We improve patient recoveries
A rehabilitation clinic for children and adults with neurological disabilities.
Indications we treat
Neurological physical disabilities as a result of:
- Acquired brain injury
- Cerebral palsy
- Multiple sclerosis
- Neurodegenerative conditions
- Parkinson’s disease
- Spinal cord injury
- Other neurological conditions
We provide more than therapy.
We believe patients deserve
The support of a highly skilled multi-disciplinary team of physio-, occupational- and as of 2022 also speech therapists and neuro psychologist.
Data-driven, bespoke treatment experience to improve recovery results
To set specific and individualized goals and be continuously evaluated.
Access to cutting-edge technology based innovations, optimally combined with conventional therapies.
The support of a motivated and like-minded community in an uplifting environment, optimizing the sense of energy, fun and wellness.
A location in the center of Zurich, easily accessible by public transport and right next to a parking facility.
Individualized programs, based on your data-based performance profile combined with the latest scientific findings.
Accepted by health and accident insurance.
Intensive therapy programs of up to 5h/day.
Designed for adults and children with neurological conditions.
Legs & walking
- First steps: For patients with the goal of being able to do their first steps again.
- Functional walking: For patients who are able to do some steps but want to integrate walking in their daily live.
- Advanced walking: For patients who are able to walk with minimum assistance but want to become independent walkers.
Hands, Arms and Activities of Daily Living
- First movements: For patients who require specific care of the arm and hand to join an intensive program.
- Basic Functions: For patients who don’t yet have functionality on the upper limb and want to initiate movement.
- Constrained Induced Therapy: For patients whose goal is to maximize the functional capacity of their upper limb.
- Everyday-oriented Training: For patients with some extent of mobility, that want to focus on improving the level of activity to increase their independence.
Balance & Coordination Program
- Core Stability and Postural Control: For patients whose goal is to improve sitting and trunk control either as the main target or as a prerequisite for intensive balance or gait training programs.
- Balance and Coordination: For patients whose main goal is to improve standing stability and reduce the risk of falls.
- Balance and Fall Prevention: For patients who are already able to walk (with or without support) but are at high risk of falls or have difficulties on uneven surfaces.
The science behind Nextherapy
Activity-dependent plasticity is a form of functional and structural neuroplasticity that arises from the use of cognitive functions and personal experience. Every time we move, we think or have a new experience, our neurons trigger a wide variety of changes that alter the brain connectivity. They go from gene expression to changes in the structure of the nervous system. They allow our brain to remodel itself and recover lost function, enhance comprehension and speech amongst other things.
To reach activity-dependent plasticity, the practice and experience must follow certain principles such as intensity, repetition and specificity, amongst others (1).
Nextherapy’s interventions have a strong focus on these three key principles and often include the use of robotics and technologies in order to best activate the brain’s activity-dependent plasticity, which can have significant positive implications for recovery from brain damage (2,3).
Intensity, repetition and specificity
- Intensive programs delivering 25 to 30 hours of therapy a week have demonstrated improvements that are double those of other interventions with lower intensities (4, 5, 6).
- Intensity is a major factor for recovery (7, 8, 9, 10) and there is sufficient evidence that clinically significant improvements months or years after the injury are possible if enough therapy is provided by increasing plasticity, and therefore opening a new window for recovery (4, 11).
- One hypothesis is it triggers structural plastic changes, which reorganize the brain’s neural networks, increase or normalize cortical excitability and lead to durable changes on our brain (3).
- In studies, patients have perceived no barriers regarding the implementation of higher intensity programs and were positive to work harder (12). Initial objective assessments and the use of sensors and technology supports therapists to push patients harder (13).
- Tasks performed during therapy need to be as similar as possible to the tasks to be achieved (14). Task-specific training induces plastic changes in our brain and improves motor learning and retention (15, 16).
(1) Maier M et al., 2019, (2) Pascual-Leone A et al., 2011, (3) Ganguly K et al., 2013, (4) Daly J et al., 2019, (5) Lang C et al., 2015, (6) Lohse K et al., 2014, (7) Van Peppen R et al., 2014, (8) Veerbeek J et al., 2014, (9) Spiess M et al., 2017, (10) Schneider E et al., 2016, (11) Ward N et al., 2019, (12) Janssen J et al., 2020, (13) Connell L et al., 2018, (14) Schmidt R.A et al., 2018, (15), Pascual-Leone A et al., 1995, (16) Hubbard I et al., 2009.