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Paralyses and physical disabilities in children and adults Paraplegia, paraparesis Polyneuropathy Pain in children and adults Attention disorders, dyspraxia in children Treatment of babies Paediatric orthopaedics Irritable bladder and stress incontinence Disturbances of balance and dizziness in older people

Paralyses and physical disabilities in children and adults

• Tetraplegia
• Diplegia
• Hemiplegia
• Dyskinesias
• Infantile cerebral paresis (cerebral palsy)
• Spina bifida
• Brain damage
• Cranio-cerebral trauma
• Stroke
• Disconnection syndrome with disturbance of consciousness, so-called awake coma with minimum consciousness
• Conscious coma
• Paraplegia
• Post-polio syndrome
• Muscular atrophy
• Myopathies, neuropathies
• Angelman syndrome
• Rett syndrome
• Down syndrome
• Genetically caused physical disabilities
• Chromosomal diseases


Congenital, acquired or genetically caused paralysis in children and adults

have as a common factor a more or less severe disturbance of muscle control (primary pathology). However, accompanying this primary pathology there is generally a secondary pathology that can be treated. Muscles that are not adequately controlled by the brain or spinal cord change considerably with time. They become short, stiff, doughy slow to respond and flaccid. They thus develop disturbances that are not controlled directly by the brain, but must be considered as an independent feature of the muscles. The brain’s perception of the muscles and tendons becomes increasingly poor. The clinical picture can be complicated by involuntary, uncoordinated, pointless movements (dyskinesias, athetoses).

Every disturbance of movement therefore has one cause that primarily emanates from the brain, and another, secondary, cause that originates from the musculature itself. This secondary pathology of the musculature can be favourably influenced by the extensive combination therapy that is carried out at the Clinic for Manual Medicine.  It is not true that nothing can be done if paralysis has been present for a long time.

If the functioning of the muscles is improved, the clinical picture of the paralysis decreases, even after many years. The perception of the body that is so important increases with every improvement in the muscle mechanics. Of course, improvements are possible to a limited degree only. However, particularly for patients with paralysis, a little progress is enormous progress. It has also been shown that with the increase in movement potential and ability to move, mental activity is also improved. This also applies for apallic syndrome (conscious coma).

As a result of the paralysis, disturbances of growth occur in children, not least as a result of the disturbed muscle activity. Often the hips do not mature, so that so-called hip dysplasia or even hip dislocation occurs. In dislocation, the head of the thighbone has come out of the hip socket and is thus dislocated. In many cases a muscle-related disturbance of growth of the spinal column develops, leading to curvature of the spine (scoliosis). The main characteristic of paralysis is the shortening of muscles in the arms and legs, leading to drop-foot, club-foot, flat-foot, eversion of the foot, but also to malformation of the hands. This development is a threat in all cases of brain damage, irrespective of the age at which it occurs.

The tendency to shortening, stiffness, doughy slowness and/or flaccidity of the muscles can generally be influenced by the extensive combination therapy.

You can access the treatment results achieved in scientific studies of the extensive combination therapy (Literature references).

A special focus in the treatment spectrum at the Clinic for Manual Medicine is paraplegia. If the paraplegia is complete, the aim is to alleviate the shortening of the muscles (contracture) that occurs in most cases, in order to achieve a good sitting position in the wheelchair and the best possible starting point for body care.  If the paraplegia is incomplete, muscle and joint care also plays a special role in order to alleviate the consequences of the paralysis itself and achieve better mobility.

Recently, clear improvements in mobility have been achieved in patients with incomplete paraplegia, even years after the accident. Through the use of extracorporeal shock wave therapy “sleeping” nerves (so-called silent afferences) have been able to be “woken” and made usable again. The same conditions apply for spina bifida, post-polio syndrome and polyneuropathy.

Ambulanz für Manuelle Medizin - Zentrum für Bewegungsstörungen
Thürachstraße 10 - D-79189 Bad Krozingen
Tel: +49 (0) 7633-408-836, Fax: +49 (0) 7633-408-842,