Conradi E
Poliklinik für Physiotherapie, Bereiches Medizin, Humboldt-Universität zu Berlin.
Z Gesamte Inn Med. 1987 Dec 1;42(23):676-80.
The use of physiotherapy as traditionally successful form of therapy is not in the least satisfying in practice. The reasons for this are explained. Issuing from a general assessment of the therapy in the system medical care, principal aspects for an interdisciplinary therapy are demonstrated. Essential for a scientifically proved use of physiotherapy is the differentiation between general and specific aspects in the pathologic process made in the general nosology. The effects of the physiotherapy are shown and its significance as basis therapy is emphasized. Apart from the knowledge of the individual physiotherapeutic remedies, the use of the physiotherapy has as its prerequisite a valuation of the pathogenetic factors and actual additional conditions. Corresponding to the therapeutic aim, the physiotherapy should be conceived either as monotherapy or as a long-term, frequently multi-dimensional therapeutic programme. Essential errors in practice are the technically insufficient and inconsequent use of the treatment capacities. With the help of the recommendations for the use of the physiotherapy in the essential hypertension and rheumatoid arthritis ways are indicated how the potencies of the specialty are to be realised better than hitherto done in chronic diseases.
传统上作为一种成功治疗方式的物理疗法在实践中却不尽如人意。文中解释了其原因。从系统医疗保健中对该疗法的总体评估出发，阐述了跨学科治疗的主要方面。在一般疾病分类学中对病理过程的一般和特定方面进行区分，对于科学地应用物理疗法至关重要。文中展示了物理疗法的效果，并强调了其作为基础治疗的重要性。除了了解个别物理治疗方法外，物理疗法的应用还以对致病因素和实际附加条件的评估为前提。根据治疗目的，物理疗法应被视为单一疗法或长期的、通常是多维度的治疗方案。实践中的主要错误是治疗能力在技术上使用不足且前后不一致。借助在原发性高血压和类风湿性关节炎中使用物理疗法的建议，指出了在慢性病中如何比以往更好地发挥该专业的效能。
