Sport und seine bedeutung bei juvenilen schmerzverstärkungssyndromen

Juvenile pain amplification syndromes show an increasing incidence. Around 10% of the paediatric rheumatological outpatients have pain amplification syndromes. The patients suffer under intensive musculoskeletal pain without a somatic correlate. The disease is, due to the desocialisation of patients, a challenge for the therapists. A multidisciplinary activating team approach focuses on the bio-psycho-social model of chronic pain. The pain leads the patients into social retreat, which begins with a reduction of activity by missing the regular school sport lessons. Since sport has bio-psycho-social aspects as well, it can be used therapeutically in chronic pain patients, can influence the cause of disease positively and also allows access to prognostic information. The aim should be to integrate sport as an important module into the multimodal treatment and to use the defocusing aspects of sport and the joy of movement therapeutically. This helps the patients to reintegrate into daily live and motivates them towards an activating therapy, which they can continue on their own.