Luedtke, Kerstin
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Luedtke, Kerstin
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Luedtke, Kerstin
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Item-typ:Veröffentlichung, Physiotherapeutische Untersuchung und Behandlung von Muskel-Sehnen-assoziierten Schulterschmerzen(Georg Thieme Verlag KG, 2025-09); 9 - Some of the metrics are blocked by yourconsent settings
Item-typ:Veröffentlichung, Only cervical vertebrae C0-C2, not C3 are relevant for subgrouping migraine patients according to manual palpation and pain provocation: secondary analysis of a cohort studyBackground Subgrouping of migraine patients according to the pain response to manual palpation of the upper cervical spine has been recently described. Based on the neuroanatomy and the convergence of spinal and trigeminal nerves in the trigeminocervical complex, the cervical segments C1 to C3 are potentially relevant. To date it has not been investigated whether palpation results of all upper cervical segments are based on one underlying construct which allows combining the results of several tests. Therefore, the aim of this secondary analysis of a cohort study was to determine whether results from all three segments form one construct. Methods Seventy-one migraine patients with chronic or frequent episodic migraine diagnosed according to the international headache society classification version 3 were examined by one physiotherapist. Manual palpation using a posterior to anterior pressure was performed on the upper three cervical vertebrae unilaterally left and right. The results of the palpation according to the patients’ responses were combined using factor analysis. In addition, item response theory (IRT) was used to investigate the structure of the response pattern as well as item difficulty and discrimination. Findings Factor analysis (principal component) showed that the palpation of C3 loads less onto the underlying construct than the palpation of C1 and C2. Considering a cut-off value > 1.0, the eigenvalues of all three segments do not represent one underlying construct. When excluding the results from C3, remaining items form one construct. The internal consistency of the pain response to palpation of C1 and C2 is acceptable with a Cronbach’s alpha of 0.69. IRT analysis showed that the rating scale model fits best to the pain response pattern. The discrimination value (1.24) was equal for all items. Item difficulty showed a clear hierarchical structure between the palpation of C1 and C2, indicating that people with a higher impairment are more likely to respond with referred pain during palpation of C2. Conclusion Statistical analysis confirms that results from the palpation of the cervical segments C1 and C2 in migraine patients can be combined. IRT analysis confirmed the ordinal pattern of the pain response and showed the higher probability of a pain response during palpation of C2. The pain response to C3 palpation is not relevant for unidimensional IRT analysis.Wissenschaftlicher ArtikelBand:23Heft:1144 - Some of the metrics are blocked by yourconsent settings
Item-typ:Veröffentlichung, Delphi-Verfahren zur Ermittlung eines Kernkompetenzrahmens für einen physiotherapeutischen Direktzugang in Deutschland bei muskuloskelettalen ErkrankungenMuskuloskelettale Erkrankungen (MSKDs) zählen weltweit zu den häufigsten Ursachen für Gesundheitsprobleme und sind maßgeblich für krankheitsbedingte Fehlzeiten sowie erhebliche Gesundheitskosten verantwortlich. Der physiotherapeutische Direktzugang, wie er international bereits in vielen Ländern etabliert ist, wird auch in Deutschland zunehmend als möglicher Lösungsansatz für eine bedarfsorientierte Versorgung diskutiert. Ziel der vorliegenden Arbeit ist es, Kernkompetenzen für Physiotherapeut*innen im Direktzugang bei MSKDs im deutschen Gesundheitssystem zu identifizieren und konsensbasiert zu validieren.Wissenschaftlicher Artikel17 - Some of the metrics are blocked by yourconsent settings
Item-typ:Veröffentlichung, Effectiveness of Patient Education and Cognitive Behavioural Treatment as a Non-Pharmacological Intervention for Migraine in Adults – a Systematic ReviewTo evaluate the content of patient education and cognitive behavioural therapy and its effectiveness in the prevention of migraine for adults, a systematic search was conducted in the databases MEDLINE, EMBASE, PsycINFO and CINAHL. RCTs published in the past 10 years in German or English, reporting on any form of patient education or cognitive behavioural therapy for adult migraineurs, were included. Two reviewers independently searched and evaluated search results. The methodological quality of selected studies was assessed using the Cochrane risk of bias tool 2.0 independently by two reviewers. Data on content and effectiveness were extracted in a predesigned table. Across 1059 records, 14 studies were eligible, including 2266 participants (82,7% females). Contents of patient education included explanations on the link between thoughts and feelings, information on lifestyle influences on headaches, relaxation techniques and stress management, advice on diet and the benefit of physical activity. In addition, patient education focussed on the pathogenesis and diagnostic criteria of migraine, triggering factors and effective acute or prophylactic drug use. Outcome measures included headache frequency, medication intake, function and disability, as well as psychosocial status. Education reduced migraine frequency and improved quality of life. Effect sizes were small, and contents were heterogeneous. Educational and behavioural approaches can positively influence headache frequency. However, the content, duration and frequency and education formats varied widely. The level of evidence for education and cognitive behavioural therapy as a non-pharmacological intervention for migraine is still low. The protocol for the systematic review was registered in the database PROSPERO (PROSPERO 2019 CRD42019134463) prior to the data collection.Wissenschaftlicher ArtikelHeft:4179 - Some of the metrics are blocked by yourconsent settings
Item-typ:Veröffentlichung, Physiotherapeutische Untersuchung und Behandlung von Muskel-Sehnen-assoziierten Schulterschmerzen : Übersetzung, Adaptation, Zusammenführung und Kommentierung englischsprachiger evidenzbasierter klinischer LeitlinienSeit November 2024 können verschiedene Schulterdiagnosen auf der Basis der Blankoverordnung behandelt werden. Physiotherapeut*innen können die Art des Heilmittels und die Frequenz frei wählen. Dafür wären geeignete Praxisleitlinien hilfreich, um diesen Prozess transparenter zu gestalten und einen Entscheidungskorridor zu bieten. Leitlinien der Arbeitsgemeinschaft wissenschaftlicher medizinischer Fachgesellschaften (AWMF) geben zwar Handlungsanweisungen bezüglich empfohlener und nicht empfohlener Maßnahmen, äußern sich aber weder zur physiotherapeutischen Untersuchung noch zu genauen Parametern für die Behandlung.Teil eines Buches17