LiN - Arge e. V. – Logo
LiN – Lagerung in Neutralstellung
Ein pflege-therapeutisches Lagerungskonzept
LiN - Arge e. V. – Logo

Ein pflege-therapeutisches Lagerungskonzept

LiN - Arge e. V. – Logo

Ein pflege-therapeutisches Lagerungskonzept

  •     Archive


Practical questions about LiN

We are happy that due to our scientific publications about LiN, a physiotherapist in Sydney, Australia has shown interest to use LiN over there. Within the last month, we have received an email with questions and a request for worksheets. We gladly provided those and addressed some questions from "Down Under".

As the answers to the questions may be relevant to others who are considering introducing LiN to their institutions, we publish them here. The Australian physiotherapist mainly wondered if, in our experience, LiN is indeed feasible in clinical settings, as it looks like LiN needs a lot more resources and training for nurses and therapists.

Here are our answers:

1. Resources:
Yes, more resources are indeed needed for LiN in terms of procurement, storage and washing of the additional materials. However, with respect to buying, it is not a big investment: You only need 'normal' blankets/duvets, which are quite cheap.

2. Implementation:
We have quite different experiences here. There are clinics, residential communities for ventilated patients and nursing facilities that implement this excellently. How well LiN is implemented depends mostly on the management of the station/department/clinic and their carriers as well as their quality standards. The implementation usually works better in institutions where trainers of the LiN concept work.

In some cases, institutes now train LiN practice instructors (authorized to teach workshops) and LiN trainers (authorized to teach basic and advanced LiN courses) in advance if they want to introduce or further develop the practical application of the LiN concept.

As with all courses, it is usually very difficult for the students to translate what they have learned in the course into clinical practice. This is not surprising considering that motor learning requires 1000-16000 repetitions and that learning also depends on the context (course room versus workplace).

In January 2020, we will start a survey to investigate the factors that influence the use of LiN-course contents in clinical practice positively or negatively. This study is expected to provide additional insight about how LiN implementation can be improved.

To sum up, we are glad that even Australia shows interest in LiN and are excited to see if LiN will be applied in patient care there. Maybe one day, LiN trainer courses can be conducted over there.

The Scandinavian LiN Group is expanding

Highly concentrated Gitte Rassmussen, Karin Loje-Nielsen and Wendy Martin (from left) are working on the neurophysiology and muscle physiology module.

In preparation for the enlargement of the early rehabilitation wards, the Hvidovre Hospital in Copenhagen supports the training of Gitte Rassmussen and Karin Loje-Nielsen. Both began the education as LiN trainers at the end of last year. As they speak fluently English, but the German knowledge is not sufficient for a module visit in Germany, a special training mode had to be found. It was decided in advance that Module II (didactics) and Module III (neuro- and muscle physiology) would be held in Denmark.

Dr. Heidrun Pickenbrock gladly accepted the invitation to lead the modules on site. Wendy Martin also took the opportunity to participate in the module as she is the mentor of the trainees. This was a particular challenge for her because she also took care of her 2-months-old daughter.

Due to the small number of participants, it was planned to work on the usual 1.5 day contents of the didactics, neurophysiology and muscle physiology modules within one day. This was achieved as all three had been prepared very carefully.

In the future, the Scandinavian Arge members will be in Germany every 1.5 years for Module I - the practice module. Here so much practical work is done that the exchange in German/English and on the basis of the practical work has already turned out to be problem-free in earlier years.

Translated with - modified

In 2015 the second meeting of the LiN - Arge took place at the Hegau-Jugendwerk Gailingen. The clinic encompasses a neurological hospital and rehabilitation centre offering comprehensive rehabilitation services and care for children, adolescents and young adults with diseases, trauma or disorders of the central and/or peripheral nervous systems. 22 trainers and assistants met to enhance their knowledge and skills. The main subject was neuro- and muscle physiology.


The Journal of Clinical Nursing epublished now the article about the the effect of positoning on vital parameters. As expected heart rate, blood pressure and breathing frequency did not change when patients were positioned in either LiN - Lagerung in Neutralstellung or Conventional Positioning. Please contact H. Pickenbrock if you are interested in the article.

The Fürst Donnersmarck-Foundation in Berlin runs institutions for the rehabilitation and support of people with physical and multiple disabilities. At the same time it has also set itself the goal of supporting research work in the field of rehabilitation.In 2006, to mark the foundation‘s 90th anniversary, it established a research prize in the field of rehabilitation. November 20 2015, the prize was awarded for the fourth time. H. Pickenbrock received a commendation for her research about LiN - Lagerung in Neutralstellung.
During the last weekend of March 2015 one of the two annual training modules took place in the clinical centre of Bremen-East. Almost 30 trainers and assistants met to enhance their skills and competence of positioning. Modules have the purpose to teach the assistants in order to become a trainer and to give the trainers the possibility to update their knowledge. We practiced to position each other. Furthermore we were able to train together with 10 severely disabled patients on the early rehab ward.

The main subject of the annual general meeting was the election of the board. H. Pickenbrock, D. Krasser, E. Beck and J. Martin are continuing to serve as president, secretary, treasurer and member at large. A. Hartnick has been newly elected as vice president, C. Dieckmann as member at large.
Just in time for the turn of the year 2014/15 we uploaded our new website. With the support of the IT programmer Daniel Döppner and the designer Janina Sitzmann we created a completely new appearance. Furthermore we are now providing most of the information in English. Sylvia Willax and Dr. Heinz-Dieter Oelmann contributed with professional pictures. Please use the link on their names to view more of their photographes.
In January 2015, the "Deutsches Ärzteblatt International" published the article: "Conventional versus neutral positioning in central neurological disease - a multicentre randomized trial". The article is available in English and in German (Dtsch Arztebl Int 2015; 112(3): 35-42.)
It is introduced by the editorial  will "How ecivence based is the positioning of patients with neurological illness" written by Prof. Dr. med. J. Liepert. On the evidence of the study - as there were no side effects - he ​now recommends the use of LiN®  for patients with lesions of the central nervous  system who are severely disabled.