[Salutogenic concepts in the rehabilitation of osteoarthritis].


BACKGROUND:The treatment strategies for osteoarthritis (OA) are well known from numerous studies. One of the challenges is long-term patient compliance to the recommended therapies without supervision. OBJECTIVE:To examine the ability of salutogenic concepts to improve rehabilitative management of OA. MATERIALS AND METHODS:Review article introducing salutogenic concepts and their empiric evidence, focussing on Antonovsky's sense of coherence (SOC). RESULTS:The SOC consists of the three components comprehensibility, manageability and meaningfulness. SOC can be quantified by SOC-13, a self-reported measurement with 13 items. Associations of the SOC with different dimensions of health (in particular with Short Form 36, SF-36) are known from cross-sectional studies. Most studies showed a stronger correlation of the mental than the physical health dimensions of SF-36 with SOC-13. This result is consistent with baseline examinations of hip and knee OA patients before rehabilitation. At the 6-month follow-up, correlations between SOC and the changes of the SF-36 scores were weak. A salutogenically orientated instruction for self-management of symptoms in cancer patients showed significant improvement in SOC. CONCLUSION:Increasing SOC can lead to health improvements on many levels, e.g. self-efficacy, reduction of fear, coping, education, resources and compliance to treatment. Empirical proof that interventional measures increasing SOC can improve the health of OA patients is currently unavailable.


Z Rheumatol


Benz T,Aeschlimann A,Angst F




Has Abstract


2015-09-01 00:00:00












  • The osteogenic potential of ligament fibroblasts is greater in ankylosing spondylitis patients than in patients with osteoarthritis.

    abstract:BACKGROUND:The goal of the present study was to investigate the osteogenic potential of ligament fibroblasts from patients with ankylosing spondylitis (AS). MATERIALS AND METHODS:Ligament fibroblasts were isolated from tissues harvested from AS patients and patients with aseptic necrosis of the femoral head (ANFH) who...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Yang M,Yuan H,Miao M,Xu W

    更新日期:2015-05-01 00:00:00

  • The treatment of rheumatoid arthritis with OM-8930, a bacterial immunostimulating agent.

    abstract::OM 8930, a bacterial product with immunostimulatory capacities, was studied for its efficacy in the long-term treatment of rheumatoid arthritis (RA). Ten (10) patients with active seropositive rheumatoid arthritis were treated intermittently for six months with the agent and were evaluated according to clinical, labor...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Rosenthal M,Plattner S

    更新日期:1981-09-01 00:00:00

  • [DRESS syndrome following sulfasalazine treatment].

    abstract::A female patient developed systemic rash, lung edema, electrocardiogram (ECG) abnormalities and fulminant hepatitis with partial liver failure 4 weeks after the start of sulfasalazine treatment. Peripheral T-cell activation, a positive PCR test for human herpesvirus (HHV) 6 as well as eosinophilia in bronchial lavage ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Pirklbauer M,Gruber J

    更新日期:2014-03-01 00:00:00

  • [Sex-specific differences of the immune system].

    abstract:BACKGROUND:Sex-specific differences in the prevalence and severity of immune disorders are well-known phenomena; however, it is only recently that we have begun to understand the possible causes of such differences. MATERIAL AND METHODS:A literature search on this topic was carried out and the results are summarized. ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审


    authors: Riemekasten G,Siegert E

    更新日期:2014-09-01 00:00:00

  • [Aseptic osteonecrosis after steroid treatment].

    abstract::A 28-year-old female patient had load-dependent pain of the left knee. MRI showed an osteochondral defect of the medial condyle based on extensive osteonecrosis of the femoral and tibial bone. An association with a prior steroid treatment after cervical injury is most likely. ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Steinhagen J,Rüther W

    更新日期:2004-06-01 00:00:00

  • [MicroRNAs in B-cells and T-cells as regulators of inflammation].

    abstract::MicroRNAs are small non-coding RNAs which are crucial for the fine regulation of gene expression. Recent results suggest that these molecules display multifaceted functions in B-cells and T-cells in rheumatic inflammatory diseases. ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审


    authors: Wittmann J,Jäck HM,Mashreghi MF

    更新日期:2011-08-01 00:00:00

  • [Surgical therapy of osteoporotic vertebral body fractures].

    abstract::Osteoporosis is an age-related systemic disease leading to increased bone fragility. The vertebral bodies of the transitional area between the thoracic and lumbar spine are often involved. A large number of unreported or late-diagnosed fractures have to be assumed. If risk factors such as advanced age or comorbidities...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Boluki D

    更新日期:2011-01-01 00:00:00

  • [Back to school physical education despite rheumatism : Development and testing of a sport scientific-based physical education certification].

    abstract:BACKGROUND:Taking part in physical education is an important element of social participation for children with chronic diseases. Nevertheless, children suffering from rheumatism mostly receive recommendations to stop sport activities either completely or partially, without underlying scientific guidelines. OBJECTIVE:T...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审


    authors: Hartmann M,Merker J,Schrödl S,König M,Georgi M,Hinze C,Schwirtz A,Haas JP

    更新日期:2018-10-01 00:00:00

  • [Health economic aspects of a stratified medicine for rheumatoid arthritis].

    abstract::Up to now stratified therapy concepts have not played an important role in the treatment of patients with rheumatoid arthritis; however, a high heterogeneity regarding the effectiveness of therapies and occurrence of side effects in patients with the same indications provokes research efforts aiming at identifying and...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Frank M,Mittendorf T

    更新日期:2013-02-01 00:00:00

  • [Occurrence of pannus in arthrosis].

    abstract::Eight human femoral heads, surgically removed from patients with the clinical diagnosis: coxarthrosis or necrosis, were examined. In six of these we found severe arthrosis combined with synovitis and pannus formation. The pannus appeared as granulation tissue or fibrous connective tissue covering the surface of the ca...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Pataki A,Lothe K,Spycher MA,Rüttner JR,Cserhati MD

    更新日期:1983-11-01 00:00:00

  • [Prophylaxis and treatment of infections in elderly patients with rheumatism].

    abstract::In general, the risk of serious infections increases with age, mainly explained by immunosenescence and accumulation of comorbidities. Those patients with rheumatoid arthritis who are of advanced age and require treatment with immunosuppressive agents are at particular risk to develop an infectious disease. Actual req...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Kneitz C,Strangfeld A,Krüger K

    更新日期:2014-04-01 00:00:00

  • [How long should treatment with tocilizumab be carried out for giant cell arteritis and how should it be ended (discontinue/taper off)?]

    abstract::The revised S2 guidelines for treatment of giant cell arteritis have recently been published. Glucocorticosteroids remain the standard first line treatment. For severe or relapsing courses of the disease, the IL‑6 antagonist tocilizumab, a potent antibody, is now available as a therapeutic option; however, how long th...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Henes J

    更新日期:2020-12-22 00:00:00

  • [Relevance of big data for molecular diagnostics].

    abstract::Big data analysis raises the expectation that computerized algorithms may extract new knowledge from otherwise unmanageable vast data sets. What are the algorithms behind the big data discussion? In principle, high throughput technologies in molecular research already introduced big data and the development and applic...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审


    authors: Bonin-Andresen M,Smiljanovic B,Stuhlmüller B,Sörensen T,Grützkau A,Häupl T

    更新日期:2018-04-01 00:00:00

  • [Multimorbidity in elderly rheumatic patients part 1].

    abstract::An appropriate treatment of elderly rheumatic patients implements comprehensive diagnostics and exclusion diagnostics of e.g. coronary heart disease, osteoporosis, renal failure, diabetes mellitus type 2 and thyroid gland dysfunction. Furthermore, the complex disease situation might require the integration of other fa...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Lakomek HJ,Brabant T,Lakomek M,Lüttje D

    更新日期:2013-08-01 00:00:00

  • Serum sulfhydryl groups in rheumatoid arthritis.

    abstract::The sulfhydryl groups are chemically active parts of the protein molecule and participate in many important biochemical and metabolic processes. The present material comprised 132 patients with rheumatoid arthritis, 104 patients with other diseases and 44 controls. The patients with rheumatoid arthritis had decreased ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Haataja M,Kalliomäki JL

    更新日期:1977-03-01 00:00:00

  • [Studies on mobility and prognosis in spondylitis ankylosans].

    abstract::278 patients with ankylosing spondylitis have been studied in order to find a basis for prognosis by setting a mobility function index of the vertebral column. This index does not depend on manifestation age or on the blood sedimentation rate. It increases with progression of x-ray findings. A coincidence of impaired ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Schöffel J,Pohl W

    更新日期:1975-11-01 00:00:00

  • Chondroneutrality of meloxicam in rats with spontaneous osteoarthrosis of the ankle joint.

    abstract::The effect of meloxicam, a new non-steroidal anti-inflammatory drug, on spontaneous osteoarthrosis of the ankle joint in Crl: CDBR rats was investigated. The drug was administered in the feed at doses of 0.4, 0.6 and 0.8 mg/kg/day over a period of 2 years to 50 males and 50 females per dose. 100 male rats and 100 fema...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Mohr W,Lehmann H,Engelhardt G

    更新日期:1997-01-01 00:00:00

  • [Bone morphogenetic proteins in the skeletal system].

    abstract::Bone morphogenetic proteins (BMPs) belong to the transforming growth factor-beta superfamily. Their potential for organ and tissue regeneration and repair has been intensively investigated in recent years. Studies on fetal development have demonstrated the important role of these proteins for the development and diffe...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审


    authors: Bramlage CP,Häupl T,Kaps C,Bramlage P,Müller GA,Strutz F

    更新日期:2005-09-01 00:00:00

  • [Imaging procedures in rheumatology. Differential diagnosis using various imaging procedures in rheumatoid arthritis (RA)].

    abstract::Conventional radiography, ultrasonography (US), magnetic resonance imaging (MRI), computed tomography, and scintigraphy are imaging techniques in use for rheumatoid arthritis (RA). Conventional radiography of the hands and the forefeet should be performed every 6 to 12 months in the first two years, and every 12 to 24...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审


    authors: Kellner H,Schmidt W,Rau R

    更新日期:2005-11-01 00:00:00

  • Toxic epidermal necrolysis due to therapy with cyclophosphamide and mesna. A case report of a patient with seronegative rheumatoid arthritis and rheumatoid vasculitis.

    abstract::Rheumatoid vasculitis usually occurs on the background of seropositive rheumatoid arthritis, although in rare cases the patients can be seronegative. We report a woman with seronegative rheumatoid arthritis with rheumatoid vasculitis who developed toxic epidermal necrolysis involving most of her body surface area, whi...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Chowdhury AC,Misra DP,Patro PS,Agarwal V

    更新日期:2016-03-01 00:00:00

  • [History of the German Society of Rheumatology 1947-2007].

    abstract::The "German Society of Rheumatology" was founded in Bad Neuenahr in the Federal Republic of Germany In 1947. The society perceived itself as the successor to the "German Society for the Abatement of Rheumatism". The primary aim of the society was close cooperation with other German-speaking rheumatological societies i...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 历史文章,杂志文章


    authors: Hewelt T

    更新日期:2011-01-01 00:00:00

  • [Induction of chemiluminescence of human granulocytes by monocyte factors from patients with chronic polyarthritis and arthrosis].

    abstract::The supernatant of peripheral blood monocytes, cultured with autologous sera from patients with rheumatoid arthritis, stimulates healthy human granulocytes to significantly elevated chemiluminescence (p = 0.05) compared with supernatants of monocytes from osteoarthritic patients or healthy volunteers. Cultures without...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Meske S,Bänziger E

    更新日期:1988-05-01 00:00:00

  • [SAPHO syndrome].

    abstract::The SAPHO syndrome, an acronym for synovitis, acne, pustulosis, hyperostosis and osteitis, is a rare disease which affects bones, joints and the skin. The main osteoarticular features are hyperostosis and osteitis. Osteoarticular symptoms predominantly occur on the anterior chest wall but the spine and the peripheral ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Heldmann F,Kiltz U,Baraliakos X,Braun J

    更新日期:2014-10-01 00:00:00

  • [German 2012 guidelines for the sequential medical treatment of rheumatoid arthritis. Adapted EULAR recommendations and updated treatment algorithm].

    abstract::Following the EULAR recommendations published in 2010 German guidelines for the medical treatment of rheumatoid arthritis were developed based on an update of the systematic literature search and expert consensus. Methotrexate is the standard treatment option at the time of diagnosis, preferably in combination with lo...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,实务指引


    authors: Krüger K,Wollenhaupt J,Albrecht K,Alten R,Backhaus M,Baerwald C,Bolten W,Braun J,Burkhardt H,Burmester G,Gaubitz M,Gause A,Gromnica-Ihle E,Kellner H,Kuipers J,Krause A,Lorenz HM,Manger B,Nüßlein H,Pott HG,Rubbert-

    更新日期:2012-09-01 00:00:00

  • [Pregnancy and inflammatory rheumatic diseases].

    abstract::Inflammatory rheumatic diseases often affect females of childbearing age and pregnancy remains a challenge for this group of patients and their physicians. However, the majority of patients can now have successful pregnancies and deliver healthy babies as a result of our improved knowledge of the risks encountered dur...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Fischer-Betz R,Gromnica-Ihle E

    更新日期:2010-09-01 00:00:00

  • [Patient-centered evaluation of illness outcome in musculoskeletal diseases: adaptation and revision of outcome instruments].

    abstract::Assessment of disease consequences (outcome) requires reliable, valid, and sensitive instruments. Psychometrically sound generic health-status instruments such as the SF-36 have been validated for many languages and are available in German. Instead, most disease specific instruments have been developed in English and ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审


    authors: Stucki G,Stucki S,Sangha O

    更新日期:1997-10-01 00:00:00

  • [Prevalence of rheumatoid arthritis in Germany based on health insurance data : Regional differences and first results of the PROCLAIR study].

    abstract:BACKGROUND:Rheumatoid arthritis (RA) is the most common chronic inflammatory joint disease with a prevalence of up to 1 % in the adult population. OBJECTIVE:This study describes the prevalence of RA diagnoses in outpatient health insurance claims data, based on different case definitions and stratified by age, sex and...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Hense S,Luque Ramos A,Callhoff J,Albrecht K,Zink A,Hoffmann F

    更新日期:2016-10-01 00:00:00

  • [Glycosaminoglycanpolysulfate (GAGPS, Arteparon) for basic therapy of arthrosis. II. Comparative studies, Arteparon forte and physical therapy vs. physical therapy alone; late results].

    abstract::Five to 9 months after a comparative study of 2 groups of patients with coxarthrosis and gonarthrosis, 69 individuals (group 1) receiving Arteparon forte injections and physical therapy and 46 persons (group 2) with physical therapy only, questioneer with specific questions was sent out. From 72 questioneers mailed 55...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Rau E,Schmid C,Bach GL

    更新日期:1977-07-01 00:00:00

  • [Pharmacokinetic studies following 2 and 4-week Felbinac gel administration to the knee joint].

    abstract::Twelve patients with osteoarthrosis were locally treated with Felbinac Gel (biphenyl acetic acid (BPAA) 3%) three times daily for 14 days (five patients), 28 days (six patients) or 42 days (one patient) before elective knee joint surgery. BPAA plasma concentrations as of the seventh day of treatment were steady at bet...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章


    authors: Bolten W,Waldorf-Bolten E,Sarfert D,Lehmann W,Miehlke W

    更新日期:1990-11-01 00:00:00

  • [Overcoming disease in systemic lupus erythematosus].

    abstract:BACKGROUND:Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease affecting a broad range of different organ systems and, hence, presenting with multiple symptomatic domains, which considerably reduces the quality of life of patients. Within the last decade the prognosis of the disease has been...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审


    authors: Schneider M,Haupt M

    更新日期:2015-09-01 00:00:00