{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T15:09:47Z","timestamp":1789398587929,"version":"build-2803163510"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/100030902","name":"Martin-Luther-Universit\u00e4t Halle-Wittenberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100030902","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Schmerz"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Kognitiv-perzeptive Behandlungsans\u00e4tze stellen bei Menschen mit chronischen Schmerzen eine erg\u00e4nzende nichtmedikament\u00f6se Therapieoption dar. Ein Behandlungsansatz basiert auf der Graded Motor Imagery Theory (GMI), die mehrere kognitiv-perzeptive Methoden in einem Stufenkonzept integriert.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel<\/jats:title>\n                    <jats:p>Im Rahmen der Studie wurde erstmals die technische und praktische Umsetzbarkeit eines Prototyps f\u00fcr ein auf Virtual Reality (VR) basierendes Heimtrainingsprogramm, das zentrale Elemente der GMI integriert, unter Real-World-Bedingungen bei Patient*innen mit seitenbetonten, chronischen Schmerzen der oberen Extremit\u00e4t erprobt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Die Anwendung wurde \u00fcber sechs Wochen an f\u00fcnf Tagen pro Woche jeweils bis zu 30\u202fmin genutzt. Erfasst wurden technische und anwendungsbezogene Aspekte der Implementierung, das Nutzungserleben der Anwendung sowie das Schmerzempfinden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Insgesamt konnten\n                      <jats:italic>N<\/jats:italic>\n                      \u202f=\u200913\u00a0Schmerzpatient*innen in die Studie eingeschlossen werden. Sieben Patient*innen beendeten die Intervention, sechs brachen sie vorzeitig ab, \u00fcberwiegend im Zusammenhang mit der VR-Anwendung. Die t\u00e4gliche Trainingszeit von 30\u202fmin wurde als zu lang empfunden. Vor allem die gespiegelten \u00dcbungen wurden als anstrengend empfunden. Das Schmerzempfinden \u00e4nderte sich im Verlauf geringf\u00fcgig. Die Technik erwies sich als sehr fehleranf\u00e4llig.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die \u00dcbertragung kognitiv-perzeptiver Strategien in eine virtuelle Realit\u00e4t als innovativer Behandlungsansatz f\u00fcr Schmerzpatient*innen bedarf weiterer technischer und inhaltlicher Optimierungen und wird Gegenstand einer prospektiven Pilotstudie sein.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00482-026-00970-5","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T14:41:28Z","timestamp":1789396888000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Virtuell kognitiv-perzeptives Heimtrainingsprogramm bei chronischen Schmerzen der oberen Extremit\u00e4t","Virtual cognitive-perceptual home training program for chronic pain of the upper extremities"],"prefix":"10.1007","author":[{"given":"Juliane","family":"Lamprecht","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilit","family":"Fl\u00f6ther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Saal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"issue":"1","key":"970_CR1","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.jht.2017.09.004","volume":"31","author":"B Dilek","year":"2018","unstructured":"Dilek\u00a0B, Ayhan\u00a0C, Yagci\u00a0G et\u00a0al (2018) Effectiveness of graded motor imagery to improve hand function in patients with distal radius fracture: a randomized controlled trial. 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Alle Patient*innen haben der wissenschaftlichen Verwendung der Daten zugestimmt. Die Studie wurde von der Ethikkommission der Medizinischen Fakult\u00e4t der Martin-Luther-Universit\u00e4t Halle-Wittenberg positiv votiert (Bearbeitungsnummer: 2023-056).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}