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Physikalische Therapiemodalitäten in der Behandlung chronischer Wunden

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Manual der Wundheilung

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Zusammenfassung

Seit Jahrzehnten werden in der Behandlung chronischer Wunden zusätzlich zur Standardtherapie erfolgreich verschiedene physikalische Maßnahmen angewendet. Bis heute sind jedoch die wissenschaftliche Evidenz und die klinische Relevanz einzelner physikalischer Therapiemodalitäten in der Wundbehandlung nicht geklärt.

Ziel dieses Beitrages ist es, die verschiedenen physikalischen Therapiemodalitäten vorzustellen, ihre Wirkungsweise zur Förderung der Wundheilung zu erläutern und die Evidenz-basierten Anwendungs-möglichkeiten in der Wundbehandlung anhand der vorhandenen Literatur zusammenzufassen.

  • Venöse Ulzera können mittels Elektrotherapie und Magnetfeldtherapie erfolgreich behandelt werden.

  • Bei diabetischen Ulzera sind Elektrotherapie und Wärmetherapie wirksam.

  • Bei Druck-Ulzera kann Wärmetherapie erfolgreich angewendet werden.

  • Bei allen Wundtypen zeigen sich Ultraschalltherapie und Lasertherapie der Placebobehandlung nicht überlegen.

  • Zu ischämischen Ulzera kann aufgrund fehlender Studienergebnisse keine Aussage getroffen werden.

Wie bei vielen anderen Erkrankungsbildern hat sich die physikalische Therapie in der Behandlung chronischer Wunden empirisch bewährt. Wissenschaftliche Nachweise sind jedoch noch ausständig. Trotzdem sind heute physikalische Therapiemaßnahmen aus dem modernen Behandlungsregime chronischer Wunden nicht mehr wegzudenken.

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Author information

Authors and Affiliations

  1. Univ. Klinik für Physikalische Medizin und Rehabilitation, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien

    Dr. C. Zorn & Univ.-Prof. Dr. V. Fialka-Moser

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  1. Dr. C. Zorn
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  2. Univ.-Prof. Dr. V. Fialka-Moser
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Editors and Affiliations

  1. Universitätsklinik für Chirurgie, Medizinische Universität Wien, Wien, Österreich

    Thomas Wild

  2. Abteilung für Dermatologie und Venerologie, AKH Linz, Linz, Österreich

    Josef Auböck

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© 2007 Springer-Verlag/Wien

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Zorn, C., Fialka-Moser, V. (2007). Physikalische Therapiemodalitäten in der Behandlung chronischer Wunden. In: Wild, T., Auböck, J. (eds) Manual der Wundheilung. Springer, Vienna. https://doi.org/10.1007/978-3-211-69454-1_29

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  • DOI: https://doi.org/10.1007/978-3-211-69454-1_29

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-25212-3

  • Online ISBN: 978-3-211-69454-1

  • eBook Packages: Medicine (German Language)

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