Physiotherapy
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Physiotherapy

Individual improvement with lost or misdirected functions

The focus of our physiotherapy lies in individual improvement with lost or misdirected functions. This requires active participation of the patients. Our therapists work as movement educators.

We accompany and advise the patients with mobilising, stabilising, strengthening and co-oordination-improving exercises on their path to improvement. For this we use modern and effective technologies and methods which will lead to the achievementof mtually agreed aims.

Movement therapy

Many scientific studies have shown movement to be very effective as a means for improving physical functions and for regaining lost activities e.g. walking, climbing stairs and handling objects. In a case of strong muscle weakness, the therapist will conduct the movement exercises passively. As soon as the patient has gained some strength, the therapist shall assist in the movements and activities, and then ultimately they will be done independently under the individual monitoring of the therapist, in group therapy and in specially taught home programs.

Aquatherapy

In aquatherapy, the physiotherapist makes use of the hydromechanical properties of water: buoyancy, hydrostatic pressure, metacentric effects and vortex formation. In addition, the patient benefits from the heat of the thermal water. With water immersion, heart and breating capacity are increased, muscle tone is reduced, weight is supported, and sheer and torsional forces are reduced.

Manual therapy

The hands of the therapist are the most important part of this kind of therapy. The therapist senses articular disorders and corrects them with massive movements. Depending on the type of the fault, the passive mobilisations are soft and slow movements or impulsive ones. There is always movement therapy in addition to manual therapy.

Trigger point therapy

The aim of trigger point therapy is reduction and deactivation of local hardenings in skeletal muscle, the so-called “myofascial trigger points” using specific physiotherapeutic treatment techniques. A further treatment opportunity is recognised with needling the trigger point with acupuncture needles (dry needling) (depending on the affected muscle area). Finally, during a trigger point treatment the patient is instructed in stretching exercises so that they can treat their tight muscles themselves.

Oral and swallowing therapy

The basis of this therapy is exact results finding for determining a patient's individual problems they have when chewing and swallowing. The reflexes in the mouth area are assessed, as are activity, co-ordination the power of the tongue and facial muscles. The treatment consists primarily of a targeted movement therapy with the affected area(s) with the aim of allowing as much swallowing function as possible (for the purpose of swallowing food) as well as facial expressions and speech functions. It will prove a decisive contribution to the quality of life of the affected patients.

Constraint Induced Therapy (CIT)

CIT is an interdisciplinary, comprehensive therapy concept for hemiplegia patients with a restricted hand/arm function. During this therapy concept, the patient is required to use the affected limb as much as possible. This involves the hand not being used being "de-activated" through the wearing of a special glove. This glove can only be worn during individual therapy, but also during the whole day of treatment. This allows for the improvement of motor skills and attention with the affected limb.

Postural control and balance training

During a different kind of physiotherapeutic investigation, posture and balance problems are defined and a specific treatment plan is developed. This always included problem-adapted training of posture control and balance. It is often the case that the following things also need to be taken into account: the compensation strategies for everyday activities, the use of assistance means and explanatory information for everyday life during a treatment session.

Incontinence therapy (PFMT)

In cases of bowel and bladder incontinence, and constipation, targeted PFMT has proven its worth. This is usually divided into three steps:
- Clarification of the anatomy and physiology of the pelvis /perception and awareness of the pelvis musculature
- Development of sound pelvis activity
- Strengthening of the pelvis and learning about “media techniques” and stepwise incorporation of exercise in daily life.
In addition there is provided clarification regarding drinking and micturation and counseling (incontinence pads, anal tampons, special incontinence underwear, possible pessaries). Bio-feedback and electrostimulation areused to aid the perception of the pelvic area.

Lokomat therapy

Lokomat therapy includes walking training on a treadmill with the use of different adjustable body weight reductions and variable support with the use of motorised leg orthoses. Both can be individually adjusted with the patient. The discharge results in a protective case whereby the patient can better focus on the individual steps. This allows for a longer walking distance and therefore endurance training. Guided walking movements and the symmetrical step pattern allows for reduced spacticity. Lokomat also allows patients with co-ordinaion difficulties to achieve a normal walking rhythm.

Hippotherapy

This physiotherapeutic therapy works with the aid of a small horse. The hippotherapist stands next to the horse and supports the patient with their hands or verbal instructions. The rhythmic movements of the horse when it is walking are transferred to the patient, who must compensate these movement impulses. The stated goal of hippotherapy is tone regulation and improvement of sitting balance. This results in improved endurance and trunk mobility.

Therapeutic climbing

This is a therapeutic concept revolving around wall climbing, for patients with neurological and musculoskeletal diseases. Based on the theoretical basics of training therapy, motor learning and Constrained Induced Therapy (CIT) there is a four-stage therapy concept here.

1. Preparatory phase: everyday activities which are necessary for the use of the climbing wall (e.g. putting on a climbing belt) are used therapeutically.
2. Technical training: specific problem-oriented exercises are practiced a few centimetres above the ground.
3. Play training: planning encouragement and movement taining with aids.
4. Final phase: the putting away of the equipment is used as a therapy exercise (e.g. back ergonomics with mats transport).
Treatment aims are the improvement of muscular endurance, co-ordination and balance as well as increase in mobility, body awareness training and concentration improvement.

Medical Training Therapy (MTT)

Medical Training Therapy is a differentiated dose-based therapy used to improve strength, stamina, co-ordination and movement, and it has a positive effect as far as pain is concerned. Learned techniques, postures and movemet sequences can be automated in MTT. Patients practice on pulling apparatus, strength and endurance machines, as well as dumbbells, in groups, under the supervision of a therapist. A pre-requisite to the execution of MTT is a close examination for diagnosis of musculoskeletal problems. Only this way can the patient practice in line with their problems and the maximum possible effectiveness.

Jacobson's relaxation therapy

By learning relaxation techniques, patients learn how to treat pain-related or stress-related muscle tensions in a positive way. A pre-requisite for the execution of this technique is a known feeling of non-physiological muscular tensions. With this, perception training is an important component of this pleasant type of therapy. The patients are trained in simple relaxation techniques to use in everyday life after they have been discharged from rehabilition.