{"id":5697,"date":"2013-05-29T10:03:28","date_gmt":"2013-05-29T08:03:28","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=5697"},"modified":"2014-10-20T20:12:27","modified_gmt":"2014-10-20T18:12:27","slug":"unikatni-lecba-pacient-si-pohyby-tela-predstavuje-jen-ve-sve-mysli","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=5697","title":{"rendered":"Unik\u00e1tn\u00ed l\u00e9\u010dba: Pacient si pohyby t\u011bla p\u0159edstavuje jen ve sv\u00e9 mysli"},"content":{"rendered":"<p><strong>L\u00e9ka\u0159i v Rehabilita\u010dn\u00edm \u00fastavu v Brand\u00fdse nad Orlic\u00ed pom\u00e1haj\u00ed lidem, kter\u00e9 bol\u00ed z\u00e1da \u010di klouby, origin\u00e1ln\u00ed l\u00e9\u010debnou metodou. Pacienti si p\u0159i n\u00ed nap\u0159\u00edklad cvi\u010den\u00ed jen p\u0159edstavuj\u00ed v mysli. V\u00fdsledky jsou v\u00fdborn\u00e9, \u0159\u00edk\u00e1 \u0159editelka \u00fastavu Michaela Tomanov\u00e1.<\/strong><br \/>\n<!--more--><br \/>\nPodle \u0159editelky Rehabilita\u010dn\u00edho \u00fastavu Brand\u00fds nad Orlic\u00ed Michaely Tomanov\u00e9 m\u00e1 \u010dlov\u011bk naslouchat organismu sv\u00e9ho t\u011bla, nevyv\u00e1\u017eenosti psychiky se mohou projevit t\u0159eba na \u0161patn\u00e9m postaven\u00ed t\u011bla. Je autorkou origin\u00e1ln\u00ed rehabilita\u010dn\u00ed metody Infinity, kterou tamn\u00ed fyzioterapeuti pou\u017e\u00edvaj\u00ed.<\/p>\n<p>&#8222;Dne\u0161n\u00ed civilizovan\u00fd \u010dlov\u011bk je stresov\u00e1n sp\u011bchem, kter\u00fd p\u016fsob\u00ed na t\u011blo a na pohybov\u00e9 \u00fastroj\u00ed, a my to vid\u00edme na svalech, hodn\u011b na kr\u010dn\u00ed i bedern\u00ed p\u00e1te\u0159i. U\u017e z dr\u017een\u00ed, postaven\u00ed t\u011bla se d\u00e1 \u0159\u00edci, jestli je \u010dlov\u011bk v chronick\u00e9m stresu, anebo nen\u00ed,&#8220; \u0159\u00edk\u00e1 Michaela Tomanov\u00e1, kter\u00e1 chce origin\u00e1ln\u00ed rehabilita\u010dn\u00ed metodou zlep\u0161it vn\u00edm\u00e1n\u00ed, uv\u011bdomov\u00e1n\u00ed a ovl\u00e1d\u00e1n\u00ed t\u011bla a vracet ho nov\u00fdmi impulsy do optim\u00e1ln\u00edho pohybov\u00e9ho programu a nastaven\u00ed.<\/p>\n<p><strong>&#8211; Sou\u010d\u00e1st\u00ed va\u0161\u00ed metody je cvi\u010den\u00ed, kter\u00e9 se odehr\u00e1v\u00e1 jen v p\u0159edstav\u00e1ch. Jak to funguje?<\/strong><\/p>\n<p>P\u0159i cvi\u010den\u00ed v p\u0159edstav\u011b mozek vys\u00edl\u00e1 impulsy, a m\u011bn\u00ed tak nap\u011bt\u00ed sval\u016f, sou\u010dasn\u011b se t\u00edm tr\u00e9nuje stereotyp pohybu. Kdy\u017e bude nap\u0159\u00edklad vrcholov\u00fd volejbalista vy\u0159azen z tr\u00e9ninku kv\u016fli operaci ramene, tak mu doporu\u010dujeme mimo jin\u00e9 p\u0159edstavovat si nap\u0159\u00edklad tr\u00e9nink sme\u010dov\u00e1n\u00ed, a tak si bude v mozku tr\u00e9novat stereotyp pohybu a \u010d\u00e1ste\u010dn\u011b i svaly. Pohyb bude po\u0159\u00e1d velmi kvalitn\u00ed i po del\u0161\u00ed dob\u011b ne\u010dinnosti.<\/p>\n<p><strong>&#8211; Jak d\u00e1le cvi\u010d\u00edte s pacienty?<\/strong><\/p>\n<p>Pou\u017e\u00edv\u00e1me metodu takzvan\u00fdch mikropohyb\u016f. Jsou to milimetrov\u00e9 pohyby, kdy pacient v\u00edc vn\u00edm\u00e1, uv\u011bdomuje a t\u00edm p\u00e1dem l\u00e9pe ovl\u00e1d\u00e1 sv\u00e9 t\u011blo. T\u00edm se tato metoda bl\u00ed\u017e\u00ed v\u00fdchodn\u00edm metod\u00e1m. Je zaj\u00edmav\u00e9, \u017ee jednotliv\u00e9 et\u00e1\u017ee t\u00e9to metody n\u00e1m \u00fapln\u011b n\u00e1hodn\u011b vy\u0161ly podobn\u011b jako \u010dakry, tedy energetick\u00e1 centra v t\u011ble podle v\u00fdchodn\u00ed medic\u00edny. Co\u017e jsem zjistila a\u017e pozd\u011bji. T\u0159et\u00edm druhem pohybu je viditeln\u00fd pohyb v takzvan\u00e9m makropohybu, v \u0159\u00e1du centimetr\u016f. P\u0159i aktivn\u00edm cvi\u010den\u00ed p\u0159ipom\u00edn\u00e1 nap\u0159\u00edklad tai\u010di.<\/p>\n<p><strong>&#8211; Na kter\u00e9 diagn\u00f3zy va\u0161e metoda nejv\u00edc p\u016fsob\u00ed?<\/strong><\/p>\n<p>M\u00e1me hodn\u011b pacient\u016f s bolestmi p\u00e1te\u0159e v\u010detn\u011b v\u00fdh\u0159ez\u016f plot\u00e9nek a n\u00e1sledn\u00fdmi bolestmi do doln\u00edch a horn\u00edch kon\u010detin, brn\u011bn\u00edm, tupost\u00ed, trp\u00edc\u00edmi v\u00fdrazn\u00fdmi bolestmi t\u0159eba i roky. Tak\u00e9 pacienti indikovan\u00ed k operaci, \u010dasto po na\u0161\u00ed terapii a l\u00e9\u010db\u011b nemus\u00ed tuto operaci v\u016fbec podstoupit.<\/p>\n<p><strong>&#8211; Maj\u00ed pro v\u00e1s jin\u00ed l\u00e9ka\u0159i pochopen\u00ed a pos\u00edlaj\u00ed k v\u00e1m sv\u00e9 pacienty?<\/strong><\/p>\n<p>Ur\u010dit\u011b. Infinity se vyv\u00edj\u00ed, je to \u017eiv\u00fd organismus. A t\u00edm, \u017ee sv\u00e9 pacienty vy\u0161et\u0159uji a l\u00e9\u010d\u00edm, d\u00e1vaj\u00ed t\u00e9to metod\u011b dal\u0161\u00ed nov\u00e9 podn\u011bty, p\u0159ib\u00fdvaj\u00ed dal\u0161\u00ed cviky a terapie. \u00dasp\u011bch vid\u00edm i v tom, \u017ee n\u00e1m l\u00e9ka\u0159i pos\u00edlaj\u00ed tak\u00e9 sv\u00e9 p\u0159\u00edbuzn\u00e9. Um\u00edme pacienty vy\u0161et\u0159it, diagnostikovat a l\u00e9\u010dit, jinak by k n\u00e1m pacienti nep\u0159ich\u00e1zeli. Te\u010f naposledy jsem m\u011bla radost z jedn\u00e9 pacientky, kter\u00e1 p\u0159i\u0161la o berl\u00edch, se slzami v o\u010d\u00edch si st\u011b\u017eovala na stra\u0161n\u00e9 bolesti. \u0158\u00edkala, \u017ee u\u017e p\u0159estala v\u011b\u0159it, \u017ee j\u00ed n\u011bkdo pom\u016f\u017ee, ale kdy\u017e o n\u00e1s vid\u011bla report\u00e1\u017e v televizi, tak to je\u0161t\u011b zkus\u00ed u n\u00e1s. M\u011bla v\u00fdrazn\u00e9 degenerativn\u00ed zm\u011bny na p\u00e1te\u0159i, bolesti j\u00ed \u0161ly do nohou. Nakonec jsme j\u00ed pomohli &#8211; pan\u00ed ode\u0161la vzp\u0159\u00edmen\u00e1, berle nepou\u017e\u00edvala a \u0159\u00edkala, \u017ee bolesti nem\u00e1. To m\u011b v\u017edycky ud\u011bl\u00e1 velkou radost, kdy\u017e mohu lidem pomoci, zbav\u00edme je bolest\u00ed, kter\u00fdmi trp\u011bli t\u0159eba deset let. Kdy\u017e ubude bolest postupn\u011b v ka\u017ed\u00e9m dal\u0161\u00edm \u010dlov\u011bku, je sv\u011bt o kous\u00ed\u010dek lep\u0161\u00ed.<\/p>\n<p><strong>&#8211; Pokud v\u00edm, tak pacienti obecn\u011b ub\u00fdvaj\u00ed. Nap\u0159\u00edklad v l\u00e9\u010debn\u011b v Lu\u017ei loni o 40 procent, m\u00e9n\u011b lid\u00ed m\u00ed\u0159\u00ed tak\u00e9 do l\u00e1zn\u00ed. Jak si z tohoto pohledu vede brand\u00fdsk\u00fd rehabilita\u010dn\u00ed \u00fastav?<\/strong><\/p>\n<p>Dnes to skute\u010dn\u011b nen\u00ed jednoduch\u00e9, legislativa se zm\u011bnila v neprosp\u011bch pacient\u016f na\u0161ich za\u0159\u00edzen\u00ed. Ani informovanost pacient\u016f a l\u00e9ka\u0159\u016f nen\u00ed stoprocentn\u00ed. Ale v\u011bt\u0161ina l\u00e9ka\u0159\u016f praktick\u00fdch i z l\u016f\u017ekov\u00fdch za\u0159\u00edzen\u00ed v\u00ed, \u017ee existuje N\u00e1vrh na l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di v odborn\u00e9 l\u00e9\u010debn\u011b, kter\u00fd mus\u00ed vyplnit praktick\u00fd l\u00e9ka\u0159 zpravidla na doporu\u010den\u00ed odborn\u00edka, anebo \u017ee k n\u00e1m m\u016f\u017ee b\u00fdt pacient p\u0159elo\u017een z l\u016f\u017ekov\u00e9ho odd\u011blen\u00ed. Ve srovn\u00e1n\u00ed s jin\u00fdmi za\u0159\u00edzen\u00edmi jsme na tom byli dob\u0159e, \u00fabytek pacient\u016f byl necel\u00fdch 20 procent. S t\u00edm souviselo i propu\u0161t\u011bn\u00ed n\u011bkolika zam\u011bstnanc\u016f. Bohu\u017eel i pacienti s pom\u011brn\u011b t\u011b\u017ek\u00fdmi diagn\u00f3zami z\u016fst\u00e1vaj\u00ed v pr\u00e1ci a berou tabletky, m\u00edsto aby \u0159e\u0161ili sv\u00e9 pot\u00ed\u017ee rehabilitac\u00ed a n\u011bkdy i opera\u010dn\u011b. Mo\u017en\u00e1, \u017ee lid\u00e9 v\u00edc pracuj\u00ed a m\u00ed\u0148 \u0159e\u0161\u00ed sebe a sv\u00e9 t\u011blo. A to je \u0161koda. Proto\u017ee n\u00e1sledn\u00e1 l\u00e9\u010dba, t\u0159eba i opera\u010dn\u00ed, tak m\u016f\u017ee b\u00fdt pro na\u0161e zdravotnictv\u00ed v\u00edce n\u00e1kladn\u00e1. V\u010dasn\u00e1 a kvalitn\u00ed rehabilitace \u0161et\u0159\u00ed pen\u00edze n\u00e1m v\u0161em a sou\u010dasn\u011b zabr\u00e1n\u00ed v\u011bt\u0161\u00edm probl\u00e9m\u016fm, bolestem i n\u00e1sledn\u00fdm zm\u011bn\u00e1m a po\u0161kozen\u00edm pohybov\u00e9ho apar\u00e1tu.<\/p>\n<p><strong>&#8211; Jak jde \u00fabytek pacient\u016f dohromady s t\u00edm, \u017ee na za\u010d\u00e1tku \u010dervna slavnostn\u011b otv\u00edr\u00e1te novou p\u0159\u00edstavbu \u00fastavu?<\/strong><\/p>\n<p>M\u00edsto posledn\u00ed etapy postupn\u00e9 rekonstrukce pam\u00e1tkov\u011b chr\u00e1n\u011bn\u00e9 budovy napl\u00e1novan\u00e9 p\u0159ed sedmi lety jsme se rozhodli p\u0159istav\u011bt zadn\u00ed trakt. Tato varianta byla m\u00e9n\u011b n\u00e1kladn\u00e1 a slo\u017eit\u00e1. Budova dostala n\u00e1zev Parkpavilon, proto\u017ee svou polohou plynule p\u0159ech\u00e1z\u00ed do parkov\u00e9, pam\u00e1tkov\u011b chr\u00e1n\u011bn\u00e9 \u010d\u00e1sti are\u00e1lu. Z tohoto d\u016fvodu je tak\u00e9 cel\u00e9 barevn\u00e9 lad\u011bn\u00ed nov\u00e9 budovy zelen\u00e9. M\u00e1me tak 42 nov\u00fdch l\u016f\u017eek ve 21 dvoul\u016f\u017ekov\u00fdch pokoj\u00edch, o kter\u00e9 maj\u00ed pacienti velk\u00fd z\u00e1jem. Z\u00e1rove\u0148 m\u00e1me k dispozici multifunk\u010dn\u00ed s\u00e1l, kter\u00fd slou\u017e\u00ed p\u0159edev\u0161\u00edm pro konference a kurzy jak pro fyzioterapeuty a l\u00e9ka\u0159e, tak pro laickou ve\u0159ejnost. Parkpavilon je ji\u017e v provozu, ale slavnostn\u011b bude otev\u0159en 5. \u010dervna 2013 za \u00fa\u010dasti hejtmana Pardubick\u00e9ho kraje.<\/p>\n<p><strong>&#8211; Znamen\u00e1 to, \u017ee u\u017e m\u016f\u017ee \u00fastav opustit i va\u0161e prostory b\u00fdval\u00e9ho hotelu Ji\u0159i\u010dka v t\u011bsn\u00e9m sousedstv\u00ed \u00fastavu?<\/strong><\/p>\n<p>Ne, jeho l\u016f\u017eka d\u00e1le pot\u0159ebujeme d\u00edky z\u00e1jmu pacient\u016f o relaxa\u010dn\u00ed a wellness pobyty v\u010detn\u011b placen\u00fdch l\u00e9\u010debn\u011b rehabilita\u010dn\u00edch pobyt\u016f a z\u00e1jmu pacient\u016f i z ciziny. Vyu\u017e\u00edv\u00e1me je i pro \u00fa\u010dastn\u00edky semin\u00e1\u0159\u016f a konferenc\u00ed.<\/p>\n<p><strong>&#8211; Jste z\u00e1rove\u0148 \u00fasp\u011b\u0161n\u00ed a z\u00e1rove\u0148 zaznamen\u00e1v\u00e1te \u00fabytek pacient\u016f, i kdy\u017e relativn\u011b je\u0161t\u011b p\u0159ijateln\u00fd. Jste tedy spokojena, anebo ne?<\/strong><\/p>\n<p>Jsem spokojena, proto\u017ee si n\u00e1\u0161 \u00fastav dok\u00e1zal vytvo\u0159it jm\u00e9no. Kdybychom neum\u011bli pacienty l\u00e9\u010dit, tak bychom jich tady m\u011bli o mnoho m\u00e9n\u011b. Velk\u00fd handicap je, \u017ee jsme daleko od velk\u00fdch m\u011bst a v tak mal\u00e9m m\u011bst\u011b. Velk\u00e1 \u010d\u00e1st hospitalizovan\u00fdch pacient\u016f m\u00e1 probl\u00e9m s t\u00edm, \u017ee si nem\u016f\u017ee dojet dom\u016f. Tak\u00e9 na ambulantn\u00ed vy\u0161et\u0159en\u00ed p\u0159ij\u00ed\u017ed\u00ed pacienti z cel\u00e9 republiky, ale nedoraz\u00ed jich tolik, proto\u017ee je to daleko. Vy\u0161kolen\u00e9 l\u00e9ka\u0159e, fyzioterapeuty a terapeuty na\u0161\u00ed metodou u\u017e m\u00e1me po cel\u00e9 republice, ale ambulantn\u00ed l\u00e9\u010dba nenahrad\u00ed l\u016f\u017ekovou rehabilita\u010dn\u00ed p\u00e9\u010di, kter\u00e1 je intenzivn\u011bj\u0161\u00ed a komplexn\u011bj\u0161\u00ed.<\/p>\n<p>Jaroslav Huben\u00fd<br \/>\nMlad\u00e1 fronta DNES<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>L\u00e9ka\u0159i v Rehabilita\u010dn\u00edm \u00fastavu v Brand\u00fdse nad Orlic\u00ed pom\u00e1haj\u00ed lidem, kter\u00e9 bol\u00ed z\u00e1da \u010di klouby, origin\u00e1ln\u00ed l\u00e9\u010debnou metodou. Pacienti si p\u0159i n\u00ed nap\u0159\u00edklad cvi\u010den\u00ed jen <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=5697\" title=\"Unik\u00e1tn\u00ed l\u00e9\u010dba: Pacient si pohyby t\u011bla p\u0159edstavuje jen ve sv\u00e9 mysli\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-5697","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/5697","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=5697"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/5697\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5697"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5697"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5697"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}