Wirkmechanismen der Eurythmietherapie – Ergebnisse aktueller Forschung

Friedrich Edelhäuser, Max Heidelbach, Barbara Trapp, Dirk Cysarz
Artikel-ID: DMS-21304-DE
DOI: https://doi.org/10.14271/DMS-21304-DE

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Körperbewegungen sind von großer therapeutischer Relevanz und werden sowohl kurativ als auch präventiv in der Medizin angewandt. Bewegungsmangel wird hingegen als ein die Sterblichkeit erhöhender Risikofaktor anerkannt. Dies wirft grundsätzlich die Frage nach dem Bewegungsverständnis auf und dem Bezug zu Bewegungsvorstellungen und deren emotionaler Bewertung. Hierbei ist der emotionale Körperbezug gut darstellbar. Es besteht zudem eine physiologische Wechselwirkung zwischen Bewegungen und der Regulation durch das autonome und zentrale Nervensystem.

Die Eurythmietherapie ist als Mind-Body-Verfahren Gegenstand der aktuellen Forschung. Verschiedene Arbeitsgruppen beschäftigen sich derzeit mit der grundsätzlichen Erforschung und der klinischen Relevanz von eurythmietherapeutischen Verfahren. Bewegung, Atmung, Herzfrequenz und Kreislaufregulation korrelieren dabei in interessanter Weise. In den hier vorgestellten Untersuchungen zeigt sich, dass bestimmte Bewegungsformen jeweils spezifische Muster in der Herzschlagfolge und in der Herz-Kreislauf- Regulation induzieren. Die Eurythmietherapie kann so als Übungsform für die Regulationsdynamik des Organismus, insbesondere des Herz-Kreislauf- Systems zunehmend besser verstanden und beschrieben werden.

Eurythmy therapy’s modes of action – Latest research findings

Body movements are of great therapeutic relevance and are used both curatively and preventively in medicine. In contrast, a lack of exercise is recognized as a risk factor that increases mortality. This raises the question of the basic understanding of movement and its relation to mental motor imagery and their emotional evaluation. The emotional body reference can be well demonstrated. There is also a physiological interaction between movements and regulation by the autonomous and central nervous system.

Eurythmy therapy as a mind-body therapy is subject of current research. Various working groups are currently engaged in fundamental research and clinical relevance of eurythmy therapy procedures. Movement, breathing, heart rate and circulatory regulation correlate in an interesting way. Research results shown in this paper demonstrate that specific body movements induce corresponding patterns in heart rate and circulation regulation. Thus, eurythmy therapy can be understood as a form of exercise that trains specifically the dynamic regulation of the organism, especially in the cardiovascular system.

1 Siegmund-Schultze N. 37. Interdisziplinäres Forum der Bundesärztekammer: Bewegung wirkt wie ein Medikament. Dtsch Arztebl 2013;110(7):A271–A272.

2 Hollstein T. Sport als Prävention. Fakten und Zahlen für das individuelle Maß an Bewegung. Dtsch Arztebl 2019;116(35–36):A1544–1548.

3 Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health 2018;6(10):e1077–1086. DOI: https://doi.org/10.1016/S2214-109X(18)30357-7. [Crossref]

4 Ross R, Blair SN, Arena R, et al. Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clinical vital sign: a scientific statement from the American Heart Association. Circulation 2016;134(24):e653–699. DOI: https://doi.org/10.1161/CIR.0000000000000461. [Crossref]

5 Stamatakis E, Gale J, Bauman A, et al. Sitting time, physical activity, and risk of mortality in adults. J Am Coll Cardiol 2019;73(16):2062–2072. DOI: https://doi.org/10.1016/j.jacc.2019.02.031. [Crossref]

6 Levine JA. Sick of sitting. Diabetologia 2015;58(8):1751–1758. DOI: https://doi.org/10.1007/s00125-015-3624-6. [Crossref]

7 Naci H, Ioannidis JPA. Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. BMJ 2013;347:f5577. DOI: https://doi.org/10.1136/bmj.f5577. [Crossref]

8 Watt JA, Goodarzi Z, Veroniki AA, et al. Comparative efficacy of interventions for aggressive and agitated behaviors in dementia. A systematic review and network meta-analysis. Ann Intern Med 2019;171(9):633–642. DOI: https://doi.org/10.7326/M19-0993. [Crossref]

9 Wen CP, Wai JPW, Tsai MK, et al. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet 2011;378(9798):1244–1253. DOI: https://doi. org/10.1016/S0140-6736(11)60749-6.

10 Werner CM, Hecksteden A, Morsch A, et al. Differential effects of endurance, interval, and resistance training on telomerase activity and telomere length in a randomized, controlled study. Eur Heart J 2019;40(1):34–46. DOI: https://doi.org/10.1093/eurheartj/ehy585. [Crossref]

11 Brown DK, Barton JL, Gladwell VF. Viewing nature scenes positively affects recovery of autonomic function following acutemental stress. Environ Sci Technol 2013;47(11):5562–5569. DOI: https://doi.org/10.1021/es305019p. [Crossref]

12 Edelhäuser F, Hak F, Kleinrath U, et al. Impact of colored light on cardiorespiratory coordination. Evid Based Complement Alternat Med 2013;810876. DOI: https://doi.org/10.1155/2013/810876. [Crossref]

13 Nummenmaa L, Glerean E, Hari R, Hietanen JK. Bodily maps of emotions. Proc Natl Acad Sci USA 2014;111(2):646–651. DOI: https://doi.org/10.1073/pnas.1321664111. [Crossref]

14 Damasio A, Carvalho GB. The nature of feelings: evolutionary and neurobiological origins. Nat Rev Neurosci 2013;14(2):143–152. DOI: https://doi.org/10.1038/nrn3403. [Crossref]

15 Beissner F, Meissner K, Bär KJ, Napadow V. The autonomic brain: an activation likelihood estimation meta-analysis for central processing of autonomic function. J Neurosci 2013;33(25):10503–10511. DOI: https://doi.org/10.1523/JNEUROSCI.1103-13.2013. [Crossref]

16 Critchley HD, Mathias CJ, Josephs O, et al. Human cingulate cortex and autonomic control: converging neuroimaging and clinical evidence. Brain 2003;126(10):2139–2152. DOI: https://doi.org/10.1093/brain/awg216. [Crossref]

17 Collet C, Di Rienzo F, El Hoyek N, Guillot A. Autonomic nervous system correlates in movement observation and motor imagery. Front Hum Neurosci 2013;7:415. DOI: https://doi.org/10.3389/fnhum.2013.00415. [Crossref]

18 Critchley HD. Psychophysiology of neural, cognitive and affective integration: fMRI and autonomic indicants. Int J Psychophysiol 2009;73(2):88–94. DOI: https://doi.org/10.1016/j.ijpsycho.2009.01.012. [Crossref]

19 Craig AD. How do you feel? Interoception: the sense of the physiological condition of the body. Nat Rev Neurosci 2002;3(8):655–666. DOI: https://doi.org/10.1038/nrn894. [Crossref]

20 von Laue HB, von Laue EE. Zur Physiologie der Heileurythmie: Lautgesetze und Therapieordnungen. Dornach: Verlag am Goetheanum; 2006.

21 Jeannerod M, Frak V. Mental imaging of motor activity in humans. Curr Opin Neurobiol 1999;9(6):735–739. DOI: https://doi.org/10.1016/S0959-4388(99)00038-0. [Crossref]

22 Kirchner-Bockholt M. Grundelemente der Heil-Eurythmie. Dornach: Verlag am Goetheanum 1981.

23 Steiner R. Heileurythmie. GA 315. 5. Aufl. Dornach: Rudolf Steiner Verlag; 2003.

24 Lötzke D, Heusser P, Büssing A. A systematic literature review on the effectiveness of eurythmy therapy. J Integr Med 2015;13(4):217–230. DOI: https://doi.org/10.1016/S2095-4964(15)60163-7. [Crossref]

25 Hamre HJ, Kiene H, Ziegler R, et al. Overview of the publications from the anthroposophic medicine outcomes study (AMOS): a whole system evaluation study. Glob Adv Health Med 2014;3(1):54–70. DOI: https://doi.org/10.7453/gahmj.2013.010. [Crossref]

26 Hamre HJ, Kiene H, Glockmann A, Ziegler R, Kienle GS. Long-term outcomes of anthroposophic treatment for chronic disease: a four-year follow-up analysis of 1510 patients from a prospective observational study in routine outpatient settings. BMC Res Notes 2013;6:269. DOI: https://doi.org/10.1186/1756-0500-6-269. [Crossref]

27 Büssing A, Kröz M, Michalsen A, et al. Die Behandlung chronischer Rückenschmerzen durch nicht-pharmakologische Interventionsverfahren: ein Wirksamkeitsvergleich von Heileurythmie, Yoga und Standart-Physiotherapie (RCT). YES-Studie. DRKS-ID: DRKS00004651. Verfügbar unter https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS 00004651 (21.10.2020).

28 Kanitz JL, Pretzer K, Calaminus G, et al. Eurythmy therapy in the aftercare of pediatric posterior fossa tumour sur vivors – a pilot study. Complement Ther Med 2013;21(Suppl 1):S3–S9. [Crossref]

29 Kröz M, Reif M, Glinz A, et al. Impact of a combined multimodal-aerobic and multimodal intervention compared to standard aerobic treatment in breast cancer survivors with chronic cancerrelated fatigue – results of a three-armed pragmatic trial in a comprehensive cohort design. BMC Cancer 2017;17(1):166. DOI: https://doi.org/10.1186/s12885-017-3142-7. [Crossref]

30 Kienle GS, Werthmann PG, Grotejohann B, et al. A multicentre, parallel-group, randomised controlled trial to assess the efficacy and safety of eurythmy therapy and tai chi in comparison with standard care in chronically ill elderly patients with increased risk of falling (ENTAiER): a trial protocol. BMC Geriatr 2020;20(1):108. DOI: https://doi.org/10.1186/s12877-020-1503-6. [Crossref]

31 Meier-Girard D, Ribi K, Gerstenberg G, et al. Eurythmy therapy versus slow movement fitness in the treatment of fatigue in metastatic breast cancer patients: study protocol for a randomized controlled trial. Trials 2020;21(1):612. DOI: https://doi.org/10.1186/s13063-020-04542-5. [Crossref]

32 Seifert G, Hernaiz Driever P, Pretzer K, et al. Effects of complementary eurythmy therapy on heart rate variability. Complement Ther Med 2009;17(3):161–167. DOI: https://doi.org/10.1016/j.ctim.2008.09.005. [Crossref]

33 Seifert G, Kanitz JL, Pretzer K, et al. Improvement of heart rate variability by eurythmy therapy after a 6-week eurythmy therapy training. Integr Cancer Ther 2012;11(2):111–119. DOI: https://doi.org/10.1177/1534735411413263. [Crossref]

34 Seifert G, Kanitz JL, Pretzer K, et al. Improvement of circadian rhythm of heart rate variability by eurythmy therapy training. Evid Based Complement Alternat Med 2013;564340. DOI: https://doi.org/10.1155/2013/564340. [Crossref]

35 Edelhäuser F, Minnerop A, Trapp B, et al. Eurythmy therapy increases specific oscillations of heart rate variability. BMC Complement Altern Med 2015;15:167. DOI: https://doi. org/10.1186/s12906-015-0684-6. [Crossref]

36 Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Circulation 1996;93(5):1043–1065. DOI: https://doi.org/10.1161/01.CIR.93.5.1043. [Crossref]

37 Bernardi L, Valle F, Coco M, et al. Physical activity influences heart rate variability and very-low-frequency components in Holter electrocardiograms. Cardiovasc Res 1991;32(2):234–237. DOI: https://doi.org/10.1016/0008-6363(96)00081-8. [Crossref]

38 McKeough ZJ, Alison JA, Bye PT. Arm positioning alters lung volumes in subjects with COPD and healthy subjects. Aust J Physiother 2003;49(2):133–137. DOI: https://doi.org/10.1016/s0004-9514(14)60129-x. [Crossref]

39 O‘Donnell TV, McIlroy MB. The circulatory effects of squatting. Am Heart J 1962;64:347–356. DOI: https://doi.org/10.1016/0002-8703(62)90149-7. [Crossref]

40 Krediet CT, de Bruin I, Ganzeboom KS, et al. Leg crossing, muscle tensing, squatting, and the crash position are effective against vasovagal reactions solely through increases in cardiac output. J Appl Physiol 2005;99(5):1697–1703. DOI: https://doi.org/10.1152/japplphysiol.01250.2004. [Crossref]

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