Susanna FreivogelUniversität Konstanz | Uni-Konstanz · akademische Weiterbildung
Susanna Freivogel
About
52
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747
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Citations since 2017
Introduction
Publications
Publications (52)
Background
The negative discrepancy between residual functional capacity and reduced use of the contralesional hand, frequently observed after a brain lesion, has been termed Learned Non-Use (LNU) and is thought to depend on the interaction of neuronal mechanisms during recovery and learning-dependent mechanisms.
Objective
Albeit the LNU phenomeno...
The discrepancy between residual functional capacity and reduced use of the contralesional hand, frequently observed after a brain lesion, has been termed Learned Non-Use (LNU) and is thought to depend on the interaction of neuronal mechanisms during recovery and learning-dependent mechanisms such as negative reinforcement. Despite the generally ac...
Zusammenfassung
Seit 10 Jahren bietet die Zeitschrift „neuroreha“ einen wahren Schatz therapeutisch relevanter Informationen. Sie hilft Therapeuten, diejenigen Maßnahmen in der Therapie einzusetzen, die sich in wissenschaftlichen Studien als erfolgreich erwiesen haben. Gründungsherausgeberin Susanna Freivogel zeigt auf, wie Zeitschriften helfen kön...
Zusammenfassung
Zerebralparesen sind der häufigste Grund für motorische Defizite im jüngeren Kindesalter. Ihre Ursachen, die Klassifikation und Diagnostik, vor allem aber den Verlauf und die verschiedenen Behandlungsformen beschreibt der folgende Artikel.
Eine Tonuserhöhung der Skelettmuskulatur wird klinisch definiert als Widerstand bei passiver Bewegung [17]. Dieser Widerstand wird durch die Aktivierung des Muskels (= neurale Komponente) sowie durch die Veränderungen des Bindegewebes des Muskels und der Sehnen (= nicht neurale Komponente) verursacht. Obwohl diese Definition klar und einleuchtend i...
Objective:
To investigate the effects of a predefined mini-trampoline therapy programme for increasing postural control, mobility and the ability to perform activities of daily living after stroke.
Design:
Randomized non-blinded controlled pilot study.
Setting:
Neurological rehabilitation hospital.
Subjects:
First-time stroke; age 18-80 year...
Forced-Use-Therapie, Constraint-Induced Movement Therapy (CIMT), bilaterales und bimanuelles Training sind vielversprechende Therapiemethoden in der neurologischen Rehabilitation. Doch worin genau liegt der Unterschied und welche Patienten eignen sich für welche Methode? Das erklärt Susanna Freivogel im vorliegenden Artikel und bietet somit eine pr...
Die Therapie willkürmotorischer Störungen hat sich in den letzten Jahren zunehmend von einem von »Schulen« geprägten Erfahrungswissen hin zu wissenschaftlich abgesicherten
und evidenzbasierten Behandlungsstrategien entwickelt.
To evaluate the effectiveness of repetitive locomotor training using a newly developed electromechanical gait device compared with treadmill training/gait training with respect to patient's ambulatory motor outcome, necessary personnel resources, and discomfort experienced by therapists and patients.
Randomized, controlled, cross-over trial. Sixtee...
To evaluate the feasibility of using a newly developed electromechanical gait device (LokoHelp) for locomotion training in neurological patients with impaired walking ability with respect to training effects and patients' and therapists' efforts and discomfort.
design: Case series. setting: A neurological rehabilitation centre for children, adolesc...
Übergeordnetes Ziel der Therapie bei Infantiler Zerebralparese ist es, dem Kind eine selbstbestimmte Teilhabe am sozialen Leben zu ermöglichen. Physiotherapeutin Susanna Freivogel beschreibt sinnvolle Tests für die Untersuchung und erklärt, warum Kenntnisse über das motorische Lernen für die Behandlung bedeutend sind.
Die Forced-use-Therapie ist ein Verfahren, das Physiotherapeuten seit Ende der 80er Jahre einsetzen. Verbunden mit einem Handfunktionstraining verhindert sie, dass Patienten mit einer Hemiparese ihre betroffene Seite vernachlässigen. Das zeitintensive Training hilft den Betroffenen, verloren gegangene Alltagsfunktionen wieder zu erlernen.
Basic neuroscience research on brain plasticity, motor learning, and recovery has stimulated new concepts in motor rehabilitation. Combined with the development of methodological goal standards in clinical outcome research, these findings have effectuated the introduction of a double-paradigm shift in physical rehabilitation: (a) the move toward ev...
The goal of physiotherapeutic intervention is to improve motor skills relevant for the activities of daily living. An evidence-based therapy for the restitution of motor function has to comprise the components of repetition, shaping, and has to be goal-directed and task orientated. In addition, with severe paresis motor imagery, movement observatio...
Zusammenfassung
Ziel der physiotherapeutischen Intervention ist die Verbesserung alltagsrelevanter, selbstständiger motorischer Fertigkeiten. Eine evidenzbasierte Therapie zur motorischen Funktionsrestitution beinhaltet die Komponenten Ziel-und Aufgabenorientierung, Repetition und “shaping”. Bei ausgeprägten Paresen sind zusätzlich mentales Trainin...
The authors assessed whether intensive training increases spasticity and leads to the development of "pathologic movement patterns," a concern often raised by Bobath-trained therapists. The authors used a baseline-control repeated-measures test to study 29 patients with chronic upper limb hemiparesis who received daily shaping training. Their resul...
The development of constraint-induced movement therapy is highlighted from its original idea to modified versions. Studies investigating its clinical effectiveness are summarized. Different perspectives and open questions are discussed.
The goal of physiotherapeutic interventions is to improve motor performance related to activities of daily living. Studies on the effectiveness of intervention strategies have shown that task oriented and repetitive training («motor relearning programme») is superior to traditional physiotherapeutic concepts. Additional techniques such as motor ima...
Erkrankungen und Schädigungen des Gehirns führen zu oft langfristig anhaltenden motorischen Funktionsstörungen, deren Behandlung und Rehabilitation interdisziplinäre Anstrengungen erforderlich machen. Dies gilt insbesondere für zentrale Paresen, die einerseits sehr häufig vorkommen, zum anderen zu erheblichen Beeinträchtigungen alltäglicher Verrich...
Constraint-induced movement therapy can improve chronic hemiparesis, but this technique has proven difficult to transfer into clinical practice. The authors studied the benefits of a modified regimen designed to be applicable in the clinical environment. Affected arm movements were trained for 90 min/d for 3 weeks using the learning principle "shap...
To explore the efficacy of a task-oriented repetitive training protocol (RTx) in chronic hemiparetic patients in an in-patient rehabilitation unit.
Three case studies; ABAB design (A=RTx; B=regular rehabilitation programme; 1 week per phase, respectively) in case P1, pre-post intervention comparison in case P2; repeated measure design in case P3.
D...
To test the learned nonuse assumption of constraint-induced movement therapy (CIMT), through behavioral assessment, that residual movement abilities are not used to their fullest extent in persons with chronic hemiparesis.
Repeated-measures cohort design.
Rehabilitation clinic in southwest Germany.
Twenty-one persons with upper-limb hemiparesis aft...
Treatment concepts in neurological physiotherapy are defined by an underlying scientific knowledge of brain function. The so-called >>meurophysiologically<< based treatment schemes (Bobath, Vojta, PNF) suppose - in a Sherringtonian view - that CNS is organised in a hierarchy of reflexes (stimulus-reaction-model). In contrast, modem treatment approa...
When scanning the literature we were not able to find any assessment scale which records motor disability after head injury in a differentiated and objective way (Bobath 1985; Bond 1976; Evans 1981; Ylvisaker 1985). Without such a scale communication becomes more difficult, for example, when patients change hospitals; moreover, differentiated contr...
Projects
Project (1)
