Fort- und Weiterbildung in Rheumatologie und ... - Rheuma Schweiz

Abstracts
4 th Day of Clinical Research
Am dieses Jahr zum vierten Mal stattfindenden jährlichen Symposium des Zentrums für Klinische Forschung (ZKF) des
UniversitätsSpitals Zürich «4th Day of Clinical Research» wurden von den Mitarbeitern der Rheumaklinik und des Institutes
für Physikalische Medizin die nachstehenden Abstracts präsentiert. Dabei wurde der Vortrag von Dr. Caroline Ospelt
mit einem Preis für ihre Präsentation ausgezeichnet.
01
ACTIVE OVER 45 – INTRODUCTION OF A MOVEMENT PROMOTION
PROGRAMME FOR INACTVE WOMAN OVER 45 – A FEASIBILITY
STUDY
P Baschung1 , K Niedermann1 , GA Reiss1 , J Swanenburg1 , D Uebelhart1 and E
Zemp2 1Department of Rheumatology and Institute of Physical Medicine, University Hospital Zurich;
2Institute of Social and Preventative Medicine, Basle University; pierrette.baschung@usz.ch
Purpose: At the University Hospital Zurich, we introduced a programme to promote
physical activity in inactive postmenopausal women. We utilized this feasibility
study to test attainment of the target population, practicability and acceptance
of the programme.
Methods: 1249 female employees over the age of 45 were sent a questionnaire to
determine their physical activity. Those that described themselves as inactive and
interested in a movement promotion programme were sent a concrete offer. The
target population was examined using the transtheoretical model and their physical
performance.
Results: 510 women (41%) responded to the first questionnaire. Of these 250 were
inactive and interested in a movement promotion programme. 68 women participated
in the training programme, 47 women completed the training. This group
showed a significant improvement in physical performance. 47 of all inactive
women who responded indicated that they would like a less exertive movement
programme type.
Conclusion: In spite of the intensity of the programme, a quarter of the interested
inactive women participated. The acceptance and practicability was very good. To
reach more women, the content and intensity of the programme would need to be
adjusted.
Keywords: Physical Activity, movement promotion programme, postmenopausal
women
1 Lamprecht M, Stamm HP, Sport Schweiz 2000, 2001
2 2. Kahn EB, Ramsey LT, Brownson RC, Heath GH, Howze EH, Powell KE,
Stone EJ, Rajab MW, Am J Prev Med, 22(4S):73-1072002
02
ARE «STRUCTURAL ABNORMALITIES» OF THE LUMBAR SPINE,
OBSERVED ON MRI, A CONTRAINDICATION TO THE SUCCESSFUL
CONSERVATIVE TREATMENT OF NON-SPECIFIC CHRONIC LOW
BACK PAIN?
AF Mannion#*, F Kleinstück*, Müntener M‡, J Dvorak*
#Dept Rheumatology and Institute of Physical Medicine, University Hospital Zürich; *Schulthess
Klinik, Zürich, ‡Institute of Anatomy, University of Zürich; anne.mannion@usz.ch
Purpose: Certain structural ‘abnormalities’, indicative of degenerative disease of
the lumbar spine, are as common in asymptomatic individuals as in people with
chronic low back pain (cLBP) and thus cannot be held responsible for the symptoms
1 . However, whether the presence of such «abnormalities» influences the
response to gold-standard conservative treatment for non-specific cLBP has not
been investigated.
Methods: T2-weighted, 4mm spin-echo MRI sequences of the lumbar spine were
obtained from 53 patients with cLBP before 3-months’ exercise therapy. Disc
degeneration (DD), disc bulging (DB), high intensity zones (HIZ), and endplate
changes (EP) were assessed for each lumbar segment. The proportions of
patients showing clinically relevant reductions in pain (>30%) or disability
(>35%) 12-months after therapy were determined.
Results: Only 10% patients showed no abnormalities in any segment. There
were no significant associations between outcome and the presence of either
severe DD or EP; the presence of HIZ and the absence of DB were each associated
with a greater likelihood (p