title: [Rehabilitation in rheumatology].
abstract: Rehabilitation in rheumatology focuses on prevention of functional disorders of the musculoskeletal system, maintenance of working ability and prevention of care dependency. Drug treatment alone rarely results in long-term remission, therefore rehabilitative measures must be integrated into rheumatic care. Rehabilitative therapy in rheumatology includes physiotherapy, patient education and occupational therapy. Positive effects of physical therapy methods have been proven by various studies. Patient education and occupational therapy are important tools for stabilizing the course of the disease. To maintain positive rehabilitative results patients have to be involved in the selection of treatment measures and should take an active part in the long-term treatment process. Despite proven efficacy of physical measures there is evidence for a lack of utilization of rehabilitative therapy due to increasing cost pressure in the health care system which will further increase over time.
authors.affiliation: Sektion Rheumatologie, Medizinische Klinik II, Universitätsklinikum Leipzig, Leipzig, Deutschland. Franziska.Luttosch@medizin.uni-leipzig.de
authors.forename: F
authors.initials: F
authors.lastname: Luttosch
authors.forename: C
authors.initials: C
authors.lastname: Baerwald
mesh_terms: D018501:Antirheumatic Agents / Q000627:therapeutic use; D015535:Arthritis, Psoriatic / Q000534:rehabilitation*; D001172:Arthritis, Rheumatoid / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D004185:Disability Evaluation; D019317:Evidence-Based Medicine; D005858:Germany; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000534:rehabilitation*; D009313:National Health Programs; D026741:Physical Therapy Modalities; D012050:Rehabilitation, Vocational; D013167:Spondylitis, Ankylosing / Q000534:rehabilitation*
chemical_list: D018501:Antirheumatic Agents
references.citation: Cochrane Database Syst Rev. 2003;(2):CD003688
references.pmid: 12804484
references.citation: Clin Rheumatol. 2009 Jan;28(1):29-34
references.pmid: 18685882
references.citation: Cochrane Database Syst Rev. 2003;(3):CD004377
references.pmid: 12918009
references.citation: Arthritis Res Ther. 2006;8(3):R66
references.pmid: 16600016
references.citation: Int J Clin Pract. 2009 Jul;63(7):1068-84
references.pmid: 19570124
references.citation: Scand J Caring Sci. 2007 Mar;21(1):64-70
references.pmid: 17428216
references.citation: Arthritis Res Ther. 2010;12(2):R42
references.pmid: 20226018
references.citation: Cochrane Database Syst Rev. 2007 Oct 17;(4):CD003786
references.pmid: 17943797
references.citation: Cochrane Database Syst Rev. 2009 Oct 07;(4):CD006853
references.pmid: 19821388
references.citation: J Rheumatol. 2008 Jun;35(6):979-85
references.pmid: 18412314
references.citation: Curr Med Res Opin. 2008 Feb;24(2):469-80
references.pmid: 18179735
references.citation: Cochrane Database Syst Rev. 2004;(1):CD003114
references.pmid: 14974005
references.citation: Z Rheumatol. 2008 Nov;67(7):542-53
references.pmid: 18825393
references.citation: Eur J Phys Rehabil Med. 2010 Jun;46(2):261-8
references.pmid: 20485228
references.citation: J Rehabil Med. 2009 Jun;41(7):557-62
references.pmid: 19543667
references.citation: Cochrane Database Syst Rev. 2003;(4):CD000518
references.pmid: 14583923
references.citation: Ann Rheum Dis. 2006 Sep;65(9):1175-83
references.pmid: 16540552
references.citation: Cochrane Database Syst Rev. 2002;(2):CD002826
references.pmid: 12076454
references.citation: Rheumatol Int. 2007 Jun;27(8):703-13
references.pmid: 17203297
references.citation: Z Rheumatol. 2010 Jul;69(5):435-42
references.pmid: 20016907
references.citation: Arthritis Rheum. 2001 Oct;45(5):430-8
references.pmid: 11642642
references.citation: Cochrane Database Syst Rev. 2008 Jan 23;(1):CD002822
references.pmid: 18254008
references.citation: Arthritis Rheum. 2005 Jun 15;53(3):410-7
references.pmid: 15934121
references.citation: Cochrane Database Syst Rev. 2003;(4):CD004522
references.pmid: 14584019
references.citation: Clin Exp Rheumatol. 2006 May-Jun;24(3):295-301
references.pmid: 16870097
references.citation: Cochrane Database Syst Rev. 2002;(3):CD000333
references.pmid: 12137611