Physiotherapie und Osteopathie am Lindenplatz

We look forward to welcoming you to our practice.

Our practice is owner-managed and forms a joint practice with a specialist in rheumatology. Competent and highly experienced physiotherapists create an empathetic and motivating environment. Accordingly, we offer the entire spectrum of physiotherapeutic (active and passive) and physical treatment methods (electrotherapy, shock wave therapy, ultrasound therapy, and thermotherapy) tailored to your needs.

A large, modern, and specially equipped training room allows you to undergo targeted postoperative rehabilitation, targeted medical training therapy, stress training, or maintenance of functional performance under the guidance of a sports physiotherapist.

Special therapy services and distinctive expertise: pelvic floor therapy for women, lymphatic drainage and compression therapy, IVRT vertigo therapy, manual therapy (OMT-Svomp, MAS msk, certified dry needling therapists), complementary medicine (osteopathy, massage), home visits

 

Thank you for your interest in our services!

In addition to our basic training as physical therapists, we have undergone further training in manual therapy (various manual therapy concepts (OMT, GAMT, Maitland, Brügger, etc.), trigger point treatment including dry needling, treatment of the nervous system) and training therapy.

Thanks to our excellent collaboration with the rheumatologists working in-house and with local general practitioners, we are able to deepen our clinical expertise on a daily basis with patients suffering from rheumatological and general medical conditions. Due to the nearby hospitals in the surrounding area, accident-related or post-operative conditions are also part of our daily work.

Furthermore, osteopathy is offered within the practice. This form of complementary medicine can be incorporated into physiotherapy and effectively complement it.

 

What is physiotherapy?

In physiotherapy, individual complaints are recorded in a consultation and treatment goals are agreed upon together with the patient. Based on the resilience of the tissue and the irritability of the pain, an appropriate examination of the musculoskeletal system is then carried out. These two steps lead to the actual functional assessment of the complaints. The constant reflection of the treatment effect, the change in the resilience of the tissue and the pain is a dynamic process and determines the intensity of the manual treatment and training. The success of the treatment is supported by the patient through an individually tailored and independently performed home program. Ergonomic recommendations and information complement the treatment.

 

What is OMT?

A 2.5-year postgraduate course (1400 working hours, exams in practical work and theory) leads to the title of OMT therapist specializing in the treatment of the musculoskeletal system. Since 2010, the training has been integrated into a master's degree program at the Zurich University of Applied Sciences. It provides in-depth scientific knowledge in this medical specialty, optimizes clinical reasoning, and refines manual skills. The high academic standard of the training is based on the international guidelines of the International Federation of Orthopedic Manipulative Physical Therapists (IFOMPT) and is monitored by this organization. The Swiss Association for Orthopedic Manipulative Physical Therapy (svomp) carries out ongoing quality assurance.

www.svomp.ch

 

Definition by IFOMPT 2004:

"Orthopedic Manual Therapy is a specialized area of physiotherapy/physical therapy for the management of neuro-musculoskeletal conditions, based on clinical reasoning, using highly specific treatment approaches including manual techniques and therapeutic exercises. Orthopedic Manual Therapy also encompasses, and is driven by, the available scientific and clinical evidence and the biopsychosocial framework of each individual patient."

 

What is the Master's in Musculoskeletal Physiotherapy?

The 2.5-year MAS msk Physiotherapy is offered at the Zurich University of Applied Sciences in Winterthur. Students deepen their skills in the diagnosis and manual therapy of musculoskeletal disorders.

Graduates are encouraged to continuously develop their newly acquired clinical expertise and adapt to the constant changes in physiotherapy.

www.zhaw.ch

 

What is trigger point/dry needling?

Definitions, origin

Many musculoskeletal pains originate in the muscles. Overuse or traumatic overstretching can cause areas of decontractable sarcomeres (permanently tense muscle units) to develop in a muscle, the core of which becomes ischemic (not supplied with blood) and therefore painful. The diseased muscle areas can be felt: hard strands with sensitive areas. Pain can be provoked at these points (trigger points), which is often transferred to another region of the body (referred pain). The sum of the symptoms triggered by individual active trigger points is referred to as myofascial pain. With appropriate therapy, this pathology can usually be eliminated even after a long period of time.

Treatment

Chronic pain patients often have altered and shortened connective tissue. Beat Dejung has summarized Ida Rolf's (1896-1979) connective tissue techniques into a systematic 6-step program (Techniques I-VI):

four manual techniques are supplemented by measures for detonization/stretching and functional strengthening of the muscles. In addition, manual technique I (ischemic compression) can be supported with "dry needling." Dry needling is the treatment of myofascial trigger points with acupuncture needles and was introduced in Switzerland in 1995 in the practice of Dr. Beat Dejung.

 

What is lymphatic drainage?

Mode of action
Manual lymphatic drainage is a form of therapy that supports and stimulates the lymphatic system throughout the body.
Manual lymphatic drainage has a decongestant, soothing, and relaxing effect thanks to its gentle movements. Its drainage effect strengthens the immune system.

Approach
Manual lymphatic drainage is becoming increasingly important every year. It must be performed delicately, rhythmically, painlessly, and slowly in order to provide optimal support for the lymphatic system. It is applied directly to the skin.
It is also important to know the indications, contraindications, and complications.
Supportive measures such as gentle exercise therapy, breathing exercises, and correct behavior in everyday life (healthy lifestyle) are part of the therapists' expertise. Interdisciplinary cooperation with specialists (lymphologists, angiologists, oncologists, etc.) is essential for optimal therapeutic success.
Correct bandaging is essential for successful complex physical decongestive therapy (CPT).

Background
Manual lymphatic drainage is based on the four so-called "Vodder basic techniques" (standing circle, twisting technique, pumping technique, and scooping technique).
The sequence of movements for these four techniques follows a common basic pattern. A distinction is made between the push phase and the relaxation phase.
Dr. phil. Emil Vodder worked as a massage therapist and developed manual lymphatic drainage together with his wife around 1932.

 

What is sports physiotherapy?

Sports physiotherapy includes the treatment, diagnosis, and care of top athletes, both in terms of rehabilitation after injuries, operations, etc., using numerous therapeutic concepts such as manual therapy, Chinese medicine and acupuncture, osteopathy, kinesiology, etc., as well as injury prevention and, above all, sport-specific medical training therapy to optimize athletic performance. An important component here is sport-specific training in the areas of strength, flexibility, speed, endurance, coordination, and stabilization, which should be an important part of an optimal network between athletes, trainers, and sports physiotherapists within the framework of so-called personal training.

Requirements and age.

 

What is medical training therapy (MTT)?

Medical training therapy combines knowledge from training and movement theory as well as pathology to support rehabilitation processes or to improve insufficient bodily functions in a preventive sense. Depending on the pathology, the focus is on stabilization or mobilization training, strength, coordination, or cardiovascular training. These goals are achieved with or without equipment. MTT is an active form of therapy with the

the aim of optimally supporting wound healing processes: damaged structures should be fully resilient again (in everyday life, work, and sports) and impaired functions should be restored. It is important that the patient takes personal responsibility and, after receiving some instructions, is able to carry out their exercise program independently. The exercise program must be created by a specialist and tailored to the individual patient in terms of medical diagnoses, current rehabilitation phase, and physical capacity.

 

What is osteopathy?

The foundation of osteopathy is the understanding that the body contains everything it needs to be healthy (self-regulating forces). It is therefore considered an accompanying treatment for a wide variety of complaints and for all ages. All areas of the body form a unit and influence each other. In osteopathy, reversible dysfunctions are examined and treated in a targeted manner with the aim of restoring balance within and between the systems (visceral (abdominal organs), parietal (musculoskeletal system, connective tissue) and craniosacral (skull, spinal cord membranes and fluid, sacrum) systems). The focus is less on the symptoms and more on the causes of the complaints and the individual's health potential (see example below). Through its constant development and adaptation to the latest scientific findings, osteopathy has established itself throughout Europe as a form of complementary medicine.

Osteopath: Team/Thomas Schär

Effect

Free from blockages: Osteopathy releases tension and activates the body's self-healing powers. Using only their hands, osteopaths release blockages in the body and can thus relieve pain. To do this, they identify the cause of the complaints. These are often malfunctions and complaints whose cause (primary dysfunction) may also be located far away from the symptomatic region of the body (secondary dysfunction). Removing this primary dysfunction and its resulting secondary dysfunctions restores balance to the body's systems.With their knowledge, experience, and special treatment techniques, osteopaths help the body to heal itself. Through interdisciplinary cooperation between medical professionals and complementary medicine therapists, pain patients can usually be helped quickly and sustainably.

Example of possible interactions between the symptomatic body region and the entire body based on neck pain

From an osteopathic perspective, neck pain near the skull can have various causes (compensation mechanisms) and requires completely different treatment approaches. Here are three of several possible compensation mechanisms:

1. Compensation mechanism: primary dysfunction in the neck itself

2. Compensation mechanism: primary dysfunction in the lumbar spine, secondary dysfunctions in the thoracic spine and finally in the cervical spine

3. Compensation mechanism: primary dysfunction in the stomach (e.g., hiatal hernia), secondary dysfunction in the lower thoracic and upper lumbar spine, tertiary dysfunctions in the upper thoracic and cervical spine

 

Classic massage

 Classic massage is the most commonly used form of manual therapy today and is performed by specially trained massage therapists or physical therapists.

Basics

In classic massage, pressure and traction stimuli are applied to tissue and muscles with the hands. The touch has a direct physical effect in that it stretches and relaxes tense muscles. This also eliminates pain caused by tension. The massage increases blood circulation and thus the nourishment of the tissue and muscles. On the other hand, massage has a positive effect on the heartbeat, blood pressure, breathing, and digestion, thus promoting relaxation and well-being.

 

Strength training/preventive training

As part of preventive health care, between two and five training sessions can be carried out per week, with the focus of the training varying between endurance, strength, balance, and flexibility. Strength is mainly trained using strength training equipment (cable pull and free weights) specially developed for training therapy, while endurance and balance are trained on various ergometers and the Senso Pro. To guarantee lasting success, the training program should be monitored and updated by physiotherapists at regular intervals (new training stimuli should be set every 3 weeks) from the outset.

Functional strength training

The cable pull-based training stations enable everyday-oriented and functional training. The training program is structured in 3 progressive phases:

1. Basic strength
2. Core stabilization
3. Dynamic strengthening

The phases are characterized by a progressive reduction in stabilization, which is unfortunately not usually possible with conventional strength training equipment. This means that the entire body has to stabilize the muscle group being worked by the cable pull. This corresponds to our everyday life and promotes coordination of the entire body while strengthening a specific muscle group. This increases the effectiveness of the training and, in addition to the training effect , also leads to

automation of movement sequences that are gentler on the musculoskeletal system. Thistransfers strength training into everyday life, which ultimately ensures training success.

 

Personal Training

Unlike group training, personal training involves one-on-one support. This allows the individual needs of the client to be specifically addressed. Thanks to their in-depth knowledge and experience in examining and treating even musculoskeletal systems with reduced load-bearing capacity, physiotherapists are ideally suited to developing customized and effective training programs.

 

Group training

Under physiotherapeutic guidance in the mirror room. Input presentations and distribution of documents.

Time

Group training takes place on Tuesdays and Fridays from 2:00 p.m. to 2:55 p.m. The group consists of 4 to 8 participants.

Content/effect

The cable pull-based training stations enable everyday and functional training. The training is structured in 3 progressive phases:

1. Basic strength
2. Core stabilization
3. Dynamic strengthening

The phases are characterized by a progressive reduction in stabilization, which is unfortunately not usually possible with conventional strength training equipment. This means that the entire body has to stabilize the muscle group being worked by the cable pull. This corresponds to our everyday life and promotes coordination of the entire body while strengthening a specific muscle group. This increases the effectiveness of the training and, in addition to the training effect, leads to the automation of movement sequences that are gentler on the musculoskeletal system. As a result, the strength training is transferred to everyday life, which ultimately ensures the success of the training.

 

Home treatments

If it is not possible for the patient to come to the practice for health reasons, we can also carry out home treatments. These must be medically prescribed and practical.

The costs are covered by basic insurance.

Registration by phone at 044 431 48 13 or by email at info@physio-altstetten.ch