Serv­ing more patients at the same time with dig­i­tal move­ment therapy

Phys­io­ther­a­py prac­tice “Schloss­physio” from Win­terthur, Switzerland


A patient trains at Pixformance

Small prac­tice, big progress: More care with­out addi­tion­al staff and relief in the dai­ly prac­tice routine

Found­ed in 2020, the phys­io­ther­a­py prac­tice “Schloss­physio” in Win­terthur, in the north of Switzer­land, is a small prac­tice ded­i­cat­ed to two areas: Man­u­al Ther­a­py and Res­pi­ra­to­ry Ther­a­py. In addi­tion, to expand the ser­vice, inter­ac­tive train­ing with Pix­for­mance was imme­di­ate­ly inte­grat­ed into the prac­tice for move­ment therapy.

How­ev­er, as is usu­al­ly the case with our cus­tomers from Ger­many, the pri­ma­ry moti­va­tion was not to move into the sec­ondary health care mar­ket to break away from the depen­den­cy of doc­tors and health insur­ance com­pa­nies. Because while in Ger­many, the call for the inde­pen­dence of health insur­ance in phys­io­ther­a­py is get­ting loud­er and loud­er, in Switzer­land, as is well known, the sit­u­a­tion is dif­fer­ent. The self-pay sec­tor, which enables phys­io­ther­a­pists to attract patients as long-term cus­tomers even beyond the pre­scrip­tions and gen­er­ate more rev­enue, is hard­ly an issue for the Swiss.

The moti­va­tion behind the inte­gra­tion of the Pix­for­mance train­ing concept

The path was a hap­py coin­ci­dence. When she found­ed her prac­tice, it was clear to phys­io­ther­a­pist Swet­lana Zim­mer­mann that she want­ed to inte­grate a piece of equip­ment into her prac­tice that would enable holis­tic move­ment ther­a­py. In oth­er words, she tried to cov­er as many mus­cle groups and move­ment pat­terns as pos­si­ble — espe­cial­ly with regard to spe­cif­ic ill­ness­es or pain.

It was also cru­cial to her to be able to shape the train­ing indi­vid­u­al­ly for each patient because every patient is dif­fer­ent. So the idea of the Pix­for­mance Sta­tion, which had already been test­ed, came to her mind — and thus, the col­lab­o­ra­tion quick­ly came about. In addi­tion to a few small pieces of equip­ment and wall bars, Pix­for­mance has replaced all oth­er nec­es­sary ther­a­py equip­ment in prac­tice and focus­es entire­ly on move­ment therapy.

Patients at the Schloss­physio are already famil­iar with Pix­for­mance through their train­ing at the wom­en’s fit­ness chain Mrs.Sporty, a com­pa­ny that Pix­for­mance founder Valerie Bures-Bön­ström also co-founded.

There, the proven sports con­cept has been a cen­tral com­po­nent of train­ing for over eight years and already accom­pa­nies over 200,000 exer­cis­ers world­wide on their way to more move­ment and health.



Prac­tice Profile
Loca­tion Win­terthur, Switzerland
Found­ed 2020
Own­er Claas Bicke­böller
Main Focus Man­u­al Ther­a­py, Res­pi­ra­to­ry Ther­a­py, Inter­ac­tive Training
Employ­ees 1 ther­a­pist
More info www​.schloss​physio​.ch


We want­ed a holis­tic train­ing device that could cov­er as many mus­cle groups and move­ment pat­terns as pos­si­ble in sports therapy.”

For sup­port and relief dur­ing sports ther­a­py: “With very few excep­tions, all our patients use the Pix­for­mance range.”

Thus, with very few excep­tions, all patients also use the Pix­for­mance equip­ment dur­ing ther­a­py. When the patient comes to the Schloss­physio prac­tice with their ther­a­py pre­scrip­tion, depend­ing on the state of their health, the Pix­for­mance sta­tion is already used to sup­port them in their exer­cise ther­a­py after the first or sec­ond ses­sion. Patients can also exer­cise inde­pen­dent­ly under vir­tu­al guid­ance, and the dig­i­tal train­ing device pro­vides sup­port and relief for Swet­lana Zimmermann.

For faster and bet­ter sports ther­a­py suc­cess, the Pix­for­mance app has also proven its worth to her in every­day prac­tice. After the first ses­sions with Pix­for­mance, it is intro­duced and installed. This allows them to call up the indi­vid­ual ther­a­py pro­gram on their smart­phone and per­form the pre­vi­ous­ly trained exer­cis­es at home. As Claas Bicke­böller — the man­ag­ing direc­tor and hus­band of the head phys­io­ther­a­pist — tells us, patients appre­ci­ate the time- and loca­tion-inde­pen­dent offer and are hap­py to take advan­tage of it for exer­cise therapy. 

Bicke­böller and his wife also place an excep­tion­al­ly high val­ue on the flex­i­bil­i­ty of the train­ing offer. “With Pix­for­mance, you can always train under the super­vi­sion and con­tin­ue train­ing at home — with pro­fes­sion­al assis­tance and under a cer­tain degree of pro­fes­sion­al care. We know from expe­ri­ence that you can explain the exer­cis­es and the move­ment to peo­ple a hun­dred times in exer­cise ther­a­py. And that’s what it’s all about.

Nev­er­the­less, after half an hour, most of them have for­got­ten that they have to make sure, for exam­ple, that their knee is straight so that they don’t get any pain lat­er on. And with Pix­for­mance, you are remind­ed of this again and again dur­ing the move­ment ther­a­py. This way, we know that the patients are con­sis­tent­ly exer­cis­ing quite safe­ly and per­form­ing the exer­cis­es cor­rect­ly dur­ing sports ther­a­py,” says Claas Bicke­böller about the deci­sion to pur­chase Pixformance.

Above all, the flex­i­bil­i­ty that you get with the dig­i­tal train­ing con­cept was a cru­cial point for us.” 

In Switzer­land, the focus is more on the patient — and not on how much is paid out by the health insur­ance company.

As Claas Bicke­böller told us in con­ver­sa­tion, there are cur­rent­ly very few self-pay patients in the prac­tice who do not have a new pre­scrip­tion pre­scribed and instead pay a month­ly fee for the train­ing. Most patients, how­ev­er, come to phys­i­cal ther­a­py with a prescription.

It has to be said that the cash reg­is­ter sys­tem in Switzer­land is com­plete­ly dif­fer­ent from that in Ger­many,” says Claas Bicke­böller in con­ver­sa­tion with us. “In Switzer­land, you can get a pre­scrip­tion much faster, so it’s not a prob­lem to get a new phys­io­ther­a­py pre­scrip­tion every three months if you’re ill. So the self-pay area is also not of as great val­ue as it cer­tain­ly is in Germany.

Peo­ple in Switzer­land are used to health being a pri­vate ben­e­fit.” That’s because health insur­ance in Switzer­land, unlike in Ger­many, is per se a per­son­al ben­e­fit. Although basic insur­ance is manda­to­ry, it must be paid for by the patient.

Trainer trains a customer at the Pixformance Station

Phys­io­ther­a­py is one of the ser­vices cov­ered by basic health insur­ance. So while peo­ple in Ger­many are used to not hav­ing to pay any­thing for their health in the form of phys­io­ther­a­py or exer­cise ther­a­py, it is com­mon prac­tice in Switzer­land. So for the ther­a­pist side, the focus is more patient side — and not on how much is paid out by the health insur­ance company.

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