{"id":28292,"date":"2017-05-23T08:22:13","date_gmt":"2017-05-23T06:22:13","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28292"},"modified":"2017-05-23T08:22:13","modified_gmt":"2017-05-23T06:22:13","slug":"moderni-rehabilitace-smeruje-ke-komunitni-peci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28292","title":{"rendered":"Modern\u00ed rehabilitace sm\u011b\u0159uje ke komunitn\u00ed p\u00e9\u010di"},"content":{"rendered":"

Kter\u00e9 technologie a l\u00e9\u010debn\u00e9 postupy se v rehabilitaci osv\u011bd\u010duj\u00ed? M\u016f\u017ee tis\u00edckr\u00e1t opakovan\u00fd pohyb p\u0159im\u011bt ochrnutou ruku k \u010dinnosti? Kolik lid\u00ed v \u010cR je kv\u016fli sv\u00e9mu posti\u017een\u00ed v \u00fastavn\u00ed p\u00e9\u010di?<\/strong><\/p>\n

Klinika rehabilita\u010dn\u00edho l\u00e9ka\u0159stv\u00ed 1. LF UK a VFN.<\/strong><\/p>\n

Jak p\u0159ipom\u00edn\u00e1 p\u0159ednostka kliniky doc. MUDr. Olga \u0160vestkov\u00e1, Ph.D., modern\u00ed rehabilitace se sna\u017e\u00ed, aby se ne pln\u011b vyl\u00e9\u010den\u00ed lid\u00e9 se zdravotn\u00edm posti\u017een\u00edm (tzv. disabilitou) vr\u00e1tili k p\u016fvodn\u00ed kvalit\u011b \u017eivota. V evropsk\u00e9 populaci (a podobn\u011b tak\u00e9 v \u010cesk\u00e9 republice) je 10\u201312 % lid\u00ed s disabilitou a jejich po\u010det nekles\u00e1, sp\u00ed\u0161e naopak.<\/p>\n

\u201eExistuj\u00ed \u010dty\u0159i p\u0159\u00ed\u010diny, pro\u010d se v rozvinut\u00fdch zem\u00edch sv\u011bta po\u010det lid\u00ed s disabilitou zvy\u0161uje. Zp\u016fsobuje to jednak st\u00e1rnut\u00ed populace, z\u00e1chrana d\u011bt\u00ed s velice n\u00edzkou porodn\u00ed hmotnost\u00ed, ale tak\u00e9 nar\u016fst genetick\u00e9 z\u00e1t\u011b\u017ee populace, nap\u0159. dominantn\u011b d\u011bdi\u010dn\u00fdch vad, a to, \u017ee medic\u00edna dok\u00e1\u017ee zachr\u00e1nit pacienty, kte\u0159\u00ed d\u0159\u00edve um\u00edrali \u2013 m\u00e1me zde nap\u0159\u00edklad d\u00edvku, kter\u00e1 m\u016f\u017ee po pr\u016fst\u0159elu hlavy d\u00edky kvalitn\u00ed rehabilitaci pracovat,\u201c vysv\u011btluje doc. \u0160vestkov\u00e1, jej\u00ed\u017e z\u00e1sluhou se poda\u0159ilo iniciovat vznik iktov\u00fdch center, tak\u017ee v \u010cR existuj\u00ed v\u010dasn\u00e1 rehabilita\u010dn\u00ed l\u016f\u017eka. Pr\u00e1v\u011b v\u010dasn\u00e1 intenzivn\u00ed aktivizace pacienta je pro jeho n\u00e1slednou integraci do \u017eivota z\u00e1sadn\u00ed.<\/p>\n

I nejdra\u017e\u0161\u00ed pom\u016fcka je podle Olgy \u0160vestkov\u00e9 levn\u011bj\u0161\u00ed ne\u017e dlouhodob\u00e1 pomoc druh\u00e9 osoby. Proto na Klinice rehabilita\u010dn\u00edho l\u00e9ka\u0159stv\u00ed v interprofesn\u00edm t\u00fdmu p\u016fsob\u00ed vedle l\u00e9ka\u0159e, fyzioterapeuta, psychologa, logopeda, ergoterapeuta, speci\u00e1ln\u00edho pedagoga, zdravotn\u00ed sestry, nutri\u010dn\u00edho terapeuta a protetika tak\u00e9 \u010dty\u0159i fyzioterapeut\u00e9, kte\u0159\u00ed absolvovali Fakultu biomedic\u00ednsk\u00e9ho in\u017een\u00fdrstv\u00ed \u010cVUT.<\/p>\n

\u201eBudoucnost rehabilitace je i v modern\u00edch technologi\u00edch \u2013 lid\u00e9 maj\u00ed pom\u016fcky, aby mohli \u017e\u00edt doma, aby mohli komunikovat, a technologie, kter\u00e9 nahrazuj\u00ed pomoc druh\u00e9 osoby a pom\u00e1haj\u00ed i ve \u0161kolsk\u00e9m syst\u00e9mu a zam\u011bstnanosti t\u011bchto lid\u00ed. P\u0159\u00edkladem je nejv\u011bt\u0161\u00ed \u017eij\u00edc\u00ed astrofyzik prof. Stephen Hawking, kter\u00fd m\u00e1 pouze \u017eij\u00edc\u00ed mozek, je nekomunikuj\u00edc\u00ed, nepolykaj\u00edc\u00ed pentaplegik, kter\u00fd pou\u017e\u00edv\u00e1 speci\u00e1ln\u00ed syntetiz\u00e9r zesiluj\u00edc\u00ed hlasivky, tak\u017ee m\u016f\u017ee komunikovat s po\u010d\u00edta\u010dem,\u201c \u0159\u00edk\u00e1 p\u0159ednostka kliniky \u0160vestkov\u00e1.<\/p>\n

L\u00e9ka\u0159i i terapeuti maj\u00ed na klinice k dispozici laborato\u0159 a in\u017een\u00fd\u0159i pom\u00e1haj\u00ed zdravotn\u00edk\u016fm v aplikaci robotick\u00fdch syst\u00e9m\u016f, zvl\u00e1dnut\u00ed nov\u00fdch technologi\u00ed a pou\u017e\u00edvaj\u00ed i vytv\u00e1\u0159ej\u00ed metodiky, kter\u00e9 objektivn\u011b zhodnot\u00ed pohyb, pam\u011b\u0165, pozornost a dal\u0161\u00ed funkce a posoud\u00ed eventu\u00e1ln\u00ed funk\u010dn\u00ed zlep\u0161en\u00ed pacienta.<\/p>\n

Zkou\u0161ej\u00ed zde nap\u0159\u00edklad pou\u017eit\u00ed sofistikovan\u00fdch n\u00e1ramk\u016f, kter\u00e9 dok\u00e1\u017eou prost\u0159ednictv\u00edm softwaru sledovat pohyb \u010d\u00e1ste\u010dn\u011b ochrnut\u00e9 horn\u00ed kon\u010detiny pacient\u016f po po\u0161kozen\u00ed mozku. Ti na kliniku doch\u00e1z\u00ed do jedin\u00e9ho denn\u00edho rehabilita\u010dn\u00edho stacion\u00e1\u0159e v \u010cR, kter\u00fd se na zdravotn\u00ed rehabilitaci specializuje.<\/p>\n

\u201eBudoucnost rehabilitace p\u0159edstavuj\u00ed pr\u00e1v\u011b studenti, kte\u0159\u00ed budou m\u00edt st\u00e1le lep\u0161\u00ed p\u0159\u00edstup k modern\u00edm postup\u016fm. T\u0159eba vyu\u017eit\u00ed projektu Homebalance, kdy senio\u0159i \u010di lid\u00e9 po po\u0161kozen\u00ed mozku pou\u017e\u00edvaj\u00ed doma hern\u00ed konzole s nov\u00fdm softwarem ke zlep\u0161en\u00ed rovnov\u00e1hy nebo robotick\u00fd p\u0159\u00edstroj na aktivizaci pohyb\u016f pa\u017ee,\u201c \u0159\u00edk\u00e1 doc. \u0160vestkov\u00e1.<\/p>\n

Nejmodern\u011bj\u0161\u00edm trendem je nyn\u00ed rehabilitace na komunitn\u00ed \u00farovni \u2013 tedy z\u00e1m\u011br, dostat pacienta co nejd\u0159\u00edve dom\u016f. \u201eJe vid\u011bt, \u017ee pokud pacientovi d\u00e1v\u00e1me impulsy, kter\u00e9 ho bav\u00ed, mozek, zasa\u017een\u00fd pozitivn\u00edmi emocemi, se rozsv\u00edt\u00ed jako lampi\u010dka a pacient se zlep\u0161uje. Dostat se brzy do dom\u00e1c\u00edho prost\u0159ed\u00ed je pro n\u011bj velk\u00e1 motivace,\u201c \u0159\u00edk\u00e1 doc. \u0160vestkov\u00e1 s t\u00edm, \u017ee v \u010cesk\u00e9 republice st\u00e1le nen\u00ed v rehabilitaci a soci\u00e1ln\u00ed p\u00e9\u010di um\u00edst\u011bn\u00ed osob s disabilitou do dom\u00e1c\u00edho prost\u0159ed\u00ed stanoveno jako priorita.<\/p>\n

I proto m\u00e1me v r\u00e1mci Evropy na po\u010det obyvatel st\u00e1le nejv\u00edc lid\u00ed um\u00edst\u011bn\u00fdch v \u00fastavech. U\u017e i u n\u00e1s ale existuj\u00ed jin\u00e9 mo\u017enosti \u2013 pacienti mohou doch\u00e1zet do denn\u00edho stacion\u00e1\u0159e nebo se l\u00e9\u010dit ambulantn\u011b. Zat\u00edm nen\u00ed zaveden\u00e1 praxe, kdy se prov\u00e1d\u00ed evaluace bytu (doporu\u010den\u00ed na bezbari\u00e9rov\u00fd) nebo i v\u00fdm\u011bna bytu, aby terapeuti doch\u00e1zeli poskytovat rehabilitaci dom\u016f. To je b\u011b\u017en\u00e9 nap\u0159\u00edklad v N\u011bmecku \u010di \u0160v\u00e9dsku, kde nyn\u00ed \u017eije doma p\u0159es 90 % lidi s disabilitou.<\/p>\n

Odbornou, psychoterapeutickou i finan\u010dn\u00ed podporu si podle Olgy \u0160vestkov\u00e9 zaslou\u017e\u00ed tak\u00e9 pe\u010duj\u00edc\u00ed osoby. Podle ned\u00e1vn\u00e9ho v\u00fdzkumu na Florid\u011b um\u00edraj\u00ed nap\u0159\u00edklad rodinn\u00ed p\u0159\u00edslu\u0161n\u00edci pe\u010duj\u00edc\u00ed o osoby s Alzheimerov\u00fdm onemocn\u011bn\u00edm v 60 % d\u0159\u00edv ne\u017e ti, o n\u011b\u017e se staraj\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"

Kter\u00e9 technologie a l\u00e9\u010debn\u00e9 postupy se v rehabilitaci osv\u011bd\u010duj\u00ed? M\u016f\u017ee tis\u00edckr\u00e1t opakovan\u00fd pohyb p\u0159im\u011bt ochrnutou ruku k \u010dinnosti? Kolik lid\u00ed v \u010cR je kv\u016fli sv\u00e9mu […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21789,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-28292","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28292","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=28292"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28292\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21789"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28292"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}