Langzeitstudie Rückenschmerzen

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d="M213.66,154.34l-80-80a8,8,0,0,0-11.32,0l-80,80A8,8,0,0,0,48,168H208a8,8,0,0,0,5.66-13.66Z"></path></svg><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 256 256" class="iconpack phosphor phosphor-caret-right-bold d-block d-lg-none" fill="currentColor" role="img" aria-hidden="true"><rect width="256" height="256" fill="none"></rect><polyline points="96 48 176 128 96 208" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline></svg></a><ul class="nav flex-column nav-level1" role="menu"><li class="has-sub" role="none"><a href="/de/gesundheit/ueber-uns/campus-haus-adeline-favre-in-winterthur" role="menuitem" aria-haspopup="true" aria-expanded="false"><span class="link-text">Campus Haus Adeline Favre in Winterthur</span><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 256 256" class="iconpack phosphor phosphor-caret-right-bold" fill="currentColor" role="img" aria-hidden="true"><rect width="256" height="256" 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<li class="no-translation" role="none presentation"> <span class="slash-space">/</span> EN </li> </ul> </div> </div> </div> </header>  <main id="main-content" class="container-fluid"> <nav aria-label="Breadcrumb"><ol itemscope itemtype="https://schema.org/BreadcrumbList" class="col-12 d-none d-lg-flex breadcrumb"><li class="breadcrumb-item" itemprop="itemListElement" itemscope itemtype="https://schema.org/ListItem"><a href="/de/gesundheit" itemprop="item"><span itemprop="name">Gesundheit</span></a><meta itemprop="position" content="1"></li><li class="breadcrumb-item" itemprop="itemListElement" itemscope itemtype="https://schema.org/ListItem"><a href="/de/gesundheit/forschung" itemprop="item"><span itemprop="name">Forschung</span></a><meta itemprop="position" content="2"></li><li class="breadcrumb-item" itemprop="itemListElement" itemscope itemtype="https://schema.org/ListItem"><a href="/de/gesundheit/forschung/physiotherapie" itemprop="item"><span itemprop="name">Physiotherapie</span></a><meta itemprop="position" content="3"></li><li class="breadcrumb-item" itemprop="itemListElement" itemscope itemtype="https://schema.org/ListItem"><a href="/de/gesundheit/forschung/physiotherapie/projekte" itemprop="item"><span itemprop="name">Projekte</span></a><meta itemprop="position" content="4"></li><li class="breadcrumb-item" itemprop="itemListElement" itemscope itemtype="https://schema.org/ListItem"><a href="/de/gesundheit/forschung/physiotherapie/projekte/langzeitstudie-rueckenschmerzen" itemprop="item"><span itemprop="name">Langzeitstudie Rückenschmerzen</span></a><meta itemprop="position" content="5"></li></ol></nav> <h1 id="main-page-title" class="text-center">Langzeitstudie Rückenschmerzen</h1> <div id="c94865" class="frame frame-default frame-type-zhawlead_show frame-layout-0"> <div class="zhaw-lead"><p class="lead">Bewegungsmangel, Fehlbelastungen oder Stress – Rückenschmerzen haben unterschiedliche Ursachen und betreffen viele Menschen, fast jeder leidet einmal im Leben darunter.</p></div> </div> <div id="c94890" class="frame frame-default frame-type-image frame-layout-0"> <div class="ce-image ce-center ce-above"> <div class="ce-gallery " data-ce-columns="1" data-ce-images="1"> <div class="ce-outer"> <div class="ce-inner"> <div class="ce-row"> <div class="ce-column "> <figure class="image"> <img srcset="/storage/_processed_/f/3/csm_canstockphoto9956156_d4a4e6e40b.webp 525w, /storage/_processed_/f/3/csm_canstockphoto9956156_8ab69f72e2.webp 717w, /storage/_processed_/f/3/csm_canstockphoto9956156_d853107c1f.webp 931w, /storage/_processed_/f/3/csm_canstockphoto9956156_2479182c44.webp 1140w" sizes="(min-width: 1200px) 1140px, (min-width: 992px) 931px, (min-width: 768px) 717px, 525px" class="image-embed-item img-fluid" src="/storage/_processed_/f/3/csm_canstockphoto9956156_82a9e2bb12.webp" width="2940" height="1225" loading="lazy" alt="" /> </figure> </div> </div> </div> </div> </div> </div> </div> <div id="c94867" class="frame frame-default frame-type-zhawancorlinks_show frame-layout-0"> <div class="row zhaw-ancorlinks"><div class="row col-12 col-sm-6 col-md-6 col-lg-6"><div class="col-12 col-sm-12 col-md-12 col-lg-6"><p><a href="#c94870"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 256 256" class="iconpack phosphor phosphor-arrow-down-bold" fill="currentColor" role="img"><rect width="256" height="256" fill="none"></rect><line x1="128" y1="40" x2="128" y2="216" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line><polyline points="56 144 128 216 200 144" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline></svg><span class="link-text">Ausgangslage</span></a> </p></div><div class="col-12 col-sm-12 col-md-12 col-lg-6"><p><a href="#c94871"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 256 256" class="iconpack phosphor phosphor-arrow-down-bold" fill="currentColor" role="img"><rect width="256" height="256" fill="none"></rect><line x1="128" y1="40" x2="128" y2="216" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line><polyline points="56 144 128 216 200 144" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline></svg><span class="link-text">Zielsetzung</span></a> </p></div></div><div class="row col-12 col-sm-6 col-md-6 col-lg-6"><div class="col-12 col-sm-12 col-md-12 col-lg-6"><p><a href="#c94873"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 256 256" class="iconpack phosphor phosphor-arrow-down-bold" fill="currentColor" role="img"><rect width="256" height="256" fill="none"></rect><line x1="128" y1="40" x2="128" y2="216" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line><polyline points="56 144 128 216 200 144" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline></svg><span class="link-text">Methode und Vorgehen</span></a> </p></div><div class="col-12 col-sm-12 col-md-12 col-lg-6"><p><a href="#c94874"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 256 256" class="iconpack phosphor phosphor-arrow-down-bold" fill="currentColor" role="img"><rect width="256" height="256" fill="none"></rect><line x1="128" y1="40" x2="128" y2="216" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line><polyline points="56 144 128 216 200 144" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline></svg><span class="link-text">Projektorganisation</span></a> </p></div></div></div> </div> <div id="c94868" class="frame frame-default frame-type-text frame-layout-0"> <p>Rückenschmerzen zählen in der Schweiz mittlerweile zu den häufigsten gesundheitlichen Beschwerden. Meistens sind Rückenschmerzen harmlos, treten plötzlich auf und verschwinden innerhalb einiger Tage oder Wochen oft von selbst wieder. Bleiben Rückenschmerzen bestehen, spricht man von chronischen Beschwerden. Trotz grosser medizinischer Fortschritte sind die Behandlungserfolge chronischer Rückenschmerzen immer noch unbefriedigend.</p> <p>Diese wissenschaftliche Studie evaluiert die Zusammenhänge zwischen körperlichen und psychosozialen Faktoren bei Rückenschmerzen. Dafür werden Patient:innen während eines Jahres begleitet. Erkenntnisse der Studie könnten für die Prävention und zukünftige Behandlung der Volkskrankheit relevant sein.</p> </div> <div id="c94869" class="frame frame-default frame-type-zhawlinklist_show frame-layout-0"> <div class="linklist"> <ul> <li><a href="/storage/gesundheit/institute-zentren/ipt/202102-projektflyer-long-back-zhaw-gesundheit.pdf" target="_blank"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 256 256" class="iconpack phosphor phosphor-download-simple-bold" fill="currentColor" role="img"><rect width="256" height="256" fill="none"></rect><line x1="128" y1="144" x2="128" y2="32" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line><polyline points="216 144 216 208 40 208 40 144" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline><polyline points="168 104 128 144 88 104" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline></svg><span class="link-text">Projektflyer</span><span class="pb_fileinfo">(PDF 131,0 KB)</span></a></li> </ul> </div> </div> <div id="c94870" class="frame frame-default frame-type-text frame-layout-0"> <header> <div class="row"> <h2 class=""> <span>Ausgangslage</span> </h2> </div> </header> <p>Während der Grossteil der Personen mit akuten Rückenschmerzen innerhalb weniger Wochen schmerzfrei wird, entwickeln etwa 30% der Patient:innen chronische Beschwerden. Diese Beschwerden bedeuten eine grosse persönliche Last für die Betroffenen und beeinflussen direkt ihr Sozialleben und ihre Arbeitstätigkeit. Zusätzlich fallen hohe Kosten im Gesundheitssystem an.</p> <p>Die genauen Mechanismen beim Übergang von akuten zu chronischen Rückenschmerzen sind noch unbekannt. Meistens sind sie nicht das Ergebnis von Veränderungen an der Wirbelsäule, sondern eine funktionelle Störung im komplexen System aus Muskeln, Bändern und Gelenken des Rückens. Neueste wissenschaftliche Erkenntnisse zeigen jedoch auch einen engen Zusammenhang zwischen körperlichen und psychosozialen Faktoren auf, die in diesem Prozess eine entscheidende Rolle spielen. Bekannte psychosoziale Risikofaktoren sind</p><ul> <li><span class="text-wrapper">unrealistische Befürchtungen über den Schweregrad der Rückenschmerzen</span></li> <li><span class="text-wrapper">zu passive oder überaktive Verhaltensweisen, wie zum Beispiel eine ausgeprägte Schonhaltung oder zu viel Aktivität</span></li> <li><span class="text-wrapper">ungenügende Bewältigungsmechanismen</span></li> <li><span class="text-wrapper">Stress</span></li> </ul><p>Obwohl solche Faktoren bekannt sind, wird sowohl bei der Ursache als auch bei der Behandlung von Rückenschmerzen ausschliesslich im körperlichen Bereich gesucht. Eine frühzeitige Berücksichtigung psychosozialer Faktoren könnte die Chronifizierung beeinflussen und dazu beitragen, viel Leid zu vermeiden und hohe Kosten einzusparen.</p> </div> <div id="c94871" class="frame frame-default frame-type-text frame-layout-0"> <header> <div class="row"> <h2 class=""> <span>Zielsetzung</span> </h2> </div> </header> </div> <div id="c94872" class="frame frame-default frame-type-text frame-layout-0"> <p>Die vorliegende Langzeituntersuchung erhebt erstmals gleichzeitig klinische und psychosoziale Faktoren sowie Bewegungskontrolle und körperliche Aktivität und bringt diese in einen Zusammenhang. Bei ausgewählten Patient:innen werden zusätzlich Messungen mit funktionellem MRI durchgeführt, um mögliche Veränderungen in den beteiligten Netzwerken im Gehirn zu verfolgen.</p> <p>Von grösstem Interesse ist die Vielfältigkeit der Verläufe und Behandlungsmöglichkeiten bei dieser Patienten:innen-Gruppe, besonders auch bei Betroffenen, bei denen die Rückenschmerzen ausheilen. Schlussendlich sollen die Ergebnisse helfen, Zusammenhänge dieses vielschichtigen Problems zu verstehen, Risiko- und Schutzfaktoren für die Entwicklung chronischer Rückenschmerzen zu erkennen und neue Ansätze für die Therapie zu entwickeln.</p> </div> <div id="c94873" class="frame frame-default frame-type-text frame-layout-0"> <header> <div class="row"> <h2 class=""> <span>Methoden und Vorgehen</span> </h2> </div> </header> <ul> <li><span class="text-wrapper">Die Langzeituntersuchung dauert 12 Monate und umfasst 4x eine körperliche Untersuchungen und 5x eine Erhebung mit Fragebogen.</span></li> </ul><p><strong>Kriterien für die Teilnahme</strong></p><ul> <li><span class="text-wrapper">Schmerzen im unteren Rückenbereich (Lendenwirbelsäule) seit höchstens 4 Wochen</span></li> <li><span class="text-wrapper">Bei wiederkehrenden Schmerzen im unteren Rückenbereich (Lendenwirbelsäule) waren Sie die letzten drei Monate schmerzfrei</span></li> <li><span class="text-wrapper">Zwischen 18 und 65 Jahren</span></li> <li><span class="text-wrapper">Gute Deutschkenntnisse</span></li> <li><span class="text-wrapper">Eine medizinische Behandlung ist nicht notwendig</span></li> </ul><p><strong>Körperliche Untersuchung</strong></p><ul> <li><span class="text-wrapper">4 Termine in lokalen Testzentren (4, 8, 12 und 26 Wochen nach Beginn der Rückenschmerzen)</span></li> <li><span class="text-wrapper">Untersuchung von Schmerzempfinden Körperwahrnehmung und Bewegungskontrolle</span></li> <li><span class="text-wrapper">Dauer: ca. 30 Minuten</span></li> </ul><p><strong>Fragebogen</strong></p> <p>Beantwortung eines webbasierten / online Fragenbogens via PC / Handy  nach 4, 8, 12, 26 und 52 Wochen, zu:</p><ul> <li><span class="text-wrapper">Rückenschmerzen und möglichen Behandlungen</span></li> <li><span class="text-wrapper">psychosozialen Faktoren (Stress, Verhaltensweisen, Aufmerksamkeit)</span></li> <li><span class="text-wrapper">körperlicher Aktivität</span></li> </ul><p>Der Fragebogen wird online zu Hause oder im lokalen Testzentrum ausgefüllt. Dauer: ca. 30 Minuten.</p> <p>Alle Daten werden streng vertraulich behandelt.</p> </div> <div id="c94875" class="frame frame-default frame-type-text frame-layout-0"> <header> <div class="row"> <h2 class=""> <span>Projektpartner</span> </h2> </div> </header> <p> </p> </div> <div id="c94879" class="frame frame-default frame-type-zhawpartnerlink_show frame-layout-0"> <div class="zhaw-logopartner"> <ul class="row"><li class="col-12 col-sm-6 col-md-6 col-lg-3"><figure><a href="https://www.ksw.ch/" target="_blank" rel="noreferrer"><img src="/storage/_processed_/3/8/csm_Logo_KSW_253f61c2b7.webp" class="img-responsive" alt=""></a><figcaption>Kantonsspital Winterthur</figcaption></figure></li><li class="col-12 col-sm-6 col-md-6 col-lg-3"><figure><a href="https://www.medbase.ch/standorte/detail/medbase-winterthur-archhoefe/" target="_blank" rel="noreferrer"><img src="/storage/_processed_/e/1/csm_LOGO_MEDBASE_99006deed5.webp" class="img-responsive" alt=""></a><figcaption> Medbase Winterthur Archhöfe</figcaption></figure></li><li class="col-12 col-sm-6 col-md-6 col-lg-3"><figure><a href="http://www.physio-meilen.ch/" target="_blank" rel="noreferrer"><img src="/storage/_processed_/4/4/csm_Physiotherapie_Physion_Meilen_377d6cf2be.webp" class="img-responsive" alt=""></a><figcaption>Physiotherapie Physion Meilen</figcaption></figure></li><li class="col-12 col-sm-6 col-md-6 col-lg-3"><figure><a href="http://www.usz.ch" target="_blank" rel="noreferrer"><img src="/storage/_processed_/4/8/csm_logo-usz_084c6f17df.webp" class="img-responsive" alt=""></a><figcaption>Universitätsspital Zürich</figcaption></figure></li></ul> </div> </div> <div id="c94874" class="frame frame-default frame-type-text frame-layout-0"> <header> <div class="row"> <h2 class=""> <span>Projektorganisation</span> </h2> </div> </header> <ul> <li><span class="text-wrapper"><strong>Projektleitung</strong><br> <a href="/de/ueber-uns/person/hotb/" target="_blank">Prof. Dr. Sabina Hotz Boendermaker</a></span></li> <li><span class="text-wrapper"><strong>Projektdauer</strong><br> 01.09.2017 – 31.10.2021</span></li> <li><span class="text-wrapper"><strong>Projektteam</strong><br> <a href="/de/ueber-uns/person/luom/" target="_blank">Prof. Dr. Hannu Luomajoki</a><br> Bart Boendermaker, Doktorand<br> <a href="/de/ueber-uns/person/pfer/" target="_blank">Fabian Pfeiffer, Doktorand</a></span></li> <li><span class="text-wrapper"><strong>Finanzierung</strong><br> Fördermittel des Schweizerischen Nationalfonds</span></li> <li><span class="text-wrapper"><strong>Projektstatus</strong>: Abgeschlossen </span></li> </ul> </div> <div id="c218602" class="frame frame-default frame-type-text frame-layout-0"> <header> <div class="row"> <h2 class=""> <span>Publikationen und Berichte</span> </h2> </div> </header> </div> <div id="c218419" class="frame frame-default frame-type-list frame-layout-0"> <header> <h3 class=""> ZHAW Publikationsdatenbank </h3> </header> <div class="zhaw-dspace"> <ul class="zhaw-publication-list list"> <li class="publication list-compact-item list-item clearfix" itemscope itemtype="http://schema.org/Book"> <p> <span class="person-fullname" itemprop="name">Dietrich, Nicole; </span> <a href="/de/ueber-uns/person/luom" itemprop="author" class="publication-author"> Luomajoki, Hannu</a>; <a href="/de/ueber-uns/person/hotb" itemprop="author" class="publication-author"> Hotz Boendermaker, Sabina</a>, </p> <p>2023.</p> <p> <a target="_blank" href="https://digitalcollection.zhaw.ch/handle/11475/29561"><em>The association between mechanical temporal summation, state anxiety at baseline, and persistent low back pain : a 12-month prospective cohort study</em></a>. </p> <p>BMC Musculoskeletal Disorders.</p> <p> 24(1), S. 957. </p> <p> Verfügbar unter: <a target="_blank" href="https://doi.org/10.1186/s12891-023-07046-w">https://doi.org/10.1186/s12891-023-07046-w</a> </p> </li> <li class="publication list-compact-item list-item clearfix" itemscope itemtype="http://schema.org/Book"> <p> <a href="/de/ueber-uns/person/pfer" itemprop="author" class="publication-author"> Pfeiffer, Fabian</a>; <span class="person-fullname" itemprop="name">Meichtry, André; </span> <a href="/de/ueber-uns/person/luom" itemprop="author" class="publication-author"> Luomajoki, Hannu</a>; <a href="/de/ueber-uns/person/hotb" itemprop="author" class="publication-author"> Hotz Boendermaker, Sabina</a>, </p> <p>2023.</p> <p> <a target="_blank" href="https://digitalcollection.zhaw.ch/handle/11475/29369"><em>The natural course of acute low back pain in the general population : an inception cohort study</em></a> [Poster]. </p> <p>In:</p> <p></p> <p>13th Congress of the European Pain Federation EFIC, Budapest, Hungary, 20-22 September 2023.</p> <p></p> <p></p> <p></p> <p> Verfügbar unter: <a target="_blank" href="https://europeanpainfederation.eu/wp-content/uploads/2023/11/ABSTRACT_BOOK_T-2023.pdf">https://europeanpainfederation.eu/wp-content/uploads/2023/11/ABSTRACT_BOOK_T-2023.pdf</a> </p> </li> <li class="publication list-compact-item list-item clearfix" itemscope itemtype="http://schema.org/Book"> <p> <span class="person-fullname" itemprop="name">Boendermaker, Bart; </span> <span class="person-fullname" itemprop="name">Buechler, Roman; </span> <span class="person-fullname" itemprop="name">Michels, Lars; </span> <span class="person-fullname" itemprop="name">Nijs, Jo; </span> <span class="person-fullname" itemprop="name">Coppieters, Iris; </span> <a href="/de/ueber-uns/person/hotb" itemprop="author" class="publication-author"> Hotz-Boendermaker, Sabina</a>, </p> <p>2022.</p> <p> <a target="_blank" href="https://digitalcollection.zhaw.ch/handle/11475/30204"><em>Adaptive changes in sensorimotor processing in patients with acute low back pain</em></a>. </p> <p>Scientific Reports.</p> <p> 12(1), S. 21741. </p> <p> Verfügbar unter: <a target="_blank" href="https://doi.org/10.1038/s41598-022-26174-2">https://doi.org/10.1038/s41598-022-26174-2</a> </p> </li> <li class="publication list-compact-item list-item clearfix" itemscope itemtype="http://schema.org/Book"> <p> <span class="person-fullname" itemprop="name">Morf, Rita; </span> <a href="/de/ueber-uns/person/pfer" itemprop="author" class="publication-author"> Pfeiffer, Fabian</a>; <a href="/de/ueber-uns/person/hotb" itemprop="author" class="publication-author"> Hotz Boendermaker, Sabina</a>; <span class="person-fullname" itemprop="name">Meichtry, André; </span> <a href="/de/ueber-uns/person/luom" itemprop="author" class="publication-author"> Luomajoki, Hannu</a>, </p> <p>2021.</p> <p> <a target="_blank" href="https://digitalcollection.zhaw.ch/handle/11475/23125"><em>Prediction and trend of tactile acuity, pain and disability in acute LBP : a six-month prospective cohort study</em></a>. </p> <p>BMC Musculoskeletal Disorders.</p> <p> 22(666). </p> <p> Verfügbar unter: <a target="_blank" href="https://doi.org/10.1186/s12891-021-04530-z">https://doi.org/10.1186/s12891-021-04530-z</a> </p> </li> </ul> </div> </div> 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