magazine - Bauerfeind

Transcription

Issue 2014 | 2
magazine
international
Protection from overloading
Compression Socks
Performance and Training
Page 26
Keeping the joint in line: Knee
support can change your gait
Combating chronic heel and
ankle pain in young people
Change your mindset , accept
support aids, stay active
Study on the biomechanical mode of
operation of the GenuTrain Page 12
Prospective study with ViscoHeel at
the AMC Amsterdam
Page 24
Use of GenuTrain S in patients
at risk of osteoarthritis Page 28
SUPPORTS
GenuTrain®
For better
Für
die bessere
Bewegung.
movement.
• Alleviates
lindert Knieschmerzen
knee pain
• Relieves
entlastetthe
dasknee
Knie
• Improves
verbessertthe
dasgait*
Gangbild
Motion is Life: www.bauerfeind.com
*Gollhofer, A. et al. Albert Ludwig University of Freiburg, Institute of Sport
and Sport Science, 2010, data submitted for publication.
EDITORIAL
Dear Readers,
less strength in their hands can experience
difficulties, as can patients with inflammatory joint disease or joint conditions caused
by wear and tear. These patients can benefit
from the practical fitting aid VenoTrain
glider plus. Turn to page 30 to read about
an exciting test conducted using the Age
Explorer, an age simulation suit.
On that note, I hope you enjoy reading this
issue of Bauerfeind life!
With warm regards,
Prof. Hans B. Bauerfeind
Pictures: Bauerfeind
We are committed to producing the highest- Of course, real-life, practical results bolster
quality medical aids. Before their market
the findings of these studies. Two patients
launch, our products naturally undergo
from the USA who suffer from Ehlers-Danlos
extensive testing. But we’re even more
syndrome tell Bauerfeind life how Bauerpleased when, time and again, external stud- feind products help them in their daily
ies recognize our achievements in research
lives. Dr. Clair Francomano from the Harvey
and development. For instance, a study at
Institute for Human Genetics at the Greater
the University of Freiburg in Germany has
Baltimore Medical Center, who deals with
produced the first evidence to demonstrate
EDS patients almost every day, offers a medithat the biomechanical mode of action of
cal perspective. Find out more on page 21.
the GenuTrain knee support has a positive
Dr. Nicolas Duval , co-founder of the Duval
effect on the wearer’s
Orthopaedic Clinic
gait. Find out more in
in Laval , Quebec,
“Our aim is to supply patients
our feature on page 12.
Canada, talks to
with high-quality products that Bauerfeind life about
We also have some
more exciting results
are always in line with the latest using the Genufor you: Dr. Jan Joost
Train S in patients at
medical findings. This is what
Wiegerinck, an orthorisk of osteoarthritis
Bauerfeind stands for.”
pedic specialist at
(page 28).
the Academic Medical
Center in Amsterdam,
In addition, we demthe Netherlands, recently conducted a study onstrate how Bauerfeind compression socks
on Sever’s disease, a form of chronic heel and offer support during sporting activities.
ankle pain common in children and adolesWith the Compression Sock Performance and
cents. The study showed that ViscoHeel is an Compression Sock Training, Bauerfeind offers
effective, simple therapeutic tool (page 24). a strong sports stocking duo for endurance
Do supports inhibit the muscles? Getting
and stop-and-go sports. Turn to page 26 for
to the bottom of this concern was the goal
the article.
of a study on the LumboTrain back support.
The result was that the back and abdominal
Some people struggle to put on medical
muscles actually showed increased activity
compression stockings for a whole variety
(page 18).
of reasons. For instance, older patients with
life magazine 2014/23
CONTENTS
Keeping the joint in line: GenuTrain can change your gait – p. 12
IMPRINT:
Bauerfeind life Magazine
International Edition
Printed on chlorine-free paper
page 12
Keeping the joint in line
For the first time, a study has revealed
that the biomechanical mode of operation of the GenuTrain knee support has
a positive effect on the wearer’s gait.
Sports scientists and biomechanics at
the University of Freiburg proved, for
instance, a reduction in the knee adduction angle.
Editor:
Bauerfeind AG
Triebeser Straße 16
07937 Zeulenroda-Triebes, Germany
Tel. +49(0)36628-66-1000
info@bauerfeind.com
www.bauerfeind.com
Responsible:
Simone Gebler, Christian Grimm
Publisher and editorial office:
mk publishing GmbH
Döllgaststraße 7–9
86199 Augsburg, Germany
Tel. +49(0)821-34457-0
info@mkpublishing.de
www.mkpublishing.de
4
Title image
Whether in competitive or amateur
sport , more and more athletes are
relying on compression products
for preventative care. These include twins Anna and Lisa Hahner,
long-distance runners from Germany.
Pictures: Bauerfeind (Title), Patrick Seeger, Astrid Mulder, Bauerfeind, Ehlers-Danlos National Foundation, Agence 4 Saisons
Focus
CONTENTS
Prospective study with ViscoHeel – p. 24
EDS: A cascade of injuries – p. 21
Protection from overloading – p. 26
Treating osteoarthritis – p. 28
Focus
12GenuTrain can change your gait
28Use of GenuTrain S in patients at risk of
osteoarthritis
“Change your mindset , accept support
aids, and stay active”
15Extracts from the cross-sectional study
Evaluation of the biomechanical
effect of the GenuTrain
30VenoTrain glider plus
in Age Explorer Test
An eye-opening experience
page 12
16GenuTrain’s double strategy
Musical knees
In Motion
17The original on the knee
Shaping functionality
Medical
page 32
32The thrill of roller coasters
An unforgettable ride
page 18
18 LumboTrain active support
Free movement of the muscles
20 Yachtswoman relies on LumboTrain
Setting sail for Rio
21Ehlers-Danlos Syndrome
A cascade of injuries
3Editorial
4Imprint
6Moments
8News
24Prospective study with ViscoHeel
Combating chronic heel and ankle
pain in adolescents
26 Compression Socks Performance and
Training
35Service
Picture:
Picture:Bauerfeind
picture-alliance/augenklick/Laci Perenyi
MOMENTS
6
MOMENTS
Climbing high
Whether in an indoor center or out on the cliffs,
climbing has become a really fashionable sport.
Saxon Switzerland, the Saxon part of the Elbe Sandstone Mountains, is one of the most traditional and
challenging climbing regions in Germany and has a
strict climbing code. For example, the use of metal
safety equipment such as chockstones is strictly
prohibited in order to protect the soft rocks. Instead, only runners may be used. The use of chalk is
also forbidden. Climbing places a strain on the upper extremities in particular. The majority of acute
injuries are to the annular ligaments of the fingers.
Strain injuries primarily give rise to symptoms in
the flexor tendons and joints of the fingers, as well
as tennis and golf elbow and strain in the shoulder
area. Bauerfeind offers suitable products for the
treatment of wrist and shoulder injuries and they
†
are available at www.bauerfeind.com. life magazine 2014/27
NEWS
Mexico
Bauerfeind showroom in Monterrey
Since the spring of 2014, Bauerfeind has been represented in downtown Monterrey, Mexico. Endocat , the local Bauerfeind distributor,
opened a showroom in Calle Francisco G. Sada 2925, just a few blocks
away from the popular Galerías Monterrey. The store offers our Germanmade supports, braces and compression stockings. “Our showroom
is the first one exclusively dedicated to the promotion of Bauerfeind
products in Mexico. It creates an environment that helps us to build
and position the brand,” says Mauricio Garza, Project Manager, Bauerfeind Shop Monterrey. “The Bauerfeind products are so differentiated
from the market supply that doctors, physiotherapists and athletes
recognize and appreciate that the products really help them and their
†
patients to improve their performance and their wellbeing.” Is the support in the right position?
Expert advice at the Bauerfeind shop in Monterrey.
Compression stockings
Bauerfeind turns to microfibers
Bauerfeind is using microfibers to increase wearing comfort
and therefore acceptance of medical compression stockings. With the round-knit Compression Sock Performance,
VenoTrain micro and VenoTrain impuls stockings and the
flat-knit VenoTrain curaflow, every treatment area can
benefit from at least one product with a high microfiber
content (between 40 and 50 percent).
Whether for sport , preventative use, mild to severe vein
problems or lymphological indications, high-quality microfibers mean that the compression stockings are comfortably
soft , allow good air circulation and are particularly kind to
†
the skin. A look at the VenoTrain micro 2014 collection.
OmoLoc
The OmoLoc uses three arm loops to hold the arm in the 0-degree abduction position, immobilizing the shoulder joint after surgery or dislocation,
while allowing the arm to rest at a right angle. To further improve the
comfort of this position we repositioned the synthetic buckle, diverting
the tensioning strap on the upper arm loop, and added soft velour padding. The buckle is now positioned further towards the outside of your
upper arm, preventing it from causing undue strain on your forearm. This
will make it easier to tighten the strap, further simplifying putting on
and taking off the orthosis. The new soft velour padding underneath the
synthetic buckle will also protect your skin from irritation while tightening the strap and during wear. The OmoLoc’s arm loops can be positioned
freely along the abdominal strap to suit the patient’s individual anatomy.
The open and light construction without a shoulder strap makes main†
taining personal hygiene easier, particularly around the wound.
8
Now even more comfortable: OmoLoc.
Re-designed upper arm loop
NEWS
Award for Dr. Albert-Adrien Ramelet
“This is also a fantastic honor for Swiss
phlebologists”
Dr. med. Dr. h. c. Albert-Adrien Ramelet was awarded the Ratschow Memorial Medal for his
life’s work, at the annual conference of the German Society of Phlebology on September
19, 2014. The author of several text books and practicing physician has worked in the field
of phlebology and angiology for more than 20 years and has shown great commitment to
research, teaching and further training.
Award winner Dr. med. Dr. h. c.
Albert-Adrien Ramelet (center)
with Dr. Hans-Jürgen Thomä
(left), Bauerfeind, and Prof.
Dr. med. Eberhard Rabe (right)
president of the International
Union of Phlebology.
Swiss-born Dr. Albert-Adrien Ramelet is one
of the most renowned specialists in the
field of vascular diseases actively practicing
today. He has been awarded honorary membership of many national and international
specialist associations and has held the position of president or vice-president of many
of them. Dr. Ramelet developed a particular
interest in vascular diseases and dermatology early on. As soon as he completed his
medical studies in Lausanne, he decided to
write his thesis on the subject of vascular
surgery under the guidance of Prof. Peter
Waibel in Basel. His subsequent dermatological training led him beyond Lausanne in
Switzerland to Paris and Vienna. “As inhabi
tants of a small country with four languages,
we Swiss have a fantastic opportunity to
be multilingual ,” says Dr. Ramelet , “and we
should take advantage of this by traveling
abroad frequently to learn more.”
In the service of progress and the
transfer of knowledge
After becoming senior physician of dermatology in Lausanne, Dr. Ramelet introduced
the Doppler system there, as well as phlebectomy, a procedure which he previously
The Ratschow Memorial
Medal
Since 1969, the Ratschow Memorial Medal
has been awarded by the Curatorium
Angiologiae Internationalis to particularly deserving scientists from the field
of vascular medicine and closely related
disciplines. Bauerfeind AG has been a
patron of this foundation for many years.
For more information, see
www.bauerfeind.com/ratschow.
learned under Dr. Robert Muller. He always
pursued the same aim – that of establishing medical progress everywhere. He also
pushed himself; for example he developed
and gave his name to the Ramelet hooks, as
none of the phlebectomy hooks on the market at that time satisfied his requirements.
His four text books on phlebology are used
as reference works and have already sold
more than 100,000 copies. Over the years,
generations of up-and-coming phlebologists have sat in on his surgical procedures.
For the most part , Dr. Ramelet’s medical
career has taken place outside of university
clinics, and he stresses: “It is a great
honor to receive the Ratschow Medal as a
practicing dermatologist and angiologist.
However, I also consider this award as
recognition for Swiss phlebologists, with
whom I have been able to achieve so
†
much.”
NEWS
ErgoPad ski and skate winter sports foot orthoses
Perfect control on snow and ice
Alpine skiing, snowboarding, ice hockey – many winter sports
force the feet into a static position. Tilting to the side and
changing pressure loads also put strain on the feet and joints.
The ErgoPad ski and skate winter sports foot orthosis is specially
designed to cope with these strains and supports typical movement patterns. As usual , the orthotic core with patented weightflex technology takes on a supporting role – and the plastic used
in foot orthoses designed for sport is much more flexible than the
type used in orthoses for work and leisure use, for example. This
adaptation is important , because the feet have a much greater
range of movement and the forces acting on them are significantly stronger during sporting activities. The effect of the core on
the torsional stability of the feet reduces muscle fatigue and thus
also prevents injuries caused by overloading. The orthotic core is
coated in polyurethane for a long-lasting cushioning effect. The
soft foam enables the surface of the foot orthosis to be molded
to ensure that it provides the foot with the stability it needs,
particularly during sideways movements. The heel cup guides and
stabilizes the foot , despite the forces acting on the sides. The toe
bank under the fourth and fifth ray stretches the toes, thereby
increasing the area of the sole of the foot in contact with the foot
orthosis, and with the shoe, for improved control. The stretching
also relieves the Achilles tendon. Additional sensorimotor spots
stimulate and strengthen the foot muscles. Finally, the top cover
is also optimized for use in cold weather – it regulates heat and
†
keeps the feet warm.
The ErgoPad ski and skate supports the typical movements associated with winter sports such as alpine
skiing or snowboarding.
Chilean Phlebology and Lymphology Foundation
“All of our patients who undergo radiofrequency endoablation for great saphenous
veins or posterior tibial perforators leave our clinic wearing class 2 compression stockings,” says Dr. Alvaro Orrego Díaz, President of the Chilean Foundation for Phlebology
and Lymphology, founded in 1996. The aim of this non-commercial organization, which
currently has around 60 members, is to continue improving the treatment and quality
of life of patients with chronic venous or lymphatic disorders. As a result , great importance is attached to the constant exchange of knowledge among phlebology experts,
lymphology experts, vascular surgeons, and other professional groups involved in providing medical care to patients with venous and lymphatic disorders in Chile. “We are
involved in an intensive exchange not only among ourselves, but also with institutions
in other countries, as will definitely be the case, for instance, at the XI Meeting of the
Latin American Venous Forum this October in Buenos Aires. Exchange of this kind improves our understanding of these disorders and allows us to work together to improve
the standards of treatment ,” says the internationally acclaimed vascular surgeon.
When it comes to providing treatment with compression stockings, Dr. Orrego has had
good experiences with products from Bauerfeind. He appreciates the high level of
medical effectiveness provided by these German-made compression stockings and the
fact that they are particularly comfortable to wear. Dr. Orrego adds: “Our patients keep
saying to us that they feel very comfortable as well as reducing their symptoms!” For
further information please visit www.fundacionchilenadeflebologiaylinfologia.cl. †
10
Have a look at the website of the Chilean
Foundation of Phlebology and Lymphology.
Our aim is to improve the quality of care
DIARY DATES
Kobe College of Medical Welfare (KCMW), Japan
Bauerfeind provides footmeasurement and orthosis training
Between 1st and 3rd December 2014, Bauerfeind will organize
a specialized training event on foot pressure measurement and
orthotic care at the KCMW. This is the fourth year of Bauerfeind’s
engagement in training Japanese future orthopedic technicians.
TRADE FAIRS AND EVENTS
November 2014
November 12 – 15, 2014
MEDICA, Düsseldorf, Germany. Further
information: www.medica-tradefair.com
December 2014
December 8 – 12, 2014
Zdravookhraneniye, Moscow, Russia. Further
information: www.zdravo-expo.ru/en
January 2015
January 26 – 29, 2015
Arab Health, Dubai, United Arab Emirates.
Further information:
www.arabhealthonline.com
March 2015
March 19 – 20, 2015
Joachim Böckelmann, Head
of Medical Technical Support ,
Bauerfeind AG, shows students which aspects are most
important when shaping foot
orthoses.
The Kobe College of Medical Welfare, Sanda
Campus, is one of the leading educational
institutions for prosthetics and orthotics
(P&O) in Japan. Its specialized four-year
P&O training program allows students to
become skilled Category I prosthetic-orthotic medical professionals qualified to work
worldwide.
During their first year, students complete
basic training in methods of diagnosis and
patient evaluation. This is followed up with
seminars on orthotics management during
their second year, where they master the art
of orthotics design based on diagnoses and
evaluations. Following this, they gain experience performing physical evaluations on
actual patients during clinical placements.
Throughout their training program, students
cooperate with students from other disciplines such as physical therapy, occupational
therapy and speech-language-hearing ther-
19th World Congress of Orthopaedic Shoe
Technicians and Pedorthists, Paris, France.
Further information: www.ivo2015.com
May 2015
May 27 – 29, 2015
16th EFORT Congress, Prague, Czech
apy, discussing each discipline’s approach to
Republic. Further information:
different standard medical conditions.
www.efort.org/prague2015
The foot-measurement and orthotics training, provided by Joachim Böckelmann,
Bauerfeind Germany, and Toshiharu Kanke,
June 2015
Bauerfeind Japan, is always a particular
highlight for the students. “In addition to
June 4 – 6, 2015
anatomical and pathological aspects, we aim
41st European Congress of Lymphology,
to teach the basics of orthosis construction
Lausanne, Switzerland.
and the different materials used,” explains
Further information: www.meeting-com.ch,
Joachim Böckelmann, Head of Medical
see: “Congrès/Evénements”
Technical Support. “Our demonstrations
concerning static and dynamic measuring
June 12 – 13, 2015
are always especially popular. And of course
GOTS Congress, Basel , Switzerland.
our Bodytronic measurement technology.
Further information: www.gots.org/en,
It’s important to us to show students how
see: “Events”
to make full use of this information in
orthotic care.” Following this principle, the
guest lecturer also provides useful hints and
June 22 – 25, 2015
advice on the functional shaping of foot
ISPO World Congress 2015, Lyon, France.
†
orthoses. Further information: www.ispo2015.org
FOCUS
GenuTrain can change your gait
Picture: Patrick Seeger
For the first time, a study has revealed that the biomechanical mode of operation
of the GenuTrain knee support has a positive effect on the wearer’s gait. Sports
scientists and biomechanics at the University of Freiburg proved, for instance, a
reduction in the knee adduction angle. Even patients with medial gonarthrosis can
benefit from the correcting effect , as non-physiological strains exerted on the joint
caused, for example, by a varus deformity, are a predictor for the disorder. The results
of the Freiburg Institute of Sport and Sport Science agree with the GenuTrain’s mode
of operation: Its effect is only felt during movement. A proprioceptive stimulus is
induced from outside, thus stabilizing the joint. >>> 12
In treadmill tests, the Freiburg researchers were able to
establish that the GenuTrain relieves the knee thanks to
its biomechanical effects.
FOCUS
FOCUS
>>> Dr. Dominic Gehring remains modest
and is already looking ahead. “Yes,” says the
young scientist in response to the results
of the study, “this is something to build
on.” Hold on a second, might be your first
reaction to his scientific ambition, please
first show us what has actually been done.
Dr. Gehring and his team, headed by Prof.
Dr. med. Albert Gollhofer, the director of the
Institute, have every reason to be proud. The
Freiburg group at the Institute of Sport and
Sport Science of Albert Ludwig University
has succeeded in proving that the GenuTrain
active support by Bauerfeind has a correcting biomechanical effect: and this effect
can have a positive influence on the wearer’s
gait. Other studies have often focused on
the sagittal plane of the knee. In their study,
the Freiburg group turned to the frontal
plane, that is, the plane that describes a
varus or valgus deformity. And indeed: the
GenuTrain can guide the knee back into a
correct alignment. “A pioneering result ,”
according to Dr. Gehring.
The direction seems clear, especially for
people such as Alfons Graf, who suffers from
gonarthrosis. “The support has helped me,”
14
Dr. Dominic Gehring, who is leading the test series, attaches the
sensors himself.
says the study participant happily, who has
returned to the laboratory today for the final
measurements. The sporty sixty-year-old
swaps his running shoes for measuring shoes
and his long pants for shorts. “I used to run
a lot – medium distances – I won the German championship in my age group,” he tells
us. “Then the pain in my knee put me off
sport. But it might be getting better now.”
He has good reason to hope.
when a patient with gonarthrosis is wearing
the GenuTrain, the knee adduction angle is
significantly reduced, thus minimizing the
varus deformity.”
A (more) physiological gait
In addition, the Freiburg researchers were
able to demonstrate an effect of the GenuTrain on more than the knee joint alone:
Apart from the reduced adduction angle at
the knee, an increased adduction angle at
Significantly reduced adduction
the hip was also observed. This seems quite
conclusive, as the two joints form someAlfons Graf suffers from a pronounced varus
thing like a coupled unit when walking.
deformity and this deformity is where the
The biomechanical effects of the GenuTrain
study has shown the GenuTrain to exert a
correcting influence. However, this effect is complement the results that Prof. Gollhofer,
Dr. Gehring and their team members had
not immediately obvious to the naked eye.
A glance at the computer shows colored lines collected from a previous patient study. They
drawn between measuring points on the feet , had demonstrated joint stability and a reduction in pain when wearing the knee support.
lower legs, knees and hips. These reproduce
the lower extremities on the monitor, a little What causes the effects we observe today?
The sports scientists see the capsular ligastick figure, showing just the subject‘s legs.
ments as a single unit that directs the joint
“Our high-performance cameras can show
and is supported externally by the anatomieven the smallest difference in the gait
cally shaped flat knit support. The support
pattern,” Dr. Gehring explains. “The test
“must adapt well to the motor dynamics of
subject moves in a prescribed manner with
the process” in order to have this biomeand without the support. We can show that
Pictures: Patrick Seeger
Reality (left) and schematic representation (right). The gait is ‘translated’ into
computer images.
FOCUS
Extracts from the cross-sectional study
Evaluation of the biomechanical
effect of the GenuTrain
The aim of this study was to investigate the acute biomechanical mode of action of knee
supports when walking in patients suffering from osteoarthritis of the knee. The study
focused particularly on the adduction of the knee joint and the associated joint torque,
because these aspects are considered to be connected to the development of osteoarthritis of the knee and its associated pains.
Results (in extracts)
without support
Knee adduction
with support
Maximum knee adduction
10
20
8
2%
6
15
4
2
10
0
-2
-4
-6
5
26
51
76
Time in % of the support phase
0
Knee adduction in °
Maximum knee adduction in °
The knee adduction in the affected (= diseased or seriously diseased) leg was significantly
reduced by the knee support at the beginning and at the peak of the floor contact phase
(by an average of approx. two degrees).
chanical effect. For Dr. Gehring, this is where
proprioception comes into play. The compressing knitted fabric and the padded ring
on the kneecap stimulate the receptors in the
skin and the underlying muscles, which seem
to guide the gait into correct alignment.
A long-term study should substantiate
the biomechanical effect
Dr. Gehring would not be a sports scientist
if he didn’t address the preventative effects
of the GenuTrain for athletes in addition to
its benefits in gonarthrosis patients. “Nearly
all team sports have a varus/valgus load,”
he says. “Think of football with its constant
severe frontal strain on the knee. Players
have constant varus stress when they turn
corners. If the knee is further weakened by
injuries, supports such as the GenuTrain can
offer double support for athletes.” Whether
the GenuTrain is used in prevention or in
rehabilitation, the results of the Freiburg
scientists show that the support’s effects on
guided physiological movement are not a
coincidence. A long-term study is now being
carried out , which is expected to confirm this
†
cross-sectional study.
Knee adduction torque
The maximum knee adduction torque
1.0
0.6
0.8
0.4
9%
0.6
0.2
0.4
0
26
51
76
Time in % of the support phase
0.2
-0.2
Knee adduction torque in Nm per kg
0
Knee adduction torque in Nm per kg
The maximum knee adduction torque in the affected leg was significantly reduced when
wearing the knee support (by an average of approx. nine percent).
Methodology (in extracts)
Test subjects:n = 31 (16 females, 15 males), age: 51 ± 9 years for females,
54 ± 6 years for males
Test support:
Knee support (GenuTrain, Bauerfeind)
Test method:
3D kinematics and kinetics (Vicon®)
Data analysis:
Variance analysis with significance level of 5%
Inclusion criteria:Age: 25-65 years,
gonarthrosis in one leg or more pronounced in one leg
FOCUS
GenuTrain’s double strategy
Musical knees
Very few people know the effect of supports on motion sequences as well as Prof. Dr. med.
Albert Gollhofer. Although the results confirmed his assumptions, the head of the Institute
of Sport and Sport Science at the University of Freiburg was still surprised by what the current study revealed.
Biomechanics were the main focus of the
cross-sectional study. Why?
Prof. Dr. Gollhofer: The laws of biomechanics are the foundation of every movement.
Going against them can lead to chronic
complaints. People with typical bandy legs
(extra-large varus angle) are very likely to
develop medial compartment osteoarthritis.
The higher knee adduction angle places more
strain on the medial joint segment than on
the lateral segment. When you succeed in
straightening the knee with the help of a
support to regain a symmetrical gait pattern, you can slow down the development of
deformities.
Proprioception requires the relevant receptors
to be stimulated. There are many of these in
the joint , the connective tissue, the muscles ...
Prof. Dr. Gollhofer: We are concentrating
on the mechanoreceptors. These are mainly
located in the muscles around the knee and
in the capsular ligaments. We play these proprioceptors together like an orchestra and “a
good sound” is created when they coordinate
the muscle contraction process appropriately
and functionally. Injuries can cause particular problems at this point , however. We know
that pain is conducted via the pathways of
what we call group III afferents. These pain
pathways strongly disturb the “good sound,”
the rapid intermuscular interaction. Yet if we
can improve the guidance of the joint by using supports, these afferents will send fewer
16
Prof. Dr. med. Albert Gollhofer, Albert Ludwig University of Freiburg.
Pictures: Patrick Seeger, Bauerfeind
How can a support influence the gait?
Prof. Dr. Gollhofer: One way is through
its proprioceptive effect. That is, through
the mechanical stimuli it exercises on the
soft tissue during movement. This creates
feedback which is sent to our central nervous
system and causes the muscle actions to
change. The aim is a functional result. In
the present case, the magnitude of the effect
surprised me, although I was aware of the
potential of the GenuTrain due to previous
studies.
FOCUS
signals, which restricts the pain. And this has
an immediate effect on the gait.
To what degree are these rapid reactions only
psychological?
Prof. Dr. Gollhofer: Only to the extent that
the central nervous system knows: I am not
alone. Reflexes in the peripheral areas are
constantly regulating muscular control , every
fraction of a second. This can be seen in the
leg swing and stance phases, for example.
Even before the body weight bears down, that
is at the end of the swing phase, neuromuscular control ensures that the leg extensors
are pre-activated in order to immediately
provide for the necessary stability in the
stance phase.
“This cross-sectional study
proves that the GenuTrain has
cross-joint effects.”
The original on the knee: GenuTrain
Shaping functionality
The active support consists of an anatomically-shaped compression knit with
a ring-shaped, functional cushion, the
Omega pad. The pad relieves pain by
transferring the therapeutic pressure of
the support from the kneecap to the soft
tissues of the knee region. Two nubs on
the lower edge of the pad, the Hoffa pads,
exert regulated pressure on the infrapatellar fat pad and stimulate the sensorimotor
receptors located there. This supports the
pain-relieving effect. Furthermore, direct
pressure on the kneecap is relieved. The
lateral wings of the pad form an omega
symbol (Ω). Their role is to ensure that the
meniscus parts are held in an anatomical
position, which also reduces pain.
(Prof. Dr. med. Albert Gollhofer)
This also involves the ankle ...?
Prof. Dr. Gollhofer: Of course, the ground
reaction vector works from below. If the
force is incorrectly introduced into the
system, the possibility of counter-reactions
in the knee is decreased, which is even worse
further above. A stable gait comes from the
bottom up. It makes sense to think about a
bottom-up strategy using an ankle orthosis
together with the GenuTrain, for example,
for general instabilities. This cross-sectional
study proves that the GenuTrain has crossjoint effects. The biomechanical influence
of the support on the knee joint also causes
significant changes to the hip.
Can the results of the study actually be
transferred to real situations?
Prof. Dr. Gollhofer: When you measure
specific effects in laboratory conditions, you
ask yourself: How long will the effect last
in everyday life? That’s exactly what we are
trying to establish with a long-term GenuTrain study. Of course, we also know that all
externally introduced changes to ingrained
conditions will encounter a biomechanical
state that has been established over years.
Secure hold for the knee joint
When walking or running with the GenuTrain, the muscular contractions cause
the pressure exerted by the support to
increase and decrease, resulting in an effect similar to an intermittent compression
massage. This stimulates the metabolism
and helps reduce swelling and effusions of
blood more quickly. In addition, wearing
the support stimulates the proprioceptors
in the soft tissue of the knee and on the
skin. The surrounding muscles are activated and long-term stabilization for the
joint is achieved.
GenuTrain: Active support for relief and
stabilization of the knee.
High level of comfort
The material and shape of the GenuTrain
knee support have a functional design for
optimal effect and a high level of wearing
comfort. The breathable, skin-friendly knit
adapts to your every movement , without
constricting or slipping. The material is
soft and elastic at the edges of the support
and in the sensitive area at the back of the
knee. Lateral spiral stays ensure that the
knee support keeps its shape during movement. Integrated donning aids make the
supports easy to put on with little effort.†
A patient who has an extreme varus deformity in the knee joint has adapted to a specific
pattern with their ligaments, muscles and
tendons. We can’t change that all at once.
Patterns of movement and long-term adaptations in the soft tissues can only be coupled
to new conditions over a long period of time.
We also expect this from a support system.
Ideally, the long-term study will show that
constantly wearing the support over a long
period of time causes the tendon and muscle
lengths to return to a biomechanically balanced state. This would convince patients in
everyday life. The initial results of our longterm study actually seem to confirm this type
†
of effect.
MEDICAL
LumboTrain active support
Free movement of the muscles
A new study proves: The “phantom” of muscular atrophy when wearing a support doesn’t
exist. On the contrary: With the LumboTrain lumbar support the back and abdominal muscles
actually show increased activity.
The activity of the back and abdominal muscles was the focus of PD Dr. med. Christoph Anders’ study.
18
in my markings by sitting directly in front
of it ,” he explains. “If the marking of the
muscle course isn’t right , then the results
won’t be correct either. Accurate marking
is the foundation of everything else.” Dr.
Anders fixes the electrodes on the marked
points and connects them to a monitor. The
measurement can start. The stool is put out
of service, Centaur is waiting ...
“Most of the time the causes of the complaint cannot be pinpointed to a defined
region,” says the researcher, who has already
submitted many works about the physiology
of the trunk musculature.
“With back pain, the problem is a disturbed
interplay of various factors.” The muscles
play an important role in this. The LumboTrain active support from Bauerfeind
has established itself as an integral part of
Do supports inhibit the muscles?
therapy against unspecified back pain.
Precise work is a matter of course at the mo- Supports should not only work to activate
tor skills laboratory in Jena University Hospi- muscles and relieve pain but also improve
tal. Dr. Anders, pathophysiologist at the
the coordination of the stabilizing muscles.
clinic for trauma, hand and reconstructive
However, even in academic circles, people
surgery, is on the trail of a clinical picture
think that lumbar supports relieve the spine
which is sure to take a top position in citaso much that muscles atrophy. Not to mention frequency, even in informal literature:
tion the false analogy with rigid orthoses
unspecified back pain.
that seems to be a persistent image in many
Pictures: Frank Steinhorst
This stool! In front of us is a state-ofthe-art whole body tipping unit named
“Centaur,” which is used for the simulation
of static stresses on the human body – an
apparatus that looks like it was taken
directly out of an alien movie. In front of
it stands... a stool. Actually it’s just in the
way. “Wait , I need that!” says the man in a
T-shirt. “That’s my most important tool.”
PD Dr. med. Christoph Anders laughs and
sits himself down on the wooden frame.
Now he is perfectly at eye level with the
lumbar vertebrae of the test subject.
“Look,” he palpates the sacroiliac joint
and explains, “this is where the musculus
erector spinae iliocostalis runs. It is one
of the six muscles we examined.” He marks
the course of the paired back muscle with a
ruler and pen. “I can only avoid a parallax
MEDICAL
people’s minds: Is the “phantom” of atrophy
really true? Do supports really inhibit the
muscles? Getting to the bottom of these
reservations was the goal of the Jena study.
repressive effect of the LumboTrain back
support on the activity of the back muscles.
And further: “The activity of the trunk
muscles is actually increased by the support
musculature. These are different for men
and women. “Wearing the support corrects
these typical differences between the two
sides in both men and women, allowing
Treadmills and the whole body tipping unit Centaur were used. The study showed that the LumboTrain harmonized the interplay of muscles.
The key aspect of the study developed by
Dr. Anders was to measure the electrical activity of selected trunk muscles. The respective activation pattern allowed conclusions
about stress as well as the coordination of
the muscles being tested.
during static stress. Overall we can assume
a positive influence of the LumboTrain on
muscular activity.”
Better muscle coordination
Yet the results regarding muscle activity
are not the only finding. The different
effects of the support on the individual
“With back pain, the problem is
muscle groups are also conspicuous. The
a disturbed interplay of various
physiological interplay of abdominal , back
and lateral torso muscles is in no way
factors.”
impaired when wearing the LumboTrain –
(PD Dr. med. Christoph Anders)
this conclusion seems absolutely reliable
The study examined in detail what effect the after evaluation of the study results. On
lumbar supports had on the trunk muscles
the contrary – muscle coordination was
under dynamic and static stresses. In order
positively influenced. An example: When
to obtain a “baseline,” the study was inirunning, there are usually differences
tially carried out with healthy test subjects. between the two sides, a natural im
The results are clear: “There is no relevant ,
balance in the coordination of the trunk
for more even and balanced use of the
muscles,” states Dr. Anders. Moreover the
study showed that , during static back
and side tilting, the resulting force of
the trunk muscles was shifted towards
the applied force. Muscles that were not
directly involved were relieved while the
relevant muscle groups were activated.
This means a positive harmonization of
the muscle control , coordinated with
the current requirements. Activation,
coordination, harmonization – the results
of the Jena study regarding the effects of
the LumboTrain on musculature are varied.
They prove what many orthopedic surgeons
and patients have long understood – the
fact that , by wearing the active support ,
the muscles are not weakened, but rather
†
strengthened! life magazine 2014/219
MEDICAL
Yachtswoman relies on LumboTrain
Setting sail for Rio
Martine Soffiatti Grael loves the ocean and its challenges. That is why she chooses to
travel with the 49er FX, a particularly fast boat class for women. When on shore, the
Brazilian native likes to use the active support LumboTrain Lady for lumbar support.
Boating is in her blood: Her mother taught
her how to sail , and her father, Torben
Grael , holds five Olympic medals in various
boat classes, as well as six world champion
titles. “You might say I started sailing in
the womb,” says Martine Soffiatti Grael with
a smile. “My mother even participated in a
regatta when she was nine months pregnant
with me.” At the age of four, little Martine
started her first “real” boating training, and
at age eleven she competed in her first race;
at 13 she won her first national title. She
took second place in the 2013 world championships, won the Brazil Sailing Cup in 2014
and two world cup titles.
Martine Soffiatti
Grael.
49er FX: High-performance boat class
Martine Soffiatti Grael has been sailing
in the boat class 49er FX since 2012, the
women’s version of the 49er yawl for men.
The name “49er,” by the way, comes from the
hull length, which measures 4.99 meters. In
the women’s category, the mast is slightly
shorter, and the sails accordingly smaller.
These extremely sporty two-hand skiffs are
very difficult to handle, and only gain stability in the water at elevated speeds. “These
are pretty radical boats that capsize easily
20
Martine and her sailing partner love speed.
– the many bruises on my legs are testament
to that. While sailing we are practically the
whole time on the trapeze. One little error
can be deadly,” she explains. It is not just
the physical challenges of sailing that can
be exhausting for Martine Soffiatti Grael
(helmswoman) and sailing partner Kahena
Kunze (bowwoman), but also all the ancillary work involved, like the cleaning of the
boat , as well as the rigging and unrigging,
and the loading of the boat for transport to
the next race venue. “That is a lot of strain
on the back. Last year I started wearing the
LumboTrain Lady back support. It relieves
stress and offers comfortable support in the
lumbar region.”
Have any of her sailing colleagues asked her
about the product? Not only that , as Martine
Soffiatti Grael tells us with a smile: “My
sailing partner is the same size as me and
sometimes borrows the support to use for
herself.” The 49er FX boat class will , by the
way, be starting at the 2016 Olympics in Rio
The three-dimensional active knitted fabric of the de Janeiro. Martine Soffiatti Grael will do her
†
LumboTrain provides support in the lumbar region. best to make her country proud. Pictures: Fred Hoffmann, Ehlers-Danlos National Foundation, private
“I am absolutely fascinated by the sea,”
confides the 23-year-old. “It can be incredibly calm one moment , and then overpowering the next. The conditions change in a
heartbeat , and suddenly you feel how small
you are in the scale of things. I am humbled
by it and respect it. Sailing puts me in the
right place to be.”
MEDICAL
Ehlers-Danlos Syndrome
A cascade of injuries
As an aspiring young athlete in New England, no one would have suspected that Ashley Eriksen
had Ehlers-Danlos Syndrome. But after a healthy childhood, something went gravely wrong
as a teen. A sprain here, a dislocation there. Stress fractures and tendonitis that took forever
to heal. Four major knee surgeries. Her list of injuries continued to lengthen as her body
progressively worsened.
“Growing up all I ever wanted to be was an
athlete, first in soccer, then in basketball ,”
the 26-year-old Tennessee resident says,
“but by the time I was a student at Clemson
University, I was struggling to simply walk
around campus.” In November 2009 Ashley
Eriksen dislocated her sacrum. “That’s when
things really began to go downhill for me,”
she comments, “and my joint laxity really
began to show. The more muscle tone I lost ,
the more problems I had.”
Finally, in January 2012 her many injuries
were recognized not as isolated occurrences that could be attributed to overuse
or accidents, but as symptoms of escalating
Ehlers-Danlos Syndrome (EDS): a group of
heritable connective tissue disorders, characterized by articular (joint) hypermobility,
skin extensibility and tissue fragility.
More stability, less pain
Like many people with EDS, Ashley Eriksen
went undiagnosed for years. Even after a
diagnosis, she found herself searching for
answers to her pain. Scouring the internet
one night in desperate search of a brace
that would help relieve her severe low
back and sacral joint pain, she found the
LumboTrain support brace by Bauerfeind.
EDS patient Ashley Eriksen: “I was absolutely amazed the first time I put the
LumboTrain on.”
them into her daily life, “I love the way I
can combine and overlap braces based on
what activities I’m doing and how much
support I require at that time. The soft
braces make excellent training aids, the
viscoelastic gel inserts are incredible for
tendonitis.
All of my doctors have emphasized the
(Ashley Eriksen)
importance of strength training, but until
“I was absolutely amazed the first time
I found Bauerfeind products, I couldn’t
I put it on. My pain level when walking
achieve any lasting results. Bauerfeind
instantly dropped several levels on the
braces serve as artificial connective tissue
1-to-10 pain scale.” Ashley Eriksen speaks
in my daily battle for mobility, they allow
enthusiastically about the versatility of
me to do things I would never be able to do
Bauerfeind braces and how she incorporates unassisted.”
“Bauerfeind braces serve as
artificial connective tissue in my
daily battle for mobility, they
allow me to do things I would
never be able to do unassisted.”
EDS patient David Griggs was the first person
in the United States with EDS to wear Bauerfeind products as part of his care regimen.
Bauerfeind products as a key part
of the care regimen
As the Director of the Adult Genetics
Program at the Harvey Institute for Human
Genetics at the Greater Baltimore Medical
Center, Dr. Clair Francomano treats patients
with EDS and similar conditions almost
every day. “On average, we see about 12-15
patients with these conditions every week,
and I do telephone consultations for 6-8 established patients weekly as well ,” she says.
In the course of her work, Dr. Francomano
fully understands the struggles that her EDS
patients experience. “Most often, patients
present with chronic pain and fatigue. >>>
MEDICAL
dislocations, which in themselves are a cause
of pain, and we also allow the muscles to relax so the pain of muscle spasm is no longer
an issue.” Then the patients can begin to do
strength and toning exercises so the muscles
are able to support the joint in a more adap-
“The immediate goal in prescribing these braces is stabilizing
the hypermobile joint and taking
the burden of that stabilization
off the muscles.”
(Dr. Clair Francomano)
tive manner, which will not be painful. “Once
that happens, there will be fewer spontaneous subluxations and dislocations, fewer
injuries and less pain. And of course once
Interrupt the downward spiral
there is less pain, there is improved quality
of life. Pain is frequently a contributor to
Dr. Francomano continues: “The immediate
goal in prescribing these braces is stabilizing poor sleep, which leads to fatigue and exacthe hypermobile joint and taking the burden erbation of pain. This becomes a downward
spiral for many of my patients. If we can
of that stabilization off the muscles. This
serves two goals. We avoid subluxations and ameliorate the pain, sleep improves, fatigue
improves, and the downward spiral can be
interrupted and reversed.” For the doctor,
patient compliance is never a concern as
her patients are pleasantly surprised by how
Dr. Clair Francomano, Director of
the Adult Genetics
Program at the
Harvey Institute
for Human Genetics at the Greater
Baltimore Medical
Center.
good they feel when wearing Bauerfeind
products. “The braces are incredibly well
received by my patients because they are
more comfortable than any other products
I have prescribed. The fabric breathes and
the supports are effective but not intrusive.
Bauerfeind’s history as a textile manufacturer
plays a key role in the quality of their fabrics,
I’m sure,” Dr. Francomano says confidently.
The products meet the highest medical standards and are tested in scientific studies.
Personalized support
As important as their products are to an
individual’s health, Bauerfeind also goes the
extra mile to provide personalized support
for EDS patients – a notable fact that is not
lost on the doctor. “The interest that Bauerfeind has shown in supporting patients with
EDS also contributes to my enthusiasm for
their products. Bauerfeind has established
a hotline so people can find the closest
durable medical equipment retailer to their
home,” Dr. Francomano adds.
For clinicians working with EDS patients,
she emphasizes the value of using Bauerfeind compression hosiery. “Many patients
with EDS and related disorders experience a
condition called POTS – Postural Orthostatic
Tachycardia Syndrome,” she explains. “This
is a multi-faceted condition, but one of the
important components that contribute to
the problem is pooling of blood in the legs
when people stand up. Compression hose can
prevent that pooling from taking place and
keep the blood in circulation to the lungs,
heart and head. The Bauerfeind compression
hose are really in a league of their own in
terms of comfort and ease of use.”
EDS specialist Dr. Clair Francomano, Greater Baltimore Medical Center, Shane Robinson, Executive Director of the Ehlers-Danlos National Foundation (EDNF), and Sandra Chack, Chairwoman EDNF Board.
22
A Closet Full of Braces
David Griggs, of Durham, North Carolina, was
the first person in the United States with
EDS to wear Bauerfeind products as part of
Pictures: Ehlers-Danlos National Foundation, Greater Baltimore Medical Center
>>> People with EDS have joint laxity due
to a hereditary weakness in their tendons
and ligaments. Their muscles are working
overtime to stabilize their joints, and often
the muscles will go into spasm because they
are not strong enough to stabilize the joint
in a non-painful way,” she says. That’s why
she recommends Bauerfeind products as
a key part of her prescribed care regimen
for EDS patients. “Bauerfeind soft braces*
alleviate symptoms and pain by providing support to the joints,” Dr. Francomano
explains. “Since the joint is supported, the
muscles around that joint are not working
overtime to stabilize the joint , and they will
stay in a relaxed state that is not painful. In
a way, we are providing external support , or
an e xoskeleton, since the patients’ internal
skeleton is unable to support itself.”
MEDICAL
his care regimen. He is also the father of
four children, including Kaitlyn (age 13) and
David Jr. (age 16) who have inherited his
genetic condition. He says that people with
EDS, no matter where they live, all have the
same thing in common: “We all have a closet
full of braces that we’ve tried over the years
that are worthless. They don’t help our condition. For me, wearing support braces was a
complete waste of time until I discovered
Bauerfeind. I used their braces continually
for three months before I realized I was using
them less and less. That’s when it dawned
on me. Our biggest problem is we don’t have
time to heal before we re-injure ourselves.”
David Griggs believes that Bauerfeind support braces “give back what EDS takes away
from us – time to heal.” As a father, that’s
the very thing he wishes for his children. He
says that , “Knowing your children feel safe
Physical Therapist Erin Grigsby, medical consultant for Bauerfeind USA in Marietta, during a speech
at the EDNF 2014 Annual Learning Conference in Houston, Texas.
because they have their braces, and can put
them on at any time, that’s huge!”
“The braces are incredibly well
received by my patients because
they are more comfortable than
any other products I have prescribed. The fabric breathes and
the supports are effective but
not intrusive.”
(Dr. Clair Francomano)
Support and encouragement
For people who are newly diagnosed with
EDS, Ashley Eriksen and David Griggs have
a wealth of wisdom and encouragement to
share. “My connective tissue may always
be stretchier than the average person’s,”
Ashley Eriksen explains, “but it can still
strengthen with proper support.” She also
emphasizes how much she has benefited
from chiropractic treatment and an antiinflammatory diet. Both stress that newly
diagnosed patients shouldn’t give up hope
and shouldn’t let others tell them they are
making up their symptoms. “The hardest
thing is not being believed,” Ashley Eriksen
shares, “EDS takes a psychological toll on
you, it’s not just a physical disease.” She
explains how being a young woman with
the disease brings added difficulty, “I was
told by the Vanderbilt University geneticist
who diagnosed me with EDS-Type 3 that
although men and women inherit EDS at the
same rate, women with EDS are nineteen
times as symptomatic as men with EDS due
to hormonal and musculoskeletal differ-
The Bauerfeind booth at the Hilton Americas Hotel in Houston was highly frequented. Bauerfeind
representative Mike Edwards (right) explained product details.
ences that make us girls extra vulnerable,
especially when of childbearing age.” She
continues, “But I think that Bauerfeind
braces would be an invaluable tool for
anyone who wants to transcend their natural
†
limitations and reclaim their life.”
* soft brace = support , and hard brace = orthosis
Further information
Bauerfeind USA offers a variety of resources that can help with your
questions about EDS and about soft or hard braces* that can be
used to alleviate your symptoms. For more information, please call
1-800-423-3405, email EDShotline@bauerfeindusa.com or visit
www.bauerfeindusa.com. See page 35 for further contact information for Bauerfeind USA.
Please visit the homepage of the Ehlers-Danlos National Foundation
www.ednf.org.
MEDICAL
Prospective study with ViscoHeel
Combating chronic heel and
ankle pain in adolescents
It is not always the most complex solution that is best. A study shows that even a
small amount of support might have a significant impact: enabling adolescents to
continue to be physically active.
Three different therapeutic approaches
Dr. Jan Joost Wiegerinck, an orthopedic
specialist at the Academic Medical Center in
Amsterdam, recently conducted a study involving over a hundred adolescents affected
by Sever’s disease. The study examined a
variety of treatment options in terms of
their effectiveness and practicability. The
study focused on three nonsurgical therapeutic approaches. The first approach was
called “modification of activity levels” or
“wait and see.” This involved test subjects
being asked to simply avoid painful movements. The second approach was entitled
“heel raise.” This approach involved the use
of the Bauerfeind viscoelastic heel cushion
24
Author of the study: Dr. Jan Joost Wiegerinck from the Academic Medical Center in Amsterdam.
Pictures: Astrid Mulder, picture-alliance/Oliver Killig
Sever’s disease, also known as calcaneal
apophysitis, is a common form of chronic
heel and ankle pain affecting especially
children and adolescents. The condition
causes inflammation at the site of the attachment of the Achilles tendon to the calcaneus (heel bone). Other forms of chronic
heel and ankle pain include heel spur and
achillodynia (Achilles tendon pain). Sever’s
disease (named after James Warren Sever,
an American orthopedic surgeon, 1878–
1964) mainly occurs during adolescence.
Typical symptoms include pressure pain on
the calcaneal tuberosity, often combined
with swelling and redness of skin, generally on both feet. Symptoms usually resolve
after adolescence. Causes might include
factors such as obesity as well as excessive strain on the calcaneal apophysis, the
base of the Achilles tendon, during intense
exercise. Seeing as the pain intensifies during exercise, many physically active young
individuals feel unable to continue with
their sporting activities. Considering the
fact that joy of movement and enthusiasm
for exercise is usually developed and consolidated at an early age, this is especially
unfortunate.
MEDICAL
ViscoHeel. Test subjects were asked to wear
the heel cushion in their shoes as often as
possible. The third group of test subjects
underwent a “physiotherapeutic stretching
and strengthening program:” This involved
performing specialized targeted exercises
to stretch and strengthen specific muscle
groups at the clinic and at home. All three
treatments were aimed at relieving the adolescents’ chronic heel and ankle pain.
might be caused by circulatory disorders
due to excessive strain or growth, as well as
injuries caused by repeated microtraumas.
“Nevertheless, the clinical conditions and the
type of patient remain very specific,” explains
Dr. Wiegerinck. “Thus, using pressure testing
to the attachment of the Achilles tendon to
the apophysis of the heel , it is relatively easy
to diagnose the condition – while imaging
techniques can only help exclude other con-
ViscoHeel
Bed for your
heel
The ViscoHeel heel cushion reduces pressure discomfort under the heel , as well as
pain around the Achilles tendon. It can
also effectively reduce shock loads on
ankles, knees, and hips. The anatomically
contoured heel cushion made of highquality silicone relieves muscles and
tendons in the calves. Durability is one of
its particular benefits. The high-quality
silicone can continue to take the strain
for a long period. The heel cushion is also
gentle on the skin and easy to clean. It
absorbs impacts under the heel without
†
slipping. Sever’s disease causes pain when playing football.
“We knew in advance that all three methods
would be valid,” explains Dr. Wiegerinck.
“They are all methods that are also applied
at our clinic in Amsterdam.” This means that
the Dutch researchers were able to gather
additional retrospective data on different
treatments for Sever’s disease. Now, conducting a prospective study, their aim was
to find out which of these three approaches
would be the most effective “based on strict
EBM guidelines,” emphasizes the orthopedic
specialist. Until now, no standard scientific guidelines for treating the disease had
been compiled. Consequently, to paraphrase
literature, treatment often turned out to be a
“guessing game.” Neither is there any prevalent scientific consensus as to the causes of
the disease. It is assumed that an imbalance
between the muscle-tendon structure and
the development of the skeleton in adolescents is responsible for the painful inflammation to the site of the attachment of the
Achilles tendon to the apophysis of the heel.
It has also been suggested that the disease
ditions. They are unable to explicitly identify therapy approach involves time-consuming
Sever’s disease.”
appointments and consultations, the patient
using the “heel raise” treatment would simply
ViscoHeel – very popular with the patients need to get a ViscoHeel cushion. “It appears
Scientists were also unable to clearly identify that the heel cushion provides exactly the
which of the three treatments might offer a
right degree of shock absorption,” explains
clear therapeutic advantage. No significant
Dr. Wiegerinck. “It is the simplest way to treat
differences could be seen between using “wait Sever’s disease,” he continues. “Furthermore,
and see,” “heel raise with Viscoheel ,” or the
ViscoHeel is very popular with the patients,
“physiotherapeutic stretching and strengthen- who are finally able to continue playing
ing program.” The good news is that all three football , hockey or volleyball.” But does it not
succeeded in relieving the pain. In other
sadden the scientist to come to the concluwords: Anything goes. While this might seem sion that there is no clear winner amongst the
arbitrary at first glance, it also means that pa- different treatments? “Why should I be sad?”
tients are offered a choice: Adolescents will be the physician asks in surprise. “We are able to
able to continue being physically active with offer patients three different options to suit
only minor adjustments. All it takes to reduce their needs, a perceived winner among them.
their heel pain is to wear a heel cushion in
What other study is able to achieve as much?
†
their shoe. Whereas, for instance, the physical And – what physician?”
Further information
See page 35 for contact information for Bauerfeind Benelux.
MEDICAL
Compression Socks Performance and Training
Whether in competitive or amateur sport , more and more athletes are relying on compression products for preventative care. In this area, compression stocking specialist Bauerfeind
offers its customers a strong sports stocking duo for endurance and stop-and-go sports.
Anyone who participates in long-distance
running or cycling is familiar with the feeling of heavy, tired legs. This is caused by the
vessels expanding and losing their tension.
With the new Compression Sock Performance,
available from summer 2014, endurance athletes can now give their veins the ideal support. The sports stocking’s pressure profile
is based on medical standards. The continuous compression decreases from ankle to
calf, which improves venous reflux and the
removal of lymphatic fluids. At the same
time, the gentle compression stabilizes the
calf and reduces typical muscle vibrations,
thus preventing premature fatigue. Better
support is provided for muscles over long
distances, so they can continue to perform
more effectively.
Stability for the ankle
The Compression Sock Training sports stocking is especially designed for stop-and-go
26
The Compression Sock Performance sports stocking meets the needs of endurance athletes.
The Compression Sock Training sports stocking provides protection in stop-and-go sports.
Quicker recovery
The positive impact on circulation and the
muscles protects the vein system when it
is under persistent stress, which in turn
promotes a quicker recovery. Just how much
endurance athletes benefit can be seen in a
medical study* carried out during the 2011
Paris Marathon. The participants wore the
previous model of Compression Sock Performance, which is identical to the new sports
stocking in terms of compression strength
and therapeutic gradient. They reported less
muscle pain, a reduced feeling of swelling,
and much better muscle recovery in the
first four days after the race. Their calf veins
had not dilated during the race despite the
increased strain.
The knit of the Compression Sock Performance is made of fine, breathable microfiber.
It can regulate heat and channel moisture
away from the skin, creating comfortable
micro-conditions. This has a twofold benefit
during sporting activities. In addition, the
microfiber makes the new sports stocking
particularly light , yet still hard-wearing.
MEDICAL
sports, meaning sports that involve rapid
turning and jumping movements such as
football , basketball , or tennis. It features
special functional zones with gentle compression. The stocking’s taping zone helps
to create a feeling of greater stability in the
ankle, while its muscle-toning zone specifically stimulates the calf muscles during
movement. This is particularly important
in these ball sports that put a great deal
of stress on the ankle, because a sense of
instability can quickly take the fun out of
exercise – especially in people with a previous injury or naturally weaker ligaments.
The Compression Sock Training uses the same
active principle as a tape bandage to create
a feeling of improved stability in the ankle.
The “taping zone” with a “figure of eight”
design wraps around the instep and heel.
The firmer, compressive knit stimulates the
skin’s sensors and the deep sensors in the
muscles, tendons, and joint. The improved
proprioception supports the ligaments and
improves coordination, providing greater
security when changing direction quickly.
The stocking therefore also offers increased
protection from injuries.
Muscle stimulation
In the calf area, the “muscle-toning zone”
also exerts gentle compression at certain
points and counteracts tiring muscle vibrations. Its asymmetrical anatomical shape
specifically stimulates the muscles during
movement , facilitating gentle muscle building.
Like the Compression Sock Performance, the
Compression Sock Training’s heel cushion
eases the strain on the Achilles tendon and
protects this sensitive area from pressure
and rubbing when it is under great stress.
Additional toe, forefoot and heel padding
absorbs impact and ensures a firm grip in the
shoe. The stocking’s high-quality breathable
Lycra Sport material guarantees the required
moisture transfer during sporting activity
and creates pleasant conditions for the feet.
Simple size selection
The appropriate size of the Compression
Socks Performance and Training is determined by the shoe size and the calf circumference, as the leg muscles of athletes can
vary considerably. The Compression Sock
Compression Sock
Performance
Compression Sock
Training
Compression over a large area, consistent
therapeutic gradient that complies with
medical standards
Compression at certain points in the taping zone around the ankle and muscletoning zone on the calf
Improves circulation and protects the
veins from overloading
Improves coordination thanks to its stabilizing effect on the ankle and calf muscles
Reduces muscle vibration (due to the compression) and prevents premature muscle
fatigue
Reduces muscle vibration (due to the compression) and prevents premature muscle
fatigue
Ideal for use with the ErgoPad run & walk
sports foot orthosis
Ideal for use with the ErgoPad ball &
racket sports foot orthosis
Recommended for endurance sports
Recommended for stop-and-go sports with
quick changes of direction
Performance is available in black, white, and
Rivera, a shade of turquoise. The Compression Sock Training is available in the color
combinations Coal/Rivera, Silver/Rivera,
†
Coal/Polar, and Silver/Polar.
*Allaert F .A. et al , Effects of elastic compression in French
compression class II (18-21 mmHg) on the adaptation of
muscular stress and recovery of marathon runners, Phlébologie
2011, Vol. 64, Number 4.
For further information
on these and other Bauerfeind products, visit www.bauerfeind.com.
MEDICAL
Use of GenuTrain S in patients at risk of osteoarthritis
“Change your mindset , accept
support aids, and stay active”
Orthopedic specialist Dr. Nicolas Duval set up the Duval Orthopaedic Clinic with a partner in
Laval in the Canadian province of Quebec, in 2003. This private clinic mainly draws its customers from among hip and knee patients. When treating knee problems, a task which also
involves the use of persuasion, Dr. Duval uses a medical aid that fits the bill in many respects.
Orthopedic surgeon Dr. Nicolas Duval makes
a specialty of problems connected with the
adult hip and knee.
What is the typical profile of a patient with
osteoarthritis?
28
Dr. Duval: The typical patient , often at a
high risk of osteoarthritis, who comes to us
is aged between 35 and 55 and has always
been actively involved in sport. These
patients have either sustained an injury as a
result of this or suffered an ever-increasing
number of microtraumas over the years,
associated with doing sport. These major or
minor injuries often end up as knee problems. They experience pain while walking,
and their knee swells up. Therefore, degenerative arthritic processes are not the prime
concern for the patient or for us. We are not
a trauma center either. It is predominantly
younger people who come to us and who
need our assistance because of a strain that
has been affecting them for lengthy periods
of time. The risk of osteoarthritis is always
present.
Osteoarthritis is incurable. But what can you
do?
Dr. Duval: Treatment methods have been
evolving all the time in recent years, as in
other areas of medicine. But it is a tough
task tackling osteoarthritis problems from
scratch. Cartilage tissue mainly comprises
collagen fibers, has a poor blood supply, and
Pictures: Agence 4 Saisons, Bauerfeind
How many patients do you treat at your clinic?
Dr. Duval: Around 2,000 patients a year. We
operate on between 300 and 500 of them.
We carry out arthroscopies on about half of
these patients, with the other half mainly being fitted with hip and knee endoprostheses.
It’s mostly people actively involved in sport
who come to us. We see many patients with
knee osteoarthritis at every stage, closely
associated with the corresponding cartilage
damage.
MEDICAL
has only minimal to absolutely no regenerability. Research has focused on particular
biological methods. One area of focus is
growth hormones. I’m personally involved in
research in the field of glucosamines. These
are substances required for the metabolism
of the cartilage layer.
get back slowly to their normal everyday
activities. The third group includes patients
with osteoarthritic changes to the lateral
sections of the joint , on the lateral tibial
plateau or the lateral femoral condyles,
mainly associated with instability. All three
groups present a real challenge for the support , which copes wonderfully with them.
But you can still help your patients now.
Dr. Duval: Yes, I can, because amazing
What can you achieve using the knee support
advances have also been made in orthopedic GenuTrain S?
products. I discovered the GenuTrain S two
years ago. The standard GenuTrain was my
preferred choice prior to this. This product is
already in its seventh generation of manufacture. It was my favorite support for providing
my patients’ knees with greater stability and
alleviating pain. That’s until I then found
out about the GenuTrain S. It offers me even
more options for guiding the joint.
all , elderly patients who are no longer so
involved in sport give a completely positive
endorsement to the support and guidance
they receive from the splints.
What can patients themselves do to contribute
to their treatment?
Dr. Duval: There’s a whole host of things
they can do. Many need to change their
mindset and their lifestyle. I try to explain
to them that they really have the best pos-
The GenuTrain S active support with lateral
joint splints supports the knee joint for indications of slight instability, arthritis or osteoarthritis of the knee. How do you incorporate
this support into your treatment concept?
Dr. Duval: The significant role played by
the GenuTrain S in treatment can be gauged
Splints for added protection
In the GenuTrain S (S for splints), lateral
joint splints guide the knee’s movements.
The splints can be heated and reshaped,
and can therefore be adjusted to the anatomy of each individual. The joint muscles
are also stabilized further by the elastic
Train Active Knit with its integral pad.
by the large range of patients for which
it can be used. We see three main groups
that it is relevant for. The first group does
not yet have any pronounced symptoms of
osteoarthritis. In most cases, the defective
cartilage is not directly on the joint surface.
These patients want to continue doing
sport. The second group that I treat using
the GenuTrain S is made up of patients who
have already had surgery to regenerate the
cartilage. In this case, I use the support for
the first time approximately two months
after the operation, when the swelling
has subsided and the patient is intends to
The GenuTrain S active support with lateral joint splints
supports the knee joint for
indications of slight instability, arthritis or osteoarthritis
of the knee.
Dr. Duval: First and foremost , it offers
patients stability. The support stays in the
exact place it is needed. It doesn’t slip.
This is absolutely vital for patients and is
a feature of the GenuTrain S that they also
greatly appreciate. And it also looks good.
Other supports that they have tried often
shift from the correct position when they
are doing sport. This is often the case
particularly with overweight patients. The
special manufacturing method used for
the GenuTrain S prevents it from slipping.
The lateral splints offer a good compromise
between stability and mobility. Most of
sible joint for doing exercise on a normal
basis. However, part of this involves them
definitely doing exercise and keeping active. And this also means specifically people
who are overweight getting back into a normal routine. The GenuTrain S can help them
do this. But the patients must take the first
step themselves.
If they don’t , they face the prospect of a
prosthesis. The fact that this operation can
be put back five, ten years or even longer,
just by wearing the support , is a persuasive
enough argument for many to become
†
active.
MEDICAL
VenoTrain glider plus in Age Explorer Test
An eye-opening experience
Limited agility, deteriorating eyesight and
hearing, less tactile sensitivity: getting
older means changes in the body, which
create new challenges in everyday life. The
same applies for the donning of compression stockings, which can be a difficult and
time-consuming task. How do the people in
that target group experience it , and what
relief can a donning aid like the VenoTrain
glider plus by Bauerfeind actually bring?
These and more questions are currently being answered at the Meyer-Hentschel Institute in Saarbrücken, Germany. The institute
specializes in the testing of age-specific
designs, and is seen as a pioneer in marketing campaigns aimed specifically at senior
citizens in Europe. The age research suit
Age Explorer, the prototype of which was introduced by Dr. Gundolf Meyer-Hentschel in
1994, is both a method and a tool. This very
special suit allows the wearer to experience
the world the way an older person would.
This process, which the institute uses in
30
the development and testing of products
and projects for a variety of life situations,
is continuously growing in importance in
light of demographic developments. Its
findings play an important role in the future
of packaging, cosmetic products, residential
housing developments, public transport ,
and also in donning aids for compression
stockings. This product underwent extensive testing at the institute, comparing
the VenoTrain glider plus with a standard
donning aid from another manufacturer.
Bauerfeind life was given a look behind the
scenes at the process in action.
Panoramic view of life as a senior citizen
The testing process involved three experts
who were in the age group 50 to 65 to put
on a waistcoat , jacket , and trousers containing additional weight. Each of the subjects
would therefore carry around an additional
16 kilograms which gave them the feeling
of having considerably less muscle power.
Their elbow and knee joints were additionally limited in their movement with a
combination of bandages and splints, while
gloves impeded the sense of touch and fine
motor functions. In order to give the test
subjects an absolutely authentic experience
of life beyond the age of 70, they were additionally fitted with earphones and a helmet
complete with a yellow tinted visor. “The
visor inhibits the field of vision both vertically and horizontally, and also simulates
the changes in color perception that often
occur in old age – for example in individuals
developing cataracts,” explained Dr. MeyerHentschel. The earphones helped simulate
the age-typical hardness of hearing. The
overall idea of the Age Explorer is to gain a
more holistic understanding for a naturally
aged target group. The basic premise is reduced mobility, deteriorating dexterity, and
declining muscle power. Validity tests have
shown that the tests conducted with the
Age Explorer deliver a very high rate of con-
Pictures: Rainer Kraus
Compression stockings are a meaningful medical product – but putting them on requires
energy and time – especially in older patients. The donning aid VenoTrain glider plus by
Bauerfeind makes the process a lot faster and easier. A test conducted with the Age Explorer,
an age research suit , has shown that in particular older patients benefit greatly from its use.
MEDICAL
Left to right: Dr. Gundolf Meyer-Hentschel lends the life editor a hand to put on the Age Explorer. Then it is time to put
on the compression stockings. VenoTrain glider plus makes it
an easy job – despite the additional hindrances.
gruence with tests involving actual consumers of that age group. “Our tests are actually
more stringent in terms of the products,”
explained the institute’s founder.
But let’s continue with the test. The subjects were comprehensively trained in the
technology side of the donning aids before
proceeding with the practical part of the
test. Step one: sliding the compression
stocking over the semi-circular basket of
the two donning aids. Then came the donning. The core questions here were: “How
well does the process work with technical
support?” and “Can older people with minor
physical handicaps use the aid?” The test
subjects were asked to don the compression
stockings between 10 and 15 times within
around one-and-a-half hours to gain valid
data. The findings of the expert: “The donning aids help compensate for the natural
deficit of the stockings.” After all: there
is no product that can conventionally be
donned as if by magic. The donning aid
is therefore a meaningful support tool.
Bauerfeind life was permitted to try out
the VenoTrain glider plus using the Age Explorer, and can underline the truth of these
findings. Despite the simulated handicaps
of age, the compression stocking was easily
pulled onto the basket. The actual donning
VenoTrain glider plus
This device helps patients to put on their
compression stockings correctly. People
with limited mobility or dexterity will
benefit greatly from the practical donning
aid featuring extensible grips. These
function like an extended lever, allowing
the stockings to be pulled up easily
without having to bend over excessively.
With the grips folded away, the compact
VenoTrain glider plus requires only minimal
storage space.
of the stocking was just as easy: fold up the
lateral grips of the VenoTrain glider plus,
set the device almost flat onto the ground,
slip the foot into the stocking while slightly
lifting the donning aid and pulling the
lateral grips; then simply slide the stocking upward in one go. The entire exercise
required no excessive bending, and there
was no need to work the tight stocking
bit by bit over the heel and calf. A truly
eye-opening experience. “This is a very
relevant tool , as usually you would require
both physical strength and dexterity to put
on compression stockings.” Dr. Gundolf
Meyer-Hentschel was full of praise for the
practical and easy to understand principle
of the donning aid. He sees an additional
benefit in the design of the tool: VenoTrain
glider plus is easily folded away after use
and needs only minimal storage space. His
conclusion: “That is a huge advantage. The
more inconspicuous and low-key the tool
†
design, the better.”
IN MOTION
The thrill of roller coasters
An unforgettable ride
They promise a enthralling ride at the
borderline of what the human body can
handle – alternating between tension and relief. Modern roller coasters
are works of art in terms of engineering and aesthetics, matched perfectly
with calculated suspense. They combine thrill with a rush of speed, great
heights with free falls and spectacular
cars with impressive special effects.
Picture: Getty images/Chad Slattery
“Always faster, higher, more spectacular” has been
the trend in roller coaster construction over the last
few decades because the public loves new records
and extremes. >>>
32
IN MOTION
IN MOTION
>>> Parks across the world outbid each
other with new attractions. Visitors can experience countless steel and wooden roller
coasters whilst sitting, standing, hanging
over the rails or even lying down. Roller
coasters are installed in shopping malls,
apartment blocks or on TV towers.
For passengers, the most spectacular effects
are speed and rapid changes of direction:
Experts call the feeling of weightlessness when the seats are lifted up – such
as when flying across a parabolic-shaped
hill – “airtime.” Fractions of a second later,
the passengers are pressed into their seats
– and feel up to six times their own body
weight (6 g).
Spectacular rides full of effects
Even today, he is not lacking ideas. Only
last year, Michael Klose and his colleagues
created yet another innovative success: The
looping rails of the “Full Throttle” roller
coaster in California, US – at nearly 50 meters, one of the highest in the world – can
be ridden on the inside and the outside.
“There is an increase in spectacular rides
full of effects,” Michael Klose explains. Dark
rides with enthralling missions in space,
Nordic sagas and fairy tales, enhanced by
smoke, and sound and lighting effects.
Spectacular installations cost between
15 and 20 million euros, some significantly
more.
34
When designing installations, the challenge for engineers is to create an adventure that takes the
breath away from hard-core fans without going beyond the constitution of the average visitor.
Below: Taking a dive in the Vanish Roller Coaster in Yokohama.
Although there is a construction boom of new
rides in Asia, the US are still the benchmark:
parks with up to 25 rides being quite common
there. “But Europe and Germany have also
come a long way,” Michael Klose adds. For
him, experiencing speed and height is still
the top criterion for visitors. The Freiburg
sociologist and entertainment scientist Sacha
Szabo believes the appealing feature of a
ride can be explained by the opportunity to
fully focus on the present. “In that moment ,
you forget your own mortality, you don’t
think about the past or the future,” explains
Sacha Szabo. At the same time, roller coaster
rides also cause positive stress – including
the immediate relief of a safe return. By the
way: Statistically speaking, roller coasters are
amongst the safest vehicles in the world. †
Superlatives on rails
• The highest steel roller coaster in the
world: “Kingda Ka” at the Six Flags Great
Adventure, New Jersey, US (139 meters).
• The longest: “Steel Dragon 2000” at the
Nagashima Spa Land in Kuwana, Japan
(2,479 meters).
• The fastest: “Formula Rossa” at Ferrari
World, Abu Dhabi (240 km/h).
• Roller coaster with the steepest descent: “Takabisha” at Fuji-Q Highland
near Tokyo, Japan (121 degrees).
• Roller coaster with the most loops:
“The Smiler” at Alton Towers, Alton,
UK (14 loops).
Pictures: Fotolia.com/Rafael Ramirez, Yokohama Cosmo World
All the possibilities have been exhausted
When designing installations, the challenge
for engineers is to create an adventure that
takes the breath away from hard-core fans
without going beyond the constitution of
the average visitor. And yet , the highest
heights, speeds and lengths have already
been reached: “There will be other small
records, but basically all the possibilities
have been exhausted,” says Michael Klose.
The 29-year old graduate engineer works at
Stengel Engineering in Munich, Germany,
founded by Werner Stengel , who is revered
by his fans as the “roller coaster guru.” His
office has produced the calculations for over
600 roller coasters across the world, including Kingda Ka, Takabisha and The Smiler
(see boxes), as well as various milestones
in development: It was Werner Stengel who
introduced the softer start and exit of the
looping in 1976 to reduce the risk of spine
compression and neck injuries. He is also
the creator of the heart-line principle: The
center of rotation of the rails is now located
around the level of the waist , which also
reduces the load on passengers.
A
SERVICE
Bauerfeind worldwide
Bauerfeind AG
Triebeser Straße 16
07937 Zeulenroda-Triebes
Germany
Phone +49 (0) 36628-66-10 00
Fax
+49 (0) 36628-66-19 99
E-mailinfo@bauerfeind.com
Adresses:
Austria
Bauerfeind Ges.m.b.H.
Hainburger Straße 33
A-1030 Vienna
Phone +43 (0) 800 44 30 130
Fax
+43 (0) 800 44 30 131
E-mailinfo@bauerfeind.at
Benelux
Bauerfeind Benelux B.V.
Waarderveldweg 1
NL-2031 BK Haarlem
The Netherlands
Phone +31 (0) 23 531 94 27
Fax
+31 (0) 23 532 19 70
E-mailinfo@bauerfeind.nl
www.bauerfeind.nl
Belgium
Phone +32 (0) 2 527 40 60
Fax
+32 (0) 2 502 94 10
E-mailinfo@bauerfeind.be
www.bauerfeind.be
Bosnia and Herzegovina
Bauerfeind d.o.o.
Midžić Mahala 133
BA-77000 Bihać
Phone +387 (0) 37 313 198
Fax
+387 (0) 37 319 074
E-mailbauerfeind@bosnia.ba
Bauerfeind d.o.o. Ul. Nikole Pašića 34
BA-78000 Banja Luka
Phone +387 (0) 51 327 720
Fax +387 (0) 51 327 721
E-mailbanjaluka@bauerfeind.ba
Bauerfeind – Mostar d.o.o.
Kralja Tvrtka 24
BA-88000 Mostar
Phone +387 (0) 36 334 277
Fax +387 (0) 36 334 276
Croatia
Bauerfeind d.o.o.
Goleška 20
HR-10020 Zagreb
Phone +385 (0) 1 65 42 855
Fax
+385 (0) 1 65 42 860
E-mailinfo@bauerfeind.hr
France
Bauerfeind France S.A.R.L.
B.P. 50258
F-95957 Roissy CDG Cedex
Phone +33 (0) 1 48 63 28 96
Fax
+33 (0) 1 48 63 29 63
E-mailinfo@bauerfeind.fr
Italy
Bauerfeind AG
Filiale Italiana
Largo Francesco Richini 6
I-20122 Milano
Phone +39 039 6 08 12 52
Fax
+39 039 6 08 26 68
E-mailinfo@bauerfeind.it
Nordic
Bauerfeind Nordic AB
Roslagsgatan 24
SE-113 55 Stockholm
Phone +46 (0) 774-100 020
Fax +46 (0) 774-100 021
E-mailinfo@bauerfeind.se
Poland
Bauerfeind Polska Sp. z o.o.
Sky Office Center, Ul. Rzymowskiego 3
PL-02-697 Warszawa
Phone +48 727 677 675
Phone +48 608 722 543
Phone +49 (0) 36628 66 1667
E-mailinfo@bauerfeind.pl
Republic of Macedonia
Bauerfeind Dooel Skopje
50 Divizija 24 a
MK-1000 Skopje
Phone +389 (0) 2 3179 002
Fax
+389 (0) 2 3179 004
E-mailinfo@bauerfeind.mk
Serbia
Bauerfeind d.o.o.
Miloja Djaka 6
CS-11000 Beograd
Phone +381 (0) 11 26 65 999
Fax
+381 (0) 11 26 69 745
E-mailinfo@bauerfeind.co.rs
Singapore
Bauerfeind Singapore Pte Ltd.
Blk 41 Cambridge Road
#01-21 Singapore 210041
Phone +65 6396 3497
Fax
+65 6295 5062
E-mailinfo@bauerfeind.com.sg
Slovenia
Bauerfeind d.o.o.
Dolenjska cesta 242b
SI–1000 Ljubljana
Phone +386(0) 1 4272 941
Fax
+386(0) 1 4272 951
E-mailinfo@bauerfeind.si
Spain
Bauerfeind Ibérica, S.A.
Historiador Diago 13
E-46007 Valencia
Phone +34 96 385 66 33
Fax
+34 96 385 66 99
E-mailinfo@bauerfeind.es
Switzerland
Bauerfeind AG
Vorderi Böde 5
CH-5452 Oberrohrdorf
Phone +41 (0) 56 485 82 42
Fax
+41 (0) 56 485 82 59
E-mailinfo@bauerfeind.ch
United Arab Emirates
Bauerfeind Middle East FZ-LLC
Dubai Healthcare City
P.O. Box 505116, UAE-Dubai
Phone +971 4 4335 685
Fax
+971 4 4370 344
E-mailinfo@bauerfeind.ae
United Kingdom
Bauerfeind UK
Phyllis House
229 Bristol Road
Birmingham B5 7UB
Phone +44 (0) 121 446 53 53
Fax
+44 (0) 121 446 54 54
E-mailinfo@bauerfeind.co.uk
USA
Bauerfeind USA, Inc.
3005 Chastain Meadows Parkway
Suite 700
Marietta, GA 30066
Phone 1 800 423 34 05
Phone (770) 429 83 30
Fax
(770) 429 84 77
E-mailinfo@bauerfeindusa.com
MEDICAL PRODUCTS – MADE IN GERMANY
FOR AN ACTIVE
WINTER SEASON.
Whether you need thumb orthoses, knee supports, sports stockings or
foot orthoses, Bauerfeind products will keep you active and on the move
even through the colder months of the year. The medical products are
"Made in Germany" and can be used for preventive or therapeutic care
and help you maintain an active lifestyle.
RhizoLoc®
GenuTrain®
Motion is Life: www.bauerfeind.com
Compression Sock
Training
ErgoPad®
ski & skate

magazine - Bauerfeind

Transcription

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