Download PDF
neuroreha 2020; 12(02): 63-70
DOI: 10.1055/a-1156-3914
Schwerpunkt

Schlüsseltherapien für die obere Extremität

Jan Mehrholz
,
Simone Thomas
,
Bernhard Elsner
› Further Information
    Permissions and Reprints

Zukünftig wird es bedeutsam sein, Patienten vorab in unterschiedliche Erholungskategorien einzuteilen und anschließend mit sehr spezifischen Behandlungen zu versorgen. Das ist die Idee der Schlüsseltherapien. Der Begriff ist allerdings nicht neu und bezieht sich darauf, dass wir bei bestimmten Problemstellungen (Schloss bzw. Schlüsselloch) ganz bestimmte Problemlösungen (Schlüssel) benötigen. Doch welche Therapieansätze könnten sich als Schlüsseltherapien erweisen?



Publication History

Article published online:
09 June 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 Ada L, O’Dwyer N, O’Neill E. Relation between spasticity, weakness and contracture of the elbow flexors and upper limb activity after stroke: An observational study. Disabil Rehabil 2006; 28: 891-897 doi:10.1080/09638280500535165
    CrossrefPubMedGoogle Scholar
  • 2 Arya KN, Pandian S. Effect of task-based mirror therapy on motor recovery of the upper extremity in chronic stroke patients: A pilot study. Top Stroke Rehabil 2013; 20: 210-217
    CrossrefPubMedGoogle Scholar
  • 3 Bang DH, Shin WS, Kim SY. et al. The effects of action observational training on walking ability in chronic stroke patients: A double-blind randomized controlled trial. Clin Rehabil 2013; 27: 1118-1125 DOI: 10.1177/0269215513501528.
    CrossrefPubMedGoogle Scholar
  • 4 Bernhardt J, Mehrholz J. Robotic-assisted training after stroke: RATULS advances science. Lancet 2019; 394: 6-8 doi:10.1016/S0140–6736(19)31156–0
    CrossrefPubMedGoogle Scholar
  • 5 Binkofski F, Butler A, Buccino G. et al. Mirror apraxia affects the peripersonal mirror space. A combined lesion and cerebral activation study. Exp Brain Res 2003; 153: 210-219
    CrossrefPubMedGoogle Scholar
  • 6 Borges LR, Fernandes AB, Melo LP. et al. Action observation for upper limb rehabilitation after stroke. Cochrane Database Syst Rev 2018; 10: CD011887 DOI: 10.1002/14651858.CD011887.pub2.
    CrossrefPubMedGoogle Scholar
  • 7 Byblow WD, Stinear CM, Smith MC. et al. Mirror symmetric bimanual movement priming can increase corticomotor excitability and enhance motor learning. PLoS One 2012; 7: e33882
    CrossrefPubMedGoogle Scholar
  • 8 Cacchio A, De Blasis E, De Blasis V. et al. Mirror therapy in complex regional pain syndrome type 1 of the upper limb in stroke patients. Neurorehabil Neural Repair 2009; 23: 792-799
    CrossrefPubMedGoogle Scholar
  • 9 Dohle C, Pullen J, Nakaten A. et al. Mirror therapy promotes recovery from severe hemiparesis: A randomized controlled trial. Neurorehabil Neural Repair 2009; 23: 209-217
    CrossrefPubMedGoogle Scholar
  • 10 Ezendam D, Bongers RM, Jannink MJ. Systematic review of the effectiveness of mirror therapy in upper extremity function. Disabil Rehabil 2009; 31: 2135-2149
    CrossrefPubMedGoogle Scholar
  • 11 Elsner B, Mehrholz J. „Gehen Sie zurück auf Los?!?“. neuroreha 2019; 11: 59-64 DOI: 10.1055/a-0884–7255.
    Article in Thieme ConnectGoogle Scholar
  • 12 Franceschini M, Ceravolo MG, Agosti M. et al. Clinical relevance of action observation in upper-limb stroke rehabilitation: A possible role in recovery of functional dexterity. A randomized clinical trial. Neurorehabil Neural Repair 2012; 26: 456-462 DOI: 10.1177/1545968311427406.
    CrossrefPubMedGoogle Scholar
  • 13 Ietswaart M, Johnston M, Dijkerman HC. et al. Mental practice with motor imagery in stroke recovery: Randomized controlled trial of efficacy. Brain 2011; 134: 1373-1386 DOI: 10.1093/brain/awr077.
    CrossrefPubMedGoogle Scholar
  • 14 Kim H, Lee G, Song C. Effect of functional electrical stimulation with mirror therapy on upper extremity motor function in poststroke patients. J Stroke Cerebrovasc Dis 2013; 2013
    Google Scholar
  • 15 Kwakkel G, Winters C, van Wegen EE. et al. Effects of unilateral upper limb training in two distinct prognostic groups early after stroke: The EXPLICIT-stroke randomized clinical trial. Neurorehabil Neural Repair 2016; 30: 804-816 DOI: 10.1177/1545968315624784.
    CrossrefPubMedGoogle Scholar
  • 16 Mandehgary Najafabadi M, Azad A, Mehdizadeh H. et al. Improvement of upper limb motor control and function after competitive and noncompetitive volleyball exercises in chronic stroke survivors: A randomized clinical trial. Arch Phys Med Rehabil 2019; 100: 401-411 DOI: 10.1016/j.apmr.2018.10.012.
    CrossrefPubMedGoogle Scholar
  • 17 McCabe CS, Haigh RC, Blake DR. Mirror visual feedback for the treatment of complex regional pain syndrome (type 1). Curr Pain Headache Rep 2008; 12: 103-107
    CrossrefPubMedGoogle Scholar
  • 18 Mehrholz J, Pohl M, Platz T. et al. Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke. Cochrane Database of Systematic Reviews; 2018 DOI: doi:10.1002/14651858.CD006876.pub5
    CrossrefGoogle Scholar
  • 19 Mehrholz J. Is electromechanical and robot-assisted arm training effective for improving arm function in people who have had a atroke?: A Cochrane review summary with commentary. Am J Phys Med Rehabil 2019; 98: 339-340 doi:10.1097/PHM.0000000000001133
    CrossrefPubMedGoogle Scholar
  • 20 Mehrholz J. Volleyball zur Verbesserung der Armfunktion bei chronischem Schlaganfall. neuroreha 2019; 11: 100-100 doi:10.1055/a-0980–2254
    Article in Thieme ConnectGoogle Scholar
  • 21 Moseley GL. Graded motor imagery is effective for long-standing complex regional pain syndrome: A randomised controlled trial. Pain 2004; 108: 192-198
    CrossrefPubMedGoogle Scholar
  • 22 Moseley GL. Graded motor imagery for pathologic pain: A randomized controlled trial. Neurology 2006; 67: 2129-2134
    CrossrefPubMedGoogle Scholar
  • 23 Nijland RH, van Wegen EE, Harmeling-van der Wel BC. et al. Presence of finger extension and shoulder abduction within 72 hours after stroke predicts functional recovery: Early prediction of functional outcome after stroke: The EPOS cohort study. Stroke 2010; 41: 745-750 DOI: 10.1161/STROKEAHA.109.572065.
    CrossrefPubMedGoogle Scholar
  • 24 Nijland R, van Wegen E, Verbunt J. et al. A comparison of two validated tests for upper limb function after stroke: The Wolf Motor Function Test and the Action Research Arm Test. J Rehabil Med 2010; 42: 694-696 DOI: 10.2340/16501977–0560.
    CrossrefPubMedGoogle Scholar
  • 25 O’Dwyer NJ, Ada L. Reflex hyperexcitability and muscle contracture in relation to spastic hypertonia. Curr Opin Neurol 1996; 9: 451-455 DOI: 10.1097/00019052–199612000–00010.
    CrossrefPubMedGoogle Scholar
  • 26 O’Dwyer NJ, Ada L, Neilson PD. Spasticity and muscle contracture following stroke. Brain 1996; 119 (Pt 5) 1737-1749 DOI: 10.1093/brain/119.5.1737.
    CrossrefPubMedGoogle Scholar
  • 27 Platz T. Impairment-Oriented Training (IOT): Scientific concept and evidence-based treatment strategies. Restorative Neurology and Neuroscience 2004; 22: 301-315
    PubMedGoogle Scholar
  • 28 Platz T, Eickhof C, van Kaick S. et al. Impairment-oriented training or Bobath therapy for severe arm paresis after stroke: A single-blind, multicentre randomized controlled trial. Clinical Rehabilitation 2005; 19: 714-724
    CrossrefPubMedGoogle Scholar
  • 29 Platz T. IOT Impairment-Oriented Training. Schädigungsorientiertes Training. Theorie und deutschsprachige Manuale für Therapie und Assessment. Arm-BASIS-Training, Arm-Fähigkeits-Training, Fugl-Meyer-Test (Arm), TEMPA. Baden-Baden: Deutscher Wissenschafts-Verlag (DWV); 2006
    Google Scholar
  • 30 Platz T, van Kaick S, Mehrholz J. et al. Best conventional therapy versus modular impairment-oriented training for arm paresis after stroke: A single-blind, multicenter randomized controlled trial. Neurorehabil Neural Repair 2009; 23: 706-716 DOI: 10.1177/1545968309335974.
    CrossrefPubMedGoogle Scholar
  • 31 Platz T, Fheodoroff K, Mehrholz J. et al. S3-Leitlinie „Rehabilitative Therapie bei Armparese nach Schlaganfall“ der DGNR: Langversion. AWMF; 2020
    Google Scholar
  • 32 Platz T. Evidenzbasierte Armrehabilitation nach Schlaganfall – ein Überblick. neuroreha 2020; 12 (02) 57-61
    Google Scholar
  • 33 Ribeiro T. Motor imagery for gait rehabilitation after stroke. Cochrane Database Syst Rev. 2020 https://doi.org/10.1002/14651858.CD14013019 Stand: 06.04.2020
    CrossrefPubMedGoogle Scholar
  • 34 Rodgers H, Bosomworth H, Krebs HI. et al. Robot assisted training for the upper limb after stroke (RATULS): A multicentre randomised controlled trial. The Lancet 2019; 394: 51-62 DOI: 10.1016/S0140–6736(19)31055–4.
    CrossrefPubMedGoogle Scholar
  • 35 Simmons L, Sharma N, Baron JC. et al. Motor imagery to enhance recovery after subcortical stroke: Who might benefit, daily dose, and potential effects. Neurorehabil Neural Repair 2008; 22: 458-467 DOI: 10.1177/1545968308315597.
    CrossrefPubMedGoogle Scholar
  • 36 Sutbeyaz S, Yavuzer G, Sezer N. et al. Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: A randomized controlled trial. Arch Phys Med Rehabil 2007; 88: 555-559
    CrossrefPubMedGoogle Scholar
  • 37 Thieme H, Bayn M, Wurg M. et al. Mirror therapy for patients with severe arm paresis after stroke: A randomized controlled trial. Clin Rehabil 2013; 27: 314-324
    CrossrefPubMedGoogle Scholar
  • 38 Thieme H, Mehrholz J, Pohl M. et al. Mirror therapy for improving motor function after stroke. Cochrane Database Syst Rev 2013; 3: CD008449
    Google Scholar
  • 39 Thieme H, Morkisch N, Mehrholz J. et al. Mirror therapy for improving motor function after stroke. Cochrane Database of Systematic Reviews. 2018 DOI: 10.1002/14651858.CD008449.pub2
    CrossrefPubMedGoogle Scholar
  • 40 Thieme H, Morkisch N, Mehrholz J. et al. Mirror therapy for improving motor function after stroke. Stroke 2019; 50: e26-e27 DOI: 10.1161/strokeaha.118.023092.
    CrossrefGoogle Scholar
  • 41 Wu CY, Huang PC, Chen YT. et al. Effects of mirror therapy on motor and sensory recovery in chronic stroke: A randomized controlled trial. Arch Phys Med Rehabil 2013; 94: 1023-1030
    CrossrefPubMedGoogle Scholar