Pfingsten, Michael

[["dc.bibliographiccitation.firstpage","525"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Das Gesundheitswesen"],["dc.bibliographiccitation.lastpage","526"],["dc.bibliographiccitation.volume","67"],["dc.contributor.author","Schmidt, Constanze"],["dc.contributor.author","Kohlmann, Thomas"],["dc.contributor.author","Lange, K."],["dc.contributor.author","Pfingsten, M."],["dc.contributor.author","Hasenbring, M."],["dc.contributor.author","Basler, H.-D."],["dc.contributor.author","Eich, W."],["dc.contributor.author","Raspe, H."],["dc.date.accessioned","2018-11-07T09:11:24Z"],["dc.date.available","2018-11-07T09:11:24Z"],["dc.date.issued","2005"],["dc.identifier.isi","000231627100081"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/26712"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.publisher.place","Stuttgart"],["dc.title","Graduated back pains and the demands for medical acomplishments - Results of the DFRS back pain study"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","641"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","648"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Arnold, Bernhard"],["dc.contributor.author","Casser, H.-R."],["dc.contributor.author","Klimczyk, K."],["dc.contributor.author","Lutz, J."],["dc.contributor.author","Brinkschmidt, T."],["dc.contributor.author","Gralow, I."],["dc.contributor.author","Irnich, D."],["dc.contributor.author","Kaiser, U."],["dc.contributor.author","Nagel, B."],["dc.contributor.author","Schiltenwolf, M."],["dc.contributor.author","Pfingsten, M."],["dc.contributor.author","Sabatowski, Rainer"],["dc.contributor.author","Soellner, Wolfgang"],["dc.date.accessioned","2018-11-07T09:48:32Z"],["dc.date.available","2018-11-07T09:48:32Z"],["dc.date.issued","2015"],["dc.description.abstract","Multimodal pain treatment programs are widely accepted as the medical treatment standard in the management of patients with chronic pain syndromes. The concepts and treatment strategies are based on the biopsychosocial model of pain and programs for early restoration of function. Although this concept is primarily implemented in the curative field, i.e. in hospitals for the treatment of patients with chronic pain diseases, modified programs based on the International Classification of Functioning (ICF) can now also be found in rehabilitation clinics. Despite the assumed similarities, significant differences in, for example the aims of the therapy and relevant structural and process variables have to be kept in mind when allocating patients to a program as provided by a hospital or a rehabilitation clinic. The aim of this article is to present the framework structures of both treatment levels with respect to the implementation of multimodal pain therapy programs and to elucidate the differential diagnostic approach to the indications."],["dc.identifier.doi","10.1007/s00482-015-0063-8"],["dc.identifier.isi","000365724400007"],["dc.identifier.pmid","26452370"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/35331"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-2129"],["dc.relation.issn","0932-433X"],["dc.title","Acute inpatient multimodal pain therapy and rehabilitation. Framework conditions, tasks and differentiated patient allocation"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","276"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Physikalische Medizin Rehabilitationsmedizin Kurortmedizin"],["dc.bibliographiccitation.lastpage","282"],["dc.bibliographiccitation.volume","13"],["dc.contributor.author","Pfingsten, M."],["dc.date.accessioned","2018-11-07T10:35:58Z"],["dc.date.available","2018-11-07T10:35:58Z"],["dc.date.issued","2003"],["dc.description.abstract","Several international studies demonstrated that fearful avoidance towards physical and social activities might intervene between chronic low-back Pain and disability. It could be demonstrated that inducing pain anticipation led to significant lower levels of behavioral performance as well as to an increase in pain intensity. Behavioral performance is highly correlated with fear-avoidance-beliefs. Results confirm that pain anticipation and beliefs have a significant influence on the behaviour of patients with low-back pain in the sense that they motivate avoidance behavior. Therapists have to be aware of the powerful effects of cognitive processes, which can give rise to fear of pain and consequently avoidance behavior."],["dc.identifier.isi","000186526900003"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/45217"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.relation.issn","0940-6689"],["dc.title","Avoidance behavior and back pain - Implications for new therapeutical options?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1211"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Pain Medicine"],["dc.bibliographiccitation.lastpage","1221"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Pfingsten, Michael"],["dc.contributor.author","Lueder, Susanne"],["dc.contributor.author","Luedtke, Kerstin"],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Hildebrandt, Jan"],["dc.date.accessioned","2018-11-07T09:38:01Z"],["dc.date.available","2018-11-07T09:38:01Z"],["dc.date.issued","2014"],["dc.description.abstract","Objectives. Several research groups established functional tests to obtain performance data for mobility-related activities in patients with low back pain (LBP). In our study we aimed to assess the construct validity and associations with other measures of a battery of functional tests in relationship to physical performance on the one hand and physical capacity and variables of pain, disability and psychological variables on the other. Design. Eight physical performance tests of everyday activities such as climbing stairs, picking up an object from the floor, bending forward, and sitting up from supine position etc. were evaluated in 106 patients with LBP and 106 control subjects. Results. Distribution of results in each test demonstrated a marked overlap in a number of tests between those with and those without back pain. In a factor analysis we found pronounced differences in the factorial structure of the data between patients and control subjects as well in the bivariate correlations between functional test results. There was a strong relationship between self-report disability rating (FFbH-R) and physical performance tests especially in patients whereas physical capacity tests had less relationship in patients and not at all in the control subjects. Conclusion. In contrast to the past and present literature, our results suggest that physical performance tests have an inherent problem to sharply differentiate patients with back pain from healthy controls and problems with inter-rater reliability. Physical performance seems to be more a matter of patients' perception of generalized disability than of restricted function."],["dc.description.sponsorship","German Ministry of Education and Science (BMBF) [FKZ: 01 EM 0113]"],["dc.identifier.doi","10.1111/pme.12482"],["dc.identifier.isi","000340157500017"],["dc.identifier.pmid","24931593"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32973"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Wiley-blackwell"],["dc.relation.issn","1526-4637"],["dc.relation.issn","1526-2375"],["dc.title","Significance of Physical Performance Tests for Patients with Low Back Pain"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","876"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","Clinical Journal of Pain"],["dc.bibliographiccitation.lastpage","885"],["dc.bibliographiccitation.volume","31"],["dc.contributor.author","Vaisy, Morad"],["dc.contributor.author","Gizzi, Leonardo"],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Consmueller, Tobias"],["dc.contributor.author","Pfingsten, Michael"],["dc.contributor.author","Falla, Deborah"],["dc.date.accessioned","2018-11-07T09:51:07Z"],["dc.date.available","2018-11-07T09:51:07Z"],["dc.date.issued","2015"],["dc.description.abstract","Objectives:Individuals with low back pain (LBP) present with alterations or limitations of spinal mobility. The identification of simple clinical methods for evaluating functional movement of the spine is necessary to allow quantification of the degree of movement impairment and permit monitoring of patient improvement with rehabilitation. This study evaluated movement of the spine in 20 patients with chronic nonspecific LBP compared with 19 pain-free participants using a novel measurement device that permits the dynamic assessment of spinal movement in a rapid and subject-specific manner.Methods:Two flexible sensor strips were fixed paravertebrally to the spine with each sensor strip measuring angles in 12 predetermined, adjacent, 25-mm-long segments. Maximum range of motion (ROM) and average angular velocity (AAV) of lumbar and pelvic movement were measured within identical angular and temporal frames during the descending and ascending phase of active lumbar flexion, extension, rotation, and lateral flexion following a standard choreography. Participants with LBP completed a number of questionnaires including the Tampa Scale of Kinesiophobia, Pain Catastrophizing Scale, and Spielberger State-Trait Anxiety Inventory.Results:Across all movements, the individuals with LBP displayed 10% to 15% less ROM (P<0.05) and 15% to 30% less AAV (P<0.05) at both the pelvis and lumbar regions compared with controls. ROM as well as AAV, in most cases, were negatively correlated (R=-0.49 to -0.75) with the Tampa Scale of Kinesiophobia, Pain Catastrophizing Scale, and Spielberger State-Trait Anxiety Inventory in the LBP group (all P<0.05) especially during the initial descending phase of movement.Discussion:This study provide support for the utility of this device for quantifying movement impairments in individuals with fairly low levels of LBP and general functional limitations. The results show that velocity measurements rather than ROM show the greatest differences in individuals with LBP compared with asymptomatic participants. Impaired lumbar and pelvis movement was correlated to the individuals with LBP's degree of anxiety, fear, and catastrophizing."],["dc.identifier.doi","10.1097/AJP.0000000000000190"],["dc.identifier.isi","000361477600005"],["dc.identifier.pmid","25503596"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/35847"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Lippincott Williams & Wilkins"],["dc.relation.issn","1536-5409"],["dc.relation.issn","0749-8047"],["dc.title","Measurement of Lumbar Spine Functional Movement in Low Back Pain"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","578"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Clinical Journal of Pain"],["dc.bibliographiccitation.lastpage","584"],["dc.bibliographiccitation.volume","24"],["dc.contributor.author","Chenot, Jean-Francois"],["dc.contributor.author","Becker, Annette"],["dc.contributor.author","Leonhardt, Corinna"],["dc.contributor.author","Keller, Stefan"],["dc.contributor.author","Donner-Banzhoff, Norbert"],["dc.contributor.author","Hildebrandt, Jan"],["dc.contributor.author","Basler, Heinz-Dieter"],["dc.contributor.author","Baum, Erika"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Pfingsten, Michael"],["dc.date.accessioned","2018-11-07T11:11:09Z"],["dc.date.available","2018-11-07T11:11:09Z"],["dc.date.issued","2008"],["dc.description.abstract","Objective: Epidemiologic surveys frequently show that women more often and are more affected by low back pain (LBP). The aim of this secondary analysis of a randomized controlled study was to explore whether presentation and course of LBP of women is different from men, and if sex affects the use of healthcare services for LBP. Methods: Data from 1342 [778 (58%) women] patients presenting with LBP in 116 general practices were collected. Patients completed standardized questionnaires before and after consultation and were contacted by phone 4 weeks, 6 months, and 12 months later for standardized interviews by study nurses. Functional capacity was assessed with Hannover Functional Ability Questionnaire (HFAQ). Logistic regression models-adjusting for sociodemographic and disease-related data-were conducted to investigate the effect of sex for the use of healthcare services. Results: Women had on average a lower functional capacity at baseline and after 12 months. They were more likely to have recurrent or chronic LBP and to have a positive depression score. Being female was associated with a low functional capacity after 12 months (odds ratio: 1.7, 95% confidence interval: 1.2-2.3), but baseline functional capacity, chronicity, and depression were stronger predictors. In univariate analysis, women had a tendency of higher use of healthcare services. Those differences disappeared after adjustment. Discussion: Our findings confirm that women are more severely affected by LBP and have a worse prognosis. Utilization of healthcare services cannot be fully explained by female sex, but . rather by a higher impairment by back pain and pain in other parts of the body characteristic of the female population."],["dc.description.sponsorship","German Ministry for Education and Research (BMBF) [01EM0113]"],["dc.identifier.doi","10.1097/AJP.0b013e31816ed948"],["dc.identifier.isi","000259662200004"],["dc.identifier.pmid","18716496"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/53367"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0749-8047"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Sex differences in presentation, course, and management of low back pain in primary care"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","45"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","52"],["dc.bibliographiccitation.volume","35"],["dc.contributor.author","Kaiser, Ulrike"],["dc.contributor.author","Nagel, Bernd"],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Pfingsten, Michael"],["dc.contributor.author","Gärtner, Anne"],["dc.contributor.author","Isenberg, Thomas"],["dc.contributor.author","Augustin, Katharina"],["dc.contributor.author","Martin, Carolin"],["dc.contributor.author","Lindena, Gabriele"],["dc.date.accessioned","2021-04-14T08:30:39Z"],["dc.date.available","2021-04-14T08:30:39Z"],["dc.date.issued","2021"],["dc.identifier.doi","10.1007/s00482-020-00527-0"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83323"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1432-2129"],["dc.relation.issn","0932-433X"],["dc.title","Vermeidung chronischer Schmerzen in der deutschen Gesundheitsversorgung"],["dc.title.alternative","Derzeitiger Stand und Ausblick"],["dc.title.translated","Prevention of chronic pain in the German healthcare system : Current state and perspective"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","112"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","+"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Arnold, Bernhard"],["dc.contributor.author","Brinkschmidt, T."],["dc.contributor.author","Casser, H.-R."],["dc.contributor.author","Gralow, I."],["dc.contributor.author","Irnich, D."],["dc.contributor.author","Klimczyk, K."],["dc.contributor.author","Mueller, G."],["dc.contributor.author","Nagel, B."],["dc.contributor.author","Pfingsten, M."],["dc.contributor.author","Schiltenwolf, M."],["dc.contributor.author","Sittl, R."],["dc.contributor.author","Soellner, Wolfgang"],["dc.date.accessioned","2018-11-07T08:31:28Z"],["dc.date.available","2018-11-07T08:31:28Z"],["dc.date.issued","2009"],["dc.description.abstract","Multimodal pain therapy describes an integrated multidisciplinary treatment in small groups with a closely coordinated therapeutical approach. Somatic and psychotherapeutic procedures cooperate with physical and psychological training programs. For chronic pain syndromes with complex somatic, psychological and social consequences, a therapeutic intensity of at least 100 hours is recommended. Under these conditions multimodal pain therapy has proven to be more effective than other kinds of treatment. If monodisciplinary and/or outpatient therapies fail, health insurance holders have a legitimate claim to this form of therapy. Medical indications are given for patients with chronic pain syndromes, but also if there is an elevated risk of chronic pain in the early stadium of the disease and aiming at delaying the process of chronification. Relative contraindications are a lack of motivation for behavioural change, severe mental disorders or psychopathologies and addiction problems. The availability of multimodal pain treatment centers in Germany is currently insufficient."],["dc.identifier.doi","10.1007/s00482-008-0741-x"],["dc.identifier.isi","000264883900002"],["dc.identifier.pmid","19156448"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/17127"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0932-433X"],["dc.title","Multimodal pain therapy - Principles and indications"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","701"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Spine"],["dc.bibliographiccitation.lastpage","710"],["dc.bibliographiccitation.volume","37"],["dc.contributor.author","Becker, Annette"],["dc.contributor.author","Held, Heiko"],["dc.contributor.author","Redaelli, Marcus"],["dc.contributor.author","Chenot, Jean F."],["dc.contributor.author","Leonhardt, Corinna"],["dc.contributor.author","Keller, Stefan"],["dc.contributor.author","Baum, Erika"],["dc.contributor.author","Pfingsten, Michael"],["dc.contributor.author","Hildebrandt, Jan"],["dc.contributor.author","Basler, Heinz-Dieter"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Donner-Banzhoff, Norbert"],["dc.contributor.author","Strauch, Konstantin"],["dc.date.accessioned","2018-11-07T09:11:08Z"],["dc.date.available","2018-11-07T09:11:08Z"],["dc.date.issued","2012"],["dc.description.abstract","Study Design. Cost-effectiveness analysis alongside a cluster randomized controlled trial. Objective. To study the cost-effectiveness of 2 low back pain guideline implementation (GI) strategies. Summary of Background Data. Several evidence-based guidelines on management of low back pain have been published. However, there is still no consensus on the effective implementation strategy. Especially studies on the economic impact of different implementation strategies are lacking. Methods. This analysis was performed alongside a cluster randomized controlled trial on the effectiveness of 2 GI strategies (physician education alone [GI] or physician education in combination with motivational counseling [MC] by practice nurses)-both compared with the postal dissemination of the guideline (control group, C). Sociodemographic data, pain characteristics, and cost data were collected by interview at baseline and after 6 and 12 months. low back pain-related health care costs were valued for 2004 from the societal perspective. Results. For the cost analysis, 1322 patients from 126 general practices were included. Both interventions showed lower direct and indirect costs as well as better patient outcomes during follow-up compared with controls. In addition, both intervention arms showed superiority of cost-effectiveness to C. The effects attenuated when adjusting for differences of health care utilization prior to patient recruitment and for clustering of data. Conclusion. Trends in cost-effectiveness are visible but need to be confirmed in future studies. Researchers performing cost-evaluation studies should test for baseline imbalances of health care utilization data instead of judging on the randomization success by reviewing non-cost parameters like clinical data alone."],["dc.description.sponsorship","German Ministry for Education and Research (BMBF) [FKZ 01 EM 0113]"],["dc.identifier.doi","10.1097/BRS.0b013e31822b01bd"],["dc.identifier.isi","000302870700021"],["dc.identifier.pmid","21738095"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/26658"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0362-2436"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Implementation of a Guideline for Low Back Pain Management in Primary Care"],["dc.title.subtitle","A Cost-Effectiveness Analysis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","16"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Physikalische Medizin Rehabilitationsmedizin Kurortmedizin"],["dc.bibliographiccitation.lastpage","22"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Pfingsten, M."],["dc.contributor.author","Schops, P."],["dc.contributor.author","Seeger, Dagmar"],["dc.contributor.author","Saur, P."],["dc.contributor.author","Hahn, J."],["dc.contributor.author","Hildebrandt, J."],["dc.date.accessioned","2018-11-07T09:25:58Z"],["dc.date.available","2018-11-07T09:25:58Z"],["dc.date.issued","2001"],["dc.description.abstract","Objective: Up to now there is a lack in data concerning work-related functional capacities of patients with back pain and healthy subjects. Aim of the study is the development and analyses of 4 work-related movement patterns. Methods: In order to establish a standardized assessment we developed 4 work-related movement patterns and analysed them in their relation to spine flexibility and in their difference between healthy subjects without back pain (n = 92) and patients with low back pain (n = 72). Results: Performance in all 4 work-related movements demonstrated most significant differences between patients and normals. In both groups performance was not relied to measures of spine flexibility and in part not relied to anthropometric variables (age, sex, body weight, height). Complex movements with static muscular posture demonstrated the highest difference between both groups. Conclusions: Work-related movements as complex tasks may be very suitable for giving information about the amount of work-related function in patients with low back pain. Furthermore, the assessment can pilot the training process. Further development and optimizing work-related diagnostic procedures is a main task in further research."],["dc.identifier.doi","10.1055/s-2001-11038"],["dc.identifier.isi","167257800004"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/30189"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.relation.issn","0940-6689"],["dc.title","Work-hardening - a necessary part of multimodal treatment for patients with chronic low-back pain"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]