{"id":647,"date":"2024-08-26T22:45:12","date_gmt":"2024-08-26T20:45:12","guid":{"rendered":"https:\/\/dental-office.cz\/?p=647"},"modified":"2024-08-26T22:45:12","modified_gmt":"2024-08-26T20:45:12","slug":"problemy-s-celistnim-kloubem-fyzioterapeut-mgr-jakub-mertlik-odpovida","status":"publish","type":"post","link":"https:\/\/dental-office.cz\/en\/problemy-s-celistnim-kloubem-fyzioterapeut-mgr-jakub-mertlik-odpovida\/","title":{"rendered":"Probl\u00e9my s \u010delistn\u00edm kloubem? Fyzioterapeut Mgr. Jakub Mertl\u00edk odpov\u00edd\u00e1"},"content":{"rendered":"<div>\n<p>Probl\u00e9my s \u010delistn\u00edm kloubem jsou \u010dast\u011bj\u0161\u00ed, ne\u017e si mo\u017en\u00e1 mysl\u00edte. Nej\u010dast\u011bji si pacienti st\u011b\u017euj\u00ed na zvuky p\u0159i pohybu \u010delisti a bolest vyst\u0159eluj\u00edc\u00ed do r\u016fzn\u00fdch \u010d\u00e1st\u00ed obli\u010deje. Fyzioterapeut Mgr. Jakub Mertl\u00edk vysv\u011btluje, jak \u010delistn\u00ed kloub funguje, co m\u016f\u017ee zp\u016fsobit jeho dysfunkci, a jak d\u016fle\u017eit\u00e1 je spr\u00e1vn\u00e1 diagnostika.<\/p>\n<p class=\"v1MsoNormal\"><b>Jak\u00e9 jsou nej\u010dast\u011bj\u0161\u00ed p\u0159\u00edznaky probl\u00e9m\u016f s \u010delistn\u00edm kloubem, se kter\u00fdmi se pacienti na va\u0161i zubn\u00ed kliniku obrac\u00ed?<\/b><\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Mezi nej\u010dast\u011bj\u0161\u00ed p\u0159\u00edznaky popisovan\u00e9 pacienty rozhodn\u011b pat\u0159\u00ed nejr\u016fzn\u011bj\u0161\u00ed zvukov\u00e9 fenom\u00e9ny v oblasti \u010delistn\u00edho kloubu spojen\u00e9 s otev\u00edr\u00e1n\u00edm nebo zav\u00edr\u00e1n\u00edm \u00fast. D\u00e1le je to vyst\u0159elov\u00e1n\u00ed bolesti do \u010deln\u00ed kosti, do oblasti zub\u016f nebo o\u010d\u00ed. V neposledn\u00ed \u0159ad\u011b je to bolest vyst\u0159eluj\u00edc\u00ed za ucho.<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\"><b>M\u016f\u017eete vysv\u011btlit, jak funguje \u010delistn\u00ed kloub a jak\u00e9 jsou hlavn\u00ed funkce tohoto kloubu v souvislosti s \u00fastn\u00edm zdrav\u00edm?<\/b><\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Je to kloub spojuj\u00edc\u00ed doln\u00ed \u010delist s lebkou. Zaji\u0161\u0165uje zav\u00edr\u00e1n\u00ed a otev\u00edr\u00e1n\u00ed \u00fast, pohyby do stran a tak\u00e9 pom\u00e1h\u00e1 posouvat doln\u00ed \u010delist dop\u0159edu a dozadu. M\u00e1 kl\u00ed\u010dov\u00fd v\u00fdznam pro mimiku, mluven\u00ed, polyk\u00e1n\u00ed a \u017ev\u00fdk\u00e1n\u00ed.<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\"><b>Jak\u00e9 jsou mo\u017en\u00e9 p\u0159\u00ed\u010diny bolest\u00ed v oblasti \u010delistn\u00edho kloubu a jak\u00fd je postup diagnostiky t\u011bchto probl\u00e9m\u016f?<\/b><\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Mezi nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny bolesti \u010delistn\u00edho kloubu m\u016f\u017eeme zahrnout p\u0159et\u011b\u017eov\u00e1n\u00ed kloubu (nap\u0159. \u010dast\u00e9 \u017ev\u00fdk\u00e1n\u00ed, zat\u00edn\u00e1n\u00ed \u010delisti nebo bruxismus, trauma (\u00fader, p\u00e1d). Z hlediska fyzioterapie jsou zaj\u00edmav\u00e9 postur\u00e1ln\u00ed poruchy a probl\u00e9my s p\u00e1te\u0159\u00ed, kter\u00e9 mohou p\u0159\u00edmo \u010di nep\u0159\u00edmo ovliv\u0148ovat funkci \u010delistn\u00edho kloubu. Nezanedbatelnou p\u0159\u00ed\u010dinou jsou tak\u00e9 artritick\u00e9 obt\u00ed\u017ee nebo stres.<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Pro spr\u00e1vnou diagnostiku je velmi d\u016fle\u017eit\u00e1 vstupn\u00ed anamn\u00e9za, kdy se pacienta dotazujeme na konkr\u00e9tn\u00ed probl\u00e9m a d\u00e1le na mnoho (zd\u00e1nliv\u011b nesouvisej\u00edc\u00edch) dopl\u0148uj\u00edc\u00edch ot\u00e1zek. N\u00e1sleduje palpa\u010dn\u00ed, auskulta\u010dn\u00ed (vy\u0161et\u0159en\u00ed fonendoskopem) vy\u0161et\u0159en\u00ed a hodnocen\u00ed pohybu. Na z\u00e1klad\u011b t\u011bchto bod\u016f stanovujeme diagnostiku a n\u00e1slednou terapii. V p\u0159\u00edpad\u011b pot\u0159eby je mo\u017en\u00e9 vyu\u017e\u00edt dostupn\u00e9 zobrazovac\u00ed metody (rtg, MRI, CT) nebo dal\u0161\u00ed testy (nap\u0159. EMG).<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\"><b>Existuj\u00ed konkr\u00e9tn\u00ed faktory nebo n\u00e1vyky, kter\u00e9 mohou p\u0159isp\u011bt k v\u00fdvoji dysfunkce \u010delistn\u00edho kloubu?<\/b><\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Do t\u00e9to kategorie bych rozhodn\u011b za\u0159adil zmi\u0148ovan\u00fd bruxismus, \u0161patn\u00e9 postur\u00e1ln\u00ed n\u00e1vyky, nadm\u011brn\u00e9 \u017ev\u00fdk\u00e1n\u00ed a stres, kter\u00fd je st\u00e1le trochu podce\u0148ovan\u00fd. Mezi negativn\u00ed faktory m\u016f\u017eeme d\u00e1le za\u0159adit opakuj\u00edc\u00ed se chybn\u00e9 stereotypy \u010delist\u00ed a t\u00edm p\u00e1dem nespr\u00e1vn\u00e9 postaven\u00ed zub\u016f. \u0160patn\u00e9 jsou i n\u00e1vyky ve smyslu kous\u00e1n\u00ed neht\u016f nebo okusov\u00e1n\u00ed tu\u017eek.<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\"><b>Jak\u00e9 metody l\u00e9\u010dby a terapie nab\u00edz\u00edte pro pacienty s probl\u00e9my spojen\u00fdmi s \u010delistn\u00edm kloubem?<\/b><\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Pochopiteln\u011b neinvazivn\u00ed fyzioterapii, kter\u00e1 by v\u017edy m\u011bla p\u0159edch\u00e1zet p\u0159\u00edpadn\u00e9mu invazivn\u00edmu chirurgick\u00e9mu \u0159e\u0161en\u00ed. V\u0161e je samoz\u0159ejm\u011b konzultuv\u00e1no se specialisty z oboru dent\u00e1ln\u00ed medic\u00edny. Fyzioterapi\u00ed lze doc\u00edlit zm\u011bny postaven\u00ed \u010delistn\u00edho kloubu za pomoci specifick\u00fdch cvik\u016f. Dle pot\u0159eby jsou cviky voleny za \u00fa\u010delem pos\u00edlen\u00ed nebo relaxace sval\u016f orofaci\u00e1ln\u00ed oblasti. Fyzioterapie \u010delistn\u00edho kloubu je velmi specifick\u00e9 odv\u011btv\u00ed a je d\u016fle\u017eit\u00e9 uva\u017eovat komplexn\u011b. Co\u017e v mnoha p\u0159\u00edpadech znamen\u00e1, \u017ee na z\u00e1klad\u011b diagnostiky se terapie m\u016f\u017ee pon\u011bkud odd\u00e1lit od oblasti \u010delistn\u00edho kloubu. Nem\u00e9n\u011b d\u016fle\u017eit\u00e9 je zapracov\u00e1n\u00ed \u00fapravy za\u017eit\u00fdch n\u00e1vyk\u016f do b\u011b\u017en\u00e9ho dne.<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\"><b>Jak dlouho trv\u00e1 obvykl\u00fd pr\u016fb\u011bh fyzioterapeutick\u00e9ho programu pro pacienty s probl\u00e9my s \u010delistn\u00edm kloubem?<\/b><\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Ze zku\u0161enosti mohu \u0159\u00edct, \u017ee doba trv\u00e1n\u00ed fyzioterapeutick\u00e9ho pl\u00e1nu je velmi individu\u00e1ln\u00ed. Kdybych m\u011bl b\u00fdt alespo\u0148 trochu konkr\u00e9tn\u00ed, \u0159eknu 6-12 t\u00fddn\u016f. U n\u011bkter\u00fdch pacient\u016f dojde k vy\u0159e\u0161en\u00ed probl\u00e9mu a u jin\u00fdch se d\u00e1 mluvit o prov\u00e1d\u011bn\u00ed fyzioterapeutick\u00fdch cvik\u016f po dlouh\u00e1 l\u00e9ta. V\u017edy z\u00e1le\u017e\u00ed na stanoven\u00e9 diagn\u00f3ze a p\u0159\u00edstupu samotn\u00e9ho pacienta.<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\"><b>Existuj\u00ed specifick\u00e9 cvi\u010den\u00ed nebo terapeutick\u00e9 techniky, kter\u00e9 pacienti mohou prov\u00e1d\u011bt doma ke zlep\u0161en\u00ed sv\u00e9ho stavu?<\/b><\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Ur\u010dit\u011b ano! Jednotliv\u00e9 cviky jsou dost specifick\u00e9 a individu\u00e1ln\u00ed, ale kdyby cht\u011bl b\u00fdt n\u011bkdo preventista, doporu\u010dil bych p\u00e1r tip\u016f. Vyh\u00fdbejte se tvrd\u00fdm potravin\u00e1m, pokud vn\u00edm\u00e1te potencion\u00e1ln\u00ed probl\u00e9m. D\u00e1le omezte \u017ev\u00fdk\u00e1n\u00ed \u017ev\u00fdka\u010dek. Pro bruxisty plat\u00ed, a\u0165 pou\u017e\u00edvaj\u00ed no\u010dn\u00ed dlahu. A v ide\u00e1ln\u00edm p\u0159\u00edpad\u011b se zam\u011b\u0159te na potencion\u00e1ln\u00ed postur\u00e1ln\u00ed probl\u00e9my a v\u010das je \u0159e\u0161te. Zkr\u00e1tka a dob\u0159e aktivn\u00ed pohyb je prevence.<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\"><b>Jak \u010dasto by m\u011bli pacienti nav\u0161t\u011bvovat fyzioterapeuta ohledn\u011b \u010delistn\u00edho kloubu jako sou\u010d\u00e1st sv\u00e9 rutinn\u00ed dent\u00e1ln\u00ed p\u00e9\u010de?<\/b><\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Tato odpov\u011b\u010f by se asi m\u011bla odv\u00edjet od akutnosti probl\u00e9mu s \u010delistn\u00edm kloubem. V p\u0159\u00edpad\u011b akutn\u00edch probl\u00e9mu doporu\u010duji v\u010dasnou diagnostiku a n\u00e1sledn\u011b 1-2x\/t\u00fddn\u011b n\u00e1v\u0161t\u011bvu specialisty pro dobu 3 m\u011bs\u00edc\u016f. Pokud se jedn\u00e1 u\u017e o zal\u00e9\u010den\u00fd probl\u00e9m, je dobr\u00e9 zaj\u00edt za fyzioterapeutem 1x za 3-6 m\u011bs\u00edc\u016f.<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\"><b>Jak\u00e1 je spolupr\u00e1ce mezi fyzioterapeuty a zuba\u0159i na klinice p\u0159i l\u00e9\u010db\u011b pacient\u016f s \u010delistn\u00edmi probl\u00e9my?<\/b><\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">Obecn\u011b je mezioborov\u00e1 spolupr\u00e1ce nesm\u00edrn\u011b d\u016fle\u017eit\u00e1 a n\u00e1pomocn\u00e1, jeliko\u017e c\u00edl v\u0161ech specialist\u016f by m\u011bl b\u00fdt stejn\u00fd. Ulevit od bolesti a probl\u00e9m vyl\u00e9\u010dit. Tuto spolupr\u00e1ci v Dental office m\u00e1me a t\u00edm p\u00e1dem je zaji\u0161t\u011bna komplexn\u00ed a \u00fa\u010dinn\u00e1 l\u00e9\u010dba nejen u pacient\u016f s probl\u00e9my t\u00fdkaj\u00edc\u00edch se \u010delistn\u00edho kloubu.<\/p>\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">\n<\/div>\n<div>\n<p class=\"v1MsoNormal\">\n<\/div>\n<div>\n<div>\n<div>\n<div>\n<div>\n<div>\n<div>\n<div>\n<div><\/div>\n<div>\n<p class=\"v1MsoNormal\">\n<div>\n<div><\/div>\n<div>\n<p class=\"v1MsoNormal\">\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Na\u0161e klinika se zam\u011b\u0159uje na neinvazivn\u00ed l\u00e9\u010dbu probl\u00e9m\u016f s \u010delistn\u00edm kloubem, p\u0159i\u010dem\u017e klademe d\u016fraz na spolupr\u00e1ci mezi fyzioterapeuty a zuba\u0159i. Tento komplexn\u00ed p\u0159\u00edstup zaji\u0161\u0165uje efektivn\u00ed l\u00e9\u010dbu a dlouhodobou \u00falevu od bolesti.<\/p>","protected":false},"author":1,"featured_media":293,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-647","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-magazin"],"acf":[],"_links":{"self":[{"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/posts\/647","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/comments?post=647"}],"version-history":[{"count":1,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/posts\/647\/revisions"}],"predecessor-version":[{"id":648,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/posts\/647\/revisions\/648"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/media\/293"}],"wp:attachment":[{"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/media?parent=647"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/categories?post=647"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dental-office.cz\/en\/wp-json\/wp\/v2\/tags?post=647"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}