Zusammenfassung
In der medizinischen Gesellschaft existieren viele Mythen zum Thema Placebo, und die
zugrunde liegenden Mechanismen sind nach wie vor kaum bekannt. Im Gegensatz zu klinischen
Untersuchungen, bei denen Placebos eine wichtige Rolle spielen, ist es in der klinischen
Praxis bei multidimensionalen Behandlungen wie der Physiotherapie unmöglich, eindeutig
zu identifizieren und zu quantifizieren, welchen Anteil ein Placeboeffekt an der Behandlungseffektivität
hat. Um ihre Therapien so effektiv wie möglich zu machen, sollten Physiotherapeuten
jedoch auch die Befunde der Placeboforschung berücksichtigen. Neben anderen Vorschlägen
betont diese Forschung die Bedeutung einer positiven und produktiven Beziehung zwischen
Patient und Kliniker.
Abstract
Many myths exist around the topic placebo within the medical society and its underlying
mechanisms are still poorly understood. Contrary to clinical trials in which placebos
play a vital role it is impossible to clearly identify the placebo effect’s contribution
to treatment efficacy in clinical practice using multidimensional treatment such as
physiotherapy. In order to maximise the effect of their treatments, physiotherapists
should however consider the findings of placebo research. Along with other suggestions
this research reinforces the importance of creating a positive, productive relationship
between patient and clinician.
Schlüsselwörter
Placebo - Placeboeffekt - Physiotherapie - biopsychosozial
Key words
placebo - placebo effect - physiotherapy - biopsychosocial
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Stefan Schiller
Hirzbodenweg 47
4052 Basel, Schweiz
eMail: schiller.stefan@googlemail.com
