Is a form of therapy which emphasises your active participation in treating your pain and functional deficits and which is aimed at improving your health in the long term.
During the first session, you will be asked about your medical problems and undergo a thorough physical examination so that your therapist can get a comprehensive picture of your symptoms. This forms the basis for any further treatment. After this initial examination we will set the treatment objectives together with you and prepare your individual treatment plan. The symptoms identified will then be treated by means of targeted passive techniques (carried out by the therapist) or active techniques (performed by yourself as instructed by the therapist). Equally important, however, is the identification of the causes of your pain in order to achieve therapeutic success in the long term. Furthermore, medical gymnastics comprise posture training, personal consultations with regard to everyday behaviour such as the layout of the workplace and the learning of correct lifting and carrying techniques.
For therapeutic support, physical procedures (electrotherapy, heat, ice) as well as passive procedures such as massage, lymph drainage are applied in addition.
Manual therapy (Maitland, Kaltenborn)
Manual therapy is a very successful physiotherapeutic method – which literally means treatment using one’s hands. During its development, the focus of this therapy was placed on the passive mobilisation of the spine and the joints at the extremities by the therapist.
Modern manual therapy has developed further to become a complex and structured form of treatment offering active elements to the patient apart from the passive ones and providing multiple forms of management. Typical areas of application of manual therapy are pain or movement restrictions after accidents or excessive physical strain. But it also provides treatment options for pain which is not directly related to injury but has been caused by wrong patterns of movement or false postures at the workplace for example.
After surgery, manual therapy aims at optimally supporting the process of recovery. For this purpose, techniques are applied which improve mobility of the joints, relaxation of muscles and perfusion. Later, the affected area is strengthened in order to prepare it for everyday use. Here, the information on the physical strain allowed and the desired behaviour in case of pain is also an important part of therapy. This way, a quick course of recovery after surgery which is free of complications is ensured as far as possible.
Apart from the usual physiotherapeutic measures, mainly the following elements are added:
- passive joint mobilisation at the extremities and the spine
- exercises for improving muscular imbalances and strengthening weak muscles
- active exercises and help for self-help
Indications are, for example:
- back and cervical spine problems – after disc prolapse, for example
- pain in the shoulder area
- knee pain occurring after meniscus damage or without an obvious cause, for example
- foot problems such as torn ligaments or Achilles’ tendon inflammation
- nerve pain due to sciatic nerve irritation
- arthrosis, e.g. at the hip or knee
- headache or mandibular pain
This treatment method has become one of the best spine therapies acknowledged worldwide.
The McKenzie method is a preventive therapeutic concept which includes early patient activity and is aimed at preventing relapses and avoiding chronification. Patients are involved in the therapy process playing an active role in recovery. Dependence on the therapist, statements or prognosis creating fear and deconditioning of the patient should be avoided under any circumstances.
Passive manual techniques are not applied as primary measures of intervention. Passive mobilisation is used only after determining that no further improvement in pain and function can be reached otherwise.
As a particularity both during examination and under therapy, it should be noted that the patient carries out REPEATED MOVEMENTS aimed at reducing and centralising the pain. This phenomenon of centralisation is significant both in terms of diagnosis, therapy and prognosis. Primarily, the direction of therapy is determined by the pain behaviour and the restoring of function.
Studies both with acute and chronic patients have shown that patients whose pain wanders from a distal (away from the body centre) to a proximal direction (towards the body centre) – i.e. centralises – after performing certain movements or postures had less pain, better functionality and better reintegration into the work process in the long term (Long 1995, Werneke 1999).
(Excerpts from the Curriculum of the McKenzie Institute in Germany)
Physiotherapy with training devices
This therapy is directed at patients with problems in the shoulder, back, hip, knee and foot areas. Academically qualified sports scientists and sports physiotherapists will support you there.
Health-oriented training of strength, endurance, mobility and coordination improves the stability of the spine and joints, leading to pain relief, good physical performance and a better feel for the body.
This will increase your well-being and resilience in everyday life in a sustainable way.
Medical gymnastics on neurological basis
Medical gymnastics on neurological basis focus on the treatment of sequelae of perfusion disorders of the brain in chronic state and of inflammatory / degenerative disorders of the brain or the spinal cord. This includes multiple sclerosis and Parkinson’s disease, for example.
Apart from disorders of the central nervous system, injuries to the peripheral nervous system are treated at our therapy centre. Peronaeus lesions, plexus pareses or femoralis injuries are typical areas of treatment.
Therapy acc. to Bobath
PNF (Proprioceptive Neuromuscular Facilitation)
We treat patients with the following neurological conditions:
- Vertigo & gait disorders
- Children after surgery with neurologically caused foot malpositions
- Multiple sclerosis
- Muscle disorders
In severe cases or after surgery, we can also carry out our therapy at your home.
Sports physiotherapy includes prevention of injuries and manifestations of physical strain on the one hand and rehabilitation after trauma aimed at restoring full performance in sports on the other.
For an athlete, this means preventive coaching accompanying him/her during training and competitions, where stabilisation training for the protection of areas of the musculoskeletal system at high risk, such as the knee for football players, or balanced training in case of biased strain, such as when playing golf, is performed.
After injuries, a sports-specific rehabilitation training is carried out, taking into account the patient’s current performance level, until he/she has reached their former training level.
Sports physiotherapy is not only important for performance-oriented athletes, however In health-oriented and general sports as well as in early functional follow-up treatment (Medical Training Therapy – MTT), techniques from sports physiotherapy may be applied which are of significance for the non-athlete as well.
Based on biomechanical principles, the training concept and physiology of performance, the cardiovascular system and the musculoskeletal system are prepared individually for higher performance / strain in an optimum way.
Training can have a preventive effect with regard to cardiovascular disorders and balance unilateral strains to the musculoskeletal system due to professional activities.
Outpatient physiotherapy and training therapy for patients with COPD
Physiotherapy aims at contributing to an improvement of the patients’ quality of life. The patients learn to develop an understanding of pathological mechanisms and to stabilise their health using an individually adapted self-help programme, thereby counteracting foreseeable negative developments of the lungs and the respiratory pump. Using special techniques, the patients learn to keep their airways open at rest and under physical strain, reduce lung hyperinflation, keep the diaphragm more mobile and powerful, clean the airways effectively with little effort, and dampen unproductive dry cough. This way, shortness of breath can be reduced and physical performance in general can be improved, thus achieving an overall improvement of the patients’ prognosis and quality of life.
Therapy planning for external patients
In cooperation with the medical specialists at the ATOS Clinic, we have specialised in therapeutic concepts for the short, medium or long term.
Initially, our physiotherapist will examine you thoroughly.
On this basis, he/she will prepare a home exercise programme and work out detailed therapy instructions for your usual physiotherapist. Afterwards, we will offer you regular appointments where we are able to monitor the progress of your recovery together.
In particular, we have specialised in:
- shoulder in cooperation with Prof. Habermeyer
- knee in cooperation with Prof. Pässler
- foot in cooperation with Prof. Thermann
- and other doctors of the ATOS Clinic Heidelberg