Medical training therapy in lumbar syndromes

1999 ◽  
Vol 28 (11) ◽  
pp. 932-938
Author(s):  
E. Broll-Zeitvogel ◽  
J. Grifka ◽  
J. Bauer ◽  
P. H. Roths ◽  
P. Degryse
Keyword(s):  
Medical Training ◽  
Training Therapy

scholarly journals Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective

2020 ◽  
Vol 9 (1) ◽  
pp. 145 ◽  
Author(s):  
Timo A. Nees ◽  
Ernst Riewe ◽  
Daniela Waschke ◽  
Marcus Schiltenwolf ◽  
Eva Neubauer ◽  
...  
Keyword(s):  
Medical Training ◽  
Chronic Back Pain ◽  
Treatment Modalities ◽  
Psychological Pain ◽  
Aquatic Therapy ◽  
Psychological Pain Therapy ◽  
Multidisciplinary Pain Management ◽  
Back Education ◽  
Perceived Helpfulness ◽  
Training Therapy

Multidisciplinary pain management programs (MPMP) for patients suffering from chronic back pain include a variety of treatment modalities. The patients’ perceived helpfulness of these treatment modalities remains unclear. The aims of this prospective observational cohort study were to assess (i) the patients’ perceived helpfulness of different treatment modalities, (ii) the influence of sociodemographic characteristics on the patient’s perspective and (iii) whether treatment outcomes are affected by helpfulness ratings. Treatment modalities of this three-week MPMP consisted of individual physiotherapy, group-based physiotherapy, relaxation therapy, aquatic therapy, back education, medical training therapy, biofeedback, psychological pain therapy and music therapy. The study comprised 395 patients. The main outcome was the patients’ perceived treatment helpfulness at the end of the program measured by a self-reported questionnaire ranging from 1 (not at all helpful) to 6 (extremely helpful). Secondary outcomes were treatment effects on pain, pain related disability, functional ability and level of depressive symptoms measured by self-reported questionnaires (NRS, PDI, FFbH-R, ADS-L). A total of 276 patients (22–64 years, 57% female) were available for overall analysis. Multivariate-analysis-of-variance- (MANOVA-) related results revealed that perceived treatment helpfulness (range 1–6) differed significantly between treatment modalities: individual physiotherapy (M = 5.00), group-based physiotherapy (M = 4.87), relaxation therapy (M = 4.6), aquatic therapy (M = 4.54), back education (M = 4.43), medical training therapy (M = 3.38), biofeedback (M = 3.31), psychological pain therapy (M = 3.15), music therapy (M = 3.02). Pain, pain related disability and levels of depressive symptoms significantly improved after the program (p < 0.001) whereas functional ability decreased (p < 0.01). Significant correlations were found between helpfulness ratings and sociodemographic data indicating that perceived treatment helpfulness was influenced by patient-related factors. Importantly, the degree of pain-related improvements was affected by the patients’ perceived treatment helpfulness. In conclusion, patients’ perceived treatment helpfulness differs significantly between treatment modalities and corresponds to treatment outcome.

scholarly journals The best from East and West? Acupuncture and medical training therapy as monotherapies or in combination for adult patients with episodic and chronic tension-type headache: study protocol for a randomized controlled trial

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
J. Schiller ◽  
T. Kellner ◽  
J. Briest ◽  
K. Hoepner ◽  
A. Woyciechowski ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Medical Training ◽  
Controlled Trial ◽  
Health Intervention ◽  
University Hospital ◽  
Acupuncture Points ◽  
Randomized Controlled ◽  
Tension Type Headaches ◽  
And Training ◽  
Training Therapy

Abstract Background This study aims to evaluate the feasibility and efficacy of a complex health intervention, based on the combination of conventional Western medicine and traditional Chinese medicine (TCM), in an outpatient department of a university hospital for patients with frequent episodic or chronic tension-type headaches. Methods/design This is a prospective randomized controlled pilot study with four balanced treatment arms (usual care, acupuncture, training, and training plus acupuncture). Each arm will have 24 patients. After the initial screening examination and randomization, a 6-week treatment period follows, with treatment frequencies decreasing at 2-week intervals. After completion of the intervention, two follow-up evaluations will be performed 3 and 6 months after the start of treatment. At predefined times, the various outcomes (pain intensity, health-related quality of life, pain duration, autonomic regulation, and heart rate variability) as well as the participants’ acceptance of the complex treatment will be evaluated with valid assessment instruments (Migraine Disability Assessment, PHQ-D, GAD-7, and SF-12) and a headache diary. The acupuncture treatment will be based on the rules of TCM, comprising a standardized combination of acupuncture points and additional points selected according to individual pain localization. The training therapy comprises a combination of strength training, endurance training, and training to improve flexibility and coordination. Besides descriptive analyses of the samples, their comparability will be assessed using an analysis of variance (ANOVA) or chi-squared tests. Analyses will be performed on an intention-to-treat basis. Potential interaction effects will be calculated using a repeated-measures ANOVA to test the primary and secondary hypotheses. In supplementary analyses, the proportion of treatment responders (those with a 50% reduction in the frequency of pain episodes) will be determined for each treatment arm. Discussion This trial may provide evidence for the additive effects of acupuncture and medical training therapy as a combination treatment and may scientifically support the implementation of this complex health intervention. Trial registration Registered on 11 Feburary 2019. German Clinical Trials Register, DRKS00016723.

Konservative Hämophiliebehandlung unter Berücksichtigung der Optimierung und Standardisierung

2010 ◽  
Vol 30 (S 01) ◽  
pp. S81-S88 ◽  
Author(s):  
T. Wallny ◽  
A. Kurth ◽  
P. Berdel ◽  
A. Seuser
Keyword(s):  
Physical Therapy ◽  
Medical Training ◽  
The Body ◽  
Biofeedback Training ◽  
System Stability ◽  
Functional Health ◽  
Motion Pattern ◽  
Joint Function ◽  
Functional Therapy ◽  
Training Therapy

SummaryRehabilitation and physical therapy in the sense of functional health is based on the international classification of function. It takes in two considerations: function and structure of the body and their influence on personal and social activity. The integrative concept of joint function translates the basic concept of body function and structure on to the motion of the locomotive system. Stability needs motoric control. Motoric control and the integrated neural components are to be influenced through regulation of muscle tonus (massage, manual therapy, medical training therapy, electrotherapy and thermotherapy). The stability of the joint is controlled by the passive components. Passive structures are optimised through passive therapies like joint mobilisation. Active components of joint function are optimised through activation (medical training therapy, stabilisation, mono or multisegmental levels). Emotional and neuronal components can be triggered through kinesthetic exercises like PNF, Jacobsen relaxation, biofeedback training, mental training. Exact examination of the locomotive system will help finding all symptoms. This is how we individualise the therapy of symptoms and structures. The motion pattern generator shows us how to use the possibilities of functional influence on the motion pattern. We have a lot of afferent signals that need individualised functional therapy. This is why we need functional measurements like motion analysis on the basis of ultrasound. An other tool is the kinetic superficial EMG measurement of muscle function. We can use it to determine the status of the joint and it will lead to therapeutical decisions. All functional measurements will help to improve quality control of the physical therapy process. Even if the haemophilic patient is healthy he is not fit at all. Measurements of fitness will help us to improve special skills and establish the human being as a subject in society and environment. The main skill to be improved in haemophiliacs is coordination, strength of the stomach muscles and the vastus medialis and the flexibility of the hamstrings.

Medical training therapy (MTT)

2001 ◽  
Vol 58 (8) ◽  
pp. 470-474
Author(s):  
Haiko Sprott ◽  
K. Wagner ◽  
D. Uebelhart
Keyword(s):  
Medical Training ◽  
Evidence Based ◽  
Training Therapy

Die medizinische Trainingstherapie (MTT) ist eine der aktiven physiotherapeutischen Maßnahmen, die ärztlich verordnet werden können. Diese aktive Bewegungstherapie wurde durch O. Holten in Norwegen entwickelt und hat seitdem viele Therapeuten und Patienten begeistert. Sie wird deswegen mehr und mehr verordnet und hat nach und nach einen Teil der passiven physiotherapeutischen Maßnahmen ersetzt. Die Ziele der MTT sind die Verbesserung der Ausdauer und der Kraft, sowie der Beweglichkeit der Gelenke im schmerzfreien Rahmen. Die MTT hat keine absoluten Kontraindikationen, aber muss in jedem Fall individuell angepasst sein. Ein wesentlicher Vorteil der Methode gegenüber Einzelbehandlungen liegt in der Möglichkeit begründet, dass die Trainingstherapie in kleinen Gruppen kontrolliert durchgeführt werden kann. Wie auch bei anderen physiotherapeutischen Methoden sollte die MTT im Rahmen wissenschaftlicher Studien evaluiert werden, um ihre Evidence-based Effizienz bestätigen zu können.

scholarly journals Combination of acupuncture and medical training therapy on tension type headache: Results of a randomised controlled pilot study

Cephalalgia ◽  
2021 ◽  
pp. 033310242198962 ◽  
Author(s):  
Joerg Schiller ◽  
Matthias Karst ◽  
Tim Kellner ◽  
Wen Zheng ◽  
Daniel Niederer ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Usual Care ◽  
Pain Intensity ◽  
Medical Training ◽  
Tension Type Headache ◽  
Headache Frequency ◽  
Average Maximum ◽  
Type Headache ◽  
Randomised Controlled ◽  
Training Therapy

Objectives The aim of this study was to compare the effects of acupuncture and medical training therapy alone and in combination with those of usual care on the pain sensation of patients with frequent episodic and chronic tension-type headache. Design This was a prospective single-centre randomised controlled trial with four balanced treatment arms. The allocation was carried out by pre-generated randomisation lists in the ratio 1:1:1:1 with different permutation block sizes. Setting The study was undertaken in the outpatient clinic of Rehabilitation Medicine of the Hannover Medical School. Participants and interventions: Ninety-six adult patients with tension-type headache were included and randomised into usual care (n = 24), acupuncture (n = 24), medical training (n = 24), and combination of acupuncture and medical training (n = 24). One patient was excluded from analysis because of withdrawing her/his consent, leaving 95 patients for intention to treat analysis. Each therapy arm consisted of 6 weeks of treatment with 12 interventions. Follow-up was at 3 and 6 months. Main outcome measures Pain intensity (average, maximum and minimum), frequency of headache, responder rate (50% frequency reduction), duration of headache and use of headache medication. Clinical results: The combination of acupuncture and medical training therapy significantly reduced mean pain intensity compared to usual care (mean = −38%, standard deviation = 25%, p = 0.012). Comparable reductions were observed for maximal pain intensity (−25%, standard deviation = 20%, 0.014) and for minimal pain intensity (−35%, standard deviation = 31%, 0.03). In contrast, neither acupuncture nor medical training therapy differed significantly from usual care. No between-group differences were found in headache frequency, mean duration of headache episodes, and pain medication intake. At 3 months, the majority of all patients showed a reduction of at least 50% in headache frequency. At 6 months, significantly higher responder rates were found in all intervention groups compared to usual care. Conclusions In contrast to monotherapy, only the combination of acupuncture and medical training therapy was significantly superior in reduction of pain intensity compared to usual care. Trial registration: Registered on 11 February 2019. German Clinical Trials Register, DRKS00016723.

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