harry von piekartz

Physiotherapy clinic for manual therapy and applied pain science

H.J.M. von Piekartz
Adress: Stobbenkamp 10
Place: 7631 CP Ootmarsum, Nederland
Mail: hvonpiekartz@gmail.com
Route

The clinic is specialized on the treatment of neuromusculoskeletal dysfunctions, especially on:
– Manual therapy
– Individual rehabilitation
– Pain management


Target groups

Patients with maintained complaints of the neuromusculoskeletal system such as headaches, neck- and face pain, low back pain, pelvic pain and shoulder pain.

Due to the fact that the clinic is specialized on headaches, neck and face pain, where early assessment and treatment are often indicated, the ages of the patients range from very young (babies) to adults.

 

What we do
The examination and treatment is focused on the movement system. During the initial physiotherapy session the therapist will ask a number of questions followed by a thorough physical examination.
– Patient interview
 During the initial subjective examination the therapist is seeking for the causes of your symptoms, this commonly includes a standardized list of questions and/or a questionnaire.

 – Physical Examination
A detailed manual therapy assessment is performed. More details on www.imta.ch (Information for Patienten/ patient information) in German and English. Information on the craniofacial treatment is provided by www.crafta.org (CRAFTA – patient information).


– Applied neurobiomechanic science
The various movement functions may be measured with special measuring tools. This may be the case…

– In the craniomandibular region
– Movements and function of the jaw are measured precisely by ultrasound impulses with extremely lightweight sensors.
– The gained data is used to choose the appropriate therapy approach and is helpful for the cooperation with dentists and orthodontists.
– the assessment of masticatory and neck muscles via surface EMG

 

 

– In the neck region
 Ultrahigh frequency ultrasound (zebris system, www.zebris.com) are used to assess the cervical range of motion. The comprehensive software allows a detailed impression of the individual segmental mobility and may indicate potential dysfunctions. The same procedure may also be applied to the lumbar spine.

 


- For the spinal posture
 A special ultrasound pointer indicates certain marker points in various positions. The result is a three-dimensional view of the spine with precise information about shoulder asymmetry, pelvic torsions and pelvic asymmetry. This procedure is especially useful for the assessment of children with scoliosis. Worsening of the posture or reatment results may be documented reliably.´

– For balance and dizziness
Balance dysfunctions occur in patients of various ages and in a number of syndromes. Via craniocorpography (CCG) the type of balance disorder may be analysed. The results indicate t
he treatment approach, are used as an outcome parameter, and may also guide the decision whether an ENT or neurology specialist needs to be consulted.

 

For multifunctional force measurements

The dynamic and static force distribution may be measured with a multifunction force measurement plate (see photo).

 

This is indicated in balance disorders, for the analysis of the Foot function, but also to assess posture asymmetries such as pelvic torsions, spinal torsions or alterations in the cervical and craniomandibular region.


- For the oculomotor system (function of the eye in relation to movement)
A special circular lens and a standardized cross (maddox cross) measure the eye position (and thereby the motoric and neural function) in certain functional positions. The results indicate to which extend eye dysfunctions influence the posture and will consequently guide the treatment approach.

 


Treatment and Management
Based on the results of the examination a treatment plan is made. This will consist of manual therapy techniques and of pain management components (please refer again to the websites mentioned above). At the beginning of the second session the patient is informed about the influence of the recognised dysfunctions on the symptoms, the expected further duration of the complaints, treatment strategies and self-management strategies.
If you require a quick response to one of your questions or you would like to make an appointment, please contact me via email (harryvonpiekartz@home.nl).

 


Frequency of Treatment
The number of treatments should be kept as small as possible. If 4-6 treatment sessions do not result in any marked improvement, a different therapy approach should be found in cooperation with the treating doctor.

 

Science
Current knowledge from the physiotherapy, manual therapy and dentistry literature is integrated into the treatment approach to promise optimum results.
The patients may be asked to take part in a current research project. If you give your consent, your data is kept strictly anonymous and you may withdraw from the project at any time.

 

Treatment fees
Depending on your insurance contract, most insurance will at least partly cover the fees for your manual therapy treatment. Regarding the biomechanical science measurements the insurance refunds vary widely.