{"id":18081,"date":"2023-09-06T12:01:17","date_gmt":"2023-09-06T10:01:17","guid":{"rendered":"https:\/\/nemji.rs-kovarik.cz\/?page_id=18081"},"modified":"2023-10-25T10:30:31","modified_gmt":"2023-10-25T08:30:31","slug":"spektrum","status":"publish","type":"page","link":"https:\/\/webnemji.azurewebsites.net\/en\/oddeleni\/rehabilitacni-oddeleni\/spektrum\/","title":{"rendered":"Spectrum of provided care"},"content":{"rendered":"<div id=\"cmsmasters_row_6iluctg3hk\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_overlay\"><\/div>\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_sybg7he2sg\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_b3c74b95a0\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center pageheadingtitle\">\n\t<h1 class=\"cmsmasters_heading\">Rehabilita\u010dn\u00ed odd\u011blen\u00ed<\/h1>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_ly5ze1hf8e\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_v67ee6nvg7\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\">\n<p><nav aria-label=\"breadcrumbs\">\n            <div class=\"breadcrumb-container theme1\">\n                <ol>\n                                    <\/ol>\n            <\/div>\n        <\/nav>    <script type=\"application\/ld+json\">\n        {\n            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class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_center\"><\/div>\n<div class=\"cmsmasters_sidebar sidebar_layout_11 sidebar-custom-menu\"><aside id=\"nav_menu-24\" class=\"widget widget_nav_menu\"><div class=\"menu-oddeleni-rehabilitace-container\"><ul id=\"menu-oddeleni-rehabilitace\" class=\"menu\"><li id=\"menu-item-21554\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-21554\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/#popis-oddeleni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-info\"><\/i> Popis odd\u011blen\u00ed<\/a><\/li>\n<li id=\"menu-item-21555\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-21555\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/#personalni-obsazeni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-user-doctor\"><\/i> Person\u00e1ln\u00ed obsazen\u00ed<\/a><\/li>\n<li id=\"menu-item-21556\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-21556\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/#ordinacni-hodiny\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-door-open\"><\/i> Ordina\u010dn\u00ed hodiny<\/a><\/li>\n<li id=\"menu-item-21557\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-21557\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/#kontaktni-informace\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-phone\"><\/i> Kontaktn\u00ed informace<\/a><\/li>\n<li id=\"menu-item-21558\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-21558\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/#kde-nas-najdete\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-location-dot\"><\/i> Kde n\u00e1s najdete<\/a><\/li>\n<li id=\"menu-item-21559\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-21559\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/#fotogalerie\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotogalerie<\/a><\/li>\n<li id=\"menu-item-21560\" class=\"menu-custom-separator menu-item menu-item-type-custom menu-item-object-custom menu-item-21560\"><hr class=\"mhm-menu-separator\"><\/li>\n<li id=\"menu-item-21881\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-21881\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/rehabilitace-ambulance\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-house-medical\"><\/i> Ambulance<\/a><\/li>\n<li id=\"menu-item-21562\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-21562\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/nadstandard\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-square-plus\"><\/i> Nadstandardn\u00ed slu\u017eby<\/a><\/li>\n<li id=\"menu-item-21563\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-21563\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/spektrum\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-stethoscope\"><\/i> Spektrum p\u00e9\u010de<\/a><\/li>\n<li id=\"menu-item-21564\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-21564\"><a href=\"\/oddeleni\/rehabilitacni-oddeleni\/informace-pro-pacienty\/\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-circle-question\"><\/i> Informace pro pacienty<\/a><\/li>\n<\/ul><\/div><\/aside><div class=\"cl\"><\/div>\n<\/div>\n<\/div><\/div>\n<div id=\"cmsmasters_column_k7vlyuz4yq\" class=\"cmsmasters_column two_third\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_0cx4mcjjyd\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_left\">\n\t<h2 class=\"cmsmasters_heading\">Spektrum p\u00e9\u010de<\/h2>\n<\/div><div id=\"cmsmasters_divider_hgdnxm8b9\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_left\"><\/div><div class=\"cmsmasters_text\">\n<style type=\"text\/css\"><\/style><section id='' \n                class='helpie-faq accordions groupSettings-260__enabled' \n                data-collection='' \n                data-pagination='0' \n                data-search='0' \n                data-pagination-enabled='0'\n                role='region'\n                aria-label='FAQ Section'\n                aria-live='polite'><form class=\"search\" onSubmit=\"return false;\"><div class=\"search__wrapper\"><input type=\"text\" class=\"search__input\" aria-label=\"Search\" role=\"searchbox\" placeholder=\"Vyhledat\"><span class=\"search__icon\"><svg class=\"svg-icon--search\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 22 22\">\r\n                        <g fill=\"none\" stroke=\"#171717\">\r\n                            <path stroke-linecap=\"square\" stroke-width=\"2\" d=\"M18.5 18.3l-5.4-5.4\"\/>\r\n                            <circle cx=\"8\" cy=\"8\" r=\"7\" stroke-width=\"2\"\/>\r\n                        <\/g>\r\n                    <\/svg><\/span><\/div><div class=\"search__message\"><\/div><\/form><article class=\"accordion \"><div class='helpie-faq-row'><div class='helpie-faq-col helpie-faq-col-12' ><ul><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-21773\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-21773\"\r\n                data-id=\"post-21773\" \r\n                data-item=\"hfaq-post-21773\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">V\u0161eobecn\u00e9 informace o odd\u011blen\u00ed<\/div><\/div><div id=\"accordion-content-post-21773\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-21773\"\r\n                style=\"background:transparent;\"><p>Rehabilita\u010dn\u00ed odd\u011blen\u00ed je um\u00edst\u011bno v\u00a0pavilonu l\u016f\u017eek n\u00e1sledn\u00e9 p\u00e9\u010de (OGNP). V\u00a0p\u0159\u00edzem\u00ed budovy je ambulantn\u00ed a ve 4. pat\u0159e l\u016f\u017ekov\u00e1 \u010d\u00e1st odd\u011blen\u00ed, kter\u00e1 m\u00e1 kapacitu 20 l\u016f\u017eek.<\/p>\n<p>Od roku 2008 je prim\u00e1\u0159kou odd\u011blen\u00ed MUDr. Drahom\u00edra \u0160kodov\u00e1.\u00a0Vrchn\u00ed rehabilita\u010dn\u00ed pracovnic\u00ed je Jana Cipru\u0161ov\u00e1.<\/p>\n<p>V\u011bt\u0161ina klient\u016f rehabilita\u010dn\u00edho odd\u011blen\u00ed p\u0159ich\u00e1z\u00ed kv\u016fli chorob\u00e1m pohybov\u00e9ho \u00fastroj\u00ed, s\u00a0po\u00farazov\u00fdmi stavy (s traumaty a polytraumaty) a po operac\u00edch pohybov\u00e9ho apar\u00e1tu (stavy po alloplastik\u00e1ch nosn\u00fdch kloub\u016f \u010di po korek\u010dn\u00edch a jin\u00fdch ortopedick\u00fdch a chirurgick\u00fdch operac\u00edch). Velkou \u010d\u00e1st p\u0159edstavuj\u00ed i\u00a0neurologick\u00e1 onemocn\u011bn\u00ed (stavy po centr\u00e1ln\u00edch a perifern\u00edch po\u0161kozen\u00edch nervov\u00e9 soustavy). Spr\u00e1vn\u011b indikovan\u00e1 rehabilita\u010dn\u00ed l\u00e9\u010dba vede k\u00a0n\u00e1prav\u011b pot\u00ed\u017e\u00ed a pom\u00e1h\u00e1 p\u0159edch\u00e1zet recidiv\u00e1m, hlavn\u011b u bolesti zad. Z\u00e1kladem z\u016fst\u00e1v\u00e1 spr\u00e1vn\u00fd pohybov\u00fd re\u017eim a pravideln\u00e9 cvi\u010den\u00ed.<\/p>\n<p>Vlastn\u00ed rehabilita\u010dn\u00ed p\u00e9\u010de je prov\u00e1d\u011bna fyzioterapeuty, ergoterapeutkou a dal\u0161\u00edmi odborn\u00fdmi pracovn\u00edky. V ambulantn\u00edm \u00faseku je vyu\u017e\u00edv\u00e1na jedna t\u011blocvi\u010dna pro skupinov\u00e9 cvi\u010den\u00ed a t\u0159i men\u0161\u00ed pro individu\u00e1ln\u00ed cvi\u010den\u00ed. Fyzik\u00e1ln\u00ed medic\u00edna je zaji\u0161t\u011bna na \u00faseku elektrol\u00e9\u010debn\u00e9m a vodol\u00e9\u010debn\u00e9m. M\u00e1me k dispozici n\u011bkolik modern\u00edch elektrol\u00e9\u010debn\u00fdch proud\u016f, v\u010detn\u011b distan\u010dn\u00ed elektroterapie, magnetoterapii, l\u00e9\u010dbu ultrazvukem a laserem. Pou\u017e\u00edvaj\u00ed se zde i speci\u00e1ln\u00ed metody jako nap\u0159. m\u00ed\u010dkov\u00e1n\u00ed, sensomotorick\u00e9 stimulace, cvi\u010den\u00ed dle Mc Kenzieho, mobilizace a manipulace p\u00e1te\u0159e, cvi\u010den\u00ed p\u00e1nevn\u00edho dna, l\u00e9\u010den\u00ed funk\u010dn\u00ed sterility metodou pan\u00ed Moj\u017e\u00ed\u0161ov\u00e9, l\u00e9\u010dba inkontinence, cvi\u010den\u00ed na m\u00ed\u010di, na nestabiln\u00edch ploch\u00e1ch, n\u00e1cvik spr\u00e1vn\u00e9ho d\u00fdch\u00e1n\u00ed apod. Nelze opomenout psychosomatick\u00e9 souvislosti (t\u011blesn\u00e9 onemocn\u011bn\u00ed a psychika \u010dlov\u011bka). Klient\u016fm nab\u00edz\u00edme i program p\u0159\u00edmo hrazen\u00e9 terapie, kter\u00e1 zahrnuje laseroterapii, ba\u0148kov\u00e1n\u00ed i mas\u00e1\u017ee.<\/p>\n<p>V\u00fdhodou rehabilita\u010dn\u00edho odd\u011blen\u00ed je bezprost\u0159edn\u00ed dostupnost l\u016f\u017eka a l\u00e9\u010debn\u00e9 t\u011blesn\u00e9 v\u00fdchovy. Na\u0161\u00ed snahou je dos\u00e1hnout maxim\u00e1ln\u00ed sob\u011bsta\u010dnosti klienta.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-21775\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-21775\"\r\n                data-id=\"post-21775\" \r\n                data-item=\"hfaq-post-21775\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Fyzioterapie<\/div><\/div><div id=\"accordion-content-post-21775\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-21775\"\r\n                style=\"background:transparent;\"><p><strong>Fyzioterapie<\/strong>\u00a0(nebo p\u0159esn\u011bji kinezioterapie) je \u010d\u00e1st rehabilitace, kter\u00e1 se zab\u00fdv\u00e1 pot\u00ed\u017eemi pohybov\u00e9ho syst\u00e9mu. Obsahuje slo\u017eku diagnostickou, kdy se zhodnocuj\u00ed funk\u010dn\u00ed zm\u011bny pohybov\u00e9ho syst\u00e9mu, a slo\u017eku terapeutickou, kdy se sna\u017e\u00edme o c\u00edlenou n\u00e1pravu dan\u00fdch zm\u011bn.<\/p>\n<p>Z\u00e1kladn\u00edm c\u00edlem fyzioterapie je tedy l\u00e9\u010dba funk\u010dn\u00edch poruch pohybov\u00e9ho apar\u00e1tu, mezi n\u011b\u017e pat\u0159\u00ed nap\u0159. blok\u00e1dy kloub\u016f, svalov\u00e9 spasmy a\u00a0dal\u0161\u00ed, s\u00a0vyu\u017eit\u00edm anatomick\u00fdch a fyziologick\u00fdch poznatk\u016f pohybov\u00e9ho apar\u00e1tu. V diagnostice, l\u00e9\u010db\u011b a prevenci pou\u017e\u00edvaj\u00ed fyzioterapeuti speci\u00e1ln\u00ed manu\u00e1ln\u00ed techniky. Studium fyzioterapie je nyn\u00ed rozd\u011bleno do bakal\u00e1\u0159sk\u00fdch a magistersk\u00fdch studijn\u00edch program\u016f a d\u00e1le pak na programy postgradu\u00e1ln\u00ed, zakon\u010den\u00e9 atestac\u00ed. P\u0159\u00edstupy ve fyzioterapii vych\u00e1zej\u00ed zejm\u00e9na ze znalosti neurofyziologie, anatomie a fyziologie. V pr\u016fb\u011bhu studia jsou do v\u00fduky zavzaty rovn\u011b\u017e p\u0159edn\u00e1\u0161ky ze v\u0161ech obor\u016f medic\u00edny.<\/p>\n<p>Fyzioterapie je nej\u00fa\u010dinn\u011bj\u0161\u00edm prost\u0159edkem k l\u00e9\u010db\u011b bolesti, ale i k prevenci bolest\u00ed pohybov\u00e9ho apar\u00e1tu!<\/p>\n<h5><strong>M\u011bkk\u00e9 techniky<\/strong><\/h5>\n<p>Jedn\u00e1 se o o\u0161et\u0159en\u00ed zam\u011b\u0159en\u00e9 na svalov\u00e9 \u00fapony, svalov\u00e9 fascie, \u0161lachy, podko\u017e\u00ed a k\u016f\u017ei. M\u011bkk\u00e9 techniky slou\u017e\u00ed jak k uvoln\u011bn\u00ed svalov\u00fdch spasm\u016f a k odstran\u011bn\u00ed tzv. reflexn\u00edch, obvykle bolestiv\u00fdch zm\u011bn ve svalech a okoln\u00edch struktur\u00e1ch, tak i k celkov\u00e9mu uvoln\u011bn\u00ed. Prov\u00e1d\u00ed se bez pou\u017eit\u00ed mas\u00e1\u017en\u00edch emulz\u00ed.<br \/>\nNervov\u00e1 zakon\u010den\u00ed a receptory (\u010didla) v k\u016f\u017ei, podko\u017e\u00ed a \u0161lach\u00e1ch p\u0159en\u00e1\u0161ej\u00ed po mechanick\u00e9m podr\u00e1\u017ed\u011bn\u00ed impulsy reflexn\u00edm obloukem do vnit\u0159n\u00edch org\u00e1n\u016f v dan\u00e9m segmentu, \u010d\u00edm\u017e se daj\u00ed reflexn\u00ed cestou ovlivnit poru\u0161en\u00e9 funkce t\u011bchto org\u00e1n\u016f. Vzruchy p\u0159enesen\u00e9 nervov\u00fdmi drahami do mozku maj\u00ed pozitivn\u00ed vliv i na psychiku, \u010d\u00edm\u017e se vysv\u011btluje celkov\u00fd zklid\u0148uj\u00edc\u00ed \u00fa\u010dinek.<\/p>\n<h5><strong>Mobiliza\u010dn\u00ed techniky p\u00e1te\u0159e a perifern\u00edch kloub\u016f<\/strong><\/h5>\n<p>Jsou nejd\u016fle\u017eit\u011bj\u0161\u00ed a nejv\u00edce pou\u017e\u00edvan\u00e9 techniky pro l\u00e9\u010den\u00ed bolestiv\u00fdch myofasci\u00e1ln\u00edch spou\u0161\u0165ov\u00fdch bod\u016f (trigger points), co\u017e jsou p\u0159esn\u011b lokalizovan\u00e1, citliv\u00e1 m\u00edsta ve sta\u017een\u00fdch kostern\u00edch svalech. Tato m\u00edsta jsou charakterizov\u00e1na spont\u00e1n\u00ed bolest\u00ed nebo bolest\u00ed p\u0159i pohybu. V komplexn\u00ed l\u00e9\u010db\u011b bolesti je pou\u017eit\u00ed t\u011bchto technik z\u00e1kladn\u00ed volbou. Svalov\u00e9 spou\u0161\u0165ov\u00e9 body jsou charakteristick\u00e9 pro tzv. myofasci\u00e1ln\u00ed bolestiv\u00fd syndrom, kter\u00fd m\u016f\u017ee b\u00fdt spojen s jin\u00fdm neuromuskul\u00e1rn\u00edm onemocn\u011bn\u00edm, mechanick\u00fdm p\u0159et\u00ed\u017een\u00edm nebo psychick\u00fdm stresem. Je to nej\u010dast\u011bj\u0161\u00ed bolestiv\u00e9 svalov\u00e9 onemocn\u011bn\u00ed.<br \/>\nMobilizace kloub\u016f je postupn\u00e9 zvy\u0161ov\u00e1n\u00ed pohybu v kloubu. Prov\u00e1d\u00edme ji jemn\u00fdmi opakovan\u00fdmi pohyby na hranici mo\u017en\u00e9ho pohybu, tedy t\u011bsn\u011b p\u0159ed dosa\u017een\u00edm p\u0159edp\u011bt\u00ed v kloubu. P\u0159i opakov\u00e1n\u00ed pohybu se nevrac\u00edme do st\u0159edn\u00edho nebo v\u00fdchoz\u00edho postaven\u00ed, ale pokra\u010dujeme v dosa\u017een\u00e9 hranici pohybu. B\u011bhem mobilizace c\u00edt\u00edme, jak se pohyb uvol\u0148uje a blok\u00e1da se bu\u010f zmen\u0161\u00ed, nebo p\u0159i lehk\u00e9 blok\u00e1d\u011b zcela vymiz\u00ed.<br \/>\nP\u0159i mobiliza\u010dn\u00ed terapii se navrac\u00ed hybnost perifern\u00edch kloub\u016f a p\u00e1te\u0159e technikou do spr\u00e1vn\u00e9ho postaven\u00ed. Nej\u010dasteji se pou\u017e\u00edv\u00e1 u funk\u010dn\u00edch kloubn\u00edch blok\u00e1d, kter\u00e9 jsou bolestiv\u00e9, omezuj\u00ed pohyb a vedou ke svalov\u00fdch spasm\u016f atd. C\u00edlem o\u0161et\u0159en\u00ed je uvoln\u011bn\u00ed pohybov\u00e9ho segmentu, obnova v\u016fle kloub\u016f, ale i \u00faprava svalov\u00e9ho nap\u011bt\u00ed a o\u0161et\u0159en\u00ed tzv. spou\u0161t\u011bc\u00edch bod\u016f.<\/p>\n<h5><strong>Manipula\u010dn\u00ed techniky<\/strong><\/h5>\n<p>Jedn\u00e1 se o techniky s rychl\u00fdm \u00fa\u010dinkem, n\u011bkdy lidov\u011b zvan\u00e9 &#8222;odblokov\u00e1n\u00ed&#8220;.<br \/>\nTyto techniky jsou bl\u00edzk\u00e9 mobiliza\u010dn\u00edm, av\u0161ak terapeut p\u0159ekon\u00e1v\u00e1 fyziologickou bari\u00e9ru myoskelet\u00e1ln\u00edho syst\u00e9mu, proto nemohou b\u00fdt vyu\u017eity u v\u0161ech pacient\u016f (kontraindikac\u00ed je nap\u0159. osteopor\u00f3za) a proto je l\u00e9\u010dba prov\u00e1d\u011bna pouze l\u00e9ka\u0159em.<br \/>\nAplikov\u00e1ny b\u00fdvaj\u00ed typicky na hrudn\u00ed nebo bedern\u00ed p\u00e1te\u0159.<\/p>\n<h5><strong>Trakce (trak\u010dn\u00ed techniky)<\/strong><\/h5>\n<p>Jedn\u00e1 se tah v ose kloubu, kter\u00fd prov\u00e1d\u00edme opakovan\u011b po kr\u00e1tkou dobu nebo kontinu\u00e1ln\u011b del\u0161\u00ed dobu, vyu\u017e\u00edv\u00e1 se p\u0159edev\u0161\u00edm trakce kr\u010dn\u00ed a bedern\u00ed p\u00e1te\u0159e.<\/p>\n<h5><strong>L\u00e9\u010debn\u00e1 t\u011blesn\u00e1 v\u00fdchova<\/strong><\/h5>\n<h5><span style=\"font-size: 14px\">&#8211; Individu\u00e1ln\u00ed<\/span><\/h5>\n<p>L\u00e9\u010debn\u00fd t\u011blocvik pod veden\u00edm kvalifikovan\u00fdch fyzioterapeut\u016f, p\u0159i kter\u00e9m se pacient postupn\u011b nau\u010d\u00ed cviky zam\u011b\u0159en\u00e9 na jeho problematickou oblast. Intenzita cvi\u010den\u00ed a jeho skladba je individu\u00e1ln\u011b korigov\u00e1na a upravov\u00e1na dle aktu\u00e1ln\u00edho zdravotn\u00edho stavu klienta. Opakovan\u00e9 procvi\u010dov\u00e1n\u00ed jednotliv\u00fdch cvik\u016f pak vede k jejich zapamatov\u00e1n\u00ed a p\u0159i n\u00e1sledn\u00e9m dom\u00e1c\u00edm cvi\u010den\u00ed k prodlou\u017een\u00ed trv\u00e1n\u00ed p\u0159\u00edzniv\u00fdch \u00fa\u010dink\u016f a zlep\u0161en\u00ed \u010di vymizen\u00ed obt\u00ed\u017e\u00ed pacienta.<\/p>\n<h5><span style=\"font-size: 14px\">&#8211; Skupinov\u00e1<\/span><\/h5>\n<p>Podobn\u011b jako individu\u00e1ln\u00ed cvi\u010den\u00ed roz\u0161\u00ed\u0159\u00ed Va\u0161e pohybov\u00e9 mo\u017enosti a zlep\u0161\u00ed zdravotn\u00ed stav a kondici klienta. Je prov\u00e1d\u011bno v mal\u00fdch skupink\u00e1ch\u00a0 s podobn\u00fdmi zdravotn\u00edmi probl\u00e9my nebo se stejn\u00fdm specifick\u00fdm zam\u011b\u0159en\u00edm.<\/p>\n<p>Jedn\u00e1 se o cvi\u010den\u00ed p\u0159i bolestech kr\u010dn\u00ed, hrudn\u00ed nebo bedern\u00ed p\u00e1te\u0159e, p\u0159i omezen\u00e9 hybnosti kloub\u016f.<\/p>\n<p>Na\u0161\u00ed \u0161kolen\u00ed fyzioterapeut\u00e9 prov\u00e1d\u011bj\u00ed t\u00e9\u017e cvi\u010den\u00ed dle Ludmily Moj\u017e\u00ed\u0161ov\u00e9, kter\u00e9 je vhodn\u00e9 nejen k l\u00e9\u010db\u011b funk\u010dn\u00ed sterility \u017een, ale i p\u0159i bolestech bedern\u00ed p\u00e1te\u0159e.<\/p>\n<p>Dal\u0161\u00edm skupinov\u00fdm. p\u0159\u00edpadn\u011b individu\u00e1ln\u00edm cvi\u010den\u00edm je:<\/p>\n<h5><strong>Cvi\u010den\u00ed Pilates Medical<\/strong><\/h5>\n<p>Pilates je metoda t\u011blesn\u00e9ho cvi\u010den\u00ed, kter\u00e1 byla vyvinuta a propracov\u00e1na na za\u010d\u00e1tku 20. stolet\u00ed Josephem Pilatesem v N\u011bmecku.<br \/>\nPilates nazval svou metodu kontrologie (od slovesa kontrolovat nebo tak\u00e9 \u0159\u00eddit &#8211; angl. to control &#8211; a \u0159eck\u00e9 p\u0159\u00edpony \u2013logia); byl toti\u017e p\u0159esv\u011bd\u010den, \u017ee je mo\u017en\u00e9 vyu\u017e\u00edt mysl k tomu, aby kontrolovat (a \u0159\u00eddila) svaly. C\u00edlem Pilatesovy metody je zlep\u0161it kontrolu nad sv\u00fdm t\u011blem, pos\u00edlit jej a zlep\u0161it jeho ohebnost.<br \/>\nPilatesova metoda se sna\u017e\u00ed doc\u00edlit \u0159\u00edzen\u00e9ho pohybu ze siln\u00e9ho st\u0159edu t\u011bla. P\u016fvodn\u011b byla koncipov\u00e1na jako cvi\u010den\u00ed na podlo\u017ece, Pilates pou\u017e\u00edval tak\u00e9 r\u016fzn\u00e9 cvi\u010debn\u00ed stroje a pom\u016fcky, aby cvi\u010denc\u016fm pomohl \u201edostat metodu do t\u011bla\u201c. Pom\u016fcka nebo n\u00e1\u0159ad\u00ed jsou v\u017edy ur\u010deny pro specifick\u00e9 cviky.<br \/>\nCo se pom\u016fcek v sou\u010dasn\u00e9 Pilatesov\u011b metod\u011b t\u00fd\u010de, pou\u017e\u00edvaj\u00ed se nap\u0159\u00edklad mal\u00e9 medicinbaly, p\u011bnov\u00e9 v\u00e1lce, velk\u00e9 fitbaly, rota\u010dn\u00ed disky a cvi\u010debn\u00ed gumi\u010dky. Za\u010d\u00edn\u00e1me se cvi\u010den\u00edm na podlo\u017ece, k mnoha cvik\u016fm v\u0161ak posta\u010duje minimum pom\u016fcek, p\u0159\u00edpadn\u011b \u017e\u00e1dn\u00e9, co\u017e umo\u017e\u0148uje cvi\u010denc\u016fm cvi\u010dit si tyto cviky i doma bez n\u00e1ro\u010dn\u00e9ho vybavovan\u00ed se pom\u016fckami.<\/p>\n<p>Na z\u00e1v\u011br\u00a0zm\u00edn\u00edme \u0161est princip\u016f metody pilates. Jsou to z\u00e1sady, kter\u00e9 je t\u0159eba p\u0159i cvi\u010den\u00ed dodr\u017eovat: soust\u0159ed\u011bnost pohybu, \u0159\u00edzen\u00fd pohyb, pohyb vych\u00e1zej\u00edc\u00ed ze st\u0159edu t\u011bla, plynulost pohybu, p\u0159esnost pohybu a d\u00fdch\u00e1n\u00ed.<\/p>\n<h5><strong>Kineziotaping<\/strong><\/h5>\n<ul>\n<li>Metoda vyvinut\u00e1 v 70. letech minul\u00e9ho stolet\u00ed japonsk\u00fdm l\u00e9ka\u0159em a chiropraktikem Kenzo Kasem.<\/li>\n<li>Doch\u00e1z\u00ed k normalizaci svalov\u00e9ho nap\u011bt\u00ed a ke zlep\u0161en\u00ed funkce krevn\u00edho a lymfatick\u00e9ho ob\u011bhu.<\/li>\n<li>Doch\u00e1z\u00ed k men\u0161\u00ed \u00farazovosti a k odleh\u010den\u00ed svalov\u00e9ho a kostern\u00edho syst\u00e9mu.<\/li>\n<li>Technika pou\u017eiteln\u00e1 pro sportovce, k dol\u00e9\u010den\u00ed \u00faraz\u016f, regeneraci a rehabilita\u010dn\u00ed\u00a0 \u010dinnosti.<\/li>\n<li>Je vhodn\u00e9 kombinovat tuto metodu s ostatn\u00edmi terapiemi kostern\u011b-svalov\u00e9ho apar\u00e1tu.<\/li>\n<\/ul>\n<h5><strong>Princip<\/strong><\/h5>\n<ul>\n<li>Nalepen\u00edm pru\u017en\u00fdch p\u00e1sek se poko\u017eka zvln\u00ed a zp\u016fsob\u00ed zv\u00fd\u0161en\u00fd trval\u00fd pr\u016ftok krve a lymfy.<\/li>\n<li>Kineziotejp je vyroben na bavln\u011bn\u00e9 b\u00e1zi a svoj\u00ed pru\u017enost\u00ed odpov\u00edd\u00e1\u00a0 povaze lidsk\u00e9 k\u016f\u017ee, TEMTEX tejpy t\u00e9m\u011b\u0159 nevyvol\u00e1vaj\u00ed alergick\u00e9 reakce, proto mohou b\u00fdt nalepeny i n\u011bkolik dn\u00ed.<\/li>\n<li>Na rozd\u00edl od &#8222;tvrd\u00fdch&#8220; tejp\u016f, kter\u00e9 maj\u00ed za \u00fakol omezit rozsah a pohyblivost, kineziotejp podporuje maxim\u00e1ln\u00ed mo\u017en\u00fd pohyb.<\/li>\n<\/ul>\n<h5><strong>Uplatn\u011bn\u00ed<\/strong><\/h5>\n<ul>\n<li>Dol\u00e9\u010dov\u00e1n\u00ed distorz\u00ed hlezna, onemocn\u011bn\u00ed \u00fapon\u016f \u0161lach, bolestivosti velk\u00fdch kloub\u016f, svalov\u00e9 bolesti zad, blok\u00e1dy velk\u00fdch kloub\u016f, svalov\u00e9 bolesti zad, blok\u00e1dy SI sklouben\u00ed.<\/li>\n<li>U chronick\u00fdch stav\u016f je mo\u017en\u00e9 tejp opakovat.<\/li>\n<li>Prodlu\u017euje uvoln\u011bn\u00ed sval\u016f, \u00fa\u010dinek lymfomas\u00e1\u017e\u00ed i mas\u00e1\u017e\u00ed.<\/li>\n<li>Korek\u010dn\u00ed\u00a0 tejpy upravuj\u00ed vadn\u00e9 dr\u017een\u00ed t\u011bla d\u011bt\u00ed i dosp\u011bl\u00fdch.<\/li>\n<li>Tonizace hypotonick\u00fdch svalov\u00fdch skupin.<\/li>\n<li>Ovlivn\u011bn\u00ed hypertonick\u00fdch sval\u016f, hyperalgetick\u00fdch z\u00f3n a trigger point\u016f.<\/li>\n<\/ul>\n<h5><strong>Kontraindikace<\/strong><\/h5>\n<ul>\n<li>Jak\u00e9koliv poran\u011bn\u00ed k\u016f\u017ee a nezhojen\u00e9 &#8222;\u017eiv\u00e9&#8220; jizvy.<\/li>\n<li>Ko\u017en\u00ed pot\u00ed\u017ee (vyr\u00e1\u017eky, ekz\u00e9my, pl\u00edsn\u011b, alergick\u00e1 reakce na tejp).<\/li>\n<li>Varixy a z\u00e1n\u011bty \u017eil.<\/li>\n<li>N\u00e1dorov\u00e1 onemocn\u011bn\u00ed.<\/li>\n<\/ul>\n<h5><strong>P\u0159\u00edprava pacienta<\/strong><\/h5>\n<ul>\n<li>Poko\u017eku o\u010distit a odmastit (om\u00fdt, osu\u0161it do sucha, ot\u0159\u00edt zdravotnick\u00fdm lihobenz\u00ednem).<\/li>\n<li>Ochlupenou poko\u017eku oholit.<\/li>\n<li>Nalepit tejp a &#8222;za\u017eehlit&#8220; rukou a\u017e h\u0159eje \u010di zasu\u0161it f\u00e9nem.<\/li>\n<li>Sund\u00e1n\u00ed nejl\u00e9pe po namo\u010den\u00ed v tepl\u00e9 vod\u011b.<\/li>\n<li>Datab\u00e1ze tejp\u016f &#8211; nafotit pacienta s tejpem v p\u0159\u00edpad\u011b, \u017ee by bylo nutn\u00e9 zopakov\u00e1n\u00ed stejn\u00e9ho tejpu.<\/li>\n<\/ul>\n<h5><strong>Techniky<\/strong><\/h5>\n<ul>\n<li>Svalov\u00e1.<\/li>\n<li>Ligament\u00f3zn\u00ed.<\/li>\n<li>Lymfatick\u00e1.<\/li>\n<li>Fasciov\u00e1.<\/li>\n<li>Korekce jizev.<\/li>\n<\/ul>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-21798\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-21798\"\r\n                data-id=\"post-21798\" \r\n                data-item=\"hfaq-post-21798\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Ergoterapie<\/div><\/div><div id=\"accordion-content-post-21798\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-21798\"\r\n                style=\"background:transparent;\"><p>Ergoterapie je terapie motoricko-intelektu\u00e1ln\u00edch funkc\u00ed a soci\u00e1ln\u00edch schopnost\u00ed s\u00a0c\u00edlem dosa\u017een\u00ed samostatnosti v\u00a0osobn\u00edm, soci\u00e1ln\u00edm a pracovn\u00edm \u017eivot\u011b.<\/p>\n<p>Ergoterapie je d\u016fle\u017eitou sou\u010d\u00e1st\u00ed rehabilitace, zaji\u0161\u0165uje l\u00e9\u010debnou p\u00e9\u010di a plynul\u00fd p\u0159echod do spole\u010dnosti a pokud mo\u017eno i\u00a0do zam\u011bstn\u00e1n\u00ed, dokon\u010duje resocializaci a integraci do rodiny.<\/p>\n<p>S\u00a0mo\u017enost\u00ed vyu\u017eit\u00ed bohat\u00e9ho spektra r\u016fzn\u00fdch materi\u00e1l\u016f je jedn\u00edm z\u00a0hlavn\u00edch pol\u00ed ergoterapeutick\u00e9 pr\u00e1ce tak\u00e9 c\u00edlen\u00fd tr\u00e9nink vn\u00edm\u00e1n\u00ed (senzibility). Ergoterapie obsahuje tak\u00e9 poradenskou \u010dinnost a to s\u00a0hlavn\u00ed orientac\u00ed\u00a0na klienta a\u00a0jeho rodinn\u00e9 p\u0159\u00edslu\u0161n\u00edky, na doporu\u010den\u00ed\u00a0vhodn\u00fdch pom\u016fcek pro individu\u00e1ln\u00ed pot\u0159eby pacienta. C\u00edlem ergoterapeutick\u00e9 intervence je doc\u00edlit prac\u00ed v\u00a0interdisciplin\u00e1rn\u00edm t\u00fdmu zlep\u0161en\u00ed funk\u010dn\u00edho po\u0161kozen\u00ed pacienta, zabr\u00e1n\u011bn\u00ed progrese a vzniku sekund\u00e1rn\u00edho po\u0161kozen\u00ed.<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/ergoterapie.jpg\" alt=\"ergoterapie\" width=\"360\" height=\"270\" \/><\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-21801\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-21801\"\r\n                data-id=\"post-21801\" \r\n                data-item=\"hfaq-post-21801\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Vodol\u00e9\u010dba<\/div><\/div><div id=\"accordion-content-post-21801\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-21801\"\r\n                style=\"background:transparent;\"><h5><strong><span class=\"zvyrazneni\">Perli\u010dkov\u00e1 koupel<\/span><\/strong><\/h5>\n<p>Vanov\u00e1 koupel spojen\u00e1 s mas\u00e1\u017e\u00ed stla\u010den\u00fdm vzduchem, kter\u00fd tryskami na dn\u011b vany jemn\u011b probubl\u00e1v\u00e1. Teplota vody je 37 &#8211; 38\u00b0 C. Doba koupele je 20 min. Po koupeli c\u00edt\u00edte p\u0159\u00edjemn\u00e9 uvoln\u011bn\u00ed a celkovou relaxaci. Vhodn\u00e9 u chronick\u00e9ho, z\u00e1n\u011btliv\u00e9ho a degenerativn\u00edho onemocn\u011bn\u00ed p\u00e1te\u0159e, kloub\u016f, poruchy prokrven\u00ed a jako psychorelaxace. Nelze aplikovat pacient\u016f s k\u0159e\u010dov\u00fdmi \u017eilami.<\/p>\n<h5><strong><span class=\"zvyrazneni\">Podvodn\u00ed mas\u00e1\u017e<\/span><\/strong><\/h5>\n<p>Vanov\u00e1 koupel spojen\u00e1 s mas\u00e1\u017e\u00ed proudem vody z mas\u00e1\u017en\u00ed trysky. Teplota vody je 37\u00b0 C. Doba procedury je 15 minut. Po mas\u00e1\u017ei c\u00edt\u00edte svalov\u00e9 uvoln\u011bn\u00ed a p\u0159\u00edjemnou m\u00edrnou \u00fanavu. Vhodn\u00e9 u chronick\u00e9ho z\u00e1n\u011btliv\u00e9ho a degenerativn\u00edho onemocn\u011bn\u00ed p\u00e1te\u0159e a kloub\u016f, poruchy prokrven\u00ed. P\u016fsob\u00ed tak\u00e9 jako psychick\u00e1 relaxace.<\/p>\n<h5><strong><span class=\"zvyrazneni\">V\u00ed\u0159ivka (v\u00ed\u0159iv\u00e1 koupel)<\/span><\/strong><\/h5>\n<p>Vanov\u00e1 koupel horn\u00ed nebo doln\u00ed kon\u010detiny spojen\u00e1 s mas\u00e1\u017e\u00ed proudy vody vyt\u00e9kaj\u00edc\u00edmi z trysek. Teplota vody 37 &#8211; 38\u00b0 C. Vhodn\u00e9 zejm\u00e9na u posttraumatick\u00fdch stav\u016f k uvoln\u011bn\u00ed sval\u016f a k tlumen\u00ed bolest\u00ed.<\/p>\n<p>N\u00ed\u017ee m\u016f\u017eete vid\u011bt modern\u00ed vanu na vodol\u00e9\u010debn\u00e9 procedury a v\u00ed\u0159ivku na doln\u00ed kon\u010detiny.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/vana.jpg\" alt=\"vodol\u00e9\u010dba\" width=\"480\" height=\"360\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/vana2.jpg\" alt=\"vodol\u00e9\u010dba doln\u00edch kon\u010detin\" width=\"480\" height=\"360\" \/><\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-21863\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-21863\"\r\n                data-id=\"post-21863\" \r\n                data-item=\"hfaq-post-21863\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Elektroterapie<\/div><\/div><div id=\"accordion-content-post-21863\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-21863\"\r\n                style=\"background:transparent;\"><p>Elektrol\u00e9\u010debn\u00e9 procedury m\u016f\u017eeme d\u011blit z r\u016fzn\u00fdch hledisek, nap\u0159\u00edklad na\u00a0<strong>kontaktn\u00ed<\/strong>\u00a0a\u00a0<strong>bezkontaktn\u00ed<\/strong>:<\/p>\n<p><strong>Kontaktn\u00ed<\/strong> \u2013 proud p\u0159iv\u00e1d\u011bn elektrodami vodiv\u011b p\u0159ipojen\u00fdmi na k\u016f\u017ei.<br \/>\nNa na\u0161em pracovi\u0161ti u\u017e\u00edv\u00e1me BTL 06 &#8211; aplikov\u00e1ny mohou b\u00fdt proudy diadynamick\u00e9, interferen\u010dn\u00ed, Trabertovy, proudy TENS.<br \/>\nObl\u00edben\u00fd je p\u0159\u00edstroj Vacotron, jedn\u00e1 se o kombinovanou elektroterapii a p\u0159\u00edstrojovou mas\u00e1\u017e podtlakov\u00fdmi p\u0159\u00edsavkami.<\/p>\n<h5><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/elektro.jpg\" alt=\"elektrole\u010dba - stroj BL 06\" width=\"387\" height=\"525\" \/><strong>Dvoukomorov\u00e1 nebo \u010dtykomorov\u00e1 l\u00e1ze\u0148 (tzv. dvoukomorovka, resp. \u010dty\u0159komorovka)<\/strong><\/h5>\n<p>Jedn\u00e1 se o galvanickou l\u00e1ze\u0148, kter\u00e1 se vyu\u017e\u00edt samostatn\u011b jako dvoukomorov\u00e1 galvanick\u00e1 l\u00e1ze\u0148 na horn\u00ed nebo doln\u00ed kon\u010detiny, pokud je aplikov\u00e1na na horn\u00ed a doln\u00ed kon\u010detiny sou\u010dasn\u011b, hovo\u0159\u00edme o \u010dty\u0159komorov\u00e9 l\u00e1zni.<br \/>\nDobr\u00fd \u00fa\u010dinek vlivu galvanick\u00e9ho proudu a vody je p\u0159edev\u0161\u00edm u neuritid, neuralgi\u00ed, poruchy prokrven\u00ed, poruchy inervace, par\u00e9zy, plegie, spasticity, aplikace je t\u00e9\u017e indikov\u00e1na u akutn\u00edch posttraumatick\u00fdch stav\u016f.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/elektrollazen.jpg\" alt=\"elektrol\u00e1ze\u0148\" width=\"452\" height=\"339\" \/><\/p>\n<p>Elektrostimulace a elektrogymnastiku prov\u00e1d\u00edme na p\u0159\u00edstroji Endomed.<br \/>\nElektrostimulace denervovan\u00fdch sval\u016f \u2013 pomoc\u00ed\u00a0 \u0161ikm\u00fdch puls\u016f s pomal\u00fdm n\u00e1b\u011bhem intenzity a v\u011bt\u0161\u00ed d\u00e9lkou impulsu.<br \/>\nElektrogymnastika &#8211; doch\u00e1z\u00ed k vyvol\u00e1n\u00ed mimovoln\u00ed kontrakce p\u0159\u00ed\u010dn\u011b pruhovan\u00e9ho svalu pomoc\u00ed el. impuls\u016f \u2192 c\u00edlem je pos\u00edlen\u00ed svalu nebo za\u0159azeni jeho kontrakce do spr\u00e1vn\u00e9ho pohybov\u00e9ho stereotypu &#8211; funk\u010dn\u00ed poruchy hybn\u00e9ho syst\u00e9mu po odstran\u011bn\u00ed reflexn\u00ed zm\u011bny.<\/p>\n<p><strong>BEZKONTAKTN\u00cd<\/strong> &#8211; elektroterapie\u2013 pomoc\u00ed elektromagnetick\u00e9ho pole.<\/p>\n<p>Diatermie \u2013 kr\u00e1tkovlnn\u00e1, ultrakr\u00e1tko- a mikrovlnn\u00e1: Solux, horsk\u00e1 slun\u00ed\u010dka, u n\u00e1s nevyu\u017e\u00edv\u00e1na, k proh\u0159\u00edv\u00e1n\u00ed vyu\u017e\u00edv\u00e1me parafango, v\u00edce viz termoterapie.<\/p>\n<p>Distan\u010dn\u00ed elektroterapie:<br \/>\nU n\u00e1s pou\u017e\u00edv\u00e1me p\u0159\u00edstroj VAS 07.<br \/>\nDisten\u010dn\u00ed elektroterapie \u2013 vyu\u017e\u00edv\u00e1 elektromagnetick\u00e9 indukce, kterou vytv\u00e1\u0159\u00ed indukovan\u00e9 elektrick\u00e9 proudy (Faradayovy) vznikaj\u00edc\u00ed ve tk\u00e1n\u00edch.<br \/>\nM\u00e1 \u00fa\u010dinek analgetick\u00fd, protiz\u00e1n\u011btliv\u00fd a myorelaxa\u010dn\u00ed.<\/p>\n<h5><strong>Magnetoterapie:<\/strong><\/h5>\n<p>Vyu\u017e\u00edv\u00e1no je pulsn\u00ed magnetick\u00e9 pole, kter\u00e9 m\u00e1 \u00fa\u010dinky vazodilata\u010dn\u00ed (roz\u0161i\u0159ov\u00e1n\u00ed pr\u016fsvitu c\u00e9v, n\u00e1sledn\u011b zlep\u0161en\u00ed prokrven\u00ed tk\u00e1n\u011b), analgetick\u00fd, protiz\u00e1n\u011btliv\u00fd, myorelaxa\u010dn\u00ed a spasmolytick\u00fd, urychluje hojen\u00ed, p\u016fsob\u00ed proti otok\u016fm, zklid\u0148uj\u00edc\u00ed.<br \/>\nMagnetoterapie m\u016f\u017ee b\u00fdt vyu\u017e\u00edv\u00e1na u zlomenin, pakloub\u016f, degenerativn\u00edch a z\u00e1n\u011btliv\u00fdch onemocn\u011bn\u00ed pohybov\u00e9ho apar\u00e1tu, funk\u010dn\u00edch poruch hybn\u00e9ho syst\u00e9mu, ke sn\u00ed\u017een\u00ed spasticity. Magnetoterapie m\u00e1 v\u0161ak tak\u00e9 hodn\u011b kontraindikac\u00ed, jako t\u011bhotenstv\u00ed, kardiostimul\u00e1tor, hypertyreoza, hyperfunkce nadledvin,\u00a0 hypotalamick\u00e9 a hypofyz\u00e1rn\u00ed poruchy, myastenia gravis, ICHS,\u00a0 akutn\u00ed vir\u00f3zy, n\u00e1dorov\u00e1 onemocn\u011bn\u00ed.<br \/>\nPodle lokality\u00a0 jsou u\u017e\u00edv\u00e1ny r\u016fzn\u00e9 aplik\u00e1tory: ploch\u00fd, tzv. dvojdeka, trojdeka, solenoid (prstenec) &#8211; na obr\u00e1zku m\u016f\u017eeme vid\u011bt hned \u00a0dva takov\u00e9to solenoidy:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/magnet.jpg\" alt=\"elektromagnet\" width=\"364\" height=\"272\" \/><\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-21866\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-21866\"\r\n                data-id=\"post-21866\" \r\n                data-item=\"hfaq-post-21866\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Ostatn\u00ed fyzik\u00e1ln\u00ed terapie<\/div><\/div><div id=\"accordion-content-post-21866\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-21866\"\r\n                style=\"background:transparent;\"><h5><strong>Fototerapie<\/strong><\/h5>\n<p>Jedn\u00e1 se o elektromagnetick\u00e9 z\u00e1\u0159en\u00ed v rozsahu viditeln\u00e9ho, UV, infra\u010derven\u00e9 z\u00e1\u0159en\u00ed. Na na\u0161em odd\u011blen\u00ed je vyu\u017e\u00edv\u00e1na p\u0159edev\u0161\u00edm terapie<span style=\"color: #ff0033\"><strong>\u00a0laserem<\/strong><\/span>.<br \/>\nPozn\u00e1mka pro fyziky: jedn\u00e1 se o elektromagnetick\u00e9 z\u00e1\u0159en\u00ed monochromatick\u00e9, polarizovan\u00e9, koherentn\u00ed, nondivergentn\u00ed \u2013 svazek foton\u016f o vysok\u00e9 energii.<br \/>\nLaseroterapii m\u016f\u017eeme d\u011blit na kontinu\u00e1ln\u00ed a pulsn\u00ed. D\u00e1vka je d\u00e1na energetickou hustotou J\/cm2. \u00da\u010dinky laseru jsou jednak p\u0159\u00edm\u00e9: termick\u00e9 (tepeln\u00e9) a fotochemick\u00e9, jednak nep\u0159\u00edm\u00e9: biostimula\u010dn\u00ed, protiz\u00e1n\u011btliv\u00e9, analgetick\u00e9.<\/p>\n<p>Laser aplikujeme nej\u010dast\u011bji na jizvy &#8211; hypertrofick\u00e9, keloidn\u00ed, d\u00e1le na v\u0159edy a dekubity, pop\u00e1leniny, chronick\u00e9 ekz\u00e9my, funk\u010dn\u00ed i struktur\u00e1ln\u00ed poruchy hybn\u00e9ho syst\u00e9mu \u2013 spou\u0161t\u011bc\u00ed body, hyperalgick\u00e9 z\u00f3ny (artrozy, chron. z\u00e1n\u011bty), po\u00farazov\u00e9 stavy, perifern\u00ed par\u00e9zy, neuralgie, neuritidy. Samoz\u0159ejm\u011b jen pokud nen\u00ed t\u00e9to l\u00e9\u010dba z jin\u00e9ho d\u016fvodu kontraindikov\u00e1na.<\/p>\n<h5><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/laser.jpg\" alt=\"laser\" width=\"478\" height=\"287\" \/><strong><span class=\"zvyrazneni\">TERMOTERAPIE:<\/span><\/strong><\/h5>\n<p><span style=\"font-size: 14px\"><strong><span class=\"zvyrazneni\">Pozitivn\u00ed termoterapie (proh\u0159\u00edv\u00e1n\u00ed):<\/span><\/strong><\/span><br \/>\nm\u00e1 vazomotorick\u00fd \u00fa\u010dinek &#8211; doch\u00e1z\u00ed k roz\u0161\u00ed\u0159en\u00ed c\u00e9v v m\u00edst\u011b aplikace, zlep\u0161en\u00ed prokrven\u00ed, uvoln\u011bn\u00ed svalstva (myorelaxa\u010dn\u00ed a spasmolytick\u00fd \u00fa\u010dinek).<br \/>\nDal\u0161\u00ed a velmi podstatn\u00fd je analgetick\u00fd \u00fa\u010dinek, imunobiologick\u00fd, zv\u00fd\u0161en\u00ed \u00farovn\u011b metabolismu tk\u00e1n\u00ed, sedativn\u00ed \u00fa\u010dinek a celkov\u00e1 relaxace.<br \/>\nNa na\u0161em odd\u011blen\u00ed vyu\u017e\u00edv\u00e1me k pozitivn\u00ed termoterapii parafango, teplota aplikace je 48\u00b0C.<br \/>\nIndikov\u00e1no je jako p\u0159\u00edprava &#8211; uvoln\u011bn\u00ed p\u0159ed cvi\u010den\u00edm, m\u011bkk\u00fdmi technikami, u revmatoidn\u00ed artritidy a jin\u00fdch kloubn\u00edch onemocn\u011bn\u00ed, artrosy obratl\u016f p\u00e1te\u0159e, u spondylosy, u Becht\u011brevovy choroby.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/termoterapie.jpg\" alt=\"termoterapie\" width=\"505\" height=\"379\" \/><\/p>\n<h5><\/h5>\n<h5><strong>MECHANOTERAPIE:<\/strong><\/h5>\n<p>Mezi p\u0159\u00edstrojovou mechanoterapii se \u0159ad\u00ed:<\/p>\n<p><span style=\"font-size: 14px\"><strong>1) ULTRAZVUK:<\/strong><\/span><br \/>\nJedn\u00e1 pod\u00e9ln\u00e9 mechanick\u00e9 vln\u011bn\u00ed.<br \/>\nAplikac\u00ed ultrazvuku dojde k mikromas\u00e1\u017ei tk\u00e1n\u00ed, jejich oh\u0159evu, zlep\u0161en\u00ed metabolismu, vst\u0159eb\u00e1n\u00ed otok\u016f a lok\u00e1ln\u00edmu \u00fastupu bolesti. Doch\u00e1z\u00ed k zlep\u0161en\u00ed regenera\u010dn\u00edch schopnost\u00ed tk\u00e1n\u011b. Velmi dobr\u00fd \u00fa\u010dinek m\u00e1 ultrazvuk na uvol\u0148ov\u00e1n\u00ed svalov\u00fdch spasm\u016f, proto jej s oblibou aplikujeme na tzv. spou\u0161\u0165ov\u00e9 body (trigger pointy) &#8211; oblast svalu ve spasmu, pod\u00edlej\u00edc\u00ed se rozhoduj\u00edc\u00ed m\u011brou na zkr\u00e1cen\u00ed a bolestivosti svalu. Mikromas\u00e1\u017e\u00ed bun\u011bk se svaly uvoln\u00ed.<br \/>\nDoba aplikace je 5 minut.<\/p>\n<p>Ultrazvuk je indikov\u00e1n u onemocn\u011bn\u00ed kloub\u016f, sval\u016f, v neaktivn\u00edm stadiu revmatoidn\u00ed artritidy, u onemocn\u011bn\u00ed perifern\u00edch nerv\u016f, ultrazvuk je mo\u017eno t\u00e9\u017e pou\u017e\u00edt p\u0159i onemocn\u011bn\u00ed k\u016f\u017ee \u2013 jizv\u00e1ch, u Duputryenovy kontraktury \u010di posttraumatick\u00fdch stav\u016f.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/ultrazvuk.jpg\" alt=\"ultrazvuk\" width=\"471\" height=\"353\" \/><\/p>\n<p><span style=\"font-size: 14px\"><strong>2) LYMFOVEN:<\/strong><\/span><br \/>\nLymfoven je p\u0159\u00edstrojov\u00e1 lymfomas\u00e1\u017e, kter\u00e1 prost\u0159enictv\u00edm p\u0159etlakov\u00e9 mas\u00e1\u017ee pom\u00e1h\u00e1 zlep\u0161it odtok lymfy z kon\u010detin, sni\u017euje otoky. Odstra\u0148uje pocit t\u011b\u017ek\u00fdch nohou. Lze aplikovat na doln\u00ed nebo horn\u00ed kon\u010detiny podle druhu otoku. Doba aplikace je 45\u201360 minut.<br \/>\nIndikov\u00e1na je tud\u00ed\u017e jako prevence nebo l\u00e9\u010dba venostatick\u00fdch a lymfatick\u00fdch otok\u016f. Nelze ji v\u0161ak aplikovat p\u0159i srde\u010dn\u00ed nedostate\u010dnosti, rozs\u00e1hl\u00fdch k\u0159e\u010dov\u00fdch \u017eil\u00e1ch, p\u0159i posttromboflebitick\u00e9m syndromu (po tromboz\u00e1ch a z\u00e1n\u011btech \u017eil posti\u017een\u00e9 kon\u010detiny).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"\/wp-content\/uploads\/2023\/10\/lymfoven.jpg\" alt=\"lymfoven\" width=\"455\" height=\"341\" \/><\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-21878\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-21878\"\r\n                data-id=\"post-21878\" \r\n                data-item=\"hfaq-post-21878\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Iktov\u00e9 centrum<\/div><\/div><div id=\"accordion-content-post-21878\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-21878\"\r\n                style=\"background:transparent;\"><p>Nemocnice Jihlava se \u0159ad\u00ed mezi iktov\u00e1 centra, kter\u00fdch je v \u010cesk\u00e9 republice p\u0159ibli\u017en\u011b 30 a v Kraji Vyso\u010dina jsou jen dv\u011b. Spole\u010dn\u011b s neurologick\u00fdm odd\u011blen\u00edm zaji\u0161\u0165ujeme komplexn\u00ed p\u00e9\u010di o pacienty sti\u017een\u00e9 c\u00e9vn\u00ed mozkovou p\u0159\u00edhodou. Rehabilita\u010dn\u00ed t\u00fdm se skl\u00e1d\u00e1 z rehabilita\u010dn\u00edch l\u00e9ka\u0159\u016f, fyzioterapeut\u016f, ergoterapeuta, zdravotn\u00edch sester, logoped\u016f a klinick\u00e9ho psychologa. Na\u0161e iktov\u00e9 centrum je vybaven\u00e9 modern\u00edmi p\u0159\u00edstroji jako:<br \/>\n<strong>Armeo Spring<\/strong> \u2013 robotick\u00fd p\u0159\u00edstroj ur\u010den\u00fd ke cvi\u010den\u00ed posti\u017een\u00e9 horn\u00ed kon\u010detiny s kompenzac\u00ed gravitace,<br \/>\n<strong>Amadeo<\/strong> &#8211; p\u0159\u00edstroj pro n\u00e1cvik aktivn\u00edho i pasivn\u00edho pohybu prst\u016f v\u010detn\u011b palce,<br \/>\n<strong>Artromot<\/strong> &#8211; ramenn\u00ed motodlaha,<br \/>\n<strong>Tymo Professional<\/strong> &#8211; balan\u010dn\u00ed podlo\u017eka\u00a0 se zp\u011btnou vazbou (monitor) k funk\u010dn\u00edmu tr\u00e9ninku stoje, p\u0159\u00edpadn\u011b sedu, a dynamick\u00e9ho zat\u011b\u017eov\u00e1n\u00ed doln\u00ed kon\u010detiny elektrick\u00fdm chodn\u00edkem, v\u00ed\u0159ivkami horn\u00edch i doln\u00edch kon\u010detin a dal\u0161\u00edmi p\u0159\u00edstroji a pom\u016fckami.<br \/>\nFotografie v\u00fd\u0161e uveden\u00fdch p\u0159\u00edstroj\u016f si m\u016f\u017eete prohl\u00e9dnout ve fotogalerii odd\u011blen\u00ed.<br \/>\nU indikovan\u00fdch pacient\u016f prov\u00e1d\u00edme c\u00edlen\u00e9 vy\u0161et\u0159en\u00ed\u00a0spasticity kon\u010detin pomoc\u00ed konceptu profesora Graciese s\u00a0n\u00e1slednou komplexn\u00ed l\u00e9\u010dbou pomoc\u00ed p\u0159esn\u011b indikovan\u00e9ho prolongovan\u00e9ho stre\u010dinku, repetitivn\u00edho posilov\u00e1n\u00ed oslaben\u00fdch sval\u016f a fok\u00e1ln\u00ed aplikace botulotoxinu do spastick\u00fdch sval\u016f.<\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/article><\/section>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":17153,"parent":21528,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pgc_sgb_lightbox_settings":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[85],"class_list":["post-18081","page","type-page","status-publish","has-post-thumbnail","hentry","category-page-oddeleni"],"publishpress_future_action":{"enabled":false,"date":"2026-04-18 01:37:49","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/18081","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/comments?post=18081"}],"version-history":[{"count":0,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/18081\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/21528"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media\/17153"}],"wp:attachment":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media?parent=18081"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/categories?post=18081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}