What Is MTT? – Medical Training Therapy Explained

MTT (Medical Training Therapy) is an active form of therapy in which patients train on medical exercise equipment under physiotherapeutic supervision. The goal is to improve strength, endurance, coordination and flexibility after injuries, operations or with chronic conditions. MTT is a physiotherapy service prescribed by a physician.

MTT (Medical Training Therapy) refers to an equipment-based training area in the rehabilitation sector and is not a medical remedy in itself. Training therapy can take place as part of physiotherapy (KG), equipment-based physiotherapy (KGG) or within a rehabilitation programme.

Treatment begins with a physiotherapeutic assessment and individual training plan. Each session includes a warm-up, equipment-based strength, stabilisation and coordination training, and a brief cool-down phase.

Depending on the setting, training lasts between 15 minutes (KG) and up to 60 minutes (KGG or rehabilitation).

KGG (equipment-based physiotherapy) is prescribed by a physician for:

  • Post-operative conditions (e.g. knee replacement, shoulder surgery, spinal surgery)
  • Chronic back pain
  • Muscular imbalances and postural defects
  • Sports injuries and their rehabilitation
  • Osteoarthritis and degenerative joint diseases
  • Neurological conditions with motor deficits

The prescription is issued via a medical remedy prescription.

KGG Equipment – What Does Your Practice Need?

A KGG area in a physiotherapy practice typically requires the following equipment categories:

Equipment CategoryFunctionExamples
Upper Body StrengthStrengthening arms, shoulders, trunkCable machines, lat pulldown, back extension
Lower Body StrengthStrengthening legs, hipsLeg press, leg extension, leg curl
Cardio (not mandatory)Cardiovascular trainingErgometer, treadmill, cross trainer
Functional Equipment (not mandatory)Coordination, stabilisationTraining walls, sling trainers, balance systems
Assessment Devices (not mandatory)Assessment, progress monitoringForce measurement, mobility tests

The investment costs for a complete KGG setup with conventional equipment typically range between €25,000 and €65,000.

The WONDERWALL training wall by Wonder GmbH offers a space-saving alternative for general MTT equipment and for KGG billing. Over 300 exercise variations cover muscle training, mobilisation, stretching, coordination and functional training – on a wall area from just 2 m².

In general, the WONDERWALL enables:

  • Functional leg press via combined applications, without weights!
  • Upper body training via combined applications, sticks and resistance bands
  • Lower body training with loops and bands, via combined applications
  • Core stabilisation in open and closed kinetic chain
  • Mobilisation and stretching stations

The WONDERWALL offers physiotherapy practices a space-saving training solution for treatment rooms and MTT areas. The modular aluminium profile system allows stepless height adjustment – no grid, precise to the centimetre for every body size.

For practices with limited space, the WONDERWALL is particularly attractive: it requires no floor space and can be used as a supplement or alternative to conventional MTT equipment.

For KGG, this means:

  • Back extension via two stretching rollers can be performed on the WONDERWALL
  • Functional leg press as a large device for the weight gradation required by health insurance associations – additional equipment!
  • 2 universal cable machines, one with a frame for vertical pull function, for the weight gradation required by health insurance associations – additional equipment!

It is important that these functions are available and that a 1:3 supervision ratio is maintained in KGG.

KGG vs. KG – What Is the Difference?

FeatureMTTKG (Physiotherapy)
Training TypeActive, equipment-basedActive and passive, manual
Duration60 minutes15–30 minutes
Group SizeUp to 3 patients simultaneouslyIndividual treatment
EquipmentMedical training equipment requiredSmall devices
GoalBuild strength, endurance, coordinationMobility, pain relief, functional improvement
PrescriptionMedical remedy prescriptionMedical remedy prescription

Frequently Asked Questions About KGG

What does KGG cost for patients?
KGG is prescribed via a medical remedy prescription and covered by statutory health insurance. The co-payment is typically 10% of the treatment price plus a €10 prescription fee. If exempt from co-payments, these costs do not apply.
How often is KGG prescribed?
Typically 6–18 sessions are prescribed, depending on the indication and the remedy catalogue. Follow-up prescriptions are possible if needed. The frequency is usually 1–2 sessions per week.
Do I need a referral for KGG?
Yes. KGG is a medical remedy and is prescribed by a physician. The doctor issues a remedy prescription, which you then take to a physiotherapy practice with KGG equipment.
What equipment does a practice need for KGG?
MTT requires medical training equipment that enables strength, endurance and coordination training. In addition to conventional devices such as cable machines and ergometers, multifunctional systems like the WONDERWALL training wall are suitable, offering over 300 exercises in a minimal footprint.

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