{"id":6927,"date":"2025-07-14T10:16:48","date_gmt":"2025-07-14T08:16:48","guid":{"rendered":"https:\/\/martinkonvicka.cz\/?p=6927"},"modified":"2025-07-15T14:21:19","modified_gmt":"2025-07-15T12:21:19","slug":"lecba-bolesti-krku-pohybem","status":"publish","type":"post","link":"https:\/\/martinkonvicka.cz\/en\/lecba-bolesti-krku-pohybem\/","title":{"rendered":"L\u00e9\u010dba bolesti krku pohybem"},"content":{"rendered":"
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L\u00e9\u010dba bolesti krku pohybem <\/h2>\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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Zn\u00e1me to v\u0161ichni. Bolest kr\u010dn\u00ed p\u00e1te\u0159e m\u016f\u017ee b\u00fdt omezuj\u00edc\u00ed a nep\u0159\u00edjemn\u00e1. V n\u00e1sleduj\u00edc\u00edm \u010dl\u00e1nku si ji rozebereme a odpov\u00edme si na n\u00e1sleduj\u00edc\u00ed ot\u00e1zky.<\/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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Je nebezpe\u010dn\u00e1? \n

\nJak\u00e9 jsou jej\u00ed p\u0159\u00ed\u010diny?

\n Kdo je nejv\u00edce ohro\u017een?

\nCo ji ovliv\u0148uje?

\nJak ji m\u016f\u017eeme zm\u00edrnit?

\nJak\u00e9 cviky jsou nejlep\u0161\u00ed

\nJak cviky a pohyb d\u00e1vkovat, aby do\u0161lo ke zm\u00edrn\u011bn\u00ed bolesti
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\u00favod, anatomie \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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Kr\u010dn\u00ed p\u00e1te\u0159<\/strong> –\u00a0 je \u010d\u00e1st p\u00e1te\u0159e, kter\u00e1 se nach\u00e1z\u00ed v oblasti krku a je tvo\u0159ena sedmi obratly (C1-C7). Je kl\u00ed\u010dov\u00e1 pro podporu hlavy a umo\u017en\u011bn\u00ed pohybu krku a hlavy.<\/p>

S bolestmi se sekt\u00e1v\u00e1me hlavn\u011b na zadn\u00ed stran\u011b krku, kde se nach\u00e1zej\u00ed natahova\u010de krku (Trap\u00e9zov\u00fd sval. musculus splenius a dal\u0161\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

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P\u0159\u00ed\u010diny<\/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 d\u016fle\u017eit\u00e9 si uv\u011bdomit, \u017ee bolest kr\u010dn\u00ed p\u00e1te\u0159e nemus\u00ed b\u00fdt zp\u016fsobena pouze mechanick\u00fdm . po\u0161kozen\u00edm v t\u00e9to oblasti. Z toho plyne, \u017ee 90% bolest\u00ed kr\u010dn\u00ed p\u00e1te\u0159e je jsou takzvan\u00e9 bolesti nespecifick\u00e9 (ty jsou i p\u0159edm\u011btem tohoto \u010dl\u00e1nku). N\u00e1zev napov\u00edd\u00e1, \u017ee nezn\u00e1me skute\u010dnou p\u0159\u00ed\u010dinu bolesti. <\/b>T\u011bch p\u0159\u00ed\u010din m\u016f\u017ee b\u00fdt dle posledn\u00edch studi\u00ed mnoho.<\/p>

N\u00ed\u017ee uv\u00e1d\u00edm n\u011bkter\u00e9 z nich. Jsou to z m\u00e9ho pohledu ty nejd\u016fle\u017eit\u011bj\u0161\u00ed. Celkov\u00fd seznam p\u0159\u00ed\u010din by byl mnohem del\u0161\u00ed.<\/p>

  1. Nedostatek pohybu <\/b>– Z dlouhodob\u00e9ho hlediska je pohyb nejlep\u0161\u00ed l\u00e9k pro bolesti muskuloskelet\u00e1ln\u00edho apar\u00e1tu (Babatunde et al., 2017) . Jeho nedostatek je prokazateln\u011b spojen se zkracov\u00e1n\u00edm sval\u016f, zv\u00fd\u0161enou bolestivost\u00ed a citlivost\u00ed muskuloskelet\u00e1ln\u00edho apar\u00e1tu, slabost\u00ed a sn\u00ed\u017eenou v\u00fdkonnost\u00ed.<\/li>
  2. Strach z pohybu <\/b>– Pokud se ob\u00e1v\u00e1te bolesti plynouc\u00ed z pohybu, budete omezovat pohybov\u00fd rozsah, mno\u017estv\u00ed a rozmanitost pohybu, co\u017e povede k v\u011bt\u0161\u00ed monot\u00f3nnosti a t\u00edm ke zv\u00fd\u0161en\u00e9 bolestivosti. Lid\u00e9, kte\u0159\u00ed pravideln\u011b cvi\u010dili a m\u011bli men\u0161\u00ed m\u00edru strachu z pohybu, dok\u00e1zali sn\u00ed\u017eit m\u00edru bolesti oproti t\u011bm, kte\u0159\u00ed m\u011bli v\u011bt\u0161\u00ed strach z pohybu (Wood et al. 2023).<\/li>
  3. Nadm\u011brn\u00e9 sezen\u00ed –<\/b> Ze studi\u00ed v\u00edme, \u017ee sezen\u00ed del\u0161\u00ed ne\u017e 6 hodin denn\u011b m\u011blo negativn\u00ed dopad na zdrav\u00ed zad (Suri et al., 2018). Nebylo v\u0161ak prok\u00e1z\u00e1no, \u017ee druh sezen\u00ed m\u00e1 vliv na\u00a0 zdrav\u00ed zad. Pro zaj\u00edmavost ve studii (Richards et al., 2021) dokonce d\u00edvky, kter\u00e9 sed\u011bly s \u201cvadn\u00fdm dr\u017een\u00edm t\u011bla\u201d, m\u011bly sn\u00ed\u017eenou pravd\u011bpodobnost v\u00fdskytu bolestivosti kr\u010dn\u00ed p\u00e1te\u0159e ne\u017e ty, kter\u00e9 sed\u011bly \u201cspr\u00e1vn\u00fdm\u201d zp\u016fsobem.<\/li>
  4. Stres <\/b>– Nadm\u00edra dlouhodob\u011b nekompenzovan\u00e9ho negativn\u00edho stresu se m\u016f\u017ee projevit bolest\u00ed kr\u010dn\u00ed p\u00e1te\u0159e (Suri et al., 2018). M\u016f\u017ee to zp\u016fsobovat celkov\u00e1 hormon\u00e1ln\u00ed nerovnov\u00e1ha, vy\u0161\u0161\u00ed aktivace sympatick\u00e9ho nervov\u00e9ho syst\u00e9mu (bojuj nebo ute\u010d) \u010di celkov\u00e9 strnul\u00e9 dr\u017een\u00ed t\u011bla, proto\u017ee ve stresu se t\u011blo p\u0159ipravuje na mo\u017en\u00fd \u00fatok \u010di nebezpe\u010d\u00ed. Zjist\u00edme to nap\u0159\u00edklad tak, kdy\u017e je bolest men\u0161\u00ed na dovolen\u00e9 nebo v klidn\u011bj\u0161\u00edch f\u00e1z\u00edch roku. Je nutn\u00e9 podotknout, \u017ee stres v \u017eivot\u011b pot\u0159ebujeme pro zvy\u0161ov\u00e1n\u00ed \u00farovn\u011b dovednost\u00ed apod. Pokud v\u0161ak jeho m\u00edra dlouhodob\u011b p\u0159eroste, co\u017e se m\u016f\u017ee projevit nespavost\u00ed, podr\u00e1\u017ed\u011bnost\u00ed, zm\u00edn\u011bnou bolestivost\u00ed, sn\u00ed\u017eenou v\u00fdkonnost\u00ed apod., je nutn\u00e9 zapracovat na jeho sn\u00ed\u017een\u00ed a kompenzaci v dlouhodob\u00e9m horizontu.<\/li>
  5. Deprese, \u00fazkosti –<\/b> Tyto stavy jsou \u00fazce spojeny s nadm\u011brn\u00fdm stresem. To v\u0161e dohromady vytv\u00e1\u0159\u00ed zv\u00fd\u0161en\u00e9 riziko bolestivosti a citlivosti muskuloskelet\u00e1ln\u00edho apar\u00e1tu (Goubert, 2017). Pozitivn\u00ed vliv maj\u00ed n\u00e1v\u0161t\u011bvy psychologa, relaxa\u010dn\u00ed techniky, zvy\u0161ov\u00e1n\u00ed emo\u010dn\u00ed inteligence nebo zvy\u0161ov\u00e1n\u00ed odolnosti organismu (resilience) prost\u0159ednictv\u00edm rozumn\u011b d\u00e1vkovan\u00e9ho fyzick\u00e9ho a psychick\u00e9ho stresu.\u00a0\u00a0\u00a0<\/li>
  6. Kou\u0159en\u00ed<\/b> – Ve v\u00fdzkumu, kter\u00e9ho se z\u00fa\u010dastnilo 34525 dosp\u011bl\u00fdch ameri\u010dan\u016f,bylo prok\u00e1z\u00e1no, \u017ee ku\u0159\u00e1ci maj\u00ed v\u011bt\u0161\u00ed sklon k bolestem zad (36,9%) ne\u017e neku\u0159\u00e1ci (23,5%) (Green et al.,2016).<\/li>
  7. Pam\u011b\u0165 na bolest –<\/b> Je pravd\u011bpodobn\u00e9, \u017ee bolest m\u016f\u017ee b\u00fdt pevn\u011b zaryta v na\u0161\u00ed pam\u011bti a je to jen z\u00e1le\u017eitost nervov\u00e9ho syst\u00e9mu. To dokazuj\u00ed p\u0159\u00edpady, kdy po ztr\u00e1t\u011b pam\u011bti do\u0161lo i k odezn\u011bn\u00ed bolesti (Choi et al., 2017)<\/li>
  8. Bolest ramene <\/b>– Rameno a kr\u010dn\u00ed p\u00e1te\u0159 maj\u00ed k sob\u011b funk\u010dn\u011b bl\u00edzko. Navz\u00e1jem se ovliv\u0148uj\u00ed. To dokazuje i to, \u017ee maj\u00ed mnoho spole\u010dn\u00fdch rehabilita\u010dn\u00edch cvik\u016f. Pro potvrzen\u00ed tohoto p\u0159\u00edpadu je vhodn\u00e9 prov\u00e9st diagnostick\u00e9 provoka\u010dn\u00ed testy.\u00a0<\/li><\/ol>

    \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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    Jsou bolesti kr\u010dn\u00ed p\u00e1te\u0159e nebezpe\u010dn\u00e9?<\/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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    Jak \u0159\u00edk\u00e1 britsk\u00fd specialista na l\u00e9\u010dbu bolesti zad Ben Cormack, 99% v\u0161ech bolest\u00ed zad nejsou \u017eivot ohro\u017euj\u00edc\u00ed a v\u00fdrazn\u011b nebezpe\u010dn\u00e9 pro na\u0161 zdrav\u00ed. Mezi to 1% nebezpe\u010dn\u00fdch bolest\u00ed pat\u0159\u00ed bolesti zp\u016fsoben\u00e9 rakovinou, zlomeninami obratl\u016f, nebezpe\u010dn\u00fdmi v\u00fdh\u0159ezy plot\u00e9nek, z\u00fa\u017een\u00edm p\u00e1te\u0159n\u00edho kan\u00e1lu a jin\u00e9.<\/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

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    Diagnostika\n\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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    Diagnostiku je nutno v\u00e9st komplexn\u011b. To znamen\u00e1, \u017ee krom\u011b klasick\u00fdch zobrazovac\u00edch metod, kter\u00e9 z\u0159\u00eddkakdy pouk\u00e1\u017eou na skute\u010dnou p\u0159\u00ed\u010dinu probl\u00e9mu, je vhodn\u00e9 pou\u017e\u00edt i diagnostick\u00e9 provoka\u010dn\u00ed testy a hloubkov\u00fd rozhovor s klientem, kter\u00fd bude zam\u011b\u0159en na denn\u00ed re\u017eim, m\u00edru stresu, pohybov\u00fd re\u017eim, psychick\u00fd stav apod.\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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    L\u00e9\u010dba:\n\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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    Probereme si p\u0159edev\u0161\u00edm pohyb, kter\u00fd se jev\u00ed jako jeden z nejlep\u0161\u00edch n\u00e1stroj\u016f pro l\u00e9\u010dbu dlouhodob\u00e9 bolesti (Babatunde et al., 2017). Jeho v\u00fdhodou oproti pasivn\u00ed terapii, operac\u00edm \u010di mas\u00e1\u017e\u00edm je aktivn\u00ed slo\u017eka, kdy se \u010dlov\u011bk u\u010d\u00ed pomoci si s\u00e1m. To pak ovliv\u0148uje jeho sebev\u011bdom\u00ed, resilienci a schopnost s\u00e1m si pomoci. V\u00fdsledkem je pak i lep\u0161\u00ed psychick\u00fd stav, kter\u00fd zase pozitivn\u011b ovliv\u0148uje bolest.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Cvi\u010den\u00ed pro zm\u00edrn\u011bn\u00ed bolesti kr\u010dn\u00ed p\u00e1te\u0159e:\n<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Z m\u00e9 zku\u0161enosti jsou klienti, kte\u0159\u00ed pot\u0159ebuj\u00ed sp\u00ed\u0161e kr\u010dn\u00ed p\u00e1te\u0159 uvolnit. Jin\u00ed zase kr\u010dn\u00ed p\u00e1te\u0159 a p\u0159ilehl\u00e9 svalov\u00e9 skupiny pot\u0159ebuj\u00ed sp\u00ed\u0161e pos\u00edlit.<\/b>\u00a0 Nejv\u00edc se mi v\u0161ak osv\u011bd\u010dila kombinace obou zm\u00edn\u011bn\u00fdch.<\/p>

    P\u0159i posilov\u00e1n\u00ed se nejv\u00edce zam\u011b\u0159ujeme na svaly, kter\u00e9 jsou na kr\u010dn\u00ed p\u00e1te\u0159i nebo jsou um\u00edst\u011bny v jej\u00ed bl\u00edzkosti (mezilopatkov\u00e9, trap\u00e9zov\u00fd sval, svaly ramenn\u00edho pletence\u2026).<\/p>

    Cvi\u010den\u00ed pro bolest se li\u0161\u00ed od klasick\u00e9ho cvi\u010den\u00ed pro v\u00fdkon \u010di svalov\u00fd r\u016fst. Kl\u00ed\u010dovou prom\u011bnou je vn\u00edm\u00e1n\u00ed vlastn\u00edho t\u011bla. <\/b>V praxi to funguje tak, \u017ee pokud poci\u0165ujeme b\u011bhem cvi\u010den\u00ed a po cvi\u010den\u00ed intenzivn\u00ed bolest (od 5 do 10 na desetibodov\u00e9 \u0161k\u00e1le, kde 10 je nejv\u011bt\u0161\u00ed bolest a 1 nejmen\u0161\u00ed bolest), je pravd\u011bpodobn\u00e9, \u017ee cvi\u010den\u00ed je p\u0159\u00edli\u0161 intenzivn\u00ed. Pokud je bolest b\u011bhem cvi\u010den\u00ed minim\u00e1ln\u00ed (od 1 do 4 na desetibodov\u00e9 \u0161k\u00e1le), m\u016f\u017eeme p\u0159\u00ed\u0161t\u011b p\u0159idat na intenzit\u011b, objemu \u010di d\u00e9lce trv\u00e1n\u00ed. To ukazuj\u00ed i studie, kde rozumn\u00e1 d\u00e1vka pohybu vedla ke zm\u00edrn\u011bn\u00ed bolestivosti a p\u0159\u00edli\u0161 vysok\u00e1 d\u00e1vka naopak zhor\u0161ila v\u00fdstupn\u00ed stav (Vaegter, 2021).<\/p>

    N\u00ed\u017ee uv\u00e1d\u00edm moje nejosv\u011bd\u010den\u011bj\u0161\u00ed cviky pro uvoln\u011bn\u00ed a pos\u00edlen\u00ed kr\u010dn\u00ed p\u00e1te\u0159e.<\/b><\/p>

    Cviky pro uvoln\u011bn\u00ed prov\u00e1d\u011bjte 15x – 30 x s 3 sekundov\u00fdm zastaven\u00edm v krajn\u00edch poloh\u00e1ch. Cvik prov\u00e1d\u011bjte pomalu a uvoln\u011bn\u011b. Netla\u010dte do krajn\u00edch poloh na s\u00edlu.<\/p>

    Cviky pro pos\u00edlen\u00ed prov\u00e1d\u011bjte 10 x – 15 x. Odpor volte takov\u00fd, aby p\u0159i posledn\u00edch opakov\u00e1n\u00edch to pro v\u00e1s byla v\u00fdzva.<\/p>

    Kliknut\u00edm na dan\u00fd cvik se V\u00e1m zobraz\u00ed video zam\u011b\u0159uj\u00edc\u00ed se na zp\u016fsob proveden\u00ed cviku.<\/strong><\/p>

    Cviky pro uvoln\u011bn\u00ed:<\/b><\/p>

    1. Poloha na \u010dty\u0159ech<\/a>