Ambulatorium Schweizer Paraplegiker-Zentrum

Outpatient care unit

Lifelong care

People with a spinal cord injury (including spina bifida) often find themselves confronted with numerous spinal cord injury-associated health problems. These include typical and commonly occurring health problems, such as spasticity, neuropathic pain, bladder and bowel dysfunction, urinary tract infections, breathing problems, respiratory infections and pressure sores. At the same time, people with a spinal cord injury have an increased risk of age-associated health problems, such as diabetes, heart disease and certain forms of cancer (e.g. bladder cancer). Lifelong care is important in order to prevent medical problems, to provide early diagnosis, and to ensure regular checks of the outpatient rehabilitation process so that people with a spinal cord injury can enjoy the greatest participatin and quality of life.  

 

In addition, a spinal cord injury is not a static condition. Ageing and time since onset of the paralysis change the state of health and functional ability, e.g. through reduced muscle strength and mtor abilities or increased neuropathic pain. As well as support and care for spinal cord injury-specific topics, musculoskeletal problems are also a main focus of life-long care. On top of the functional problem, particular emphasis is placed on reintegration into social and professional life. 

 

With the goal of maintaining or regaining optimal participation and quality of life, spinal cord injury advice services apply an interdisciplinary approach (evaulation, diagnosis, care, advice) and, depending on requirements, comprise the following (and other) areas: 

  • Physical medicine and rehabilitation
  • Occupational therapy
  • Physiotherapy
  • Neuropsychology
  • Speech therapy
  • Neurology
  • Urology
  • Pulmonary medicine
  • Radiology
  • Spinal surgery / Orthopaedics
  • Neurosurgery
  • Hand surgery

Nottwil is the main site for outpatient care and outpatient appointments are also offered in the two decentralised outpatient care units in Lausanne and Bellinzona. 

 

We provide rapid, comprehensive and competent assistance in the case of spinal cord injury-specific problems. 

Available treatments

  • The annual check-up helps patients and doctors obtain an overall view of the general and health-related situation and of any problems. 

  • Despite regular check-ups, unexpected health problems may occur, such as pressure sores, fever, urinary tract infections and fractures. At times, problems may also occur, such as pressure sores, fever, urinary tract infections and fractures. At times, problems may also occur that do not require acute assessment but that need to be dealt with rapidly, for example in the case of an inexplicable increase in spasticity or pain. In cooperation with our emergency department, we provide rapid and comprehensive assistance fo these acute and subacute spinal cord injury-specific problems. 

  • Interdisciplinary cooperation in the Outpatient Wound Unit ensures that an optimal solution is provided for the treatment of pressure sores. 

  • Transition from adolescent to adult medicine is a significant phase. This is also when requirements and medical care change. 

  • Prescribing and carrying out adequately adapted forms of therapy with a productive and goal-oriented focus is a key aspect of lifelong care. This is reevaluated at each annual check-up and adapted accordingly if required. 

  • Interprofessional cooperation allows us to provide our patients with optimal care with the corresponding aids and services. 

  • Objectified and standardised gait analysis forms the basis of, for example, identifying the cause of gait disorders, comparing gaits, of splint adaptations and progress documentation. 

  • Gynaecological and spinal cord injury-specific assessment and care of patients range from screening, to contraceptive advice, and to advice on menopausal issues. 

  • During the check-ups, topics relating to sexuality are also discussed if required. 

  • ParaWork supports patients during occupational reintegration into the labour market and offers individually customised measures. 

  • In the case of challenges and problems outside the field of personal health, the Swiss Paraplegics Association (SPA) also offers support on topics such as legal advice and life guidance. 

  • ParaHelp supports optimal care at home with specialised advice and care for people with a spinal cord injury, amytrophic lateral sclerosis (ALS), or spina bifida. 

Comprehensive / Interdisciplinary approach

With the goal of maintaining or regaining optimal participation and quality of life, spinal cord injury advice services apply an interdisciplinary approach (evaluation, diagnosis, care, advice) and, depending on requirements, comprise the following (and other) areas:

  • Physical medicine and rehabilitation
  • Occupational therapy
  • Physiotherapy
  • Neuropsychology
  • Speech therapy
  • Neurology
  • Urology
  • Pulmonary medicine
  • Radiology
  • Spinal surgery / Orthopaedics
  • Neurosurgery
  • Hand surgery

Research

The aim of research within the Outpatient Care Unit is to improve lifelong care for people with a spinal cord injury and spina bifida. In addition to our own research projects, we work closely with the Clinical Trial Unit and SPR

Further training centre: internal medicine and physical medicine

  • The Outpatient Care Unit of the Swiss Paraplegic Centre provides training for young doctors to qualify as specialists in the field of physical medicine and rehabilitation, musculoskeletal rehabilitation and general internal medicine. The further training centre is recognised by and registered with the Swiss Institute for Continuing Medical Education (SIWF). 

Our specialists

  • Dr. med, PhD Inge Eriks-Hoogland

    Dr. med. PhD Inge Eriks-Hoogland

    Senior Consultant in Outpatient Care Unit

    Specialist in Physical Medicine and Rehabilitation 
    Head of Outpatient Care Unit
    Head of Transition SPC
    Head of Research Outpatient Care Unit

    Head of Further Training Centre Physical Medicine and Rehabilitation

  • Catherine Romani Schweizer Paraplegiker-Zentrum

    Dr. med. Catherine Romani

    Senior Consultant in Outpatient Care Unit

    Specialist in General Internal Medicine
    Registered Wound Expert SAfW
    Head of Wound Clinic Outpatient Care Unit

  • ruijgrok

    Dr. med. PhD Josephus Maria Ruijgrok

    Consultant Outpatient Care Unit

    Specialist in Physical Medicine and Rehabilitation

  • Mide Veseli Schweizer Paraplegiker-Zentrum

    Mide Veseli-Abazi

    Consultant Outpatient Care Unit

    Specialist in Gynecology and Obstetrics

  • Sonja Krcum Cvitic, Stv. Oberärztin Ambulatorium

    Sonja Krcum Dvitic

    Deputy Consultant Outpatient Care Unit

  • Anna Jedrusik

    Anna Jedrusik

    Junior Doctor Outpatient Care Unit

  • Heidi Ammann Leitung ambulante Patientendisposition Schweizer Paraplegiker-Zentrum

    Heidi Ammann

    Head of Outpatient Registration
  • Rahel Tschopp - Ambulatorium Schweizer Paraplegiker-Zentrum

    Rahel Tschopp

    Medical Materials Requirements Planner
  • Lorena Müller, Wissenschaftliche Mitarbeiterin Ambulatorium SPZ

    Lorena Müller MSc. M.A.

    Scientific Staff Member Outpatient Care Unit

Practical information

  • Guido A. Zäch-Strasse 1

    6207 Nottwil

    ambi.spz@paraplegie.ch

    T. 041 939 58 58

    F. 041 939 58 57

    Opening times

    Monday to Thursday
    8 am to 12 pm
    1 pm to 5 pm

    Friday
    8 am to 12 pm
    1 pm to 4 pm

    Saturday and Sunday: closed

  • Send registration form (with reference "Decentralised Outpatient Care Unit") to:

    Ch. de la Cigale 3, 1010 Lausanne

    paraplegie.pleinsoleil@ilavigny.ch

    T. +41 24 651 28 61

    Opening times

    Monday to Thursday

    8 am to 11.30 am

    1.30 pm to 4.30 pm

    Friday

    8 am to 11.30 am

    1.30 pm to 4 pm 

    13.30 - 16.30 Uhr

    Saturday and Sunday: closed

  • Send registration form (with reference "Transition") to: 

    Denise Williner, Medical Practice Assistant

    ambi.spz@paraplegie.ch

    T. +41 41 939 58 58

    F. +41 41 939 58 57

  • Send registration form (with reference "Wound clinic") to: 

    Evelyne Stählin, Registered Nurse (H), Wound Care Expert

    ambi.spz@paraplegie.ch

    T. +41 41 939 58 58

    F. +41 41 939 58 57

  • Dr. med. Inge Eriks-Hoogland, PhD

    Head of Research Outpatient Care Unit

    inge.eriks@paraplegie.ch

    and

    Lorena Müller MSc, M.A.

    Scientific Staff Member Outpatient Care Unit

    lorena.mueller@paraplegie.ch

    T: +41 41 939 50 23

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