Concept

A flexible combination of scientifically based therapy approaches allows for individualized responses to each situation. With improved mobility, clients can independently navigate everyday situations. Joy, energy, and optimism return.

Concept and Therapy Contents

BrainRaise Neurorehabilitation combines scientifically proven training concepts to create a unique form of therapy. We focus on precise handling in therapy that creates a balance between support and challenge. This ensures that your body and nervous system experience exactly the level of exertion required to achieve neuronal reorganisation, build muscle strength and muscle mass without overtaxing you.

In addition to our physical therapy, we offer targeted mental support. If you feel that you are mentally unable to keep up the training, we will be there to help you overcome these barriers and continue to make progress.

This holistic approach enables you to achieve your best results and reach your personal goals.

Counteracting learned non-use: strategies for activating the potential of affected areas of the body

After a brain injury, a phenomenon known as “learned non-use” often manifests itself. Symptoms of paralysis and the loss of feeling in certain areas of the body mean that those affected instinctively tend to use the affected side less or not at all. Even if residual functions are still present, movement habits develop over time that do not fully utilise the potential of the affected side.

The long-term effects of this phenomenon are considerable. As the affected page is not activated, a cyclical pattern of reduced utilisation is created, which further limits the capacity of the page.

Our approach focuses on breaking through this “learned non-use” and promoting “learned use” instead. Through targeted, systematic training, we challenge and support the affected side. By gradually rebuilding and introducing new movement patterns, we help those affected to make optimum use of the existing abilities of their affected side.

The result: an extended range of movement based on the “Learned Use” principle that integrates the abilities of both sides of the body. New, healthier movement habits are developed that utilise the body’s full potential.

Step by step, patients regain their ability to move. Each intermediate goal achieved strengthens motivation and activates areas of the brain that are responsible for movement. New nerve connections are formed and motor movements become faster from one training session to the next. In MRI images, the success of the therapy is visible through larger areas and stronger connections.

Step by step to more independence

In a demanding and dynamic world, flexibility and adaptability are essential. The situation is similar with neurorehabilitation after brain injury. At BrainRaise, we have found that a continuous, methodical combination of evidence-based training procedures contributes significantly to success. This is particularly true in conjunction with a targeted motivational strategy. Achieving initial milestones not only promotes intrinsic motivation, but also self-confidence. Our approach, designed specifically for demanding clients, is as follows:

Analysis of the current condition: We gain a comprehensive overview with a thorough movement analysis and taking into account the latest medical findings.

Goal setting by consensus: Together with you, we define the therapy goals. We differentiate between long-term visions and short-term dreams. We evaluate your motivation and commitment and at the same time look at how stable your mental state is in order to decide whether additional support measures are necessary.

Strategic planning: Based on the collected data and goals, we create a customized, targeted treatment plan.

Implementation: In addition to the treatment plan, we develop a detailed training plan that deepens and specifies the therapeutic approach.

Focus on balance: Similar to project management, we ensure a balance between active training phases and recovery to ensure a sustainable healing process.

Our primary concern is that you are the center of attention and always feel accompanied and understood.

Activate affected body areas

Scientific findings on neuroplasticity and the nature of learning processes form the basis for the innovative treatment concept. With the right training, the brain, nervous and muscular systems can adapt to the new situation in the best possible way. It is not easy to influence your own mobility after a brain injury. BrainRaise Neurorehabilitation has developed efficient and powerful concepts with which patients can control movements and influence mobility and movement sequences. In the following sections, you will learn more about the most important technical terms and methods.

In order for the therapy concepts to be successful in the long term, the brain must reorganise itself structurally and functionally. With a large number of repetitions, the brain can relearn movement sequences and patterns. This is achieved through consistent and intensive activation of affected body segments. To this end, the motor potential is determined in advance in a movement analysis in order to develop a customised therapy and training plan.

Würfel mit der Aufschrift 'OLD HABITS' werden durch eine Hand zu 'NEW HABITS' umgestellt, symbolisch für die Veränderung von Gewohnheiten durch Forced Use Therapie.

Neuroplasticity

Our brain is a masterpiece of adaptability. It continuously changes its structures and functions in order to respond optimally to external influences and demands. This phenomenon of neuroplasticity is the key to successful rehabilitation measures following a stroke or craniocerebral injury.

Our brain is a masterpiece of adaptability. It continuously changes its structures and functions in order to respond optimally to external influences and demands. This phenomenon of neuroplasticity is the key to successful rehabilitation measures following a stroke or craniocerebral injury. At BrainRaise, we consistently base our therapeutic approaches on the rules of neuroplasticity. A core principle that we follow is the law of “function determines structure”. This means that targeted training can promote not only functional but also structural adaptations in the brain. By relying on these principles, we enable those affected to achieve the best possible regeneration and restoration of their abilities.

Promote regeneration processes

The latest scientific findings from the field of neurology form the basis for the BrainRaise neurorehabilitation concept. Learning processes and the neuroplasticity of the brain play a role. The brain is a highly complex organ with more than one hundred billion nerve cells that can establish countless connections with each other. These complex processes can be influenced with the right impulses, nutrients and messenger substances. Damaged regions of the brain regenerate and create new connections. A major advantage: the brain is adaptable and versatile well into old age.

With physical activity and movement exercises that take place as early as possible after a stroke or traumatic brain injury, we specifically stimulate neuroplasticity. The frequency of the exercises is crucial. Clinical studies show that stress reduction, relaxation and restful sleep promote regeneration processes and neuroplasticity. We take all these aspects into account when putting together an individual therapy programme for stroke sufferers and people with other neurological diseases.

Repetition

Targeted repetition is an important success factor in neurorehabilitation. This allows damaged areas of the brain to communicate with each other and with the body again. We work according to the motto: “Repeat without repeating”. This means that we make our training varied and challenging at the same time. All tasks aim to stimulate the neuroplasticity of the brain. Ten guiding principles for movement training in neurorehabilitation provide support on the way to restoring the ability to move.

Motivation

is crucial for learning. Those who are motivated are more committed and can concentrate better on a task. Learning processes run faster and we are better able to remember what we have learnt. The following factors influence individual motivation:

  • Interest in the task,
  • rewards and the prospect of success,
  • support from other people,
  • setting realistic and achievable goals.

Positive emotions such as joy and enthusiasm strengthen motivation. If learning processes are a positive experience, patients approach tasks with more concentration and motivation. Motivation is therefore a key factor for successful learning processes.

Forced Use Therapy according to Utley/Woll

The principle of “forced use” aims to break through “learned non-use”. Here, the use of the affected side is demanded by inhibiting the less affected side. The strategy behind this: Those affected are placed in a training situation in which they are forced to use their impaired side more, creating the opportunity to develop new movement habits and optimally utilise existing potential. No matter if an athlete wants to train their weaker leg again.

One particularly effective method resulting from the concept of “forced use” is the so-called “Constraint Induced Movement Therapy” (CIMT). This is a recognised and widely used therapy method that shows positive results, particularly in patients with learned non-use.

The culmination of these therapeutic approaches is Forced Use Therapy according to Utley/Woll. This concept, originally developed by Susan Woll and Jan Utley, combines the advantages of both approaches and enables individualised and effective treatment of those affected, regardless of the severity of their impairment. The uniqueness of this approach lies in its continuous development, based on the knowledge and experience of Woll, Utley and their students. It is not only a product of years of research and perfecting the handling, but also a testament to the dedication and passion of the two developers who endeavour to make a lasting difference to the lives of people with mobility impairments.

By combining various therapy methods that have been proven to be effective, Forced Use Therapy according to Utley/Woll promises those affected not only a noticeable improvement in their mobility, but also a lasting improvement in their quality of life. It is a pioneering method that has the potential to have a lasting impact on the landscape of neurorehabilitation.

Forced Use

is a treatment method for improving the mobility of affected limbs following brain damage. Restricted extremities are forced to perform certain movements. This stimulates and strengthens the relevant nerve pathways in the brain. The American neuropsychologist Edward Taub developed the method in the 1980s at the University of Alabama in Birmingham (USA). He carried out experiments on monkeys and discovered that the animals were able to restore their ability to move after brain damage if they used affected limbs. This gave rise to the concept of forced use therapy. It soon became apparent that the method could also be applied to humans. In modern medicine, forced use is used with other therapeutic approaches such as constraint-induced movement therapy (CIMT) or the mirror therapy approach.

CIMT

stands for Constraint-Induced Movement Therapy. This therapeutic approach is used to treat motor impairments following brain damage. Restricted extremities are forced to become active again through targeted training and deliberate restriction of the healthy extremity. A cuff or glove is used to prevent healthy areas of the body from moving. Patients have to use the extremities that are restricted by the stroke or brain damage. Exercises and repetitions stimulate the brain to form new nerve connections. Numerous medical studies have proven the effectiveness of this therapy method for motor impairments following brain damage. A personalised therapy plan and professional guidance are fundamental to the success of the therapy.

Strength training

is a systematic method for improving physical performance through increased muscle strength. Weights, resistance bands and other aids simultaneously strain and strengthen the muscles. Studies emphasise the positive effect of strength training on health. These include:

  • Increased bone mineral density,
  • a lower risk of osteoporosis,
  • a regulated blood sugar level,
  • a lower risk of cardiovascular disease and metabolic syndrome,
  • the prevention of muscle weakness and atrophy.

The type of exercise, intensity and frequency must be adapted to the individual situation in order to achieve optimal results and avoid injuries. In addition, strength training is an important part of a healthy and efficient lifestyle.

Functional strength training

is an effective training method for improving muscle strength and function. The training approach was designed to be transferable to everyday movements. Medical studies show that greater strength and improved muscle stability and coordination improve the ability to move in everyday life. This applies to movements such as standing, walking, bending and lifting. Functional strength training also helps to reduce the risk of injury and supports an independent lifestyle.

Context- and task-specific training

represents an innovative approach in the field of motor learning. This approach trains motor skills in realistic conditions and emphasises exercises that are close to the patients’ everyday situations. This makes it easier to transfer what has been learnt into daily practice.

The key lies in the specific context that corresponds to the requirements of the respective target movement. Such a realistic training environment plays a central role: it stimulates the nervous system, allowing for the effective training of movements needed in daily life. Training in this context promotes neural plasticity, making it easier to learn and adapt movements. Furthermore, this approach supports the application of acquired skills in a wide range of everyday situations.

Several studies confirm the effectiveness of these training methods in patients with neurological conditions such as stroke, Parkinson’s disease, and multiple sclerosis. They not only demonstrate improved motor skills but also increased self-confidence and enhanced independence in everyday activities.

Several studies confirm the effectiveness of these training methods in patients with neurological conditions such as stroke, Parkinson’s disease, and multiple sclerosis. They not only demonstrate improved motor skills but also increased self-confidence and enhanced independence in everyday activities.

Functional Electrical Stimulation (FES)

It stimulates weakened or paralyzed muscles through electrical impulses. FES is used for the rehabilitation of individuals with neurological conditions such as stroke, spinal cord injuries, and multiple sclerosis. The method can help prevent muscle atrophy and improves blood flow and muscle strength. Patients benefit from increased mobility and independence in daily life. It is also suitable for reducing pain and spasms.

Biofeedback using EMG (Electromyography)

We use it to measure and provide feedback on muscle activity, allowing us to strengthen and better control the muscles. This method is helpful for patients with stroke or spinal cord injuries. For measurement, electrodes are attached to the skin over the affected muscle. These electrodes measure the electrical activity patterns of the muscles. In real-time, the measured data is provided to the patients through visual or auditory signals. This way, affected individuals learn to use and control their muscles effectively.

According to studies, EMG is particularly helpful in cases of neurological disorders. The innovative method contributes not only to improving muscle control and strength but also to reducing pain, enhancing joint stability, and improving mobility. Regular progress monitoring helps achieve optimal results. Biofeedback complements other treatment approaches such as physiotherapeutic exercises and strength training effectively.

Manual Therapy for Spasticity and Hypertonia

Manual therapy is an essential component in the rehabilitation of clients with neurological conditions. In this client group, joint restrictions often occur, frequently accompanied by symptoms such as hypertonia and spasticity. Even short periods of immobility can lead to significant limitations in movement and joint stiffness, which can hinder or even make it impossible to reintegrate newly learned motor skills. We use reflex arm mobilization techniques to restore mobility to restricted joints or stiff connective tissues and fascia.

Orthotics and Insoles

Orthotics and insoles are orthopedic aids that relieve and stabilize joints, muscles, and bones. Individuals with musculoskeletal disorders or injuries receive valuable support when standing, walking, and performing other movements. The balance between mobility and stability is the central focus. An orthosis encases the affected body part, creating an additional support surface.

The device is tailored to the individual needs of each patient. We conduct an analysis in collaboration with orthopedic technicians. Based on this data, we manufacture orthoses, braces, and insoles. These are designed to provide patients with an adequate range of motion and stability. In addition to functionality, comfort plays a crucial role. Orthoses, braces, and shoe insoles facilitate walking and standing. Patients benefit from an increase in quality of life and resilience.

Contact us

For an informative and non-binding discussion, please contact us by phone +41 (0) 76 610 51 95 or email info@brainraise.ch.

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