{"id":512,"date":"2024-10-15T11:29:59","date_gmt":"2024-10-15T11:29:59","guid":{"rendered":"https:\/\/www.rehape.cz\/?page_id=512"},"modified":"2026-01-25T13:50:46","modified_gmt":"2026-01-25T13:50:46","slug":"plantarni-fascitida","status":"publish","type":"page","link":"https:\/\/www.rehape.cz\/index.php\/plantarni-fascitida\/","title":{"rendered":"Plant\u00e1rn\u00ed fascitida"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"441\" height=\"272\" src=\"https:\/\/www.rehape.cz\/wp-content\/uploads\/2026\/01\/Snimek-obrazovky-2026-01-25-145006.png\" alt=\"\" class=\"wp-image-889\" style=\"width:357px;height:auto\" srcset=\"https:\/\/www.rehape.cz\/wp-content\/uploads\/2026\/01\/Snimek-obrazovky-2026-01-25-145006.png 441w, https:\/\/www.rehape.cz\/wp-content\/uploads\/2026\/01\/Snimek-obrazovky-2026-01-25-145006-300x185.png 300w\" sizes=\"(max-width: 441px) 100vw, 441px\" \/><\/figure>\n\n\n\n<p><strong>Plant\u00e1rn\u00ed fascitida<\/strong><strong> = syndrom patn\u00ed ostruh<\/strong>y<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Plant\u00e1rn\u00ed fascitida je zp\u016fsobena iritac\u00ed (podr\u00e1\u017ed\u011bn\u00ed) za\u010d\u00e1tku plant\u00e1rn\u00ed fascie na tuberositas calcanei. Za\u010d\u00e1tek quadratus plantae je na kalkaneu a rozb\u00edh\u00e1 se v&nbsp;5 snopc\u00edh k&nbsp;prst\u016fm. P\u0159\u00ed\u010dinou je nadm\u011brn\u00e1 z\u00e1t\u011b\u017e plant\u00e1rn\u00ed fascie, nej\u010dast\u011bji repetitivn\u00ed, \u0161patn\u00e1 biomechanika doln\u00ed kon\u010detiny.<\/p>\n\n\n\n<p><strong>Rizikov\u00e9 faktory<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pes planus \u2013 ploch\u00e1 noha<\/li>\n\n\n\n<li>Pes cavus \u2013 vid\u00edme jen otlak paty, klouby pod prstama a prsty \u2013 elevace klenby no\u017en\u00ed<\/li>\n\n\n\n<li>Nadm\u011brn\u00e1 pronace nebo supinace<\/li>\n\n\n\n<li>Sn\u00ed\u017een\u00e1 DF kotn\u00edku<\/li>\n\n\n\n<li>Obezita<\/li>\n\n\n\n<li>Dlouhodob\u00fd stoj<\/li>\n<\/ul>\n\n\n\n<p>Polovina pacient\u016f s PF m\u00e1 patn\u00ed ostruhu, ale patn\u00ed ostruha nen\u00ed p\u0159\u00ed\u010dinou bolesti. Palpa\u010dn\u011b bolestiv\u00fd je za\u010d\u00e1tek plant\u00e1rn\u00ed fascie na medi\u00e1ln\u00ed tuberosit\u011b kalkaneu. Bolest se zv\u011bt\u0161uje pasivn\u00ed dorz\u00e1ln\u00ed flex\u00ed MTP sklouben\u00ed palce \u2013 test diagnostika stoj &#8211; palec mimo podlo\u017eku a zdvih\u00e1me nahoru. V\u00fdrazn\u00e1 bolest p\u0159i prvn\u00edch kroc\u00edch po r\u00e1nu.<\/p>\n\n\n\n<p><strong>Terapie<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li> ledov\u00e1n\u00ed n\u011bkolikr\u00e1t denn\u011b<\/li>\n\n\n\n<li>protahov\u00e1n\u00ed plant\u00e1rn\u00ed fascie a Achillovy \u0161lachy<\/li>\n\n\n\n<li>vlo\u017eky do bot<\/li>\n\n\n\n<li>klidov\u00e1 ort\u00e9za zabra\u0148uj\u00edc\u00ed PF v kotn\u00edku<\/li>\n\n\n\n<li>cvi\u010den\u00ed na korekci nohy<\/li>\n<\/ul>\n\n\n\n<p><strong>Cviky<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Prota\u017een\u00ed plant\u00e1rn\u00ed fascie<\/li>\n\n\n\n<li>Zved\u00e1n\u00ed l\u00fdtek<\/li>\n\n\n\n<li>Prota\u017een\u00ed prst\u016f<\/li>\n\n\n\n<li>Rolov\u00e1n\u00ed s&nbsp;tenisov\u00fdm m\u00ed\u010dkem<\/li>\n\n\n\n<li>Stisk prst\u016f na nohou<\/li>\n\n\n\n<li>M\u00ed\u010dek pod patou<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"181\" src=\"https:\/\/www.rehape.cz\/wp-content\/uploads\/2024\/11\/plantarni-fascitida-1.png\" alt=\"\" class=\"wp-image-555\" srcset=\"https:\/\/www.rehape.cz\/wp-content\/uploads\/2024\/11\/plantarni-fascitida-1.png 386w, https:\/\/www.rehape.cz\/wp-content\/uploads\/2024\/11\/plantarni-fascitida-1-300x141.png 300w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure><\/div>\n\n\n<p><strong>Fyzioterapie<\/strong><\/p>\n\n\n\n<p><strong>Svalov\u00e9 posilov\u00e1n\u00ed<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>N\u00e1cvik t\u0159\u00edbodov\u00e9 opory a rozlo\u017een\u00ed v\u00e1hy na obou DK;<\/li>\n\n\n\n<li>N\u00e1cvik centrovan\u00e9ho postaven\u00ed STK a ko\u0159enov\u00fdch kloub\u016f ve stoji a dynamick\u00fdch pohybech;<\/li>\n\n\n\n<li>C\u00edlen\u00e9 cvi\u010den\u00ed pro pos\u00edlen\u00ed oslaben\u00fdch sval\u016f, p\u0159edev\u0161\u00edm m. tibialis anterior, m. tibialis posterior, m. gluteus medius et maximus, hlubok\u00fdch stabiliz\u00e1tor\u016f KYK, mm. abdominis \u2013 spodn\u00ed \u010d\u00e1sti.<\/li>\n\n\n\n<li>Centrace ramenn\u00edch pletenc\u016f<\/li>\n\n\n\n<li>Aktivace HSS, v\u010detn\u011b edukace br\u00e1ni\u010dn\u00edho d\u00fdch\u00e1n\u00ed v kaud\u00e1ln\u00edm postaven\u00ed hrudn\u00edku.<\/li>\n<\/ul>\n\n\n\n<p><strong>Cvi\u010den\u00ed na roz\u0161\u00ed\u0159en\u00ed rozsahu pohybu<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dynamick\u00e9 a statick\u00e9 stre\u010dinkov\u00e9 cvi\u010den\u00ed pro zlep\u0161en\u00ed flexibility DF hlezenn\u00edho kloubu a KYK v\u0161emi sm\u011bry.<\/li>\n<\/ul>\n\n\n\n<p><strong>Edukace stereotypu ch\u016fze<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>N\u00e1cvik \u201emal\u00e9 nohy\u201c a ch\u016fze.<\/li>\n<\/ul>\n\n\n\n<p><strong>Redukce bolesti<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Uvoln\u011bn\u00ed hypertonick\u00fdch sval\u016f pomoc\u00ed PIR a mas\u00e1\u017en\u00ed pistole, pos\u00edlen\u00ed oslaben\u00fdch sval\u016f, odstran\u011bn\u00ed TrPs presurou.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Plant\u00e1rn\u00ed fascitida = syndrom patn\u00ed ostruhy Plant\u00e1rn\u00ed fascitida je zp\u016fsobena iritac\u00ed (podr\u00e1\u017ed\u011bn\u00ed) za\u010d\u00e1tku plant\u00e1rn\u00ed fascie na tuberositas calcanei. Za\u010d\u00e1tek quadratus plantae je na kalkaneu a rozb\u00edh\u00e1 se v&nbsp;5 snopc\u00edh k&nbsp;prst\u016fm. P\u0159\u00ed\u010dinou je nadm\u011brn\u00e1 z\u00e1t\u011b\u017e plant\u00e1rn\u00ed fascie, nej\u010dast\u011bji repetitivn\u00ed, \u0161patn\u00e1 biomechanika doln\u00ed kon\u010detiny. Rizikov\u00e9 faktory Polovina pacient\u016f s PF m\u00e1 patn\u00ed ostruhu, ale patn\u00ed ostruha nen\u00ed &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.rehape.cz\/index.php\/plantarni-fascitida\/\" class=\"more-link\">Pokra\u010dovat ve \u010dten\u00ed<span class=\"screen-reader-text\"> &#8222;Plant\u00e1rn\u00ed fascitida&#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-512","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages\/512"}],"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=512"}],"version-history":[{"count":4,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages\/512\/revisions"}],"predecessor-version":[{"id":890,"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/pages\/512\/revisions\/890"}],"wp:attachment":[{"href":"https:\/\/www.rehape.cz\/index.php\/wp-json\/wp\/v2\/media?parent=512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}