{"id":30752,"date":"2018-08-08T16:18:39","date_gmt":"2018-08-08T14:18:39","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30752"},"modified":"2018-08-08T16:18:39","modified_gmt":"2018-08-08T14:18:39","slug":"rehabilitace-bezprostredne-po-urazu-je-dvakrat-ucinnejsi-rocne-ji-vyuziji-pres-dva-miliony-cechu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30752","title":{"rendered":"Rehabilitace \u2013 bezprost\u0159edn\u011b po \u00farazu je dvakr\u00e1t \u00fa\u010dinn\u011bj\u0161\u00ed. Ro\u010dn\u011b ji vyu\u017eij\u00ed p\u0159es dva miliony \u010cech\u016f"},"content":{"rendered":"

Rehabilitaci lid\u00e9 bu\u010f podce\u0148uj\u00ed, anebo se k n\u00ed dostanou a\u017e t\u00fddny po \u00farazu. V\u010dasn\u00e1 pomoc odborn\u00edka p\u0159itom dok\u00e1\u017ee zkr\u00e1tit rekonvalescenci v n\u011bkter\u00fdch p\u0159\u00edpadech i v\u00edc ne\u017e o polovinu, zabr\u00e1nit operaci, p\u0159edej\u00edt trval\u00fdm n\u00e1sledk\u016fm zran\u011bn\u00ed nebo dlouhodob\u011b zbavit pacienta chronick\u00e9 bolesti.<\/strong>
\n
\nZLOMENINY, V\u00ddRONY KOTN\u00cdKU A DAL\u0160\u00cd<\/p>\n

Rehabilitace je nej\u00fa\u010dinn\u011bj\u0161\u00ed bezprost\u0159edn\u011b po zran\u011bn\u00ed. Ne\u017e v\u0161ak \u010dlov\u011bk absolvuje kole\u010dko po l\u00e9ka\u0159\u00edch, z\u00edsk\u00e1 p\u0159edpis na rehabilitace a objedn\u00e1 se k odborn\u00edkovi, uplyne i n\u011bkolik t\u00fddn\u016f. \u201eTo je doba, kdy u\u017e m\u011blo b\u00fdt zran\u011bn\u00ed s terapeutem l\u00e9\u010deno. M\u00edsto toho pacient d\u00e1l sn\u00e1\u0161\u00ed bolest a \u010dasto ani nev\u00ed, jak se k \u00farazu chovat, aby nevznikly dal\u0161\u00ed komplikace. Pacient, kter\u00fd p\u0159ijde v\u010das, zn\u00e1 a dodr\u017euje re\u017eimov\u00e1 opat\u0159en\u00ed, se uzdrav\u00ed v\u00fdrazn\u011b d\u0159\u00edve ne\u017e ten, kter\u00fd se dostal do p\u00e9\u010de fyzioterapeuta o n\u011bkolik t\u00fddn\u016f pozd\u011bji nebo se ne\u0159\u00edd\u00ed doporu\u010den\u00edm terapeuta,\u201c popsala Iva B\u00edlkov\u00e1, vedouc\u00ed fyzioterapeutka pra\u017esk\u00e9 FYZIOkliniky.<\/p>\n

\u201eNap\u0159\u00edklad pacient se znehybn\u011bnou kon\u010detinou se m\u016f\u017ee okam\u017eit\u011b po zran\u011bn\u00ed v\u011bnovat takzvan\u00fdm izometrick\u00fdm cvik\u016fm, kter\u00e9 napom\u00e1haj\u00ed tvorb\u011b kostn\u00ed tk\u00e1n\u011b a zabra\u0148uj\u00ed svalov\u00e9 ztr\u00e1t\u011b zp\u016fsoben\u00e9 ne\u010dinnost\u00ed. Pacient s vyvrtnut\u00fdm kotn\u00edkem se m\u016f\u017ee podrobit terapii s u\u017eit\u00edm fokusovan\u00e9 r\u00e1zov\u00e9 vlny, kter\u00e1 urychluje hojen\u00ed na bun\u011b\u010dn\u00e9 \u00farovni. Oba by m\u011bli v\u011bd\u011bt, jak pou\u017e\u00edvat berle, jak posti\u017eenou kon\u010detinu zat\u011b\u017eovat a dal\u0161\u00ed zd\u00e1nliv\u011b ban\u00e1ln\u00ed v\u011bci, kter\u00e9 se lid\u00e9 dov\u00eddaj\u00ed na rehabilitaci a\u017e t\u00fddny po zran\u011bn\u00ed, kdy u\u017e jim mohlo b\u00fdt l\u00e9pe,\u201c dodala.<\/p>\n

OPERACE POHYBOV\u00c9HO APAR\u00c1TU<\/p>\n

V p\u0159\u00edpad\u011b pl\u00e1novan\u00fdch operac\u00ed by m\u011bl pacient podle odborn\u00edk\u016f rehabilitovat je\u0161t\u011b p\u0159ed z\u00e1krokem, u\u0161et\u0159\u00ed si tak t\u00fddny na neschopence.<\/p>\n

\u201eNap\u0159\u00edklad p\u0159ed tot\u00e1ln\u00ed endoprot\u00e9zou kolenn\u00edho kloubu d\u00edky rehabilitaci pos\u00edl\u00ed svalov\u00e9 skupiny, kter\u00e9 budou stabilizovat kolenn\u00ed kloub. Z\u00e1rove\u0148 fyzioterapie a lymfodren\u00e1\u017ee sn\u00ed\u017e\u00ed otok kloubu pl\u00e1novan\u00e9ho k operaci a rekonvalescence bude o to p\u0159\u00edjemn\u011bj\u0161\u00ed a krat\u0161\u00ed. Rozd\u00edl mezi rehabilita\u010dn\u00edm procesem takto p\u0159ipraven\u00e9ho pacienta a pacienta bez vhodn\u00e9 p\u0159\u00edpravy je a\u017e n\u011bkolik t\u00fddn\u016f. Nep\u0159ipraven\u00e9mu pacientovi, kter\u00fd po operaci \u010dek\u00e1 na rehabilitaci, nav\u00edc mohou zp\u016fsobit dal\u0161\u00ed pot\u00ed\u017ee i nevhodn\u00e9 pohyby, v\u00fdrazn\u011bj\u0161\u00ed otok tk\u00e1n\u011b nebo polohy p\u0159i span\u00ed,\u201c upozornila Iva B\u00edlkov\u00e1.<\/p>\n

CHRONICK\u00c9 A AKUTN\u00cd BOLESTI<\/p>\n

Brzk\u00e1 a d\u016fsledn\u00e1 rehabilitace je z\u00e1sadn\u00ed tak\u00e9 p\u0159i chronick\u00e9 nebo akutn\u00ed bolesti. Nap\u0159\u00edklad p\u0159i blok\u00e1d\u00e1ch p\u00e1te\u0159e pacient velmi trp\u00ed a pot\u0159ebuje pomoc ihned.<\/p>\n

\u201eS fyzioterapeutem se bolesti zbav\u00ed do dvou t\u00fddn\u016f, ale nez\u0159\u00eddka trojn\u00e1sobn\u011b dlouho trv\u00e1, ne\u017e se k n\u011bmu v\u016fbec dostane. Za p\u00e1r t\u00fddn\u016f pak kon\u010d\u00ed znovu v ordinaci s akutn\u00ed bolest\u00ed, proto\u017ee dlouhodob\u011b nebyla kompenzov\u00e1na p\u0159\u00ed\u010dina bolesti, probl\u00e9my se nabaluj\u00ed a zhor\u0161uj\u00ed,\u201c uvedla Iva B\u00edlkov\u00e1.<\/p>\n

Podle \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky \u010cesk\u00e9 republiky vyu\u017eije ro\u010dn\u011b slu\u017eby rehabilita\u010dn\u00ed a fyzik\u00e1ln\u00ed medic\u00edny v pr\u016fm\u011bru 2 300 235 pacient\u016f. V roce 2016 bylo na ka\u017ed\u00fdch 1000 osob v populaci o\u0161et\u0159eno 235 pacient\u016f.<\/p>\n

Probl\u00e9mem je, \u017ee pomoc l\u00e9ka\u0159e \u010di fyzioterapeuta lid\u00e9 \u010dasto vyhled\u00e1vaj\u00ed, a\u017e kdy\u017e je nejh\u016f\u0159, respektive jim hroz\u00ed operace, a zdravotn\u00ed komplikace se nejen v p\u0159\u00edpad\u011b pohybov\u00e9ho apar\u00e1tu prohlubuj\u00ed. \u010c\u00edm d\u00e9le lid\u00e9 s rehabilitac\u00ed ot\u00e1lej\u00ed, t\u00edm v\u00edc je pot\u0159eba spolupracovat na n\u00e1prav\u011b. Nespol\u00e9hat pouze na \u010das str\u00e1ven\u00fd s rehabilita\u010dn\u00edm odborn\u00edkem, ale protahovat se tak\u00e9 s\u00e1m doma a zm\u011bnit denn\u00ed n\u00e1vyky.<\/p>\n

\u201eTak vznikaj\u00ed \u0161patn\u00e9 zku\u0161enosti a ned\u016fv\u011bra v rehabilitace. Lid\u00e9 p\u0159ich\u00e1zej\u00ed po dlouh\u00e9m ne\u0159e\u0161en\u00ed sv\u00e9ho stavu s pocitem, \u017ee je rehabilitace okam\u017eit\u011b uzdrav\u00ed, ale nejsou ochotni tomu v\u011bnovat sv\u016fj \u010das. P\u0159edev\u0161\u00edm p\u0159i chronick\u00fdch bolestech nesta\u010d\u00ed pouze lekce s fyzioterapeutem, ta ulev\u00ed kr\u00e1tkodob\u011b, ale je t\u0159eba zm\u011bnit \u017eivotn\u00ed styl, polo\u017eit si ot\u00e1zku \u2013 z \u010deho m\u011b z\u00e1da bol\u00ed? A tuto p\u0159\u00ed\u010dinu trvale \u0159e\u0161it. Kdy\u017e toto pacient nevn\u00edm\u00e1, je roz\u010darovan\u00fd, \u017ee se zm\u011bny d\u011bj\u00ed pomalu, a pova\u017euje cvi\u010den\u00ed za zbyte\u010dn\u00e9,\u201c pouk\u00e1zala Iva B\u00edlkov\u00e1.<\/p>\n

Kdy okam\u017eit\u011b rehabilitovat?<\/p>\n

– \u00farazy ze sezonn\u00edho sportov\u00e1n\u00ed (zlomeniny po p\u00e1du na kole, brusl\u00edch, ly\u017e\u00edch atd.)
\n– zvrtnut\u00fd kotn\u00edk, v\u00fdron kotn\u00edku
\n– bolesti zad a akutn\u00ed blok\u00e1dy p\u00e1te\u0159e.<\/p>\n

Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"

Rehabilitaci lid\u00e9 bu\u010f podce\u0148uj\u00ed, anebo se k n\u00ed dostanou a\u017e t\u00fddny po \u00farazu. V\u010dasn\u00e1 pomoc odborn\u00edka p\u0159itom dok\u00e1\u017ee zkr\u00e1tit rekonvalescenci v n\u011bkter\u00fdch p\u0159\u00edpadech i v\u00edc […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29841,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-30752","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\/30752","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=30752"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30752\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29841"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30752"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30752"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30752"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}