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Beitrag zum Themenheft

Motorische Rehabilitation zentralnervös bedingter Defizite

Published Online:June 19, 2007https://doi.org/10.1024/1016-264X.18.1.23

Abstract

Zusammenfassung: Im Bereich der motorischen Rehabilitation zentralnervös bedingter Defizite sind die durch Metaanalysen gestützten Aussagen der höchsten Evidenzklasse oft sehr allgemein gehalten und lassen sich nicht zu einem schlüssigen Behandlungskonzept zusammensetzen. Häufig führen kleine Gruppengrößen, erhebliche Unterschiede in der Patientenselektion, sehr differierende therapeutische Interventionen und unterschiedliche Messparameter in den zu Grunde liegenden primären Studien zu erheblichen Schwierigkeiten in der Konstruktion der Fragestellung von Metaanalysen. Andererseits sind in den letzten Jahren zahlreiche Arbeiten erschienen, deren Ergebnisse die motorische Rehabilitation maßgeblich beeinflusst haben. In einem narrativen Review werden Kernkomponenten der Wirksamkeit motorisch rehabilitativer Interventionen, neue Verfahren, Evaluationsstudien traditioneller physiotherapeutischer Konzepte und ein neues Analyseverfahren zur Erfassung der klinischen Relevanz einer Untersuchung vorgestellt.


Rehabilitation of Motor Deficits with Origin in the Central Nervous System - What Is Evidence-Based - What Clinical Relevant?

Abstract: Statements of the highest evidence class are supported by metaanalyses. Concerning rehabilitation of motor deficits with origin in the central nervous system they are in particular undifferentiated and do not lead to a conclusive treatment concept. Frequent problems are small sample sizes, variability in subject selection and differences in interventions or outcome measures of the primary studies. These conditions make it difficult to construct differentiated questions for metaanalyses. On the other hand numerous studies appeared in the last years, whose results considerably influenced motor rehabilitation. A narrative review presents core components of effectiveness of motor rehabilitative interventions, new therapeutic approaches, evaluation studies of traditional physiotherapeutic concepts and a new method of analysing clinical relevance of an investigation.

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