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Quantitative sensorische Testung (QST)

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Praktische Schmerztherapie

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Zusammenfassung

Die quantitative sensorische Testung (QST) unterscheidet sich von der klinisch neurologischen Sensibilitätsprüfung durch eine stärkere Formalisierung des Untersuchungsablaufs, die Verwendung von kalibrierten Reizstärken und die Standardisierung der Instruktionen für den Patienten. Auch wenn die Reize teilweise durch einen Computer gesteuert werden, bleibt die Methode abhängig von den subjektiven Angaben der Patienten. Die Standardisierung der QST-Methodik führt jedoch zu reproduzierbaren und vom Untersucher unabhängigen Befunden. Ähnlich wie die klinische Sensibilitätsprüfung soll QST alle Submodalitäten der Somatosensorik erfassen (Tastsinn, Propriozeption, Temperatursinn, Nozizeption). Das Muster von Funktionsverlust und Funktionssteigerung der Somatosensorik erlaubt Rückschlüsse auf die zugrunde liegenden pathophysiologischen Mechanismen: Läsion dicker Afferenzen oder des Hinterstrangsystems, Läsion dünner Afferenzen oder des Vorderseitenstrangsystems, periphere Sensibilisierung, zentrale Sensibilisierung, Defizit der endogenen Schmerzhemmung.

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Authors and Affiliations

  1. Institut für Physiologie und Pathophysiologie, Johannes Gutenberg Universität, Saarstraße 21, 55099, Mainz

    R. -D. Treede (Prof. Dr.)

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  1. R. -D. Treede
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Editors and Affiliations

  1. Sektion Neurologische Schmerzforschung und -therapie Klinik für Neurologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstraße 10, 24105, Kiel

    Ralf Baron

  2. Klinik für Anästhesie, Intensivmedizin und Schmerztherapie, Rotes Kreuz Krankenhaus, St.-Pauli-Deich 24, 28199, Bremen

    Michael Strumpf

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© 2007 Springer Medizin Verlag Heidelberg

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Treede, R.D. (2007). Quantitative sensorische Testung (QST). In: Baron, R., Strumpf, M. (eds) Praktische Schmerztherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-49663-2_8

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  • DOI: https://doi.org/10.1007/978-3-540-49663-2_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-23091-5

  • Online ISBN: 978-3-540-49663-2

  • eBook Packages: Medicine (German Language)

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