Spinal unit at the Department of Rehabilitation and Sports Medicine, 2nd Medical Faculty, Charles University and University Hospital Motol

Basic information

The Spinal Unit is a department focused on providing comprehensive medical, rehabilitation and nursing care for patients with spinal cord lesions. It most often occurs as a result of an injury, but acute spinal cord damage can also occur on the basis of a vascular, tumor, inflammatory, demyelinating or other disease. The spinal unit is intended for patients in the subacute and chronic stages of spinal cord lesions. In the acute phase, patients are hospitalized in one of the 15 specialized spondylosurgical and orthopedic wards, after surgery and stabilization of vital functions they are usually transferred to the Spinal Unit after 1-2 weeks and after about 8-12 weeks to the Spinal Rehabilitation Unit of the Rehabilitation Institute. Around 250 patients go through this system every year after acute spinal cord trauma. Patients in the chronic stage of the spinal cord lesion come to the spinal unit either in the event of an acute deterioration of their health or to hospitalization before and after the planned surgical procedures. There are four spinal units in the Czech Republic, in addition to the Spinal Unit at the Department of Rehabilitation and Sports Medicine, Charles University, 2nd Medical Faculty and Motol University Hospital, it is also the Spinal Unit at the Traumatology and Orthopedic Center of the Liberec Regional Hospital, as and Spinal unit at the neurosurgical clinic of the University Hospital with the Ostrava polyclinic. The spinal unit at the Department of Rehabilitation and Sports Medicine of the 2nd Medical Faculty and the University Hospital in Motol was opened on 22.6 June. 2004. According to methodological measure 6/2002 of the Ministry of Foreign Affairs of the Czech Republic, it was included in the program of specialized care for patients with fresh spinal injuries.

History of spinal units in the Czech Republic

Already in the 50s - 60s of the last century prof. Beneš sought to establish centers in which patients will be treated after spinal cord injury. Sir was his role model. Ludwig Guttmann, who founded the first such spinal center in the post-war years in Stoke Mandeville, England. The efforts of prof. Beneš failed due to the reluctance of the then ministerial officials. In the 90s, the so-called Spinal Program began to emerge. Prof. Wendsche, who in 1992 opened the first spinal unit in the Czech Republic in Brno. The establishment of the Czech Spondylochiurgical Society in 1999 was crucial for the effective implementation of the spinal program of the Czech Republic. This effort was crowned in 2002 with the issuance of the Methodological Measure of the Ministry of Health of the Czech Republic, which established a network of spinal units in our republic. On the basis of this Methodological Measure, other spinal units began to emerge in 2003-2004, gradually in Ostrava, Liberec and Prague-Motol.

Management and personnel

Knowledge

XI. professional conference and meeting of spinal units

We would like to invite you to a conference organized by the Spinal Unit at the RHB and TVL Clinic in Motol. It will take place in 6.-7.6. 2019 in the Pyramida Hotel in Prague.

The conference is multidisciplinary and is intended for all those who have spinal patients in their care, or need only be interested in this issue.

All necessary information can be found on the conference website

http://konference.nellavision.com/

Spinal patient examination course

The VII Rehabilitation Clinic will take place this year. year of the Spinal Patient Examination Course. The course is intended for physicians, physiotherapists and occupational therapists who work with spinal patients.

date: 12. and 13.10. 2018

place: premises of the RHB and TVL Clinic in Motol (adult part, node D, minus 1st floor)

you will find all the necessary information in the invitation below

DNS congress with international participation

Prague, Hotel Clarion, September 7.9.2018, XNUMX

The main topic of the congress

Locomotor system medicine in sport

 

Main lecturer:

Prof. PaedDr. Pavel Kolar, PhD. (Prague)
Richard Ulm, DC
Brett Winchester, DC
Robert Lardner, PT (USA)

The complete program can be downloaded here

 

 

You can also find the program and other information on the website

www.rehabps.cz

Inpatient department

 The spinal unit has 16 beds, of which 2 beds are intermediate care for spontaneously ventilating patients requiring monitoring. At the ward, patients have access to barrier-free sanitary facilities, 2 exercise rooms and a common room.

Rehabilitation on the spinal unit

     The spinal unit provides intensive comprehensive rehabilitation care for patients with spinal cord lesions. The department is equipped with all available aids and devices for the treatment and rehabilitation of patients with spinal cord lesions.

Acute patient care

Physiotherapy

     Due to the different needs of acute and chronic patients, their therapies differ. Acute patients undergo intensive rehabilitation. It consists of individual physiotherapy, it is about 2 hours 1 therapy per day. Group exercise is added to individual therapy twice a week. Individual therapy is complemented by exercises on devices - verticalization table or stand, motomed letto and motomed viva. If the state of health allows it, the patient also undergoes therapy on the Lokomat device and functional electrical stimulation on the RT2 device.

     The physiotherapy plan includes kinesiotherapy, rehabilitation on a neurophysiological basis - Vojta's method, DNS concept - dynamic neuromuscular stabilization, Bobath concept, SET concept, mobilization and soft tissue techniques, respiratory rehabilitation, active and passive exercises and more.

Occupational therapy

      Occupational therapy is an essential part of the rehabilitation of acute patients. Its aim is to help restore or regain the activities needed to carry out normal daily activities (eg dressing, saturating, ...) lost as a result of an accident or illness. One of the important activities of an occupational therapist is to take care of the upper limbs (hands), which we need to perform normal daily activities.

     The occupational therapist uses various activities, activities, a modified environment and compensatory aids for his therapy. It also helps patients to choose these aids, always individually according to the patient's health condition and specific situation.

Care for chronic patients

     The nature of the care for chronic patients is determined by the difficulties for which they were admitted to the Spinal Unit. Usually, the condition of chronic patients does not require or even do not allow for intensive rehabilitation and occupational therapy, hospitalization is aimed at examining and resolving health complications, or preparation for planned surgeries. If the patient's state of health or current situation so requires, he or she undergoes physiotherapy or occupational therapy targeted at existing problems.

Good to know for hospitalization on the spinal unit

Room equipment

 The rooms are equipped with adjustable beds with anti-decubitus mattresses. Each bed has several signaling options for the nursing staff (electric bells, voice sensors or specially adapted signaling devices for patients with upper limb mobility).

Patients in the ward are hospitalized in double rooms, which are equipped with television, they can of course make full use of their own electronic devices. If the patient's medical condition does not allow him to control his mobile phone, the nursing staff will be happy to help him. In this case, it is also advisable to have a hands-free accessory that allows you to control your phone by voice. In our department it is possible to use a wireless internet connection.

What a patient needs to stay on the spinal unit

      The basic things that the patient will need during their stay with us include hygiene items and comfortable loose clothing for exercise - a T-shirt, sturdy shorts and long pants, sports shoes, preferably one size larger.

What relatives and loved ones should know

      Visiting hours on the ward are from 9:30 to 20:30. Patients have a planned rehabilitation and treatment program, so it is necessary to agree with the patient in advance on the appropriate timing of visits. In some cases, visits may be present during rehabilitation.

      Health information they will be given only to the persons indicated by the patient in the admission documentation. It is not possible to provide information by telephone without prior agreement. Security when communicating information is secured with a password.

     Consultation with the attending physician they are possible by prior arrangement during working hours from 7:00 to 15:00, in individual cases the consultation can be carried out even after working hours in the afternoon service.

Outpatient department

Doctor's clinic

       The spinal unit includes a specialist medical clinic, which provides outpatient care for patients with spinal cord lesions and their dispensary care.

        The outpatient clinic provides dispensary and supraconsiliary care for patients with chronic spinal cord injury, focusing on the specific difficulties of these patients, but does not aim to replace regular check-ups by general practitioners and outpatient specialists. The outpatient examination lasts approximately 60 minutes.

        In the event that you travel to us by ambulance, we will issue an order for the return journey to our department after the examination.

Order on the phone number: 224 439 253, 224 439 255, 224 439 207.

Ambulance office hours:

Prim doc. MUDr. Jiří Kříž, Ph.D. Mon, Thu 10,00-12,00

MUDr. Veronika Hyšperská We 8,30-14,00

MUDr. Renata Háková Thu 12,00-14,00

Physiotherapist clinic

       In agreement with the doctor, it is possible to complete the series on an outpatient basis in the indicated cases individual physiotherapy. The number of visits and the duration of physiotherapy depends on the individual agreement and the needs of the patient. Frequencies, specific dates and times are also determined individually, in agreement with the physiotherapist

Occupational therapy clinic

       In agreement with the doctor, it is possible to complete the series on an outpatient basis in the indicated cases individual occupational therapy. The number of visits and the duration of occupational therapy depends on the individual agreement and the needs of the patient.

Devices in patient therapy

• Pablo^®

Pablo's device^® used for robotic and computer diagnostics and hand therapy. It contains a wide range of therapeutic games, through which it is possible to strengthen the muscles of the hand and the entire upper limbs, train the coordination of the upper limbs and thus improve the overall function of all segments of the upper limbs. The Pablo device is possible in diagnostics^® used to measure grip muscle strength and measure the range of motion of the hand joints. Therapy can also focus on training attention, cognitive and fatal functions.

The device can be used in the treatment of subacute and chronic patients

Examination options

The device is able to measure the isometric force of grips, the active range of motion of the joints of the arm and hand.

 Possibilities of use for therapy

Using the Pablo device^® it is possible to practice and reeduce the active functions of the hand and arm through various purposefully designed interactive therapeutic games. Cognitive and fatal functions can also be trained through therapeutic games.

For whom therapy is not suitable

Therapy is not suitable for patients with orthostatic circulatory problems, unstable fractures, patients with severe osteoporosis, skin problems, if the patient is unable to actively cooperate, if the device cannot be adjusted correctly, severe spasticity (MAS 4), patients with apraxia and neglect syndrome, pain, swelling, arthritis of the wrists and fingers, in patients with a pacemaker

• MouthMouse - Intelligent^®

MouthMouse - Intelligent^® is a compensating aid for controlling a PC and a laptop as a replacement for a classic computer mouse or as a switch for other devices and equipment. This device allows you to control your computer in a supine or sitting position using lip, mouth and head movements. The oral mouse is intended for patients with impaired mobility due to paralysis or loss of the upper limbs, it can be used in subacute and chronic patients. The device can be used both at home and in medical or social facilities. The device includes replaceable cases made of non-hazardous material, which allow the user and one rod to be used by more than one user.

Device functions

all functions can be controlled with a mouthpiece

function to grab and move an object, such as an icon from place to place

movement of the mouse cursor in all directions, the speed of the mouse cursor depends on the deflection of the mouthpiece, it can be set, it is possible to set the mode for very sensitive cursor control and modes for the smallest possible movements of the head or mouth

 on-screen keyboard features

 possibility to use Game mode and books

can be extended with other functions, such as appliance control, TV, DVD, wireless messaging, wireless doorbell and microphone, smartphone, blinds, air conditioning, etc.

The MouthMouse can be mounted via a flexible construction with a control device^® to a table or other board and positioning as needed to the mouth. The device communicates with the controlled devices via an intelligent module, which also evaluates and analyzes movements.

• MOTOmed^® - therapeutic movement device for passive and active cyclic movement of the lower and upper limbs

• Redcord^® - rehabilitation aid for exercises on suspension ropes based on the SET concept.
• aids for verticalization, positioning, mechanical carts, jacks, overballs, unstable platforms, Therabandy, Flexi-bar
• devices for physical therapy (thermotherapy, hydrotherapy, phototherapy, electrotherapy), aids for respiratory rehabilitation

Devices used in the treatment of pressure ulcers

• VAC device and treatment system

The VAC (vacuum assisted closure) device and treatment system is a new method of treating problematic wounds, including soft tissue defects in open fractures. The principle is to create a negative pressure under the foil covering the wound, which helps the continuous drainage of interstitial fluid from the wound, reduces bacterial colonization, accelerates the formation of granulation tissue. This significantly shortens the preparation time of the substrate for the final wound covering and the total treatment time.

• Misonix SonicOne

Misonix SonicOne is a modern device that improves wound care. It is used in the first phase of wound healing - in the preparation of the wound bed.

Effects and goals of therapy

Successful removal of dead tissue (debridement) and no longer nourished tissue from the wound is a necessary first step in wound healing. SonicOne is different from other systems in that it facilitates extremely thorough debridement with minimal pain perception and excellent maintenance of healthy soft tissues. The built-in adjustable rinsing system allows dead cells, bacteria and inflammatory effusion to be more easily removed from the wound site, as an important element in wound cleaning.

Clinical experience with SonicOne shows that the wound is cleaned faster and the so-called granulation of its base, on which healing can then continue successfully. All this with significantly reduced bleeding and traumatization of the remaining tissue.

The principle of the device

The SonicOne generator converts a standard mains voltage to a 22,5 kHz electrical signal. The manual part uses high-efficiency piezoelectric crystals to convert the electrical signal into mechanical vibrations. The titanium alloy probe amplifies mechanical vibrations and transmits acoustic energy to the tissue through direct contact. The resulting mechanical and hydrodynamic effects cause the disruption of dead tissue, its further fragmentation and emulsion at the base of the wound.

Use of the device

The design of each SonicOne probe allows for efficiency in different tissue types. Clinical uses include diabetic lower limb ulcers, venous ulcers, pressure ulcers (bedsores) and burns. In our department, the device is used mainly in the treatment of pressure ulcers, both in hospitalized patients and in patients coming to the outpatient department.

Science and teaching

EMSCI - multicenter international database

EMSCI - Establishing a multi-center basis for future therapeutic interventions in human spinal cord inj

This is a multicenter study prepared and organized by the Balgrist Hospital Paraplegic Center in Zurich, Switzerland. The main researcher is prof. Dr. Volker Dietz. The aim of this study is to create a multicenter database for future therapeutic interventions in patients with spinal cord injury. Patients with spinal cord injuries with spinal cord injuries are included in the study. They are tested at regular intervals. There are four areas of examination. These are neurophysiological examinations, neurological examinations according to ASIA, functional tests and independence test. The purpose of the study is to standardize the procedures for conducting these tests and to collect as much anonymous data as possible. These are sent to the coordination center in Zurich and included in the central database.

Sponsor: International Foundation for Research in Paraplegia, Zurich

17 centers participate in the creation of the database, which work closely together in the implementation of prospective studies focused on:

• the relationship between electrophysiological, neurophysiological and functional examinations
• the prognostic value of the test results
• healing mechanisms
• research into new treatments

NISCI study

The FNM Spinal Unit is one of the partners of the international European project NISCI (Nogo Inhibition in Spinal Cord Injury). The aim of the study is to verify whether early intrathecal administration of antibody therapy can improve the movement and quality of life of tetraplegic patients after spinal cord trauma. More information about the study:

https://nisci-2020.eu

Voice Assistant pilot project

A pilot project is underway at the spinal unit, which deals with the use of a voice assistant with artificial intelligence. The subject of this pilot project is to verify the maturity of this technology and find suitable ways to use it to improve the quality of life of patients with spinal cord injury in institutional and home care.

The first phase of the project focused on the usability of the technology itself. Developments in the field of artificial intelligence have made significant progress in recent years, which, together with the miniaturization and growth of processor performance, advances in self-targeting surround microphones and the development of the so-called Internet of Things, has enabled the emergence of smart voice assistants. This technology is very affordable today. In addition, in many respects, earlier assistive technologies outperform both user and functionality.

Patients in the spinal unit go through a difficult period in the initial phase, when they begin to fully feel the effects of loss of self-sufficiency and, consequently, social separation. Patients with upper limb paralysis (tetraplegics) are testing this technology. These people rely on the help of another person, and initially almost everyone. The possibility of telephoning with family and loved ones, calling and remote communication with medical staff and increasing self-sufficiency in controlling the environment, such as television or light, increases the quality of life during hospitalization right from the start.

The next step was to establish cooperation with technological partners and manufacturers of medical beds for the development of a prototype control of the position of the medical bed. The first version of the prototype now provides patients with predominant paralysis of all four limbs to test the possibility of positioning the bed by voice.

Pilot project partners:

• Foundation movement without help
• Deepview
• Hardware
• Linette
• PetMAT
• Smíchov Secondary Industrial School

SPIDI - SPInal cord Diagnostic Improvement study

The importance of biomarkers in predictive diagnosis in patients after spinal cord injury

This is a multicenter study prepared and organized by the University Medical Center in St. Petersburg. Radboud in Netherlands. The main researcher is Hendrik Van de Meent, MD., PhD. The aim of this study is to determine the relationship between the values ​​of factors that leach into the cerebrospinal fluid after a brain and spinal cord injury and the extent of the spinal cord injury. It is therefore possible to predict the extent of the injury immediately after the accident.

Respiratory system dysfunction in patients with spinal cord injury

Grant NT 12381, IGA-MZČR-2011-2015

The main researcher of the study is MUDr. Jan Sulc, CSc. The study began in 2010 and is expected to end in 2015. It focuses on the diagnosis of respiratory dysfunctions (RD), the refinement of the assessment of the clinical condition of patients with spinal cord lesions and the prevention of long-term consequences of RD after SCI. The methodological procedure is repeated performance of special methods of functional lung examination while maintaining the existing examination and rehabilitation procedures, in one patient there are a total of 6 examinations during the first year after the development of the spinal cord lesion. The aim of the study is to select methods of functional lung examination that enable improved detection of RD and prediction of their development. The aim is also to define specific combinations of lung function abnormalities that vary according to the neurological level of the spinal cord lesion or its severity (according to the AIS scale).

Undergraduate teaching

2nd Faculty of Medicine, Charles University

1st year NMgr. physiotherapy - Methodical procedures in the work of a doctor - spinal unit

3rd year Bc. physiotherapy - Physiotherapy on the spinal unit

4th year medici - Problems of medical rehabilitation in the spinal unit

Medici angl. - Rehabilitation in patients after SCI, Rehabilitation in orthopedic medicine

Clinical practice of students Bc. and NMgr. physiotherapy

3rd Faculty of Medicine, Charles University

3rd, 4th, 5th and 6th year

Spinal cord injury - spinal program, Soft knee injury, Rehabilitation after spine injury, spinal program for spinal cord injury

Medici angl. - Rehabilitation after spinal trauma, spinal program in paraplegia

Postgraduate teaching

Pre-certification course Rehabilitation in neurology - spinal cord injury

Vojta's method course - Patient after spinal cord injury, stages, treatment, possibilities of physiotherapy

Publications

Kriz J. et al. Spinal cord injury - Causes, consequences, organization of care. Galen 2019. ISBN 9788074924248

http://www.galen.cz/idistrik/vydav/?page[book]=5791

Expected functional results in motorized complete spinal cord lesions. Spinal unit at the Department of Rehabilitation and Sports Medicine, 2nd Medical Faculty, Charles University and University Hospital in Motol 2018.

• expected-functional-results.pdf (2,51 MB)

Brochures

Load in relief or exercise with pressure ulcers. Spinal unit at the Department of Rehabilitation and Sports Medicine, 2nd Medical Faculty, Charles University and University Hospital in Motol 2019.

• zatizeni_v_odlehceni.pdf (5,27 MB)
• exercise_despite_limitation.pdf (5,27 MB)

Breathing must also be taken care of. Spinal unit at the Department of Rehabilitation and Sports Medicine, 2nd Medical Faculty, Charles University and University Hospital in Motol 2016.

• io-dychani-je-musí-pecovat.pdf (3,85 MB)
• Breathing is important too (2,13 MB)

Exercise at home - tetraplegia. Spinal unit at the Department of Rehabilitation and Sports Medicine of the 2nd Medical Faculty of Charles University and the University Hospital in Motol in cooperation with the Czech Association of Paraplegics - CZEPA 2014.

• exercises_at_home_tetraplegia.pdf (4,60 MB)

About meeting and support at the Spinal Unit. Spinal unit at the Department of Rehabilitation and Sports Medicine, 2nd Medical Faculty, Charles University and University Hospital in Motol 2014.

• about-meeting-and-supporting-the-spinal-unit.pdf(492,00 KB)

And life goes on ... Spinal unit at the Department of Rehabilitation and Sports Medicine, 2nd Medical Faculty, Charles University and University Hospital in Motol 2012

Posters

On Spinal cord Injury Day 2016, the Spinal Unit team created a set of posters that describe the basic areas of spinal patient care from the perspective of individual professions.

• sci-day-posters.pdf (10,85 MB)

On the same occasion, Spinal Injury Day, a conference on Prevention and Early Treatment of Pressure ulcers in patients with spinal cord injury was held on September 4, 2017, organized by the FNM Spinal Unit. At the same time, this poster was created on the topic, which is also available in printed form in the form of a leaflet at the Spinal Unit.

• poster-decubitus-d (31,19 MB)

Chapters in foreign monographs

Bodine C, Chen Y, Chhabra H, Donovan W, D'Andrea Grepe J, Jessup N, Kiekens C, Kim S, Kriz J, Li J, Li L, Lukersmith S, Marshall R, Office A, Purves S, Qu H , Vogel L, Per von Groote M, Waring W, Webel J, Weerts E. Chapter 5: Health systems strengthening. In: Bickenbach J. et al. (eds.) International Perspectives on Spinal Cord Injuries. World Health Organization 2013: 93-120. ISBN 978-92-4-156466-3

http://apps.who.int/iris/bitstream/10665/94190/1/9789241564663_eng.pdf

Cross J. Spinal cord injury. In: Kolář P et al. (eds). Clinical rehabilitation. Rehabilitation Prague School. 2013: 384-389. ISBN 978-80-905438-0-5

Kriz J, Hysperska V. Spinal cord syndromes. In: Kolar P et al. (eds). Clinical rehabilitation. Rehabilitation Prague School. 2013: 85-86. ISBN 978-80-905438-0-5

Chapters in Czech monographs

Cross J. Spinal cord diseases. In: Tomek A. et al. (eds.) Neurointensive care - a practical guide. Prague: Mladá fronta, Edition of postgraduate medicine 2012: 403-420. ISBN 978-80-204-2659-8

Cross J. Spinal cord lesions. In: Vacek J, Jandová D (eds.) Manual of rehabilitation and physical therapy. 1st ed. , Prague, Raabe. 2012: B4 / 1-24. ISSN 1805-0417

Cross J. Spinal cord damage. In: Kolář P et al. (eds). Rehabilitation in clinical practice. 1st ed., Prague, Galén. 2010: 352-356. ISBN 978-80-7262-657-1

Kriz J, Hysperska V. Spinal syndrome. In: Kolář P et al. (eds). Rehabilitation in clinical practice. 1st ed., Prague, Galén. 2010: 80-81. ISBN 978-80-7262-657-1

Works published in professional journals - abroad

Kriz J, Relichova Z. Intermittent Self-catheterization in Tetraplegic Patients - A Six-Year Experience Gained in the Spinal Cord Unit in Prague. Spinal Cord 2013; in press. ISSN 1362-4393

http://www.nature.com/sc/journal/vaop/ncurrent/full/sc2013154a.html

Kriz J, Andel R, Hakova R. Delayed diagnosis of an unsuspected pelvic fracture in a patient with tetraplegia. J Spinal Cord Med. 2013; in press. ISSN 1079-0268

Kriz J, Kozak J, Zedka M. Primary motor cortex inhibition in spinal cord injuries. Neuro Endocrinol Lett. 2012;33(4):101-111. ISSN 0172-780X

Van Middendorp JJ, Pouw MH, Hayes KC, Williams R, Chhabra HS, Putz C, Veth R, Geurts A, Aito S, Kriz J, McKinley W, van Asbeck F, Curt A, Fehlings MG, Van de Meent H, Hosman AND; EM-SCI Study Group. Diagnostic criteria of traumatic central cord syndrome. Part 2: A Questionnaire Survey among Spine Specialists. Spinal Cord 2010; 48 (9): 657-663. ISNN 1362-4393

http://www.nature.com/sc/journal/v48/n9/full/sc201072a.html

Van Hedel HJA, Dietz V, Meiners T, Benito J, Abel R, Meindl R, Marcus O, Röhl K, Thietje R, Gerner HJ, Harms J, Potulski M, Maier D, Duysens J, Bussel B, Kriz J, Al -Khodairy A, Kaps HP, Kalke YB. Walking during daily life can be validly and responsibly assessed in subjects with a spinal cord injury. Neurorehabil Neural Repair 2009; 23(2): 117-124

Works published in professional journals published in the Czech Republic

Kriz J, Hlinkova Z. Neurorehabilitation of sensorimotor functions after spinal cord injury. Cesk Slov Neurol N 2016; 79/112 (4): 378-394.

http://www.csnn.eu/ceska-slovenska-neurologie-clanek/neurorehabilitace-senzomotorickych-funkci-po-poraneni-michy-58731

Cross J. Spasticity after spinal cord injury. Rehabil. Léč., 22, 2015, No. 3, pp. 128-135.

Cross J, Hlinková Z, Slabý K. Changes in metabolism after spinal cord injury. Part 1: Differences in body composition and metabolic consequences. DMEV. 2014; 17(4): 209-213.

http://www.tigis.cz/images/stories/DMEV/2014/04/kriz.pdf

Kriz J, Hlinkova Z. Changes in metabolism after spinal cord injury. Part 2: Possibilities of influencing energy expenditure by physical activity. DMEV. 2017; 20(2): 88-93.

http://www.tigis.cz/images/stories/DMEV/2017/02/DMEV_2_2017_Kriz.pdf

Hlinkova Z., Joachimova M., Kriz J. Changes in metabolism after spinal cord injury. Part 3: Possibilities of influencing energy intake. DMEV. 2017; 20(3): 152-156.

http://www.tigis.cz/images/stories/DMEV/2017/03/DMEV_Clanek_3_2017_Hlinkova.pdf

Kříž J, Háková R, Hyšperská V, Hlinková Z, Lukáš R, Andel R. International Standards for Neurological Classification of Spinal Cord Injury - Revision 2013. Cesk Slov Neurol N 2014; 77/110 (1): 77-81.

http://www.csnn.eu/ceska-slovenska-neurologie-clanek/mezinarodni-standardy-pro-neurologickou-klasifikaci-misniho-poraneni-revize-2013-47214

Kriz J, Rejchrt M. Autonomic dysreflexia - a serious complication in patients after spinal cord injury. Cesk Slov Neurol N 2014; 77/110 (2): 168-173.

http://www.csnn.eu/ceska-slovenska-neurologie-clanek/autonomni-dysreflexie-zavazna-komplikace-u-pacientu-po-poraneni-michy-48186

Kriz J, Hysperska V. Development of neurological and functional image after spinal cord injury. Cesk Slov Neurol N 2014; 77/110 (2): 186-195.

http://www.csnn.eu/ceska-slovenska-neurologie-clanek/vyvoj-neurologickeho-a-funkcniho-obrazu-po-poraneni-michy-48190

Cross J, Kafunkova P, Schreier B, Kolar P. Suspended locomotion training in patients after spinal cord injury. Czech Words Neurol N. 2010; 73 (2): 124-130. ISSN 1210-7859

Reviewed publications

Kriz J, Hlinkova Z. Respiratory complications in patients after spinal cord injury and their solution at the Motol University Hospital Spinal Unit. Rehabilitation and physical medicine 2014, year. 21, No. 1, pp. 16-20.

Cross J. Spinal program in the Czech Republic - history, present, perspectives. Neurol. practice 2013; 3: 140–143. ISSN 1213-1814

http://www.neurologiepropraxi.cz/pdfs/neu/2013/03/07.pdf

Kriz J, Hysperska V. Risk conditions in patients in the chronic phase after spinal cord injury. Neurol. practice 2009; 10 (3): 137-142. ISSN 1213-1814

http://www.neurologiepropraxi.cz/pdfs/neu/2009/03/03.pdf

Kriz J, Chvostova S. Examination and rehabilitation procedures in patients after spinal cord injury. Neurol. practice 2009; 10 (3): 143-147. ISSN 1213-1814

http://www.neurologiepropraxi.cz/pdfs/neu/2009/03/05.pdf

Hysperska V, Kriz J. Diagnosis and treatment of pain in patients after spinal cord injury - our experience. Neurol. practice 2009; 10 (3): 153-159. ISSN 1213-1814

http://www.neurologiepropraxi.cz/pdfs/neu/2009/03/06.pdf

Oplatkova L, Kriz J. Medical rehabilitation at the spinal unit in the Motol University Hospital. Sanquis 2006; 47: 22-25. ISSN 1212-6535

http://www.sanquis.cz/index1.php?linkID=art207

Unreviewed publications

Kriz J, Faltynkova Z. Treatment and rehabilitation of patients with spinal cord injuries - a guide for general practitioners. Czech Association of Paraplegics with the support of the Ministry of Health of the Czech Republic 2013.

http://www.czepa.cz/news/edukacni-materialy-publikace/

Cross J. Care at the Spinal Unit of the University Hospital in Motol. Helios 2013; 1:4–5.

Cross J. Dangerous spinal cord injuries. Medical newspaper 2010; 59 (22) (Patient sheets): 22–24. ISSN 1805-2355

Kříž J. A doctor's view of the benefits of a hospital clergyman. Diagnosis in nursing 2010; 6 (5): 41. ISSN: 1801-1349

http://www.promediamotion.cz/wp-content/uploads/2011/03/DG_05_10.pdf

Kriz J, Kozak J. Recommended procedures for classification and treatment of pain in patients after spinal cord injury. Association of Paraplegics with the support of the Ministry of Health of the Czech Republic 2006.

http://www.spinalcord.cz/cz/publikace/

Kriz J, Spanhelova S. Rehabilitation of patients after spinal cord injury. Medical newspaper 2005; 54 (29) (Medical sheets - Rehabilitation): 6-7. ISSN: 1805-2355; 1214-7664

Cross J. Recommended procedures for the management of autonomic dysreflexia in patients after spinal cord injury. Association of Paraplegics with the support of the Ministry of Health of the Czech Republic 2005.

http://www.spinalcord.cz/cz/publikace/

Wendsche P, Kriz J. Recommended care procedures in the acute phase after spinal cord injury. Association of Paraplegics with the support of the Ministry of Health of the Czech Republic 2005.

http://www.spinalcord.cz/cz/publikace/

Faltynkova Z, Kriz J, Kabrtova A et al. The road to independence after spinal cord injury. Paraplegic Association 2004.

http://vozejkov.cz/temp/publikace/Cesta-k-nezavislosti-web.pdf

Abstract

Fousova J, Kafunkova P, Kriz J. Our experiences with shoulder pain in patients after spinal cord injury. 16th European Congress of Physical and Rehabilitation medicine, June 3–6, 2008, Brugge, Belgium. J Rehabil Med 2008; Suppl 47: 278. ISSN 1650-1977

Zedka M., Kriz J. Magnetic stimulation predicts clinical recovery after spinal cord injury. Abstracts of the 17^th Conference on Posture and Gait Research, Marseille, May 29^th-June 2^nd, 2005. Gait and Posture 2005; 21, Suppl 1: S74. ISSN 0966-6362

Works published in peer-reviewed proceedings published abroad

Kriz J. Evaluation of electronic forms for neurological and functional assessment after spinal cord injury. Abstract book. 52^nd ISCoS Annual Scientific Meeting, October 28-30, 2013, Istanbul, Turkey.

Kriz J, Sulc, J. Monitoring of respiratory dysfunctions after traumatic spinal cord injury. Abstract book p.407. 51^st ISCoS Annual Scientific Meeting, September 3-5, 2012, London, UK.

Kriz J, Hysperska V. Neuropathic pain management in patients after Spinal Cord Injury. Abstract book p.55. NoSCoS Congress, June 3-6, 2009, Viborg, Denmark.

Kriz J, Kolar P, Oplatkova L, Fousova J, Hysperska V, Kobesova A. Physiotherapy in Patients with Spinal Cord Lesions at First Place. Abstractbook p.336. 46^th ISCoS Annual Scientific Meeting, June 27-30, 2007, Reykjavík, Iceland.

Papers published in peer-reviewed proceedings published in the Czech and Slovak Republics

Hysperska V, Kriz J. Physical activity in humans after spinal injury. in. Proceedings abstract: p. XVII. Congress of the Society of Rehabilitation and Physical Medicine. Luhačovice, 14.-15. May, 2010. ISBN 978-80-254-7092-3.

Kriz J, Kafunkova P. RT300 system and its use. in. Proceedings abstract: p. XNUMXth Congress of the Society of Rehabilitation and Physical Medicine. Luhačovice, 15.-16. May, 2009, Luhačovice

Chvostova S., Kriz J. Rehabilitation in tracheostomized patients after spinal cord injury. in. Proceedings abstract: p. XNUMXth Congress of the Society of Rehabilitation and Physical Medicine. Luhačovice, 15.-16. May, 2009.

Hysperska V, Kriz J, Oplatkova L. Rehabilitation of patients after spinal cord injury. pp. 6. XIV. Congress of the Society of Rehabilitation and Physical Medicine. Luhačovice, 13.-14. April, 2007. ISBN 978-80-239-8744-7

Rejchrt M, Hyrsl L, Hysperska V, Kriz J. Evaluation of urological treatment results in patients after spinal cord injuries. in. Proceedings abstract: Annual conference of the Czech Urological Society ČLS JEP. České Budějovice, October 11-13.10.2006, 2006 Nucleus HK, 123, pp. 80. ISBN 87009-10-XNUMX-X

Events and seminars

Links

Professional medical companies:

Czech Society for Spinal Cord Lesions www.spinalcord.cz

Society of Rehabilitation and Physical Medicine of the Czech Medical Association www.srfm.cls.cz

Spondylosurgical Society ČLS JEP www.spine.cz

Collaborating departments:

Center for Backbone Surgery Prague - FN Motol www.spondylo.cz

Department of Orthopedics and Traumatology, FNKV, Prague www.fnkv.cz/

Department of Neurosurgery, 1st Medical Faculty, Charles University and Central Hospital, Prague www.uvn.cz/index.php

Department of Orthopedics and Traumatology, Pilsen www.fnplzen.cz/pracoviste_detail.asp

Neurosurgery, Homolka Hospital, Prague www.homolka.cz/cz/neurochirurgie/

Department of Orthopedics, Na Bulovce University Hospital www.fnb.cz/index.php

Spinal units:

Spinal unit of the University Hospital Ostrava www.fnspo.cz/kliniky/nch/specializovana_pece.html

Spinal unit KN Liberec, as www.nemlib.cz/web/index.php

Spinal unit of the Trauma Hospital in Brno www.unbr.cz/article.asp

Rehabilitation institutions:

Rehabilitation Institute Kladruby www.rehabilitace.cz

Hamz's specialist hospital for children and adults Luže-Košumberk www.hamzova-lecebna.cz

Military Rehabilitation Institute Slapy www.volareza.cz/index2.php

Hrabyně Rehabilitation Institute www.ruhrabyne.cz

Malvazinky Rehabilitation Clinic http://www.malvazinky.cz/

Rehabilitation centers:

Paraple Center in Prague www.paraple.cz

Fenix ​​Paracentre in Brno www.paracentrum-fenix.cz

Associations and organizations:

Czech Association of Paraplegics www.czepa.cz

Community portal not only for wheelchair users with spinal cord injuries  www.vozejkov.cz

Other links:

European Multicenter Study about Spinal Cord Injury  www.emsci.org

Contact

Address:

Spinal unit at the Department of Rehabilitation and Sports Medicine, Charles University, 2nd Faculty of Medicine and Motol University Hospital

V Úvalu 84

150 06 Prague 5

adult part (blue building), node C, -1. floor

Primary:

doc. MD Jiří Kříž, Ph.D.

tel .: +420 22443 9207
e-mail: jiri.kriz@fnmotol.cz

Head nurse:

M.Sc. Hana Jirků

tel .: +420 22443 9208
fax: +420 22443 9221
e-mail: hana.jirku@fnmotol.cz

Doctors:

MD Veronika Hyšperská
tel .: +420 22443 9253
e-mail: veronika.hysperska@fnmotol.cz

MUDr. Rybka Vojtech
tel .: +420 22443 9253
e-mail: vojtech.rybka@fnmotol.cz

MUDr. Slivka Tomas
tel .: +420 22443 9253
e-mail: tomas.slivka@fnmotol.cz

Physiotherapists:

Jan Mikes, DiS.

tel .: +420 22443 9284
e-mail: jan.mikes@fnmotol.cz

Bc. Kristýna Šedivá
tel .: +420 22443 9284 
e-mail: kristyna.sediva@fnmotol.cz

Bc. Lenka Baštářová
tel .: 22443 9284 
e-mail: lenka.bastarova@fnmotol.cz

M.Sc. Lenka Vinciková
tel .: 22443 9284 
e-mail: lenka.vincikova@fnmotol.cz

M.Sc. Radmila Hanousková
tel .: +420 22443 9284 
e-mail: radmila.hanouskova@fnmotol.cz

M.Sc. Riháková Matylda
tel .: +420 22443 9284 
e-mail: matylda.rihakova@fnmotol.cz

Occupational Therapists:

Bc. Adéla Krahulcová

tel .: +420 22443 9284, +420 22443 9239
e-mail: adela.krahulcova@fnmotol.cz

 

 

Bc. Josefína Balková

tel .: +420 22443 9284, +420 22443 9239
e-mail: josefina.balkova@fnmotol.cz

Station nurse:

Eliška Daníčková
tel .: +420 22443 9254
e-mail: eliska.danickova@fnmotol.cz

 

Social counseling:

Bc. Magda Vrabelová
tel .: +420 224 431 175
e-mail: magda.vrabelova@fnmotol.cz

Psychologist

M.Sc. Petra Kurkova
tel .: 224 433 488

e-mail: petra.kurcova@fnmotol.cz