Neurol. pro Praxi, 2005; 6: 296-301

Rehabilitace ramenního pletence u hemiparetických nemocných

MUDr. Alois Krobot, Ph.D.
Klinika rehabilitace FN, Olomouc

Bolestivé rameno komplikuje průběh rehabilitace až u 80% nemocných po cévní mozkové příhodě, nejméně u každého desátého významně znehodnocuje výsledek funkční obnovy. Hemiparetické rameno je definované klinicky jako druhotná muskuloskeletní patologie. Jeho patogeneze je multifaktoriální, k manifestaci dochází kumulací následků vlastní neurologické ztráty s dalšími dysfunkčními a maladaptivními faktory. Terapie hemiparetického ramene je pouze paliativní, ideální formou je prevence. Určující strategií je predikce známých rizik a kineziologicky argumentovaná reedukace vertikalizační a lokomoční motoriky, která předchází impingement patokineziologii a progresi myoplastických změn na ramenním pletenci.

Keywords: Klíčová slova: iktus, hemiparetické rameno, rehabilitace, muskuloskeletní poruchy.

Published: January 1, 2006  Show citation

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Krobot A. Rehabilitace ramenního pletence u hemiparetických nemocných. Neurol. praxi. 2005;6(6):296-301.
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