Rehabilitation (Stuttg) 2018; 57(03): 201-217
DOI: 10.1055/s-0043-124391
© Georg Thieme Verlag KG Stuttgart · New York

Ergotherapie in der Orthopädie und Unfallchirurgie

Occupational Therapy in Orthopedics and Accident Surgery
Ute Hirsch
1  Abteilung Rehabilitationssoziologie, Institut für Rehabilitationswissenschaften, Humboldt-Universität zu Berlin
Jörg Zobel
1  Abteilung Rehabilitationssoziologie, Institut für Rehabilitationswissenschaften, Humboldt-Universität zu Berlin
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Further Information

Publication History

Publication Date:
20 June 2018 (online)


Die Ergotherapie ist Teil des multidisziplinären Behandlungsteams im Fachbereich Orthopädie und Unfallchirurgie. Der Ergotherapeut behandelt Patienten mit angeborenen Fehlbildungen, chronischen oder degenerativen Erkrankungen, nach Unfallverletzungen oder operativen Eingriffen und verfügt dabei über ein weites Spektrum von Behandlungsmaßnahmen, die individuell auf die Situation des Patienten und seine Bedürfnisse abgestimmt werden. Gemeinsam mit dem Patienten werden Therapieziele festgelegt und die Therapie gestaltet. Die Ergotherapie versucht, die Ressourcen des Patienten in die Behandlung zu integrieren und ihn darin zu unterstützen, zum Experten seiner eigenen Erkrankung zu werden.


Ergotherapy is part of the multidisciplinary treatment concept in the field of orthopedics and trauma surgery. The occupational therapist treats patients together with doctors, nurses, physiotherapists, psychologists, social workers/pedagogues, speech therapists and other professional groups

  • with congenital malformations,

  • with chronic diseases,

  • with degenerative diseases,

  • after accidental injuries or surgical interventions.

Therapy takes place in terms of client centricity and sees the patient as a full member of the team. Together, therapy goals are determined and the therapy is designed. Occupational therapy has a wide range of treatment options that are individually tailored to the patient's situation and needs.

The start of treatment is early in acute care hospitals – some already in the intensive care unit, z. For example, with bar treatments for physiological storage, ADL training, aid care, functional treatment with increasing load increase, sensitivity training, etc., with the aim of helping the patient to carry out activities in his important areas of life and to largely independently create his own life.

In rehabilitation clinics or in outpatient settings, occupational therapists pass on these treatment measures, adapting the therapy contents to the status and possibly changed needs of the patient and his goals in the rehabilitation process. Accompanying up to professional reintegration is possible.

One domain of occupational therapy is the inclusion of contextual factors of the patient in therapy (biopsychosocial model).

Occupational therapy is not deficit-oriented but knows how to integrate the patient's resources into the treatment and to support him in becoming an expert in his illness. This in turn has a positive effect on the adherence in occupational therapy treatment.