Treatment & therapy.

All-encompassing early neurological rehabilitation.

Even at an early stage we teach patients to make everyday functional movements independently.

Even at an early stage we teach patients to make everyday functional movements independently.

As a large specialist neurological clinic, our neurologists in cooperation with specialists in internal medicine and specialists in intensive medicine, are able to treat all known neurological clinical pictures. Over and above the acute treatment (phase A) and subsequent early rehabilitation (phase B), we also offer our patients further treatment options in the continuing phase C rehabilitation right through to the follow-up phase D rehabilitation.
The equipment and therapeutic options on offer count among the most comprehensive in Europe. With our wide range of specialist departments, our wealth of experience and depth of competency as well as high staffing levels, we are able to offer the latest and best possible therapy in line with the most modern medical guidelines – in every phase of the disease.

 

Acute and intensive medical care.

Being assured in a neurological emergency.

With a special accredited Stroke Unit, an ICU and an acute ward we are optimally equipped both technically and from a staff perspective to rapidly provide the best and safest care for our patients in an emergency. Whether a stroke, cerebral haemorrhage, epileptic fit or any other neurological disease – we are able to offer a complete range of treatments for every neurological clinical picture in the acute and rehabilitation phase.

 

Medical care: Ongoing and individually adapted care.

The majority of our patients are referred to our early neurological rehabilitation unit following treatment in the Acute Clinic. At this point in time they have usually already been receiving medical treatment and medication. We continue this treatment with medication and medical care without interruption and adapt and optimise according to the condition of the patients. So for instance artificially ventilated patients can be weaned off the ventilator more easily by the insertion of a special tracheal tube. There is evidence that the risk of complications from pneumonia is significantly less by doing this.
The treatment of other symptoms is also of great importance for our patients, for instance for preventing pain, epileptic fits, restlessness, anxiety or depression ever occurring in the first place.

 

Diagnostics.

Recognising precisely the status of our patients.

Our patients are examined very thoroughly in order to recognise and respond appropriately to progress and regression.

Our patients are examined very thoroughly in order to recognise and respond appropriately to progress and regression.

Many of our patients are unconscious when they are admitted, i.e. in a coma or coma vigil or have a reduced level of consciousness. Therefore clarification and continuous monitoring of state of consciousness is one of the most important tasks in early neurological rehabilitation. We have all the necessary equipment in our clinic such as MRI or computerised tomography (CT) and devices to record cerebral electric currents (EEG) and electric potentials (SEP and VEP).
Testing hormone levels, cerebral fluid tests or imaging of the heart and blood vessels are other important diagnostic techniques. They help us to determine the exact cause of disease and to evaluate the risk of possible complications. We are continually obtaining up-to-date information on the condition of our patients using standardised questionnaires and tests. This means we can detect immediately the smallest change and respond by adapting therapy.

 

Early rehabilitation & further therapy.

Treatment: the earlier the better.

The earlier rehabilitation is started the higher the chances of a possible regeneration of our patients. So that each patient can be treated individually and appropriately, we have a broad spectrum of special therapy measures available. At the same time our experts from the areas of physiotherapy, ergotherapy, speech and swallowing therapy, neuropsychology and physical therapy work together hand in hand. In order to guarantee effective speech therapy for our Arabic patients, we provide Arabic-speaking speech therapists.

 

From breathing therapy to robotic-assisted training programmes.

To breathe again independently without a tracheal cannula is an important aim of breathing therapy.

To breathe again independently without a tracheal cannula is an important aim of breathing therapy.

At the start of rehabilitation the focus of treatment is initially on breathing and swallowing therapy in order to train independent breathing and swallowing mechanisms. The aim here is the gradual weaning off medical aids such as the tracheal cannula. Adapting diet, stimulating facial and throat muscles, stimulation of the oesophagus and further logopaedic techniques can help here.
At the same time therapists trained in physiotherapy and physical therapy supported by the latest robotic equipment technology work on mobilising  our patients. The therapy programme is continually checked throughout the whole period of rehabilitation and for several weeks or months and adjusted and extended according to the patients' progress.

 

Care therapy: Regain as much independence as possible.

Care as an important part of activating therapy

Care as an important part of activating therapy

Our trained nursing staff make up another important component of the treatment team in early neurological rehabilitation. With intensive specialist care and nursing they support our patients during their entire stay at the clinic. Through carefully adapted stimulation to the current capabilities of the patients, they contribute significantly to the medical and therapeutic success of treatment.
They help our patients to put to everyday use their regained capabilities and skills as a result of therapeutic measures and to consolidate them. When shaving and washing our patients are working hard mostly without it being obvious, to regain their lost independence caused by brain damage.
Even with persisting impairments such as paralysed arms or legs, our therapists give patients and their relatives practical assistance for developing their own compensation techniques.

 

Return to home.

Support for the return to every day life.

We support and advise our patients and their relatives with respect to every day questions regarding all aspects of care in the home environment. We provide the best possible aids here.

 

Our medical services include, in particular:

  • Acute and intensive medical care:
    • Accredited special ward for acute care for strokes (Stroke Unit) with a more than average high lysis quota and lysis rate.
    • Acute ward for neurological diseases
    • Intensive Care Unit with comprehensive and modern equipment offering all options for intensive care monitoring and treatment of patients.
  • Diagnostics:    
    • Clarification and continual checking of current state of consciousness through: modern cross sectional imaging: Computerised tomography (CT) or magnetic resonance imaging (MRI) of the brain, electrophysiological examinations such as measurement of the brain's electrical activity (electroencephalogram (EEG)) or evoked potentials (SEP and VEP)
    • Measurement of nerve conduction velocity (NCV)
    • Doppler ultrasound (measurement of blood flow in the arteries supplying the brain, heart examination using electrocardiogram (ECG), long term electrocardiogram (24 hour ECG), echocardiogram (transthoracic and transoesophageal), long-term blood pressure measurement.
    • Diagnosis of swallowing disorders using: Endoscopic pharyngo-laryngoscopy, X-ray cinematography of the swallowing act, oesophageal manometry
    • Hormone tests from blood and lumbar punctures
    • clinical examination method with standardised examination scales in the case of disorders of consciousness (Coma Remission Scale)
  • Medical care:
    • Clarification of the causes of damage to the nervous system
    • Continuation of treatments with drugs
    • Treatment and the prevention of infections (e.g. pneumonia, urinary tract infections)  and complications such as pulmonary embolisms, epileptic seizures, pain, development of spasticity, insertion of a shunt in the case of excess production of cerebral spinal fluid, treatment of restless states, psychotic condition, anxiety or depression.
  • Early rehabilitative therapy:
    • Robotics-assisted walking and movement training using the Lokomat and robotic arm, therapeutic warm water swimming pool for walking training and treatment of spasticity, treatment of spasticity with botulinum toxin therapy, saebo splint, forced use therapy, physiotherapy, ergotherapy, speech and swallowing therapy, physical therapy, direct current therapy, magnetic stimulation, breathing therapy, visual field training, neuropsychological treatment for anxiety, depression or family difficulties.
  • Care therapy, activating care:
    • Special training to teach simple every day competencies and support of therapeutic measures throughout the day.
    • Provision of aids, care instructions for everyday application and advice for relatives, rooming-in for relatives
    • social paedagogic and work-related legal advice and support on the subjects of reintegration measures, care home, care service