{"id":5555,"date":"2022-06-13T10:52:03","date_gmt":"2022-06-13T08:52:03","guid":{"rendered":"https:\/\/martinkonvicka.cz\/?p=5555"},"modified":"2022-06-16T10:51:05","modified_gmt":"2022-06-16T08:51:05","slug":"rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad","status":"publish","type":"post","link":"https:\/\/martinkonvicka.cz\/en\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/","title":{"rendered":"Rotace v ky\u010deln\u00edm kloubu jako znak zdrav\u00e9ho pohybu a bezbolestn\u00fdch zad"},"content":{"rendered":"
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Jak se testuje rotace v ky\u010deln\u00edm kloubu?\n
\nJak\u00e9 faktory ji zhor\u0161uj\u00ed \u010di zlep\u0161uj\u00ed?\n
\nJak souvis\u00ed dostate\u010dn\u00e1 rotace v ky\u010deln\u00edm kloubu s bolest\u00ed zad?\n
\nNa co se zam\u011b\u0159it p\u0159i n\u00e1prav\u011b?\n
\nJak\u00fd vliv m\u00e1 s\u00edla sval\u016f kolem ky\u010deln\u00edho kloubu na rotaci v ky\u010deln\u00edm kloubu<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong>P\u0159i stre\u010dinku, mobilit\u011b \u010di posilov\u00e1n\u00ed v\u00a0oblasti ky\u010deln\u00edho kloubu je ve\u0161ker\u00e1 pozornost d\u00e1v\u00e1na zano\u017een\u00ed, p\u0159edno\u017een\u00ed, uno\u017een\u00ed, ohnut\u00ed apod. Rotace jsou navzdory jejich kl\u00ed\u010dov\u00e9 \u00faloze ve zvy\u0161ov\u00e1n\u00ed v\u00fdkonnosti a prevenci zran\u011bn\u00ed a bolesti v\u00a0oblasti p\u00e1nve a zad nepr\u00e1vem opom\u00edjen\u00e9.<\/strong> Bohu\u017eel mnoho i pokro\u010dil\u00fdch cvi\u010denc\u016f nev\u00ed, jak se rotace v\u00a0ky\u010deln\u00edm kloubu testuj\u00ed a na co je d\u016fle\u017eit\u00e9 se zam\u011b\u0159it. Proto jsem napsal tento \u010dl\u00e1nek. V\u011b\u0159\u00edm, \u017ee ve v\u00e1s vytvo\u0159\u00ed podv\u011bdom\u00ed o dan\u00e9m probl\u00e9mu a t\u0159eba zjist\u00edte, \u017ee pr\u00e1v\u011b zde je Va\u0161e \u201eAchilova pata\u201c.<\/p>

Ky\u010deln\u00ed klouby jsou d\u016fle\u017eit\u00fdmi elementy mezi p\u00e1nv\u00ed a koleny. Cel\u00fd tento komplex ur\u010duje pohybov\u00fd vzor, jeho\u017e aktivita je koordinov\u00e1na b\u011bhem pohybu (3). Pohyblivost a dostate\u010dn\u00e1 s\u00edla sval\u016f kolem t\u011bchto kloub\u016f, je kl\u00ed\u010dov\u00e1 pro zdrav\u00fd pohyb a t\u011blesnou v\u00fdkonnost.<\/p>

\u010c\u00edm d\u00e1l \u010dast\u011bji se u m\u00fdch cvi\u010denc\u016f setk\u00e1v\u00e1m s\u00a0omezenou rotac\u00ed v\u00a0ky\u010deln\u00edm kloubu (d\u00e1le jen \u201eRKK\u201c),\u00a0navzdory dostate\u010dn\u00e9mu pohybov\u00e9mu rozsahu v zano\u017een\u00ed, uno\u017een\u00ed nebo p\u0159edno\u017een\u00ed.<\/p>

Zejm\u00e9na vnit\u0159n\u00ed rotace v\u00a0ky\u010dl\u00edch je \u010dasto omezena, s\u00a0\u010d\u00edm\u017e souvis\u00ed i oslaben\u00ed sval\u016f zaji\u0161\u0165uj\u00edc\u00edch vnit\u0159n\u00ed rotaci. Nerespektov\u00e1n\u00ed tohoto faktu p\u0159i rozcvi\u010dce nebo p\u0159i sestavov\u00e1n\u00ed tr\u00e9ninkov\u00e9ho programu pak m\u016f\u017ee negativn\u011b ovlivnit zdrav\u00ed a v\u00fdkonnost cvi\u010dence.<\/strong> Bez dostate\u010dn\u00e9 vnit\u0159n\u00ed rotace budou trp\u011bt z\u00e1da, ky\u010dle, kolena i kotn\u00edky. Nav\u00edc bude negativn\u011b ovlivn\u011bno proveden\u00ed d\u0159epu \u010di mrtv\u00e9ho tahu (4).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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M\u011b\u0159en\u00ed rozsahu pohybu v RKK <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Abychom mohli zhodnotit v\u00fdchoz\u00ed stav, je nutno zm\u011b\u0159it rozsah pohybu v rotaci.<\/strong> Nej\u010dast\u011bji se testuje vle\u017ee nebo v sed\u011b p\u0159i ohnut\u00e9 doln\u00ed kon\u010detin\u011b v kolenn\u00edm kloubu o 90 stup\u0148\u016f (viz. obr.1). Pohybem chodidla do vn\u011bj\u0161\u00ed strany testujeme vnit\u0159n\u00ed rotaci a v opa\u010dn\u00e9m sm\u011bru vn\u011bj\u0161\u00ed rotaci. Koleno a p\u00e1nev jsou fixov\u00e1ny.<\/p>

Nedostate\u010dnou vnit\u0159n\u00ed rotaci m\u016f\u017eete poznat i tak, \u017ee dan\u00fd \u010dlov\u011bk m\u00e1 p\u0159irozen\u011b vyto\u010den\u00e9 nohy v\u00a0extern\u00ed rotaci a toto v\u011bt\u0161inou p\u0159en\u00e1\u0161\u00ed do pohybu a tr\u00e9ninku<\/strong> (4).<\/p>

Obr.1 (1) \u2013 IR \u2013 vnit\u0159n\u00ed rotace, ER \u2013 vn\u011bj\u0161\u00ed rotace<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Pr\u016fm\u011brn\u00fd rozsah pohybu v rotac\u00edch ky\u010deln\u00edho kloubu \n<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Pr\u016fm\u011brn\u00fd aktivn\u00ed rozsah pohybu (bez dopomoci) u vnit\u0159n\u00ed rotace je cca 30 stup\u0148\u016f a u vn\u011bj\u0161\u00ed rotace cca 35 stup\u0148\u016f (2). U pasivn\u00ed rotace (s dopomoc\u00ed) je to pak je\u0161t\u011b o n\u011bco v\u00edce. P\u0159i sv\u00e9 praxi jsem se setkal i s\u00a0lidmi, jejich\u017e rozsah pohybu ve vnit\u0159n\u00ed rotaci nebyl v\u011bt\u0161\u00ed ne\u017e 0 stup\u0148\u016f. To je pak nutno br\u00e1t v\u00a0potaz p\u0159i sestavov\u00e1n\u00ed tr\u00e9ninkov\u00e9ho pl\u00e1nu i p\u0159i samotn\u00e9m cvi\u010den\u00ed.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Faktory ovliv\u0148uj\u00edc\u00ed RKK\n<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Dle (5) ji negativn\u011b ji ovliv\u0148uje v\u011bk, BMI a bolest v\u00a0ky\u010deln\u00edm kloubu. Postaven\u00ed hlavice kosti stehenn\u00ed v\u00a0kloubn\u00ed jamce a pohlav\u00ed hraje tak\u00e9 d\u016fle\u017eitou roli. \u017deny maj\u00ed v\u00a0pr\u016fm\u011bru vy\u0161\u0161\u00ed rozsah pohybu v\u00a0RKK ne\u017e mu\u017ei.<\/p>

Naopak nebyla zji\u0161t\u011bna korelace mezi pravideln\u011b prov\u00e1d\u011bnou aktivitou\/sportem a RKK. Ve studii (5) porovn\u00e1vali RKK mezi b\u011b\u017eci, fotbalisty, vzp\u011bra\u010di a st\u0159elci a nena\u0161li signifikantn\u00ed rozd\u00edly. \u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Vliv omezen\u00e9 vnit\u0159n\u00ed RKK na bolest zad\n<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Je prok\u00e1z\u00e1no, \u017ee omezen\u00e1 vnit\u0159n\u00ed RKK m\u016f\u017ee b\u00fdt kompenzov\u00e1na nadm\u011brnou rotac\u00ed v\u00a0kloubn\u00edm spojen\u00ed mezi bedern\u00ed \u010d\u00e1st\u00ed zad a p\u00e1nv\u00ed (2). Tato nadm\u011brn\u00e1 rotace je pak spojena s\u00a0mikrotraumaty, nadm\u011brn\u00fdm tlakem a bolest\u00ed doln\u00ed \u010d\u00e1sti zad.<\/strong> Ve studii (6) je pops\u00e1n vliv zlep\u0161en\u00e9ho rozsahu RKK na odstran\u011bn\u00ed bolesti zad a zv\u00fd\u0161en\u00ed funk\u010dn\u00ed v\u00fdkonnosti.<\/p>

Dal\u0161\u00edm prediktorem bolesti zad je nerovnov\u00e1ha v\u00a0pohybov\u00e9m rozsahu vnit\u0159n\u00ed RKK mezi levou a pravou stranou.<\/strong> Ti, u kter\u00fdch byla zji\u0161t\u011bna v\u011bt\u0161\u00ed nerovnov\u00e1ha v\u00a0t\u00e9to oblasti, \u010dast\u011bji trp\u011bli bolest\u00ed zad (2). Proto je d\u016fle\u017eit\u00e9 diagnostikovat, zdali prav\u00e1 i lev\u00e1 strana jsou na tom stejn\u011b.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Jak\u00fd vliv m\u00e1 s\u00edla sval\u016f kolem ky\u010deln\u00edho kloubu na RKK<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Nerovnov\u00e1ha v\u00a0rozsahu pohybu mezi vnit\u0159n\u00ed RKK a vn\u011bj\u0161\u00ed RKK\u00a0 (zpravidla je to o v\u00edce ne\u017e 15 stup\u0148\u016f) je krom\u011b bolesti zad prediktorem bolesti kolene, nadm\u011brn\u00e9ho p\u0159edozadn\u00edho postaven\u00ed stehenn\u00ed kost, dysfunkce SI sklouben\u00ed a artr\u00f3zy ky\u010deln\u00edho kloubu (7). Tato nerovnov\u00e1ha je \u010dasto zp\u016fsobena rozd\u00edlnou silou vnit\u0159n\u00edch a vn\u011bj\u0161\u00edch RKK.<\/strong><\/p>

Pokud m\u00e1 \u010dlov\u011bk v\u00fdrazn\u011b vy\u0161\u0161\u00ed rozsah pohybu ve vn\u011bj\u0161\u00ed RKK ne\u017e ve vnit\u0159n\u00ed, m\u00e1 \u010dasto v\u00fdrazn\u011b siln\u011bj\u0161\u00ed svaly zaji\u0161\u0165uj\u00edc\u00ed vn\u011bj\u0161\u00ed rotaci oproti sval\u016fm zaji\u0161\u0165uj\u00edc\u00edm vnit\u0159n\u00ed rotaci.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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N\u00e1prava<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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P\u0159i stanovov\u00e1n\u00ed vhodn\u00e9ho postupu je nejd\u0159\u00edve nutn\u00e1 diagnostika<\/strong>, abychom zjistili, jak\u00fd je rozsah pohybu v\u00a0RKK, zdali se vyskytuje nerovnov\u00e1ha mezi vnit\u0159n\u00edmi a vn\u011bj\u0161\u00edmi rot\u00e1tory, jak\u00e1 je s\u00edla sval\u016f zaji\u0161\u0165uj\u00edc\u00edch vnit\u0159n\u00ed a vn\u011bj\u0161\u00ed rotaci, pop\u0159. postaven\u00ed hlavice kloubu stehenn\u00ed kosti, jak\u00e9 m\u00e1 \u010dlov\u011bk pohybov\u00e9 vzory, jak siln\u00e9 jsou svaly v\u00a0okol\u00ed p\u00e1nve (h\u00fd\u017ed\u011b, psaoas\u2026), jak\u00e9 zran\u011bn\u00ed \u010dlov\u011bk prod\u011bla apod.<\/p>

Na z\u00e1klad\u011b zji\u0161t\u011bn\u00e9 p\u0159\u00ed\u010diny potom vol\u00edme vhodnou n\u00e1pravu.<\/p>

Kvalitn\u00ed rozcvi\u010dka je z\u00e1klad, proto do n\u00ed za\u0159a\u010fte dynamick\u00e9 rozeh\u0159\u00e1t\u00ed rot\u00e1tor\u016f ky\u010dle v\u00a0poloze vsed\u011b na zemi kdy stehna a b\u00e9rce jsou v\u00a0pozici 90 (viz. obr. 2). V\u00a0t\u00e9to poloze pot\u00e9 ot\u00e1\u010dejte trupem p\u0159i fixovan\u00fdch doln\u00edch kon\u010detin\u00e1ch nebo m\u011b\u0148te plynule pozici doln\u00edch kon\u010detin. T\u00edm zajist\u00edte vhodnou aktivaci a mobilitu RKK p\u0159ed cvi\u010debn\u00ed jednotkou. V\u00a0p\u0159\u00edpad\u011b oslaben\u00fdch vnit\u0159n\u00edch RKK jsou vhodn\u00e9 posilovac\u00ed cviky na pos\u00edlen\u00ed vnit\u0159n\u00edch rot\u00e1tor\u016f (viz. obr.3). V\u00a0p\u0159\u00edpad\u011b oslaben\u00fdch vn\u011bj\u0161\u00edch RKK jsou efektivn\u00ed cviky z\u00a0obr.4.<\/p>

Obr. 2 \u2013 Dynamick\u00e9 rozeh\u0159\u00e1t\u00ed vsed\u011b v pozici 90 \u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Obr. 3 \u2013 Posilov\u00e1n\u00ed vnit\u0159n\u00edch rot\u00e1tor\u016f ky\u010deln\u00edho kloubu<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Obr.4 \u2013 Posilov\u00e1n\u00ed vn\u011bj\u0161\u00edch rot\u00e1tor\u016f ky\u010deln\u00edho kloubu<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Attractive\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Nezbytn\u00e1 je adekv\u00e1tn\u00ed koordinace a stabilita v\u00a0ky\u010deln\u00edm kloubu.<\/strong> Efektivn\u00edmi cviky pro jejich zlep\u0161en\u00ed jsou pozice na 1 noze, zejm\u00e9na cvik letadlo (viz obr. 5), kdy na fixovan\u00e9 stojn\u00e9 doln\u00ed kon\u010detin\u011b rotujeme p\u00e1nv\u00ed dovnit\u0159 a ven p\u0159i stabilizovan\u00e9m trupu.<\/p>

Obr. 5 \u2013 Cvik Letadlo<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Z\u00e1v\u011br:<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Dostate\u010dn\u011b siln\u00e9 a mobiln\u00ed rot\u00e1tory jsou nezbytnou podm\u00ednkou pro zv\u00fd\u0161en\u00ed rozsahu pohybu v\u00a0ky\u010dl\u00edch, odstran\u011bn\u00ed bolesti zad \u010di kolene nebo spr\u00e1vn\u00e9 proveden\u00ed d\u0159epu a mrtv\u00e9ho tahu. Vyplat\u00ed se otestovat si, jak na tom jste a na z\u00e1klad\u011b toho zvolit vhodn\u00e9 n\u00e1pravn\u00e9 cvi\u010den\u00ed. Pokud nem\u00e1te dostate\u010dn\u00e9 znalosti a zku\u0161enosti, doporu\u010duji naj\u00edt si kvalitn\u00edho fyzioterapeuta nebo tren\u00e9ra, kter\u00fd V\u00e1s diagnostikuje, doporu\u010d\u00ed n\u00e1pravn\u00e9 cvi\u010den\u00ed a sestav\u00ed adekv\u00e1tn\u00ed tr\u00e9ninkov\u00fd pl\u00e1n.<\/strong><\/p>

\u00a0<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Pokud m\u00e1\u0161 jak\u00e9koliv dotazy \u010di n\u00e1vrhy, zanech koment\u00e1\u0159 pod \u010dl\u00e1nkem. \n
\n<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Pod\u00edvej se na dal\u0161\u00ed \u010dl\u00e1nky na BLOGU\t\n


\n<\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Reference:<\/b>\u00a0<\/p>

  1. Kouyoumdjian, P., Coulomb, R., Sanchez, T., & Asencio, G. (2012). Clinical evaluation of hip joint rotation range of motion in adults. Orthopaedics & traumatology, surgery & research : OTSR<\/em>, 98<\/em>(1), 17\u201323.<\/li>
  2. Sadeghisani, M., Manshadi, F. D., Kalantari, K. K., Rahimi, A., Namnik, N., Karimi, M. T., & Oskouei, A. E. (2015). Correlation between Hip Rotation Range-of-Motion Impairment and Low Back Pain. A Literature Review. Ortopedia, traumatologia, rehabilitacja<\/em>, 17<\/em>(5), 455\u2013462<\/li>
  3. Souza RB, Powers CM. Predictors of hip internal rotation during running an Evaluation of hip strength and femoral structurein women with and without patellofemoral pain. The American journal of sports medicine 2009; 37(3): 579-87<\/li>
  4. Sn\u00e1\u0161el, M. (2018).Velmi podce\u0148ovan\u00fd probl\u00e9m \u2013 Omezen\u00e1 vnit\u0159n\u00ed rotace v ky\u010dli. Z\u00edsk\u00e1no 5.6.2022, z http:\/\/coretraining.cz\/2018\/03\/velmi-podcenovany-problem-omezena-vnitrni-rotace-v-kycli\/<\/li>
  5. Kettunen, J. A., Kujala, U. M., R\u00e4ty, H., Videman, T., Sarna, S., Impivaara, O., & Koskinen, S. (2000). Factors associated with hip joint rotation in former elite athletes. British journal of sports medicine<\/em>, 34<\/em>(1), 44\u201348.<\/li>
  6. Grimshaw PN, Burden AM. Case report: reduction of low back pain in a professional golfer. Med Sci Sports Exerc 2000;
    32(10): 1667-73.<\/li>
  7. Cibulka, M. T., Strube, M. J., Meier, D., Selsor, M., Wheatley, C., Wilson, N. G., & Irrgang, J. J. (2010). Symmetrical and asymmetrical hip rotation and its relationship to hip rotator muscle strength. Clinical biomechanics (Bristol, Avon)<\/em>, 25<\/em>(1), 56\u201362.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

    Jak se testuje rotace v ky\u010deln\u00edm kloubu? Jak\u00e9 faktory ji zhor\u0161uj\u00ed \u010di zlep\u0161uj\u00ed? Jak souvis\u00ed dostate\u010dn\u00e1 rotace v ky\u010deln\u00edm kloubu s bolest\u00ed zad? Na co se zam\u011b\u0159it p\u0159i n\u00e1prav\u011b? Jak\u00fd vliv m\u00e1 s\u00edla sval\u016f kolem ky\u010deln\u00edho kloubu na rotaci v ky\u010deln\u00edm kloubu             P\u0159i stre\u010dinku, mobilit\u011b \u010di posilov\u00e1n\u00ed v oblasti ky\u010deln\u00edho kloubu je ve\u0161ker\u00e1 pozornost d\u00e1v\u00e1na […]<\/p>","protected":false},"author":6,"featured_media":5554,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"plain-container","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"disabled","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5555","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nRotace v ky\u010deln\u00edm kloubu jako znak zdrav\u00e9ho pohybu a bezbolestn\u00fdch zad - Martin Konvi\u010dka<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/martinkonvicka.cz\/en\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rotace v ky\u010deln\u00edm kloubu jako znak zdrav\u00e9ho pohybu a bezbolestn\u00fdch zad - Martin Konvi\u010dka\" \/>\n<meta property=\"og:description\" content=\"Jak se testuje rotace v ky\u010deln\u00edm kloubu? Jak\u00e9 faktory ji zhor\u0161uj\u00ed \u010di zlep\u0161uj\u00ed? Jak souvis\u00ed dostate\u010dn\u00e1 rotace v ky\u010deln\u00edm kloubu s bolest\u00ed zad? Na co se zam\u011b\u0159it p\u0159i n\u00e1prav\u011b? Jak\u00fd vliv m\u00e1 s\u00edla sval\u016f kolem ky\u010deln\u00edho kloubu na rotaci v ky\u010deln\u00edm kloubu             P\u0159i stre\u010dinku, mobilit\u011b \u010di posilov\u00e1n\u00ed v oblasti ky\u010deln\u00edho kloubu je ve\u0161ker\u00e1 pozornost d\u00e1v\u00e1na […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/martinkonvicka.cz\/en\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/\" \/>\n<meta property=\"og:site_name\" content=\"Martin Konvi\u010dka\" \/>\n<meta property=\"article:published_time\" content=\"2022-06-13T08:52:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-16T08:51:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/martinkonvicka.cz\/wp-content\/uploads\/2022\/06\/vnitnrni-rotace.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"758\" \/>\n\t<meta property=\"og:image:height\" content=\"604\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"mat\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mat\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/martinkonvicka.cz\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/martinkonvicka.cz\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/\"},\"author\":{\"name\":\"mat\",\"@id\":\"https:\/\/martinkonvicka.cz\/#\/schema\/person\/0ce8368362801239075a80b8e5fcca3e\"},\"headline\":\"Rotace v ky\u010deln\u00edm kloubu jako znak zdrav\u00e9ho pohybu a bezbolestn\u00fdch zad\",\"datePublished\":\"2022-06-13T08:52:03+00:00\",\"dateModified\":\"2022-06-16T08:51:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/martinkonvicka.cz\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/\"},\"wordCount\":1578,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/martinkonvicka.cz\/#organization\"},\"image\":{\"@id\":\"https:\/\/martinkonvicka.cz\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/martinkonvicka.cz\/wp-content\/uploads\/2022\/06\/vnitnrni-rotace.jpg\",\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/martinkonvicka.cz\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/martinkonvicka.cz\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/\",\"url\":\"https:\/\/martinkonvicka.cz\/rotace-v-kycelnim-kloubu-jako-znak-zdraveho-pohybu-a-bezbolestnych-zad\/\",\"name\":\"Rotace v ky\u010deln\u00edm kloubu jako znak zdrav\u00e9ho pohybu a bezbolestn\u00fdch zad - 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