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Contents

Services offered

Cardio

Our existing infrastructure allows us to perform a wide range of testing procedures for specific sports. Endurance tests can be performed on the treadmill, hand crank, bicycle, skiing, rowing or canoeing ergometer, as well as in the wheelchair, hand bike or in the swimming pool, depending on the needs of the person.

Health insurance schemes pay for these services for patients with health issues. Below, you will find a selection of our services with explanations. Feel free to contact us at any time if you require any further information.
 

Endurance training for respiratory musculature
Setting the equipment (SpiroTiger or Powerlung), instruction and training control.
This training is also suitable for musicians, singers, etc.

Costs: 50 - 100.-


Exercise ECG
The exercise ECG is used in medicine application for diagnosing heart disease and for charting its progress, and this is an important resource for assessing risk. The results of the performance achieved in the stage test are used for planning further training. The exercise ECG is performed through to the point of subjective exhaustion or is discontinued at an earlier stage if there are illness-specific changes in cardiac response.
 
Test options: Bicycle ergometer, hand crank
Costs: 150.-


Blood sport screen
For health problems, stress intolerance, before commencing sports training, before screening.

Costs: 150.-
 

Gait analysis
In our new 3-D gait analysis laboratory, we conduct analyses into a variety of issues surrounding gait abnormalities with various causes. We possess specialist cameras for recording 3-D movements, strength measuring plates and EMG devices. In addition, conventional video recordings are made. This allows the gait to be recorded and analysed at different levels. These examinations are suitable, on the one hand, for identifying the causes of gait abnormalities and, on the other hand, for comparing gait images before and after therapy, orthopaedic splint adaptation or for documenting progress during the rehabilitation process.
We arrange a consultation beforehand to identify problems, requirements and issues and to assess the patient. Together, we discuss appropriate aspects of the proposed examination and define the scope of this.
The results and findings are set out in an examination report and are discussed with the patient. The doctors making the referral also receive a detailed examination report and have the opportunity to discuss this with us.

Costs: Depending on the issue/scope (the costs are generally covered by a health insurance scheme)
 

Conconi test
A test to assess the patient's maximum endurance capability based on the measurement of performance and heart rate. A training recommendation may be prepared on the basis of the measurement results. The test is also suitable for monitoring training on a regular basis. The workload performed at each performance stage remains constant, which means that as performance declines, the stage duration drops steadily. The Conconi threshold is calculated from the pattern of the heart rate curve.

Test options: Bicycle ergometer, treadmill, hand crank, wheelchair, hand bike
Costs: CHF 100.– (without a consultation)
 

Health check
The health check takes a whole day and encompasses a complete in-situ assessment. The check consists of a medical examination, a blood screen, various tests, a consultation with the psychologist, an individual nutrition consultation and a full-body massage. We discuss ways of boosting your well-being with you.
In preparation for this, you will receive a detailed health questionnaire, a food diary and information on life balance issues.

Medical examination with a discussion about your state of health, in particular cardiovascular risk factors. Examination of your spinal column, lymph nodes, thyroid, ears, throat, heart, lungs, abdomen, locomotor system and blood pressure measurement.

Blood screen with determination of the thyroid hormone, lipometabolism (blood fat values: cholesterol, triglycerides), iron stores (ferritin), blood sugar (glucose), kidney and liver values, large blood screen (red and white corpuscles, blood platelets). PSA levels are also measured in men.

(Fitness) tests: Hearing test, measurement of the body composition (fat measurement), lung function measurement, ECG at rest, exercise ECG with a Conconi test and determination of training ranges.

Consultation: We will discuss the examination findings and necessary steps to take with you in detail. In addition, you will receive individual training recommendations.

In addition, you can discuss the key aspects of the design of your current and future lifestyle with the psychologist during the life balance consultation. Based on your food diary, we will analyse your personal eating behaviour and eating habits, and make individual recommendations for improving your diet. In the selfness part, you will receive a relaxing full-body massage.
This one-day package includes breakfast and lunch, as well as snacks.

Costs: 1900.-
 

Altitude training in the hypoxia chamber
Muscles and breathing adapt during training in air with depleted oxygen levels (hypoxia training). These practices lead to improved performance both at altitude as well as on flat land. The training is also suitable for pending sports endurance activities at altitude (for instance, trekking in the Himalayas, mountain climbing, etc.).
Costs: CHF 100.– per hour training session (including supervision by an expert)
 

Body fat measurement
We conduct the body fat measurements here in two ways: either through bioelectrical impedance or through skinfold measurements.

Bioelectrical impedance: A weak current which is not discernible is conducted through the body. It generates a resistance via which the body composition can be calculated.
Skinfold measurement: The skinfold thickness is measured using skinfold callipers at defined places in the body. The subcutaneous fat is measured on the basis of this.

Costs: 50.-
 

Lactate minimum test
The lactate threshold test enables individual training intensity zones to be determined and endurance performance to be assessed.  As a rule, the test comprises two parts: The first part consists of a relatively quick and steady rise in load through to the point of subjective exhaustion.
In the second part, immediately afterwards, the load is then increased incrementally. The purpose of the first test is to bring the active musculature to the point of over-acidification, which involves an accrual of lactic acid (lactate). In the second part, the accrued lactate can be broken down until the so-called lactate threshold is reached.

Test options: Bicycle ergometer (the client may use their own racing bike), treadmill, hand crank, canoeing and rowing ergometer, swimming
Costs: 300.-
 

Running analysis
The gait or running analysis is available, for instance, for runners or for people who have difficulties or problems walking or running. We have a variety of measuring techniques at our disposal for this. During a sports medicine consultation, we will first of all identify the problem and pinpoint the specific issues involved. Based on this information, we will then define the elements of the assessment (3-D angle assessment, treadmill or pressure measurement, EMG, full or half-body, etc.).
Following the assessment, we will prepare a report which we will discuss with the patient at a separate consultation. Possible measures will also be discussed here.

Costs: Depending on the issue/scope (the costs are generally covered by a health insurance scheme)
 

Pulmonary function and asthma assessment
Approximately 10% of the population are predisposed to asthma. Elite athletes also run the risk of developing asthma as a result of many years of intensive endurance training. In order to identify the predisposition at an early stage or if the patient is already exhibiting signs of breathlessness under increased effort, we propose that an asthma assessment be conducted.
This assessment is conducted in collaboration with our Pneumology Department at the Swiss Paraplegic Centre. The pulmonary function values are measured at rest, after 6 minutes of hyperventilation and after inhaling methacholine. You can discuss the results and possible measures with the doctor.
Sports Medicine Nottwil is the only institution in Switzerland which can perform this method of assessing exercise-induced asthma.

Costs: according to the health insurance scheme rates (the costs are generally covered by a health insurance scheme)
 

Medical check
The aim of the half-day medical check is to carry out an in-situ assessment of your personal health. You will be given recommendations on how to make adjustments to your lifestyle. The check consists of a medical examination, a blood screen, various tests and advice.
In preparation for this, you will receive a detailed health questionnaire.
Medical examination with a discussion about your state of health, in particular cardiovascular risk factors. Examination of your spinal column, lymph nodes, thyroid, ears, throat, heart, lungs, abdomen, locomotor system and blood pressure measurement.
Blood screen with determination of the thyroid hormone, lipometabolism (blood fat values: cholesterol, triglycerides), iron stores (ferritin), blood sugar (glucose), kidney and liver values, large blood screen (red and white corpuscles, blood platelets). PSA levels are also measured in men.
(Fitness) tests: Measurement of the body composition (fat measurement), pulmonary function measurement, ECG at rest, exercise ECG with a Conconi test and determination of training ranges.
Consultation: We will discuss the examination findings and necessary steps to take with you in detail. In addition, you will receive individual training recommendations.

Costs: 850.-


Physiotherapy
Sports Medicine Nottwil liaises closely with the Outpatient Physiotherapy Department at the Swiss Paraplegic Centre.
Treatment is given for rehabilitation after sports injuries, for diseases of the locomotor system or of the nervous system on the basis of current treatment concepts, and they are individualised to reflect the needs of the patients

Costs: Generally charged to a health insurance or accident insurance scheme (prescribed by a GP).


Swiss Olympic abdominal strength test
The abdominal strength test consists of three exercises which are performed at your own body weight. They test the anterior, side and posterior trunk musculature, whereby the exercises are performed at second intervals. Specific comparative values are available for different types of sports.

Costs: 80.-
 

Spiroergometry
The cardiopulmonary exercise test measures physical performance in combination with different parameters (for instance, pulse, maximum oxygen intake (VO2max), tidal volume, respiratory frequency, respiratory threshold, etc.).
Interaction between the organs which are involved in endurance performance (lungs, cardiovascular system) can be assessed on the basis of the values obtained, and an appropriate recommendation can be made. While athletes are principally concerned with achieving optimum performance and VO2max, the cardiopulmonary exercise test is particularly useful for identifying more precisely the cause of any performance weakness among patients.
Sports Medicine Nottwil is able to perform cardiopulmonary exercise tests not only on bicycles or the treadmill, but also on a sport-specific basis, including on the rowing, canoeing or skiing ergometer, as well as on the hand crank.

Costs: 300.-
 

Sports nutrition advice
Individual advice for elite athletes and grassroots athletes on various aspects of sports nutrition during training and competition.
 
A balanced, healthy diet is essential for our physical and mental health, performance and well-being. A balanced diet and adequate exercise promotes good health and well-being.
In an initial consultation, the client's current eating habits are recorded, and his or her needs are explained. Objectives are then defined jointly, the person's knowledge of nutrition is enhanced to take due account of those objectives and possibilities for achieving these objectives are drawn up, reflecting the needs, interests and ability of the person.
Following the consultation, the client implements the factors discussed into his or her daily routine. Difficulties can be discussed at a subsequent consultation, and other possibilities for resolving them can be explored or new dietary issues considered.
Possible points of focus in the consultations:
• healthy balanced basic diet
• eating before, during and after training
• adapting eating habits in order to lose weight
• and so on

Costs
Without a doctor's prescription:
The costs must be covered by the client. At best, depending on the reason for the dietary consultation, we can ascertain whether supplementary insurance will pay for some or all of the costs.
Costs: CHF 110.– per 50 min consultation

With a doctor's prescription:
If the patient has a doctor's prescription with a recognised indication (submission of a prescription under: http://www.svde-asdd.ch), this can be charged to the patient's basic insurance (it is advisable to check with the health insurance scheme beforehand to make sure that they will definitely pay for this).

Rearranging/cancelling appointments:
At least 24 hours' notice must be given for rearranging or cancelling appointments. If the patient fails to cancel an appointment on time or at all, he or she will be charged a fee of CHF 60.–. These costs are not covered by the health insurance schemes and are charged directly to the client.
 

Sports medicine examination
The purpose of the sports medicine examination is to evaluate your current state of health, to determine your ability to do sport and to introduce preventative or therapeutic measures at an early stage. It includes a discussion about the detailed case history questionnaire, a clinical examination, and ECG at rest and a blood screen.
 

Sports medicine consultation
In the case of injuries, illness or other health problems, you can make an appointment to attend a consultation.
These consultations will be paid for by health insurance schemes or accident insurance companies.
 

Sports psychology
Whether it be mental preparation for competition, anxiety surrounding competition, controlling your emotions or "quite simply" the ability to remain fit and healthy, we offer individual or team coaching on all these issues. Needless to say, this also includes relaxation techniques, concentration and attentiveness, team building, crisis situations and lots more.

Costs: Individual consultation CHF 180.–/60 minutes, teams by arrangement.
 

Vertical jump test on a strength on a force plate
Elasticity is an important factor for performance in many types of sport (for instance, athletics, team sports or Alpine skiing). When jumping on the strength measuring plate, we measure counter-movement jumps, squat jumps and jumps on one leg. The data collected is analysed as a basis for the strength training plan.

Costs: 150 - 175.-
 

Training advice
Do you wish to train more effectively or do you simply only want to get fitter? Do you have a sporting goal in mind? Or do you simply just have some questions to ask about training? If so, training advice from us is just what you need.
Applying the latest theoretical and practical expertise, we will happily give you personalised advice and draw up an individual training plan for you which takes due account of your personal requirements (time available, sports goals, type of sport, personal fitness). Ideally, the individualised plans are based on a performance test conducted previously which allows personalised training ranges to be identified for you.

Costs: 150.- / h
 

Wingate test
Anaerobic performance (an athlete's stamina) is determined by performing the Wingate test. This test is done on highly trained athletes. The test sequence involves performance at maximum load for 30 seconds, whereby the resistance is adapted depending on the body weight. It can also be used to assess the athlete's elasticity and ability to sprint.

Costs: 100.-
 

Additional information

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