Evidenz physiotherapeutischer Behandlungen des Failed-Back-Surgery-Syndroms (FBSS)

Zusammenfassung

Hintergrund: Der heterogene schmerzhafte Symptomenkomplex des Failed-Back-Surgery-Syndroms (FBSS) ist schwierig zu erfassen und zu behandeln. Der Fokus der Wissenschaft auf das FBSS zeugt von seiner Bedeutung im klinischen Alltag.

Methode: Im Rahmen der evidenzbasierten Praxis wurde in Pubmed und PEDro eine Literaturrecherche über nicht-invasive konservative Behandlungen des FBSS durchgeführt. Die Literaturrecherche beschränkte sich auf englisch- und deutschsprachige Artikel bis zum aktuellen Zeitpunkt.

Ergebnisse: In die Literaturübersicht wurden 12 Arbeiten mit Evidenzlevel IV bis Ib eingeschlossen. Die beste Evidenz ergab sich für Transkutane Elektrische Nervenstimulation (TENS). Daneben scheinen auch manuelle Maßnahmen und aktive Bewegungstherapie innerhalb multidisziplinärer Behandlungskonzepte hilfreich zu sein.

Schlussfolgerung: Innerhalb der Physiotherapie ist die Behandlung des FBSS durch TENS als Mittel der Wahl zu betrachten.

Abstract

Background: The heterogeneous painful symptom complex of the failed back surgery syndrome (FBSS) is difficult to diagnose and to treat. Scientific focus on FBSS indicates its importance in clinical practice.

Method: Within the scope of evidence based practice a literature research for to date published articles in English and German concerning non-invasive conservative treatment of FBSS was performed in Pubmed and Pedro.

Results: 12 publications with an evidence level IV to Ib were included in this literature review. Transcutaneous electrical nerve stimulation (TENS) produced best evidence. In addition, manual therapy interventions and active movement therapy within multidisciplinary treatment concept seem to be supportive.

Conclusion: Within physiotherapy treating FBSS with TENS is considered as state of the art.

Schlüsselwörter

Failed-Back-Surgery-Syndrom - Physiotherapie - Evidenz - transkutane elektrische Nervenstimulation

Key words

failed back surgery syndrome - physiotherapy - evidence - transcutaneous electrical nerve stimulation

• Literatur

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