Department of Sports Medicine

Basic information

The Department of Physical Education Medicine (formerly the Clinic of Physical Medicine of the 2nd Faculty of Medicine and FN Motol) is one of the outpatient departments of the Clinic of Rehabilitation and Physical Education. The content of the activity is mainly functional diagnostics for almost all age groups, from preschool children to the elderly.

The functional diagnosis is followed by movement therapy programs aimed especially at patients with developed civilization diseases within the so-called metabolic syndrome (ischemic heart disease, high blood pressure, type XNUMX diabetes, elevated blood fat levels). Other programs are aimed at patients with chronic respiratory diseases, to improve fitness before planned surgery (replacement of large joints, hernias, reoperation for congenital heart defects). An exercise regimen is no less important in the prevention of these diseases, especially if it is supplemented by an intervention in the area of ​​eating habits, as is the case in our department.

The department also provides preventive sports examinations for individuals and entire sports clubs, examinations to determine fitness and optimize training, some specialized sports examinations and nutrition counseling.

Primary
doc. MD Jiří Radvanský, CSc.
Email: jiri.radvansky@fnmotol.cz

 

Secretariat
Email: klin.tel.lek@fnmotol.cz
phone: 224 435 511

Specialization

The Department of Physical Education Medicine (formerly the Clinic of Physical Medicine of the 2nd Faculty of Medicine and FN Motol) is an outpatient part of the Clinic of Rehabilitation and Physical Education Medicine. The content of the activity is mainly functional diagnostics for almost all age groups, from preschool children to the elderly. The functional diagnosis is followed by movement therapy programs, advice on regime changes and modification of eating habits.

Main focus of the workplace:

  • children and adults with congenital heart disease or after its surgical correction (stress diagnostics, cardiovascular rehabilitation, improvement of the condition before the planned (re) operation),
  • stress functional diagnostics in children and adults (ergometry and spiroergometry on bicycle ergometer and on treadmill, winch ergometry, respiratory diagnostics),
  • functional diagnostics within the preoperative examination (especially thoracic surgery, large abdominal operations, solid organ transplantation) and within the indication of biomechanical prostheses,
  • advice on an adequate exercise regime for children and adult patients with chronic diseases or restrictions on physical activity,
  • within the framework of cooperation with the Children's Cardiocenter of the super council of care for child and adolescent athletes with cardiac disease (Sports Cardiology Center for Children and Adolescents),
  • counseling for chronic exertional dyspnea (in patients and otherwise healthy athletes),
  • exercise therapy (metabolic syndrome, cardiovascular disease, chronic respiratory disease, improvement of condition before surgical procedures - hernia/abdominal wall plastic surgery, large joint replacement, patients with oncological diseases and others),
  • nutritional interventions in patients,
  • preventive examination of athletes (prevention, determination of fitness, including VO2max and ventilation anaerobic threshold, lactate curve, physiotherapy, nutritional counseling, correction of running technique and other activities, sports ergonomics),
  • sports-specific diseases (energy deficit syndrome, overuse syndromes and others).

Sports tours

Preventive sports inspection is carried out at the request of an athlete (legal representative), club or sports association. No request for a doctor is required. Examination is not covered by health insurance, however, insurance companies usually contribute to the examination in return as part of benefit programs. The validity of the issued medical fitness certificate is set by law for a maximum of 12 months. The total examination time is approx. 30-45 minutes.

Ordering: on telephone number (224) 435 511
on weekdays 6:30 - 10:00 a.m.

Where to find us:
Building No. 9 (a single-storey building outside the main monoblock, adjacent to the FN Motol kindergarten) - after entering the building, the first door on the left ("sports tours").
telephone to the ambulance (building no. 9): (224) 435 511

Bring with you for the examination:

  • sportswear and footwear, ev. towel
  • in case this is the first visit to us - extract from medical records from the registering general practitioner
  • in the case of regular visits to specialist clinics (eg cardiology, neurology, orthopedics, rehabilitation ...) - last report from these ambulances
  • in the case of a motorsport inspection - a morning urine sample
  • payment of the sports tour: it is possible to pay by card or in cash
  • the prices of sports tours are fixed price list

In the case of an inspection with a minor athlete, the presence of a legal representative is required.

Equipment of the device

It is equipped with devices for non-invasive functional stress diagnostics at the top international level. It is possible to test patients and healthy people in a wide range of age (from children to seniors), weight (from about 20kg to 180kg or more), performance (from functionally severely limited patients to top athletes) and the state of the locomotor system (including patients with restricted movement in the load-bearing joints, after amputations, etc.).

The workplace has various types of ergometers for examinations in dynamic loads:

  • bicycle ergometer incl. modifications for children (from a height of about 125cm),
  • treadmill (treadmill) for adults (up to approx. 150 kg) and for children,
  • crank ergometer (winch),
  • rowing machine Concept2.
  • We also perform an orthostatic test on a folding bed and a handgrip test (static load).

We commonly use a wide range of diagnostic devices and methods such as:

  • resting and exercise ECG,
  • analysis of exhaled air using fast analyzers, we have the possibility of examination using canopy and Douglas bags (CPET - oxygen consumption, CO2, minute ventilation ...) including the possibility to set a ventilation anaerobic threshold,
  • spirometry, flow-volume curve at rest and in load to assess flowlimitation and hyperinflation, bronchodilation test, test to detect exercise bronchospasm, examination of respiratory muscle strength (RMT),
  • pulse oximetry (SpO2),
  • manual dynamometry (handgrip test),
  • 24-hour blood pressure monitoring (ABPM),
  • 24-hour - 5-day recording of heart rate and ECG in field conditions,
  • lactate test (Lactate Plus),
  • bioimpedance determination of body composition (Bodystat QuadScan 4000) and calibration,
  • bedside transthoracic ECHO and selected ultrasound examinations especially of soft tissues,
  • Doppler probe for peripheral vascular flow, PWV, ABI, TK gradient between HK and DK.
  • Blood pressure in the load is generally measured by an experienced nurse / doctor.

Some examinations are very time consuming and therefore we perform them only after prior agreement with the sending doctor / patient.

Price list Dept. of physical education medicine

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History

The history of the physical education clinic dates back to 1962, when the department of physical education medicine was established (at the FDL department of pediatrics), which also included rehabilitation, which did not yet exist as a separate field at that time. Prof. also attended the department at that time. V. Vojta, who developed the rehabilitation of children with DMO. After the children's clinic moved to Motola in 1969, the departments of physical education medicine and rehabilitation were separated. The rehabilitation department was then headed by prof. for almost 20 years. MD M. Máček, which is, of course, also intrinsically connected with the clinic of physical education medicine. From 1992 to 1999, the clinic was managed by prof. MD M. Kučera. In recent years, both clinics, i.e. the clinic of rehabilitation and the clinic of physical education medicine, were again merged into the Clinic of Rehabilitation and Physical Education Medicine.

Gallery

       
 
 
 
 

Contact

Primary:

doc. MD Jiří Radvanský, CSc.
tel .: (224) 439 432
(contact intended mainly for referring doctors and for consultations) 
Email: jiri.radvansky@fnmotol.cz
secretariat: klin.tel.lek@fnmotol.cz

Station nurse:

Martina Procházková

Appointments for examinations by phone on working days 6:30 - 10:00 a.m.
phone: (224) 435 511
ordering exercise therapy tel.: (224) 435 533

Doctors

MUDr. Vojtech Illinger
MUDr. Daniela Ondrichova Novakova
MD Martin Opočenský, Ph.D.
MD Jan Pokorný
MD Michal Procházka
doc. MD Jiří Radvanský, CSc.
MUDr. Sylvie Richter
MD Kryštof Slábý

Physiotherapists

Eliška Dařbujánová, Dis
M.Sc. Klára Kučerová
M.Sc. Michaela Ulrichová, Ph.D.
M.Sc. Marie Vitujová
M.Sc. Daniela Janáková

Nutritional therapist

Mgr. Marie Vitujova (Joachimova)

Movement therapist

Bc. Ondřej Růžek

Specialized counseling

Ambulance sports tours

telephone for ordering: 224 435 511
location: building no. 9

Movement therapy of internal diseases

e-mail for ordering: pokyhova.terapie@fnmotol.cz
telephone for ordering: 224 435 511

Counseling for exertional dyspnea

MDKryštof Slábý
The counseling center is intended for patients and otherwise healthy athletes with chronic breathing problems in connection with physical activity. In indicated cases, regimen measures and treatment follow the initial diagnosis.

telephone for ordering: 224 435 511
place: building no. 9

Nutrition counseling

M.Sc. Marie Vitujová
The counseling center is intended especially for adult and adolescent patients with overweight/obesity, underweight or some specific nutritional needs in sports.

telephone for ordering: 224 435 511
place: building no. 9

Advice on proper running techniques and sports ergonomics

Bc. Ondřej Růžek
The counseling center is intended for athletes from top to recreational, who need a change in running technique, eg due to pain or injuries, improved technique and performance, improved regeneration. It is also possible to consult technology and ergonomics, eg in cycling, swimming, Nordic walking, etc.

e-mail for ordering: ondrej.ruzek@fnmotol.cz
place: building no. 9 and the adjacent part of the complex

Counseling for energy deficit syndrome in sport

Michal Procházka, MD
The counseling center is intended for athletes suffering from energy deficit syndrome, formerly called the female athelte triad. This disorder takes many forms and carries many health risks. The care of these patients is long-term and interdisciplinary. Our workplace cooperates with a number of other specializations, so that the patient does not have to arrange all the necessary examinations himself, which would significantly slow down the care.

telephone for ordering: 224 435 511
place: building no. 9

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