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Indian Journal of Physiotherapy and Occupational Therapy

Abstracts of articles published in Ergoscience 2007 & Physioscience published by Theime (Germany) under exchange programme with IJPOT

Author(s): C. Zillhardt, L. Honold; Hogeschool Zuyd, NL-Heerlen; K.-F Heise, C. Gerloff, F. C. Hummel M. Knust, H. J. M von Piekartz, C. Zalpour

Vol. 1, No. 3 (2007-07 - 2007-09)

ergoscience 2007; 2: 90-99
DOI: 10.1055/s-2007-963299

All Beginnings Are Difficult – Possibilities of Occupational Therapy Services with Preterm Infants in Neonatology in Germany

C. Zillhardt(1), L. Honold(1)

(1) Hogeschool Zuyd, NL-Heerlen


Introduction: In neonatology the preterm infants’ quality of life and the stimulation of their development are increasingly discussed. This article based on a bachelor thesis investigated the possibilities of occupational therapy services for preterm infants in neonatology in Germany.

Method: Five occupational therapists working in neonatology were interviewed and the results were evaluated with qualitative analysis.

Results: The portrayed results are subdivided into necessary expertise (skills, tasks, knowledge/assets, challenge), occupational therapy process (assessment, goal setting, treatment) and interacting factors respectively institutional conditions of the occupational therapy work in neonatology.

Conclusions: The special needs and environment of preterm infants require optimal coordination of therapy with a variety of treatment modalities. The occupational therapist needs a variety of expertise for the miscellaneous scope of duties such as encouraging the infant’s perception and development or instructing parents and nursing staff. This is an exciting challenge for occupational therapy.

Key words: neonatology – preterm infants – expertise – occupational therapy process – influencing factors

physioscience 2007; 3: 99-108
DOI: 10.1055/s-2007-963363

Non-invasive Cortical Stimulation as Adjuvant Therapy Intervention to Promote Functional Recovery after Stroke

K.-F Heise(1), C. Gerloff(1), F. C. Hummel(1)

(1) Klinik und Poliklinik für Neurologie, Universitätsklinikum Hamburg-Eppendorf


Background: Over 60 % of the stroke patients show persistent functional impairments that considerably limit their occupational and social life. The development of effective therapeutic strategies for neurorehabilitation aims at increasing functional recovery and subsequently promoting quality of life in the long run. Recent studies in healthy subjects have provided increasing evidence for non-invasive cortical stimulation to enhance cognitive function.

Objective: This article gives an overview of the concept of non-invasive cortical stimulation and outlines the methods and their application with regard to their relevance in stroke rehabilitation.

Method: A systematic literature review was performed.

Results: First results of studies with stroke patients suggest that combining a specific motor training with non-invasive cortical stimulation might transiently improve functional outcome.

Conclusions: Non-invasive cortical stimulation appears to offer a promising option to enhance functional recovery. It might provide an adjuvant intervention in neurorehabilitation in the near future. For translation of this innovative strategy into routine clinical practice it is necessary to get better insight into the underlying mechanisms and to evaluate this therapeutic strategy with controlled multicentre trials.

physioscience 2007; 3: 109-116
DOI: 10.1055/s-2007-963380

Effectiveness of Manual Therapy in Comparison to a Multimodal Physiotherapeutic Programme in Female Patients with Craniomandibular Disorders

Pilot study

M. Knust(1), H. J. M von Piekartz(1), C. Zalpour(1)

(1) Fachhochschule Osnabrück, University of Applied Sciences


Background: TMD is the most common form of facial pain with many different symptoms. Since more than 10 % of the population above 18 years are severely restricted in their daily activities due to TMD effective treatment modalities play a vital role.

Objective: This pilot study compared the effectiveness of Manual therapy with a multimodal physiotherapy programme in the treatment of female patients with temporomandibular disorders (TMD).

Methods: 16 female test persons with TMD diagnosed by a dentist were randomized into 2 groups (Manual therapy: n = 7, therapeutic exercises: n = 9). The measuring parameters of the pilot study were pain, subjective sensation, jaw opening, deviation, muscle pain and clicking. There were 5 treatments per test person, on the sixth day of the treatment the final examination as well as an introduction to the therapy of the other treatment group took place. The data were analysed by means of descriptive and inductive statistics.

Results: Manual therapy had no statistically significant better results. Both therapies showed a statistically significant improvement of subjective sensation, jaw opening and muscle pain. However, a detailed analysis of the findings detected that pain only statistically significantly improved in manual therapy and deviation only within therapeutic exercises. In neither treatment group clicking was completely reduced.

Conclusions: Manual therapy and the multimodal physiotherapeutic programme produced a different kind of effectiveness and were both indicated for the treatment of TMD. The pilot study serves as preparatory work for a large-scale study and provides important expertise which should be taken into consideration in future projects.

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