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Bedeutung der Befundaufnahme in der Physiotherapie

by Hannah Scheiring
on 25. Januar 2022
LWS Untersuch

Vielleicht haben Sie sich schon einmal gefragt, weshalb in der Physiotherapie eine Untersuchung durchgeführt wird. Weshalb die betroffenen Strukturen begutachtet oder wieso bestimmte Tests durchgeführt werden.

Der sogenannte Befund ist gemeinsam mit dem Erstgespräch und der anschliessenden Behandlung ein wesentlicher Bestandteil der ersten Sitzung in der Physiotherapie.

Wie dieser Befund abläuft und wozu er dient, möchte ich Ihnen im folgenden Beitrag näher erklären.

Der Befund, auch genannt die Untersuchung, besteht aus mehreren Bestandteilen, welche schlussfolgernd dem besseren Verständnis der Problematik dienen, sowohl für den Patient als auch für den Therapeuten:

Inspektion

Bei der Inspektion muss die betroffene Struktur frei ersichtlich sein, weshalb oftmals darum gebeten wird ein Kleidungsstück auszuziehen.

Daraufhin wird der Patient von allen Seiten betrachtet wobei auf mögliche Asymmetrien im links / rechts Vergleich, Spannungszustand der Muskulatur, Hautveränderungen, Narben und so weiter geachtet wird. All diese Informationen sind wichtig und geben Auskunft über die mögliche Ursache der Beschwerden.

funktionelle Untersuchung

Bei der funktionellen Untersuchung geht es darum, herauszufinden, bei welchen alltäglichen Problemen der Patient Beschwerden hat. Der Patient wird zum Beispiel darum gebeten in die Hocke zu gehen oder auf den Zehen zu laufen.

aktiv – passiv

Hierbei müssen zuerst die Begriffe aktiv und passiv genauer erklärt werden:

Aktiv bedeutet, dass der Patient die Bewegung, beispielsweise die Beugung des Ellbogens, ohne die Hilfe des Therapeuten ausführen kann. Der Physiotherapeut achtet auf das Bewegungsausmass und auf die Qualität der Ausführung, wobei die aktive Untersuchung immer im links/rechts Vergleich durchgeführt wird. Damit die Bewegung erfolgt, muss die Muskulatur aktiviert werden. Treten dabei Schmerzen auf, kann die Muskulatur als mögliche Ursache der Beschwerden in Betracht gezogen werden.

Bei der passiven Untersuchung soll der Patient lockerlassen, der Physiotherapeut führt die Bewegung aus. Auch hier wird das Bewegungsausmass und die Qualität der Bewegung im links/rechts Vergleich betrachtet. Bei der passiven Untersuchung wird die Muskulatur ausgeschaltet, weshalb sie als mögliche Ursache der Beschwerden ausgeschlossen wird und der Schmerz zum Beispiel eher auf Bänder oder die Kapsel zurückzuführen ist.  

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

spezifische Tests

Anhand der spezifischen Tests können Strukturen (wie zum Beispiel Muskeln, Bänder, Sehnen) nochmals differenzierter betrachtet werden. Sie dienen der genaueren Beurteilung der Schmerzursache und erfolgen deshalb meistens am Schluss der Untersuchung.

Zudem wird anhand der gesamten Befundung eine physiotherapeutische Hypothese aufgestellt. Diese Hypothese fasst die Erkenntnisse aus der Untersuchung zusammen und muss in den folgenden Sitzungen immer wieder überprüft und allenfalls angepasst werden.

Beim ersten Termin kostet so ein aufwendiger Befund zwar Zeit, jedoch bildet er die Grundlage für jede weitere Therapie. Es lohnt sich, sich diese Zeit zu nehmen, da wir schlussendlich viel effizienter und zielführender behandeln können.

Die Therapie wird individuell auf unsere Patienten angepasst, sodass wir schnellstmöglich Fortschritte erzielen können und der Patient wieder in die Selbstständigkeit entlassen werden kann.

Doch zufrieden geben wir uns erst, wenn alle Ziele des Patienten erreicht worden sind und wir uns sicher sein können, dass dieselben Probleme nicht innerhalb kürzester Zeit wiederholt auftreten werden.

Unsere geschulten TherapeutInnen beraten Sie gerne individuell.

 

 

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