Klinische Studien zur Verbesserung der therapiebedingten sensomotorischen und psychischen Funktionseinschränkungen in der onkologischen Rehabilitation

The aim of the dissertation is, to carry out different clinical studies and to evaluate the effect sensorimotor training on different functional restrictions in urological and gynecological rehabilitation. The study situation in this area is very clear. In the beginning, sensorimotor training was only used in competitive sports and to improve injury and fall prevention (U Granacher et al., 2007). Three publications were published as part of the dissertation. The first publication examines the effectiveness of a function-oriented training program on urinary incontinence, physical and psychological parameters. The study shows that the sensorimotor training has an impact on physical performance, post-operative functional deficits and the quality of life of patients after radical prostatectomy. The second publication deals with the diagnosis of sensorimotor functional disorders in breast cancer patients after chemotherapy treatment. In the present study, the Purdue Pegboard Test, a neuropsychological test for handedness, rough and fine coordination of the fingers and hands, is used (Tiffin & Asher, 1948). The study shows that the Purdue Pegboard is a simple test that can be used in rehabilitation to assess chemotherapy-induced peripheral neuropathies in breast cancer patients. The third publication is designed to assess the effects of sensorimotor training with an oscillation rod compared to standard pelvic floor muscle training on reduction of incontinence level, recovery time and the health-related quality of life. The results show, that a combination of continence exercises and oscillating rod therapy is a more effective therapeutic approach compared to standard continence training alone for overcoming stress urinary incontinence after radical prostatectomy. In summary, it can be said that sensorimotor training should be given to every oncological rehabilitation patient for an optimal therapy success.