De Resident

In some cases, physical complaints play an impeding role in work. As a result, the person in question is no longer always able to perform his work (properly). Physical reintegration is a treatment process in which the physiotherapist offers treatment aimed at resuming work. This treatment is 1 on 1 with the client and often consists of a training program and possibly supporting physiotherapeutic procedures. Advice is also given about the physical load at work. The physiotherapist may also choose to perform a workplace examination.

The aim of physical reintegration is full return to the labor process, without absenteeism. Preferably, an employee is trained more strongly (increase load capacity) than before the complaints started. This results in a reduced risk of its recurrence. Physical reintegration usually takes place on referral from a company doctor and can therefore be used as a multidisciplinary treatment in a reintegration process.

The duration of a trajectory varies. This depends on the nature and seriousness of the complaints and the absenteeism that is involved. In consultation with the company doctor and any other disciplines involved, a decision can be made about the duration of a trajectory.

The workplace examination is performed by our physiotherapist. This can be done both in case complaints are present, but also to prevent complaints.

The examination can be executed at different workplaces. For example, in office VDU workplaces and sheds in production companies. The physiotherapist visits the workplace of the employee, preferably when he is actually at work. Observed will be, among other things, which postures are adopted, which materials are present and how they are used. The physiotherapist offers advice and helps the client to reduce the physical strain. E.g. by setting up a computer workstation ergonomically.

In a somewhat more extensive form, attention is also paid to aspects related to work and health. This is done by, among other things, the 5 W method (work pressure, working hours, work attitude, workplace and work tasks) and/or the 4 A method (working conditions, labor relations, work content and working conditions). A workplace assessment can be performed in combination with a physiotherapy treatment program to make it even more effective. It is also possible to deploy these separately.

Medical taping is a therapeutic taping technique in which elastic tape (also known as kinesio tape) is applied to the body. The idea behind this is that, besides controlling the movements of the body, among other things muscles also affect circulation, the lymph system and body temperature. In other words, muscles that are not working properly can cause a range of problems and symptoms. However, when muscles that are not working properly are supported with this special elastic tape, it stimulates the body’s self-healing capacities.

Medical Taping

Medical taping is often used to help athletes recover from sport injuries but is also effective in treating structural problems and physical conditions, including:

• (Post-)treatment of musculoskeletal injuries, such as back, shoulder, knee and calf pain
• Improving joint mobility
• Postural correction and joint realignment
• Treatment of arm, neck and/or shoulder complaints (RSI) caused by overuse, such as tennis and golf elbow

Medical taping is not a stand-alone treatment. It can be used in conjunction with other treatment techniques and to support movement.

Medical fitness is sports in a responsible manner under the supervision of a physiotherapist or a medical fitness instructor. This is usually done in groups where each participant carries out an individual training schedule.

Medical Fitness is suitable for various physical complaints, but it is also increasingly used for mental complaints. Some examples of indications for a medical fitness program are:

• Lung COVID complaints.
• Chronic musculoskeletal complaints, such as back and neck complaints.
• COPD.
• Follow-up on a cardiac rehabilitation program.
• Optimal preparation prior to surgery, such as placing a knee or hip prosthesis (pre-operative). Or active support for recovery after surgery (post-operative).
• (reintegrating from) Burnout.

Medical Fitness has the special feature that not only addresses the local complaints, but also the general condition / capacity is trained. This also strengthens the entire body. Usually a trajectory lasts about 12 weeks, with training several times a week.

To put it simply, mobilisation is a manual therapy technique that helps make joints more mobile. Physiotherapists frequently use this technique. Sometimes a joint is unable to move through its full range of motion. For example, you may find it difficult to look behind you because you cannot turn your head fully to one side. Or maybe your shoulder will only lift so far. This is often because the joint capsule has tightened and/or because muscles are restricting the movement. A physiotherapist can perform mobilisation techniques to free up the joint and restore the full range of motion. This should reduce your symptoms and make it easier to move.

There are different types of mobilisation. In physiotherapy, a general distinction is made between ‘passive’ and ‘active’ mobilisation. In the case of passive mobilisation, you do not have to do anything. The physiotherapist moves the joint or part of your body being treated while it is relaxed. In the case of active mobilisation, you are given exercises to do that involve moving the joint. These two forms of mobilisation can also be combined, with the physiotherapist assisting while you actively move the joint. This is referred to as ‘supervised active mobilisation’.