{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T10:22:51Z","timestamp":1787307771969,"version":"build-2736575974"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Ziel der Studie Wenngleich sich die MBOR insbesondere im Bereich der\n                    Muskel-Skelett-Erkrankungen l\u00e4ngst als Bestandteil des rehabilitativen\n                    Versorgungssystems etabliert hat, deuteten auf Routinedaten basierende Studien\n                    auf eine ausgepr\u00e4gte Heterogenit\u00e4t hin, was die Umsetzung des\n                    MBOR-Anforderungsprofils betrifft. Im Rahmen der vorliegenden Untersuchung wurde\n                    die Realisation des Arbeitsplatztrainings sowie auch der vorgeschalteten\n                    Leistungsdiagnostik nun erstmalig auf Grundlage einer bundesweiten Befragung von\n                    Akteurinnen und Akteuren der MBOR in den Blick genommen.<\/jats:p><jats:p>\n          Methodik 2023 erfolgte eine als Vollerhebung angelegte schriftliche\n                    Befragung von Rehabilitationseinrichtungen mit Zulassung f\u00fcr orthop\u00e4dische MBOR.\n                    Zum Einsatz kam ein in Anlehnung an das MBOR-Anforderungsprofil entwickeltes\n                    Instrument. 86 der 317 angeschriebenen Einrichtungen beantworteten den\n                    Fragebogen und erf\u00fcllten zugleich die Einschlusskriterien (Durchf\u00fchrung von\n                    MBOR-Heilverfahren).<\/jats:p><jats:p>\n          Ergebnisse 67% der Fachabteilungen schilderten, zu Reha-Beginn bei\n                    mindestens 50% der Personen Verfahren der Functional Capacity Evaluation (FCE)\n                    einzusetzen und 70% die regelhafte Durchf\u00fchrung spezifischer Profilvergleiche.\n                    Ferner berichteten 57%, das Arbeitsplatztraining auf Grundlage eines\n                    Profilvergleiches zu gestalten. Das Arbeitsplatztraining selbst wird bei etwa\n                    jeder zweiten Fachabteilung bei mindestens 50% der Personen im Umfang von\n                    mindestens 360 Minuten erbracht. Die Durchf\u00fchrung der FCE-Testungen wie auch des\n                    Arbeitsplatztrainings erfolgt dabei vorrangig durch Ergotherapeutinnen und\n                    Ergotherapeuten.<\/jats:p><jats:p>\n          Schlussfolgerung Leistungsdiagnostik und Arbeitsplatztraining werden\n                    vielfach, jedoch l\u00e4ngst noch nicht fl\u00e4chendeckend in Einklang mit dem\n                    MBOR-Anforderungsprofil realisiert. Ein vielversprechender Ansatzpunkt zur\n                    einrichtungsinternen Weiterentwicklung und Optimierung der MBOR liegt in der\n                    F\u00f6rderung der Interdisziplinarit\u00e4t.<\/jats:p>","DOI":"10.1055\/a-2388-5775","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T23:37:47Z","timestamp":1729035467000},"page":"367-375","source":"Crossref","is-referenced-by-count":1,"title":["Ergebnisse einer Befragung orthop\u00e4discher\n                    Rehabilitationseinrichtungen zur Umsetzung der Medizinisch-beruflich\n                    orientierten Rehabilitation: Leistungsdiagnostik und\n                    Arbeitsplatztraining"],"prefix":"10.1055","volume":"63","author":[{"given":"David","family":"B\u00fchne","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Qualit\u00e4tssicherung in Pr\u00e4vention und Rehabilitation GmbH\n                    an der Deutschen Sporthochschule K\u00f6ln"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hetzel","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Qualit\u00e4tssicherung in Pr\u00e4vention und Rehabilitation GmbH\n                    an der Deutschen Sporthochschule K\u00f6ln"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathis","family":"Elling","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Qualit\u00e4tssicherung in Pr\u00e4vention und Rehabilitation GmbH\n                    an der Deutschen Sporthochschule K\u00f6ln"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torsten","family":"Alles","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Qualit\u00e4tssicherung in Pr\u00e4vention und Rehabilitation GmbH\n                    an der Deutschen Sporthochschule K\u00f6ln"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"ref1","volume-title":"Anforderungsprofil zur Durchf\u00fchrung der Medizinisch-beruflich orientierten\n                    Rehabilitation (MBOR) im Auftrag der Deutschen Rentenversicherung \u2013 somatische\n                    Indikationen","author":"DRV","year":"2010"},{"key":"ref2","volume-title":"Medizinisch-beruflich orientierte Rehabilitation. Anforderungsprofil zur\n                    Durchf\u00fchrung der Medizinisch-beruflich orientierten Rehabilitation (MBOR) im\n                    Auftrag der Deutschen Rentenversicherung. Aktualisierte Auflage","author":"DRV","year":"2023"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1055\/s-0031-1275721","article-title":"Ein Anforderungsprofil zur Durchf\u00fchrung der medizinisch-beruflich orientierten\n                    Rehabilitation aus der Perspektive der gesetzlichen Rentenversicherung","volume":"50","author":"M Streibelt","year":"2011","journal-title":"Rehabilitation"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1055\/s-0042-118579","article-title":"Medizinisch-beruflich orientierte Rehabilitation","volume":"56","author":"M Bethge","year":"2017","journal-title":"Rehabilitation"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1093\/ptj\/78.8.852","article-title":"A critical review of functional capacity evaluations","volume":"78","author":"P M King","year":"1998","journal-title":"Phys Ther"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1097\/MRR.0000000000000031","article-title":"Effects of intensified work-related multidisciplinary rehabilitation on\n                    occupational participation: a randomized-controlled trial in patients with\n                    chronic musculoskeletal disorders","volume":"37","author":"M Streibelt","year":"2014","journal-title":"Int J Rehabil Res"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1186\/1471-2474-15-106","article-title":"The reliability of WorkWell Systems Functional Capacity Evaluation: a systematic\n                    review","volume":"15","author":"S Bieniek","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1055\/s-0043-104510","article-title":"Die prognostische Validit\u00e4t des FCE-Verfahrens ELA in beruflich orientierten\n                    medizinischen Rehabilitationsma\u00dfnahmen","volume":"57","author":"D B\u00fchne","year":"2018","journal-title":"Rehabilitation"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"2465","DOI":"10.1016\/j.apmr.2018.06.018","article-title":"Implementing the German model of work-related medical rehabilitation: Did the\n                    delivered dose of work-related treatment components increase?","volume":"99","author":"M Bethge","year":"2018","journal-title":"Arch Phys Med Rehabil"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"913","DOI":"10.1136\/oemed-2019-106065","article-title":"Effects of nationwide implementation of work-related medical rehabilitation in\n                    Germany: propensity score matched analysis","volume":"76","author":"M Bethge","year":"2019","journal-title":"Occup Environ Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1055\/s-0034-1375643","article-title":"Wie viele arbeitsbezogene Leistungen bekommen Patienten mit besonderen\n                    beruflichen Problemlagen? Analyse einer repr\u00e4sentativen\n                    indikations\u00fcbergreifenden Stichprobe von Rehabilitanden","volume":"53","author":"M Streibelt","year":"2014","journal-title":"Rehabilitation"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1055\/s-0033-1353192","article-title":"Gelingt die Umsetzung des Anforderungsprofils zur Durchf\u00fchrung der\n                    medizinisch-beruflich orientierten Rehabilitation?","volume":"53","author":"M Bethge","year":"2014","journal-title":"Rehabilitation"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology\n                    (STROBE) statement: guidelines for reporting observational studies","volume":"61","author":"E von Elm","year":"2008","journal-title":"J Clin Epidemiol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1007\/s00420-020-01518-5","article-title":"Predictive validity of a customized functional capacity evaluation in patients\n                    with musculoskeletal disorders","volume":"93","author":"D B\u00fchne","year":"2020","journal-title":"Int Arch Occup Environ Health"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1055\/s-2000-7861","article-title":"Der Stellenwert des EFL-Verfahrens nach Susan Isernhagen in der medizinischen\n                    und beruflichen Rehabilitation","volume":"39","author":"H Kaiser","year":"2000","journal-title":"Rehabilitation"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1007\/s10926-006-9023-6","article-title":"Symptom increase following a functional capacity evaluation in patients with\n                    chronic low back pain: an explorative study of safety","volume":"16","author":"M F Reneman","year":"2006","journal-title":"J Occup Rehabil"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1055\/s-0041-110596","article-title":"Systematische Bestandsaufnahme beruflich orientierter Leistungen in\n                    medizinischen Rehabilitationseinrichtungen Mitteldeutschlands","volume":"26","author":"A Golla","year":"2016","journal-title":"Phys Med Rehab Kuror"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1527","DOI":"10.1007\/s00586-010-1429-3","article-title":"Perceived functional ability assessed with the spinal function sort: is it valid\n                    for European rehabilitation settings in patients with non-specific non-acute low\n                    back pain?","volume":"19","author":"P R Oesch","year":"2010","journal-title":"Eur Spine J"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1007\/s10926-015-9611-4","article-title":"Development of a Modified Version of the Spinal Function Sort (M-SFS): A Mixed\n                    Method Approach","volume":"26","author":"S Janssen","year":"2016","journal-title":"J Occup Rehabil"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1055\/a-1535-1977","article-title":"Selbsteinsch\u00e4tzung der funktionellen Leistungsf\u00e4higkeit (SELF):\n                    Messeigenschaften in der beruflich orientierten medizinischen\n                    Rehabilitation","volume":"32","author":"D B\u00fchne","year":"2022","journal-title":"Phys Med Rehab Kuror"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1007\/s10926-019-09829-2","article-title":"Impact of Functional Capacity Evaluation on Patient-Reported Functional Ability:\n                    An Exploratory Diagnostic Before-After Study","volume":"29","author":"M Schindl","year":"2019","journal-title":"J Occup Rehabil"}],"container-title":["Die Rehabilitation"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2388-5775.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:10:36Z","timestamp":1733962236000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2388-5775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,15]]},"references-count":21,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2024,12,11]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2388-5775","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0034-3536","1439-1309"],"issn-type":[{"value":"0034-3536","type":"print"},{"value":"1439-1309","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,15]]}}}