Erkennen von Red flags bei Patienten mit Low Back Pain[1]

Zusammenfassung

Physiotherapeuten behandeln häufig Patienten mit Rückenschmerzen, denen neben muskuloskelettalen Ursachen auch schwerwiegende Erkrankungen zugrunde liegen können. Die Arbeit stellt mögliche gravierende Pathologien bei Patienten mit Low Back Pain sowie das Modell der diagnostischen Trias vor, das das Erkennen von Gefahrensituationen erleichtert. Zudem wird ein Überblick über mögliche Red flags in der Patientenpräsentation gegeben und ihre Relevanz für weiterführende Diagnostik und Management erörtert.

Durch das bewusste Erheben von Red flags in der Routineuntersuchung und ihre Integration in den klinischen Denkprozess sind Physiotherapeuten in der Lage, Vorsichtssituationen bei Patienten mit Low Back Pain zu erkennen.

Abstract

Physiotherapists often treat patients with back pain due to musculoskeletal disorders or which may be due to serious medical conditions. This article describes possible serious pathologies in patients with low back pain as well as the model of diagnostic triade which helps in recognizing dangerous situations. In addition, an overview of possible red flags is given and their relevance for further diagnosis and management is discussed.

The conscious integration of questions concerning red flags during routine assessment and their integration into the clinical reasoning enables physiotherapists to detect precautionary situations in patients with back pain.

Schlüsselwörter

Red flags - Low back pain - Physiotherapie - Untersuchung - diagnostische Trias

Key words

red flags - low back pain - physiotherapy - examination - diagnostic triade

1 Die Arbeit entstand im Rahmen der OMT ÖVMPT-Ausbildung 2004 - 2006.

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1 Die Arbeit entstand im Rahmen der OMT ÖVMPT-Ausbildung 2004 - 2006.