{"id":349,"date":"2022-05-01T10:21:31","date_gmt":"2022-05-01T10:21:31","guid":{"rendered":"http:\/\/www.rehape.cz\/?page_id=349"},"modified":"2026-02-03T19:31:26","modified_gmt":"2026-02-03T19:31:26","slug":"bolesti-dolnich-zad","status":"publish","type":"page","link":"https:\/\/www.rehape.cz\/index.php\/bolesti-dolnich-zad\/","title":{"rendered":"Lumbalgie"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"446\" src=\"http:\/\/www.rehape.cz\/wp-content\/uploads\/2021\/05\/SI-4.jpg\" alt=\"\" class=\"wp-image-159\" style=\"width:320px;height:auto\" srcset=\"https:\/\/www.rehape.cz\/wp-content\/uploads\/2021\/05\/SI-4.jpg 768w, https:\/\/www.rehape.cz\/wp-content\/uploads\/2021\/05\/SI-4-300x174.jpg 300w\" sizes=\"(max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n\n\n\n<p>Lumbalgie vznikaj\u00ed v\u011bt\u0161inou jako d\u016fsledek p\u0159et\u00ed\u017een\u00ed, degenerativn\u00edch zm\u011bn, svalov\u00fdch dysbalanc\u00ed, \u00farazem nebo n\u00e1dorem. Projevuj\u00ed se jako prost\u00e1 bolest v doln\u00ed \u010d\u00e1sti zad nebo s projekc\u00ed do doln\u00ed(ch) kon\u010detin(y). Potom se hovo\u0159\u00ed o radikul\u00e1rn\u00edm dr\u00e1\u017ed\u011bn\u00ed. Lumbalgie v\u011bt\u0161inou prov\u00e1z\u00ed antalgick\u00e9 skoliotick\u00e9 dr\u017een\u00ed p\u00e1te\u0159e, omezen\u00ed rozsahu pohybu, neschopnost se narovnat, p\u0159i radikul\u00e1rn\u00edm dr\u00e1\u017ed\u011bn\u00ed doch\u00e1z\u00ed k v\u00fdpadku svalov\u00e9 s\u00edly, k oslaben\u00ed \u0161lachookostnicov\u00fdch reflex\u016f, neschopnost postavit se na patu\/\u0161pi\u010dku (z\u00e1le\u017e\u00ed na typu posti\u017een\u00ed). Pokud doch\u00e1z\u00ed k v\u00fdpadk\u016fm sv\u011bra\u010d\u016f, jedn\u00e1 se o syndrom kaudy, kdy je nutn\u00fd bezprost\u0159edn\u00ed opera\u010dn\u00ed v\u00fdkon. Jinak hroz\u00ed trval\u00e9 n\u00e1sledky z \u00fatlaku nervov\u00fdch struktur.<\/p>\n\n\n\n<p><strong>Co sledujeme<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>intenzitu a charakter bolesti (bodav\u00e1, p\u00e1liv\u00e1)<\/li>\n\n\n\n<li>rozsah omezen\u00ed pohybu<\/li>\n\n\n\n<li>p\u0159\u00edtomnost svalov\u00fdch spazm\u016f<\/li>\n\n\n\n<li>\u00falevov\u00e9 polohy (skoli\u00f3za)<\/li>\n\n\n\n<li>vyza\u0159ov\u00e1n\u00ed bolesti do dol\u00edch kon\u010detin (p\u0159\u00edznak ischiasu)<\/li>\n<\/ul>\n\n\n\n<p><strong>Terapie<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li> V\u010dasn\u00e1 rehabilitaci, aby se zabr\u00e1nilo dal\u0161\u00edm atak\u00e1m. <\/li>\n\n\n\n<li>Metoda prvn\u00ed volby je vhodn\u00e1 McKenzie metoda, kdy na z\u00e1klad\u011b vy\u0161et\u0159en\u00ed je ur\u010den tzv. sm\u011br preference. V preferovan\u00e9m sm\u011bru je vedena terapie- \u010dasto jeden jedin\u00fd cvik jedn\u00edm sm\u011brem. Doch\u00e1z\u00ed (mnohdy okam\u017eit\u011b) k redukci bolesti, zv\u00fd\u0161en\u00ed rozsahu pohybu a postupn\u00e9 obnov\u011b funkce p\u00e1te\u0159e. <\/li>\n\n\n\n<li>Pou\u010den\u00ed klienta o vhodn\u00fdch a nevhodn\u00fdch pohybech b\u011bhem l\u00e9\u010dby.<\/li>\n\n\n\n<li>Po odstran\u011bn\u00ed obt\u00ed\u017e\u00ed je vhodn\u00e1 postur\u00e1ln\u00ed stabilizace ve v\u00fdvojov\u00fdch \u0159ad\u00e1ch (kineziotapin, senzomotorick\u00e9 cvi\u010den\u00ed, cvi\u010den\u00ed na labiln\u00edch ploch\u00e1ch, \u0161kola zad).<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lumbalgie vznikaj\u00ed v\u011bt\u0161inou jako d\u016fsledek p\u0159et\u00ed\u017een\u00ed, degenerativn\u00edch zm\u011bn, svalov\u00fdch dysbalanc\u00ed, \u00farazem nebo n\u00e1dorem. Projevuj\u00ed se jako prost\u00e1 bolest v doln\u00ed \u010d\u00e1sti zad nebo s projekc\u00ed do doln\u00ed(ch) kon\u010detin(y). Potom se hovo\u0159\u00ed o radikul\u00e1rn\u00edm dr\u00e1\u017ed\u011bn\u00ed. Lumbalgie v\u011bt\u0161inou prov\u00e1z\u00ed antalgick\u00e9 skoliotick\u00e9 dr\u017een\u00ed p\u00e1te\u0159e, omezen\u00ed rozsahu pohybu, neschopnost se narovnat, p\u0159i radikul\u00e1rn\u00edm dr\u00e1\u017ed\u011bn\u00ed doch\u00e1z\u00ed k v\u00fdpadku svalov\u00e9 s\u00edly, &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.rehape.cz\/index.php\/bolesti-dolnich-zad\/\" class=\"more-link\">Pokra\u010dovat ve \u010dten\u00ed<span class=\"screen-reader-text\"> &#8222;Lumbalgie&#8220;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-349","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages\/349"}],"collection":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/comments?post=349"}],"version-history":[{"count":6,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages\/349\/revisions"}],"predecessor-version":[{"id":1000,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages\/349\/revisions\/1000"}],"wp:attachment":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/media?parent=349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}