwil/Luzern

Schweiz

Email: peter.brem@paranet.ch

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