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Bewegungsförderung für ältere Rheumapatienten

Besonderheiten bei entzündlich rheumatischen Erkrankungen vor dem Hintergrund aktueller Bewegungsempfehlungen

Promotion of physical activity for older patients with rheumatism

Characteristics of inflammatory rheumatic diseases against the background of physical activity recommendations

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Zusammenfassung

Bewegung zählt aufgrund der guten Evidenz und des breiten Wirkspektrums zu den wichtigsten Therapiebausteinen in der Behandlung von entzündlich rheumatischen Erkrankungen. Wegen der häufigen Überlagerung krankheits- und altersspezifischer Aspekte bei älteren Patienten ist die Umsetzung der aktuellen Nationalen Empfehlungen für Bewegung und Bewegungsförderung ärztlich zu prüfen und zu begleiten. Um ältere Patienten nachhaltig in Bewegung zu bringen, bedarf es eines patientenzentrierten Vorgehens unter Berücksichtigung sowohl der individuellen Gesundheitsprobleme als auch des aktuellen Lebenskontextes. Der Beitrag liefert eine Übersicht zur Charakteristik älterer Rheumapatienten aus aktivitäts- und bewegungsbezogener Perspektive. Vor diesem Hintergrund wird ein einfacher Leitfaden zur Bewegungsberatung innerhalb ärztlicher Konsultationen skizziert, der Besonderheiten älterer Rheumapatienten berücksichtigt. So kann eine gezielte, ressourcen- und budgetschonende Bewegungsförderung im Einklang mit den „Nationalen Empfehlungen für Bewegung und Bewegungsförderung“ in den Praxisalltag integriert werden.

Abstract

Due to the wide range of positive effects and the clear evidence of effectiveness, physical activity is one of the most important treatments for inflammatory rheumatic diseases. Because of the frequent overlap of disease and age-related aspects in older patients, the implementation of the German national physical activity recommendations has to be checked and accompanied by physicians. To get the older patients in motion, a patient-centered approach is required that takes the individual health problem(s) and the current context of life into account. This article provides an overview of the activity-related characteristics of older patients with inflammatory rheumatic diseases. Against this background a simple strategy is provided for promoting physical activity during medical consultation, which takes the characteristics of older patients with rheumatism into consideration. In this way, physicians can integrate a targeted, resource and time-saving economic strategy into consultations that is in concordance with the national physical activity recommendations.

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  1. Institut für Rehabilitationsmedizin, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle (Saale), Deutschland

    A. Golla, K. Mattukat & W. Mau

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U. Lange, Bad Nauheim

W. Mau, Halle

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Golla, A., Mattukat, K. & Mau, W. Bewegungsförderung für ältere Rheumapatienten. Z Rheumatol 78, 127–135 (2019). https://doi.org/10.1007/s00393-019-0592-0

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