Kuss K, Laekeman M
Abteilung für Allgemeinmedizin, Präventive und Rehabilitative Medizin, Philipps-Universität Marburg, Karl-von-Frisch-Str. 4, 35032, Marburg, Deutschland,
Schmerz. 2015 Aug;29(4):402-10. doi: 10.1007/s00482-015-0037-x.
Elderly patients with chronic pain are particularly at risk of functional limitations up to the loss of autonomy and social life. To facilitate autonomy, mobility and quality of life, physiotherapy plays an essential role in pain management. Nevertheless, programs that are specifically geared towards the needs of older patients are still uncommon. This article offers recommendations for structuring physiotherapy programs based on international guideline recommendations. First examples of pain management concepts for older adults demonstrate the positive results of activating therapy. Additionally, this article provides insights into barriers and resources of affected patients and all actors involved. However, physiotherapeutic treatment for aged chronic pain patients in Germany still shows considerable shortcomings but also offers an exciting challenge for the future.
患有慢性疼痛的老年患者尤其面临功能受限的风险,直至丧失自主能力和社交生活。为促进自主性、活动能力和生活质量,物理治疗在疼痛管理中发挥着至关重要的作用。然而,专门针对老年患者需求的项目仍然并不常见。本文根据国际指南建议,为构建物理治疗项目提供了建议。针对老年人的疼痛管理概念的首批实例展示了激活疗法的积极效果。此外,本文还深入探讨了受影响患者及所有相关参与者面临的障碍和可利用的资源。然而,德国针对老年慢性疼痛患者的物理治疗仍存在相当大的不足,但也为未来带来了令人振奋的挑战。