{"id":20522,"date":"2015-03-23T13:02:00","date_gmt":"2015-03-23T12:02:00","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=20522"},"modified":"2015-03-23T13:02:10","modified_gmt":"2015-03-23T12:02:10","slug":"naucit-se-znovu-chodit-chce-to-trpelivost-pevnou-vuli-odhodlani-a-virtualni-realitu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=20522","title":{"rendered":"Nau\u010dit se znovu chodit? Chce to trp\u011blivost, pevnou v\u016fli, odhodl\u00e1n\u00ed a virtu\u00e1ln\u00ed realitu"},"content":{"rendered":"

Rehabilita\u010dn\u00ed klinika Malvazinky je jedn\u00edm z nejmodern\u011bj\u0161\u00edch za\u0159\u00edzen\u00ed v \u010cesku. Ro\u010dn\u011b vr\u00e1t\u00ed do \u017eivota des\u00edtky lid, kte\u0159\u00ed p\u0159i\u0161li o kon\u010detinu<\/strong><\/p>\n

Praha \u2013 Chod\u00edm, tedy jsem? Ot\u00e1zka kter\u00e1 nikdy nepadne. Odpov\u011b\u010f, kter\u00e1 se mus\u00ed pro\u017e\u00edt. Radek Berky posko\u010dil na trampol\u00edn\u011b a op\u011bt p\u0159ist\u00e1l na pevn\u00e9 zemi. Trochu zavr\u00e1voral. Sebev\u011bdom\u00e9 po\u010d\u00edn\u00e1n\u00ed \u010dernovlas\u00e9ho mu\u017ee na p\u0159ek\u00e1\u017ekov\u00e9 dr\u00e1ze skl\u00edz\u00ed uznal\u00e9 pohledy. U\u010d\u00ed se toti\u017e znova chodit. P\u0159ed rokem a p\u016fl p\u0159i\u0161el vlakvedouc\u00ed z Kralup nad Vltavou o nohu. Jedno mizern\u00e9 zakopnut\u00ed …a tvrd\u00fd p\u00e1d pod vag\u00f3n.<\/p>\n

S prot\u00e9zou te\u010f kr\u00e1\u010d\u00ed, hops\u00e1, balancuje a usm\u00edv\u00e1 se. T\u00e1tovi mal\u00e9ho \u0161kol\u00e1ka ani nic jin\u00e9ho nezb\u00fdv\u00e1. Deprese si sice pro\u017eil, ale mus\u00ed fungovat, te\u010f pr\u00fd hlavn\u011b pro svou rodinu. „Nejv\u011bt\u0161\u00ed strach jsem m\u011bl, \u017ee na tu stranu, kde mi chyb\u00ed noha, p\u0159epadnu,“ popisuje lehce zad\u00fdchan\u00fd sv\u00e9 prvn\u00ed kr\u016f\u010dky v t\u011blocvi\u010dn\u011b Rehabilita\u010dn\u00ed kliniky Malvazinky. „Ale \u010dlov\u011bk se to prost\u011b nau\u010d\u00ed, nev\u00edm, jak to p\u0159esn\u011b vysv\u011btlit,“ dod\u00e1v\u00e1 a postupuje k dal\u0161\u00edm n\u00e1strah\u00e1m rehabilita\u010dn\u00edho drilu.<\/p>\n

S „detektivn\u00edm p\u00e1tr\u00e1n\u00edm“ po ztracen\u00fdch pohybech tady v Malvazink\u00e1ch za\u010d\u00ednaj\u00ed pom\u011brn\u011b brzy, prakticky ihned po amputaci. „V\u0161echny pot\u0159ebn\u00e9 kroky je t\u0159eba zah\u00e1jit ihned, jakmile to zdravotn\u00ed stav pacienta dovol\u00ed. Ztr\u00e1ta doln\u00ed kon\u010detiny je velmi v\u00fdznamn\u00fd z\u00e1sah do cel\u00e9 stability t\u011bla. Bezprost\u0159edn\u011b po operaci by m\u011bl \u010dlov\u011bk za\u010d\u00edt pracovat na sv\u00e9 kondici,“ up\u0159es\u0148uje prim\u00e1\u0159 m\u00edstn\u00edho rehabilita\u010dn\u00edho odd\u011blen\u00ed Libor Musil.<\/p>\n

Jedn\u00edm z jeho „sv\u011b\u0159enc\u016f“ je pr\u00e1v\u011b Radek Berky, kter\u00fd berle odhodil do kouta u\u017e \u010dtvrt\u00fd den. Pro\u0161el si stejnou l\u00e9\u010dbou jako ostatn\u00ed pacienti. Nap\u0159\u00edklad p\u0159edprotetickou terapi\u00ed, kter\u00e1 se v\u011bnuje p\u00e9\u010di o pah\u00fdl, otok, jizvu a tvar pah\u00fdlu. Musel pos\u00edlit zb\u00fdvaj\u00edc\u00ed kon\u010detinu nebo band\u00e1\u017eovat pah\u00fdl. V\u0161echno zvl\u00e1dl. Po roce a p\u016fl m\u016f\u017ee motivovat \u010derstv\u00e9 \u010dleny terapeutick\u00e9 skupiny.<\/p>\n

Malvazinkami projde ro\u010dn\u011b p\u0159ibli\u017en\u011b stovka pacient\u016f. Podle fyzioterapeutky Hany Kohoutov\u00e9 pot\u0159ebuj\u00ed na zvl\u00e1dnut\u00ed ch\u016fze bez opory p\u0159ibli\u017en\u011b m\u011bs\u00edc. „Celkov\u00fd program je \u010dasov\u011b n\u00e1ro\u010dn\u00fd, ale p\u0159in\u00e1\u0161\u00ed v\u00fdsledky. Pacienti zpravidla denn\u011b rehabilituj\u00ed po dobu t\u0159\u00ed a\u017e \u010dty\u0159 t\u00fddn\u016f,“ poznamen\u00e1v\u00e1 fyzioterapeutka, kter\u00e1 se na klinice specializuje na programy pro pacienty po amputaci doln\u00ed kon\u010detiny.<\/p>\n

Na cest\u011b pln\u00e9 krok\u016f, skok\u016f a p\u00e1d\u016f vyu\u017e\u00edvaj\u00ed modern\u011b vybaven\u00e9 kliniky celou \u0159adu pom\u016fcek, kter\u00e9 n\u00e1ro\u010dn\u00fd proces zefektiv\u0148uj\u00ed. Jednou z mo\u017enost\u00ed je vyu\u017e\u00edv\u00e1n\u00ed virtu\u00e1ln\u00ed reality. „Senzory sn\u00edmaj\u00ed konkr\u00e9tn\u00ed pohyb, p\u0159i\u010dem\u017e pacient pln\u00ed \u00fakol. De facto se jedn\u00e1 o virtu\u00e1ln\u00ed hru,“ nasti\u0148uje prim\u00e1\u0159 Libor Musil. Procvi\u010dovan\u00fd pohyb nen\u00ed samo\u00fa\u010deln\u00fd a pacient je podv\u011bdom\u011b v\u00edce motivov\u00e1n.<\/p>\n

Kvalitn\u00edho terapeuta v\u0161ak sebelep\u0161\u00ed stroj nenahrad\u00ed. Ka\u017ed\u00fd \u010dlov\u011bk m\u00e1 toti\u017e sv\u00e9 specifick\u00e9 pot\u0159eby a chyb\u011bj\u00edc\u00ed prav\u00e1 ruka je n\u011bco jin\u00e9ho pro prav\u00e1ka, lev\u00e1ka, sportovce nebo p\u00edsa\u0159ku. Rehabilitace je tak o nalezen\u00ed rovnov\u00e1hy v tom nej\u0161ir\u0161\u00edm slova smyslu. „Klademe d\u016fraz na to, aby se lid\u00e9 l\u00e9\u010dili s ur\u010dit\u00fdm c\u00edlem n\u00e1vratu dom\u016f a do zam\u011bstn\u00e1n\u00ed. Zdravotnick\u00e1 p\u00e9\u010de se d\u0159\u00edve soust\u0159edila p\u0159edev\u0161\u00edm na akutn\u00ed p\u00e9\u010di, ale m\u00e9n\u011b se \u0159e\u0161ilo, co s pacientem d\u00e1l,“ dopl\u0148uje Libor Musil. St\u00e1le v\u0161ak m\u00e1me co doh\u00e1n\u011bt.<\/p>\n

Radek Berky se ji\u017e k pr\u00e1ci u dr\u00e1hy nevr\u00e1t\u00ed. Chce se naplno v\u011bnovat rodin\u011b. R\u00e1d by se tak\u00e9 pustil do sportov\u00e1n\u00ed, ale stejn\u011b jako u mnoha jin\u00fdch lid\u00ed s podobn\u00fdm osudem, bez sponzora to asi nep\u016fjde. V\u017edy\u0165 jen technologicky dokonalej\u0161\u00ed um\u011bl\u00e1 prot\u00e9za vyjde na sedm set tis\u00edc korun. A to je pro \u010dlov\u011bka odk\u00e1zan\u00e9ho na invalidn\u00ed d\u016fchod tak\u0159ka nere\u00e1ln\u00fd sen.<\/p>\n

Rehabilita\u010dn\u00ed hodina na Malvazink\u00e1ch skon\u010dila. Na tv\u00e1\u0159\u00edch \u00fa\u010dastn\u00edk\u016f je zn\u00e1t \u00fanava. Byla to jedna z t\u011bch ka\u017edodenn\u00edch vysokohorsk\u00fdch t\u016fr, kter\u00e9 v t\u011blocvi\u010dn\u011b a v parku spole\u010dn\u011b podnikaj\u00ed. Strach z p\u00e1du do \u017eivota bez pohybu, ale v o\u010d\u00edch t\u00e9to party odhodlan\u00fdch lid\u00ed u\u017e nenajdete. Te\u010f jde o \u017eivot. Strach z pohybu bez \u017eivota se toti\u017e p\u0159ekon\u00e1v\u00e1 mnohem slo\u017eit\u011bji.<\/p>\n

—<\/p>\n

Po\u010det amputac\u00ed<\/p>\n

Prvn\u00ed amputace kon\u010detin prob\u011bhly ji\u017e v obdob\u00ed 5 000 let p\u0159. n. l. a \u0159ad\u00ed se tak k nejstar\u0161\u00edm chirurgick\u00fdm v\u00fdkon\u016fm. P\u0159i srovn\u00e1n\u00ed po\u010dtu amputac\u00ed v \u010cesku b\u011bhem n\u011bkolika posledn\u00edch desetilet\u00ed je z\u0159ejm\u00e9, \u017ee jejich po\u010det neust\u00e1le roste. Je\u0161t\u011b koncem 80. let bylo ro\u010dn\u011b prov\u00e1d\u011bno zhruba 3 700 amputac\u00ed, v roce 2008 toto \u010d\u00edslo vzrostlo ji\u017e na 8 170 z\u00e1krok\u016f ro\u010dn\u011b.<\/p>\n

MARTIN VAN\u011aK
\nPra\u017esk\u00fd den\u00edk
\nhttp:\/\/www.prazsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Rehabilita\u010dn\u00ed klinika Malvazinky je jedn\u00edm z nejmodern\u011bj\u0161\u00edch za\u0159\u00edzen\u00ed v \u010cesku. Ro\u010dn\u011b vr\u00e1t\u00ed do \u017eivota des\u00edtky lid, kte\u0159\u00ed p\u0159i\u0161li o kon\u010detinu<\/p>\n<\/div>","protected":false},"author":1,"featured_media":4333,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-20522","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20522"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/20522\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/4333"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20522"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20522"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}