Tag Archives: therapy

Galileo Therapy

Without effort, different muscle groups are activated and trained through frequency and load variations in which a positively influences total body tension.

Galileo Therapy: Aims of Improvement

  • Strength
  • Activity
  • Coordination
  • Reaction capability
  • Perception
  • Balance
  • Blood flow
  • Improvement in standing and walking safety

Galileo Therapy

Kombinative Galileo Therapien am ISST

  • Guided Galileo therapy
  • Galileo therapy combined with custom motion therapy or other special treatments of ISST
  • Galileo therapy combined with vocal training
  • Galileo therapy and weight loss – combined therapy for weight reduction and for simultaneous stabilization of tissue tone

BackSummary

The OSP therapy has been successfully applied in numerous indications such as TMJ problems, snoring and sleep apnea, paralysis, lack mouth or tongue circuit malfunction. The OSP used are characterized by a high user acceptance. The desired orofacial reactions typically occur convincingly.

Oral Stimulation Plate Therapy
acc. Dr. Berndsen/Berndsen

therapie-osp-04-wAccording to the gum plate concept of Dr. Castillo Morales, Dr. Klaus and Sabine Berndsen at ISST researched and developed the OSP Therapy since 1989. As a result, more than 3000 OSP therapies with differing stimuli and materials for patients have been created and the stimulation-reaction influences measured.

Ultimately, OSP developed from 16 distinctively individual stimulus bodies which are integrated in a soft plate system. OSP provokes intraoral stimulations such as tongue, lip, soft palate activation and influence on complex functions: Swallowing, breathing, chewing, neurological behaviors, ventilation of the middle ear and improvement proprioceptive activities. OSP supports initiation, correction, and automation of basic tensions, basic positions and functional models.

A range of typical OSP

A range of typical OSP

Stimulus body variations, variations in material hardness and strength are decisive for the successful course of therapy. Scientific investigations support the successfulness of the OSP concepts and prove greater advantages as oppose to other soft palate therapies.

The necessary quality standards of the novel neurophysiological OSP therapies are selected in cooperation of universities, dentists, orthodontists, oral surgeons, speech therapists, dental technicians and clinics. OSP manufacturers, special laboratories are trained and require a certification for the OSP production by the specialists of the Dr. Berndsen GmbH company.

Indications for OSP

  • Difficulties eating and drinking
  • Change from special nutrition to physiological nutrition
  • Changing from mouth to nose breathing
  • Special handicaps, syndromes (i.e Down’s Syndrome)
  • Cleft palate
  • Failure to close mouth
  • Hypersalivation
  • Facial paralysis (i.e. after stroke)
  • Neurological problems
  • Tongue enlargement (Macroglossia)
  • Incorrect tongue function
  • Post tongue operations and by tongue paralysis
  • Initiation of correct swallowing behaviors
  • Preventive jaw orthopedics
  • Mandibular joint problems
  • Facial, shoulder and neck pain
  • Snoring and sleep apnea

Research Results

Comparative clinical scientific studies of the OSP therapy of Berndsen/Berndsen draw the following conclusion:

“After application of OSP therapy (Berndsen/Berndsen) show that within a six-month observation period a noticeable increase in application acceptance and the desired oral-facial reactions were adapted to convincingly. With this result, it can be assumed that the application of OSP therapy in an individual case is not only more comfortable, physically, than other stimulus plate applications, increasing compliance of its use. The activation of desired form and function was also adapted to. The variations of the OSP systems which are offered from Berndsen/Berndsen take into account the necessary individual stimulation intensity and direction.”

University of Hamburg, Department of Orthodontics.

OSP Characteristics

Individual OSP are made from soft materials, which are developed and approved for medical technology. The product does not exert pressure or create unwanted irritations in the mouth. The use of the OSP in the mouth does not uncomfortably fill the mouth because of the thinness of the material and therefore hinders insignificantly the familiar spatial settings within the mouth.

OSP Application

OSP are placed in the soft palate three times daily (not during feeding) for approximately 30 to 60 minutes. In some cases, the device is worn at night. The OSP adheres to the gum tissue. The adhesion of the OSP may be helped with the use of menthol-free fixative creams.

Application Example – Child with Down’s Syndrome

Before OSP Application - Child with Down's Syndrome

1. Before OSP Application

Insertion of OSP - Child with Down's Syndrome

2. Insertion of OSP

Spontaneous reaction on OSP - Child with Down's Syndrome

3. Spontaneous reaction on OSP

 

Literatur:

Korbmacher H., Berndsen, K., Berndsen S., Kahl-Nieke, B.: Vorstellung eines modifizierten Stimulationsplattensystems bei Kindern mit Down Syndrom. In: Forum Logopädie, Zeitschrift des Deutschen Bundesverbandes für Logopädie, Heft 3, Mai 2003, S. 14-16

BackSummary

Myofunctional therapy aims to treatment of musculary disfunctions caused by functional disorders in the regions of mouth and face. By activating und strengthening orofacial muscles particular influence is taken on positioning of the tongue, accurate swallowing patterns and leading breathing behaviours to usual nose breathing.

Myofunctional Therapy

From the work of Straub (1962) developed Daniel Garliner the myofunctional therapy (MFT). The program was published in 1964 (USA) and titled “Myofunctional therapy in dental practice: abnormal swallowing habits: diagnosis, treatment. A course of study for the dental practitioner and speech pathologist.”

Components of Myofunctional Therapy

Essential components of the MFT: Garliner focuses on the rest position of the tongue, making the case that the position is the origin of learning correct tongue movements and function. A correct tongue movement during swallowing should be developed through tongue tip positioning exercises in the physiological rest position and a systematic development of exercises for swallowing. Furthermore, his methods take into account the correction bad habits such as thumb sucking, nail biting and pacifier (soother) use as well as correcting mouth breathing behavior. Importantly, the training concentrates on exercises which strengthen the musculature, correct the tongue position, swallowing and train the subconscious.

ISST and the Myofunctional Therapy Work Team

Countless proposals, case studies, scientific documentation, exercise developments and publications about MFT emerged from many years of cooperation between Garlinier and the German Work Team for MFT (AK-MFT e.V.).

The directors of the ISST, Dr. Klaus Berndsen and Sabine Berndsen, supported from the beginning the creation of the AK-MFT e.V. and were until its end a part of the Board of Directors. In addition, they developed standards for myofunctional therapists and were responsible for the implementation of examinations to qualify MFT therapists. In 1989, Dr. Klaus and Sabina Berndsen organized the “9th European Congress for Myofunctional Therapy” and published a book of the congress’s theme in 1991.

Damages to the Myofunctional Therapy

Authors who wanted to take Garliner’s intellectual work for their own, using their own names to suggest that they had developed the therapy (i.e. MFT according to…), have damaged the implementation of MFT as a therapy. MFT suffered under reduced quality because wrong elements were added to the therapy, affecting scientific orientation and acceptance.

Myofunctional Therapy and Face Former Therapy at ISST

ISST, training in the original form of MFT is still offered as a therapy to physicians and therapists in professional seminars. Primarily, the therapy has been replaced by the newly developed Face Former Therapy of Berndsen/Berndsen. Internationally published    clinical research investigations could show that the Face Former Therapy significantly improves desired results and achieve positive results quickly with very little effort.

Literature
Korbmacher, H.M., Schwan, M.; Berndsen, S.; Bull, J.; Kahl-Nieke, B.: Evaluation OF A New Concept OF Myofunctional Therapy in Children. The International Journal Of Orofacial Myology (IAOM, International Association Orofacial Myology). 30th Anniversary Edition, Volume XXX, Page 39-52, November 2004 Berndsen, K.; Berndsen, S.: Myofunktionelle Behandlungen und ihr Einfluss auf die sprachliche Artikulation. In: Schöler H.; Welling A. (Hrsg.) Sonderpädagogig der Sprache, Band 1, Handbuch Hogrefe Verl., Göttingen 2007, S. 866-890

BackSummary

The therapeutic concept of rehabilitation physician Dr. Castillo Morales from Argentina includes the usual sensomotoric development of the child. Inner and outer perceptions are stimulated by specific therapeutical techniques. Additionally effort is beeing applied on the footrest to raise the children as early as possible. The Castillo Moralez Therapy involves the formation of emotional, communicative and social behaviour as weill as it’s autonomous development.

Castillo Morales Therapy

Castillo-Morales-Therapy – Orofacial Regulation Therapy (ORT) – Has been offered and continually expanded at ISST since 1989.

Dr. Klaus and Sabine Berndsen’s work generated significant excitement in the USA and Argentina in the 1980s. They worked for several weeks in 1988 in the Dr. Morales’ clinic in Cordoba, Argentina. Under his tutelage, they learned the theory and practical application of his methods. In the following years, the Berndsen’s took part in further professional courses, which Dr. Morales offered in Germany. At the Professional Training Institute at ISST, physicians and therapists are able to learn these methods.

La communication “lo primero del primero!”
Communication is “the first of firsts”

Therefore, it is our responsibility to facilitate communication with our partner. If he is unable to use vocal communication, we must decode his meanings and attempt to arrive at his level of communication. With patients, their loved one’s, their environment and cultures, we must continually compensate for needs and desires to be able to provide their companions a different quality of life, more self determination and independence.

Dr. Rodolfo Castillo Morales

Components of the Castillo Morales Therapy

The therapy concept of the argentinian rehabilitation physician, Dr. Morales, considers the normal course of sensory motor development of children. It developed from his many years of experience in treating muscular hypotonic children. This concept allows for the excitation of perception from the environment and from self (i.e. muscles, tendons, joints) through special stimulation techniques. In parallel, intensive foot supportive functions are reinforced to help children as early as possible to achieve a standing position. Emotional, communication and social development requirements are also considered such as human autonomous development criteria.

Special knowledge of Castillo Morales Therapists

  • Musculature and its operations
  • The interdependency of the above systems
  • Therapeutic equipment
  • Development of physiological functions of the orofacial and total body complexes

BackSummary

Neuro Cell Stimulation Therapy (NCS) is based on the results of modern brain research. It focuses on selective stimulation of the cranial nerves to promote brain stem functions and interactive brain activities. The goal of NCS Therapy is the development of motion sequences in compliance of complexity, precision and constant frequency adaptation by controlled device guided motion according to neurophysiological patterns.

Neuro Cell Stimulation Therapy

The Neuro Cell Stimulation Therapy was developed by the rehabilitation specialists Dr. Klaus Berndsen and Sabine Berndsen. They considered actual brain research information and complex neuromotor behaviors.

Focus of Therapy

  • Development of complex behaviors of movement (e.g. walking) under special consideration of “Interdependent Process Inherent Pattern” by device controlled guidance of neurophysiological patterns (PhilPaso Therapy).
  • Selective stimulation of the cranial nerves to promote brain stem functions and interactive brain activity

Neuro Cell Stimulation und Neuro Cell Specialization

NCS Therapy is a method, which is under continual development. It is individually matched to every patient. Besides the described goals and therapy equipment, the following methods are also part of the NCS Therapy:

  • Functional excitation of cerebral nerves with complementary activation of higher cortical functions such as language, subtile coordination, etc.
  • Therapy improvement by reduction
  • High quality therapy individualization
  • Development of complex neuromotor behaviors – neural (guided) functional movement – with complementary selective stimulation of brain nerves
  • Continual adapting to multidisciplinary research

Further Goals of NCS Therapy

  • Functional stimulation of cellular operations – also after stem cell therapy
  • Activation of generative functions of the brain stem
  • Far reaching interactive effects on the central and peripheral nerve systems
  • Irritation of the motor neurons to activate contraction behaviors in the skeletal muscles
  • Facilitate interactive muscle group functions
  • Development of complex behaviors of movement under special consideration of “Interdependent Process Inherent Pattern” (IPIP, Dr. Berndsen)
  • Guided functional movement with high frequency repetitions – assisted through patented therapy aids

Anwendungen

With NCS Therapy, functions lost to disease, accident or were missing at birth can be activated or developed. Neurophysiological imbalance and disorganization of orofacial (eating, drinking, breathing, speech) and total motor functions (functional body movement) are coordinated.

Applied Methods and Technologies

Applied are the following special, Berndsen/Berndsen patented, assistive medical technologies:

  • Multiple channel electrostimulation
  • Light therapy
  • Alternating vibrations (Galileo Training)
  • Deep musculature training
  • Ultrasound therapy
  • Antinomic (contradictory) visualization
  • Video-guided balance and motion training
  • Self perception training f.e. in the Snoezelen room
  • Sound therapy
  • Olfactory therapy
  • Ergotherapy
  • Individually adapted, everyday ergonomic motor functions
  • Development of an individual in-home training program
  • Matching assistive medical technologies
  • Analytical feedback of muscle and movement development
  • Analytical feedback of body tension
  • Cognition, retention and concentrations training (also as computer training)
  • Speech, language and vocal therapies (also as computer training)
  • Eating, drinking and swallowing therapies
  • Myofunctional therapy
  • Breathing therapy
  • Hearing training, Akupaedia

BackSummary

Sabine Berndsen

Sabine Berndsen is the Director of the Institute for Special Systemic Therapy (ISST) – International Center for Rehabilitation and the Dr. Berndsen GmbH Medizintechnik company in Unna, Germany.

Sabine Berndsen - ISST-Direktorin

Sabine Berndsen
Director of ISST

She studied the fields Patholinguistics and Rehabilitation Science at the University of Bonn, Cologne and Dortmund.

After completing countless study visits to universities as well as clinics and scientific institutes in the USA, Spain and South America together with her husband Dr. Klaus Berndsen, she began focusing on the newest research in the areas of Rehabilitation Science, brain research and functional muscle function therapy. Concomitantly, she directed the International Project for Therapy and Technology Research for disabled and non-disabled individuals, treating patients in different countries of the world.

As a result, she organized scientific investigations in the context of multiple international projects for the therapy and technology research for disabled and non-disabled individuals.

Sabine Berndsen is author and co-author of book publications and countless scientific articles in text books and professional magazines not to mention a speaker at national and international congresses. She organizes multidisciplinary work groups and projects for children and families. Since 1995, sie is an associate lecturer at the University of Witten-Herdecke. In the Department of Dentistry and Orthodontics at the University of Frankfurt a.M, she has taught theory and clinical practice of functional methods of therapy as associate lecturer since 2006. She supervises multiple projects in the complex area of research.

Treatment methods, patents and innovative developments researched, developed and manufactured by Sabine and Dr. Klaus are accepted and used worldwide. The results of her work are presented often in the public media. Because of her differing technical contributions to medicine, she is highly regarded for her expert opinions.

 

Team Expertise

A successful treatment requires more than routine diagnoses and standard therapies. At ISST an individually customized diagnostic and therapy program is designed for every patient. The therapists are prepared for their interactive team work at ISST by having studied Rehabilitation Science and obtaining additional professional and job trainings in practice and theory which takes several years to complete. Therefore, they possess on the one hand a wide spectrum of theoretical and practical knowledge typical for treatment and rehabilitation regimens. On the other hand, the therapists also learn special methods, which have been developed and used successfully at ISST for more than twenty years. Finally, therapies require creative talents as well. Therapies must always be integrated, individually customized and continually revised. This type of therapy demands a high degree of qualification, dedication and flexibility. Only specially selected therapists are able to meet the requirements of ISST.

Therapist Qualifications at ISST

Requirements

AusbildungA university degree in the area of Rehabilitation Science with at least one additional concentration relevant to rehabilitation is required. After successfully graduating the degree program, three years of internship and supervised therapy practice are expected at ISST, resulting in certification in a broad-ranging spectrum of multidisciplinary professional knowledge, diagnosis and therapy organization and practical implementation of therapies. The successful completion is obtained through promotion to certified ISST Rehabilitation Therapist.

Some Special Qualifications

  • Special knowledge about the application of diagnostic methods and materials
  • Excellent communication and social skills necessary to establish and maintain a trustworthy therapeutic setting.
  • Routine professional and job trainings in the areas of diagnosis and therapy
  • Knowledge about new developments in assistive technologies, especially for the area of rehabilitation
  • Broad psychological knowledge in psychological assistance of patients, improvement of the therapist and patient relationship, retention of motivation during therapy.
  • Ability to individualize the therapeutic work considering the particular capabilities of the patient
  • Trend diagnostics of the amount of effort and need necessary for effective therapies
  • Feedback for the patients based on the trend diagnostics
  • Cost effective treatment organization
  • Internal and external cooperation: Constructive exchange of experiences with other experts
  • Flexible, timely treatment schedule divided over six days per week
  • Knowledge of assistive and rehabilitation technologies
  • Knowledge of foreign languages

Learn more… The team of the ISST introduces itselfs

We offer qualified and personalized treatments for different diseases, disabilities and syndromes to our national and international patients. The wide range of methods in diagnosis and treatment relies on our scientific developments, own patents as well as on extensive practical experience.

Therapy Programm

Speech and Language

  • Phonation disorder (dyslalia)
  • Grammar disorder (dysgrammatism)
  • Autismus
  • Mutismus
  • Communication disorders
  • Problems finding words (lexical disorders)
  • Loss of speech after a stroke or brain injury – aphasia
  • Neurological disorders (dysarthria, among others)
  • Stuttering, cluttering
  • Cleft lip, cleft palate and other malformations
  • Mouth, tongue, nose injuries (eg after surgery)
  • Bilingual language training (bilingualism)

Voice

  • Impaired voice use, loss of voice
  • Hoarseness, forced cough
  • Paralysis of vocal cord
  • Partial or total removal of the larynx (laryngectomy)
  • Nasal speech (rhinolalia)

praxis-02-w

Breathing

  • Switching from mouth to nasal breathing
  • Respiratory disorders
  • Respiratory disabilities by narrowed airways
  • Asthma
  • Allergies

Hearing and Balance

  • Hearing loss, deafness
  • Listening and speaking with cochlear implants
  • Sudden hearing loss
  • Tinnitus
  • Dizziness

Neurological Disorder

  • Alzheimer, dementia
  • Stroke (apoplexy)
  • brain disorders

Disorders in Eating, Drinking or Swallowing

  • Troubled swallowing (dysphagia)
  • Paralysis in orofacial region
  • Switch from tube feeding to physiological nutrition
  • Salivation (drooling)
  • Sensory disturbances
  • Diseases caused by metabolic disorders

Pains

  • Head, face, jaw joints
  • Migraine
  • Shoulder, neck, arm region, back

Snoring and Sleep Apnea

  • Snoring
  • Obstructive sleep apnea syndrome
  • Sleep disorders

 Teeth, Jaw and Jaw Joints

  • Misaligned teeth, malocclusion (prevention and assistance in orthodontics)
  • Teeth grinding (bruxism)
  • Temporomandibular pain
  • Correction of muscle functions with inclusion of dental prosthetics and dental implants

Movement and Neurological Damage

  • Cerebral movement disorders (i.a. CP)
  • Head injuries, such as traumatic brain injury
  • Paraplegia
  • Muscular dystrophies
  • Stroke (apoplexy)
  • Brain tumors and spinal cord tumors
  • Amyotrophic Lateral Sclerosis (ALS)
  • Multiple sclerosis (MS)
  • Parkinson’s disease

praxis-03-w

Learning Disabilities

  • Dyslexia
  • Dyscalculia
  • Preschool training
  • Enrollment and school diagnostics
  • Expert reports

Perzeption

  • ADD and ADHD – Attention deficit (hyperactivity) disorder
  • Perceptual impairments

Special therapies

  • NCS Therapy – Neuro-cell stimulation therapy (acc. Berndsen/Berndsen)
  • Orofacial regulation therapy (acc.Castillo Morales)
  • Myofunctional Therapy
  • CCF therapy – cranio-cervical-function therapy (acc. Berndsen/Berndsen)
  • FFT – FaceFormer therapy (acc.Berndsen/Berndsen)
  • OSP therapy  – oral stimulation plates therapy (acc. Berndsen/Berndsen)
  • TAS  – training therapy for apnea and snoring (acc. Berndsen/Berndsen)
  • KVT therapy (sound-ventilation-tone therapy) (acc. Berndsen/Berndsen)
  • Therapy for tinnitus, hearing loss, dizziness (acc. Berndsen/Berndsen)
  • AMK  – Akupedics with sounds for the treatment of deafness, disorders of perception and concentration (acc. Berndsen/Berndsen)
  • Augmentative and Alternative Communication
  • Articulation, rhetoric training and vocal hygiene (e.g. for professional speakers)

Learn more about our Spezial Therapies.

Therapy Organisation

  • Intensive treatment (accommodation if necessary)
  • Group therapy and caregiver training

You want individual treatment or counseling?

Call us on [eating-fon] or use our contact contact form for therapy requests.

Learn more about special therapies at ISST

Learn more about intensive therapies at ISST

Learn more about special diagnostic and measurement methods at ISST