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Neurological Rehabilitation Clinic RehaNova Cologne

Cologne, Germany


Neurorehabilitation/ neurological rehabilitation/ Phase B (program ID: 100779)


Axel Rieker

Head Physician
Prof. Dr. med.

Axel Rieker

Department of Neurorehabilitation

Specialized in: neurosurgery
Curriculum vitae keyboard_arrow_down

Clinical and scientific education 

  • 1990 – 1998: study of medicine at the University of Freiburg /Montreal 
  • 06/1998: defense of a doctoral thesis at the University of Freiburg 
  • 1998 – 2004: clinical education: University Clinic of Neurology, Tübingen (Professor J. Dichgans) 
  • 2004 – 2005: University Clinic of Psychiatry, Ulm (Professor M. Spitzer) 
  • 02/2006: neurologist 
  • 10/2006: Senior Physician 
  • 11/2006: obtaining a post of assistant professorship at the University of Ulm (Professor A.C. Ludolph) 

 

Clinical qualifications 

  • Distance learning BWL at the university hospital Nuremberg 
  • Certificate "Event-related potentials" DGKN, 06/04. 
  • Certificate "Electroencephalography" DGKN, 11/06. 
  • Certificate "Ultrasound Diagnostics" DGKN, 02/07. 
  • Organization of dysphagia diagnosis at the neurological clinic of the University of Ulm. 
  • Organization of pre-surgical epilepsy diagnosis based on fMRI for the determination of important speech zones of the brain at the neurological clinic of Ulm University. 
  • Examining doctor, KKS Tübingen, 05/02. 

 

Research interests 

  • Dyslexia 
  • Cerebral control of speech motor skills in Parkinson's disease 
  • Cerebral mechanisms of aging and reorganization after a stroke 
  • Dysarthria 
  • Cerebral control of swallowing and impaired swallowing 
  • Methods: fMRI, DTI, morphometry/volumetry 3D-MRI 

 

Awards 

  • Poster Award DGN 2006, Mannheim. Palm Sh., Ackermann H., Riker A. (2006). Two-sided linguistic presentation in Corpus Callosum Agenesis (CCA). 79. Congress of the German Society of Neurology, Mannheim. 
  • Travel award (2005) of the National Institutes of Health (NIH) in collaboration with the Organization for Human Brain Mapping (OHBM) and John Wiley Publishers. The award covers travel and other expenses to leading medical apprentices in the field of human brain mapping who wish to attend the OHBM Annual Conference. 
  • Travel award (2004) of the National Institutes of Health (NIH) in collaboration with the Organization for Human Brain Mapping (OHBM) and John Wiley Publishers. The award covers travel and other expenses to leading medical apprentices in the field of human brain mapping who wish to attend the OHBM Annual Conference. 
  • Poster-award DGN 2000, Baden-Baden. Riker A., Ackermann H., Wildgruber, D, Grodd W. (2000) Differential lateral effects in anterior insula during conversation and singing: activation study fMRI, 73 Congress of the German Society of Neurology, Baden-Baden, Akt Neurol: page 183. 

 

Provision of sponsorship funds Projects 

  • 01.06.1997 – 31.05.2001: DO 536/2-1; DO 536/2-2; a program of primary importance for the speech development: the transmission of information by means of natural speech, 2 × BAT IIa. 
  • 01.08.2001 – 31.07.2003: DO 536/2-5; a program of primary importance for the speech development: the transmission of information by means of natural speech, 2 ½ × BAT IIa. 
  • 01.10.2004 – 30.09.2006: application DFG: Brain mechanisms providing generation and realization of "phonetic plans" during speech synthesis: functional visualization, clinical research and computer modeling, 2 ½ × BAT IIa. 
  • 01.03.2007 – 28.02.2008: application BMBF: Temporary processing of German vowels in developmental dyslexia, ½ ×TVÖD (corresponds to BAT IIa). 
  • 01.11.2006 – 30.10.2008: application DFG (AC55/6-2): Cerebral control of motor aspects of speech synthesis, 1 x TVÖD (correspond to BAT IIa). 
About the department keyboard_arrow_down

As RehaNova has its emphases on neurological early rehabilitation it is optimally prepared for the medical care of severely sick patients, which may potentially require intensive care medicine. For this purpose an in-house intensive care unit equipped with 19 intensive care beds and also 9 respiration units with complete neuromonitoring is available. Through close co-operation with the dialysis centre of the Cologne-Merheim State Hospitals medical care can even be provided for dialysis patients.

The so called “protected” or “secured” area is a ward with neuropsychological emphasis and its intention is to admit disorientated patients at risk of wandering off. During the early rehabilitation phase neurological patients with severe memory disorders (amnesia) or speech disorders (aphasia) in connection with disorientation, lack of acceptation of the disease, being at risk of wandering off or showing signs of personality- and behavioural changes (e.g. aggressive outbursts, intense unrest, obtrusive behaviour) usually require a safeguarded, specialized and suitable therapy-environment to treat this symptomatology.

Patients who show signs of being infected with MRSA and other multiresistant germs will be admitted to the isolation ward. In recent years the number of patients worldwide who are infected with methicillin resistant staphylococcus aureus (MRSA)-germs considerably increased. This is why the clinic decided to convert a conveniently located peripheral ward into a special isolation ward; the conversion was implemented in 2003 – just a few years after the opening of our clinic. Here the patients are accommodated in separate single wet rooms. When entering the room the gown will be changed and face mask, head cover and also gloves will be put on. The gowns remain in the room and are disposed of in special laundry bags.

Program includes:

  • Primary presentation in the clinic
  • medical history, including family history
  • complex neurological and orthopedic examinations
  • CT / MRI / X-ray examination
  • complex neurophysiological examinations
  • individual rehabilitation program, which includes:
    • propriozeptive neuromuskuläre fazilitation (PNF)
    • transcranial magnetic stimulation (TNS)
    • orofacial stimulation of Castillo Morales
    • functional propriotrening
    • various methods of respiratory gymnastics
    • Wii Fit training in the use of the balance
    • neuropsychological therapy
    • functional therapy of the upper extremities (ArmeoSpring)
    • functional electrical stimulation / neurostimulation
    • kinesitherapy (physiotherapy)
    • biocontrol with feedback
    • healing deep muscle massage
    • neuromuscular  electrostimulation
    • acupuncture of spasticity and pain syndromes
    • occupational therapy
    • psycho-educational classes
    • logopedia in the language of the patient
    • Individual physiotherapy
    • microcurrent treatment
    • fangotherapy / cryotherapy
    • antispasmodic drug therapy (incl. Botox)
    • mobilization of limb joints
    • hydrotherapy / massage therapy / reflexology
    • training on special trainers (Lokomat, exoskeleton)
    • bladder training
    • bowel training
    • and etc.
  • constant care nurses
  • stay in the hospital with full board
  • symptomatic and drug therapy
Type of program :
Expected duration of the program:

The program includes:

  • Translation of medical documents up to 4 pages
  • Interpreter up to 3 hours
  • Translation of medical documents up to 8 pages
  • Interpreter up to 5 hours
  • Translation of medical documents up to 10 pages
  • Interpreter up to 8 hours
  • Insurance of unforeseen expenses in case of complications in course of treatment and within 48 months after treatment (сoverage amount is 200,000.00 €)
  • Free consultations with the attending physician for the period of 3 months after treatment completion
  • Translation of medical documents up to 10 pages
  • Interpreter up to 10 hours
  • Insurance of unforeseen expenses in case of complications in course of treatment and within 48 months after treatment (сoverage amount is 200,000.00 €)
  • Free consultations with the attending physician for the period of 3 months after treatment completion
  • Translation of medical documents up to 10 pages
  • Interpreter up to 15 hours
  • Transfer from the airport to the clinic and back to the airport
  • Insurance of unforeseen expenses in case of complications in course of treatment and within 48 months after treatment (сoverage amount is 200,000.00 €)
  • Free consultations with the attending physician for the period of 3 months after treatment completion
  • Translation of medical documents up to 10 pages
  • Interpreter up to 25 hours
  • Transfer from the airport to the clinic and back to the airport
  • Insurance of unforeseen expenses in case of complications in course of treatment and within 48 months after treatment (сoverage amount is 200,000.00 €)
  • Free consultations with the attending physician for the period of 3 months after treatment completion
info_outline Total costs:

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