{"id":3116,"date":"2026-09-17T10:49:24","date_gmt":"2026-09-17T08:49:24","guid":{"rendered":"https:\/\/easyliner.eu\/cs\/?p=3116"},"modified":"2026-09-17T10:49:24","modified_gmt":"2026-09-17T08:49:24","slug":"ucinek-protetickych-lineru-na-snizeni-tlaku","status":"publish","type":"post","link":"https:\/\/easyliner.eu\/cs\/innovations\/ucinek-protetickych-lineru-na-snizeni-tlaku\/","title":{"rendered":"\u00da\u010dinek protetick\u00fdch liner\u016f na sn\u00ed\u017een\u00ed tlaku"},"content":{"rendered":"
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Jak volba lineru ovlivnila rozlo\u017een\u00ed tlaku, bolest a komfort p\u0159i ch\u016fzi u pacienta s transfemor\u00e1ln\u00ed amputac\u00ed<\/h3>\n<\/div>\n<\/div>\n
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KLINICK\u00c9 HODNOCEN\u00cd P\u0158\u00cdPADU<\/h4>\n<\/div>\n<\/div>\n<\/div>\n

P\u0158\u00cdPADOV\u00c1 STUDIE PROVEDEN\u00c1:<\/strong><\/h6>\n
TOYOKAZU TAKEUCHI, <\/b>PhD., CPO<\/h6>\n
KEIZO YAMAMOTO<\/b>, PhD<\/h6>\n

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Protetick\u00fd liner hraje kl\u00ed\u010dovou roli ve vztahu mezi pah\u00fdlem a protetick\u00fdm l\u016f\u017ekem. Nen\u00ed pouze vrstvou mezi k\u016f\u017e\u00ed a l\u016f\u017ekem \u2013 m\u016f\u017ee p\u0159\u00edmo ovliv\u0148ovat rozlo\u017een\u00ed tlaku, stabilitu, komfort a v kone\u010dn\u00e9m d\u016fsledku i kvalitu ch\u016fze.<\/h4>\n<\/div>\n<\/div>\n
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Ned\u00e1vn\u00e9 klinick\u00e9 hodnocen\u00ed p\u0159\u00edpadu se zab\u00fdvalo t\u00edmto vztahem u pacienta s transfemor\u00e1ln\u00ed amputac\u00ed, kter\u00fd poci\u0165oval v\u00fdraznou bolest p\u0159i ch\u016fzi. V r\u00e1mci hodnocen\u00ed byly porovn\u00e1ny r\u016fzn\u00e9 technologie liner\u016f a pomoc\u00ed m\u011b\u0159en\u00ed tlaku b\u011bhem ch\u016fze bylo zkoum\u00e1no, jak volba lineru ovlivnila s\u00edly p\u016fsob\u00edc\u00ed v obzvl\u00e1\u0161t\u011b citliv\u00e9 oblasti pah\u00fdlu.<\/strong><\/h6>\n<\/div>\n<\/div>\n<\/div>\n

KLINICK\u00c1 V\u00ddZVA<\/h4>\n

Pacient m\u011bl velmi kr\u00e1tk\u00fd transfemor\u00e1ln\u00ed pah\u00fdl. Zpo\u010d\u00e1tku z\u016fst\u00e1valo v okol\u00ed dist\u00e1ln\u00ed \u010d\u00e1sti kon\u010detiny dostatek m\u011bkk\u00fdch tk\u00e1n\u00ed, kter\u00e9 zaji\u0161\u0165ovaly pot\u0159ebnou ochranu. Postupem \u010dasu v\u0161ak atrofie m\u011bkk\u00fdch tk\u00e1n\u00ed postupovala a dist\u00e1ln\u00ed kostn\u00ed prominence byla st\u00e1le v\u00fdrazn\u011bj\u0161\u00ed.<\/p>\n

P\u0159i ka\u017ed\u00e9m kroku tato vystupuj\u00edc\u00ed oblast opakovan\u011b p\u0159ich\u00e1zela do kontaktu s vnit\u0159n\u00ed st\u011bnou protetick\u00e9ho l\u016f\u017eka, co\u017e vedlo k lokalizovan\u00e9mu tlaku a v\u00fdrazn\u00e9 bolesti p\u0159i ch\u016fzi. Obt\u00ed\u017ee za\u010daly negativn\u011b ovliv\u0148ovat jak komfort, tak funk\u010dnost p\u0159i ch\u016fzi.<\/p>\n

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P\u0159i flexi kon\u010detiny byla kostn\u00ed prominence je\u0161t\u011b v\u00fdrazn\u011bj\u0161\u00ed, co\u017e ukazuje na omezen\u00e9 mno\u017estv\u00ed m\u011bkk\u00fdch tk\u00e1n\u00ed, kter\u00e9 by chr\u00e1nily dist\u00e1ln\u00ed oblast p\u0159ed opakovan\u00fdm zat\u00ed\u017een\u00edm uvnit\u0159 protetick\u00e9ho l\u016f\u017eka. P\u0159edpokl\u00e1dalo se, \u017ee pr\u00e1v\u011b toto soust\u0159ed\u011bn\u00ed tlaku bylo hlavn\u00ed p\u0159\u00ed\u010dinou bolesti pacienta p\u0159i ka\u017ed\u00e9m kroku.<\/p>\n

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PO\u010c\u00c1TE\u010cN\u00cd ZLEP\u0160EN\u00cd VOLBOU LINERU<\/strong><\/p>\n

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Vzhledem k z\u00e1va\u017enosti pacientov\u00fdch obt\u00ed\u017e\u00ed byla zpo\u010d\u00e1tku zva\u017eov\u00e1na \u00faprava protetick\u00e9ho l\u016f\u017eka nebo p\u0159id\u00e1n\u00ed lok\u00e1ln\u00ed v\u00fdstelky. Je\u0161t\u011b p\u0159ed proveden\u00edm t\u011bchto \u00faprav v\u0161ak byl nasazen gelov\u00fd liner ALPS.<\/p>\n<\/div>\n<\/div>\n

Pacient uvedl v\u00fdrazn\u00e9 zm\u00edrn\u011bn\u00ed bolesti, kter\u00e9ho bylo dosa\u017eeno pouze volbou lineru \u2013 bez \u00fapravy protetick\u00e9ho l\u016f\u017eka a bez p\u0159id\u00e1n\u00ed dal\u0161\u00ed v\u00fdstelky.<\/strong><\/p>\n

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Toto pozorov\u00e1n\u00ed vedlo k d\u016fle\u017eit\u00e9 klinick\u00e9 ot\u00e1zce:<\/strong> Mohly b\u00fdt za zlep\u0161en\u00edm samotn\u00e9 vlastnosti lineru z hlediska rozlo\u017een\u00ed tlaku? Pro dal\u0161\u00ed ov\u011b\u0159en\u00ed byla pacientova zku\u0161enost vyhodnocena pomoc\u00ed instrument\u00e1ln\u00edho m\u011b\u0159en\u00ed b\u011bhem ch\u016fze.<\/p>\n

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M\u011a\u0158EN\u00cd TLAKU B\u011aHEM CH\u016eZE<\/strong><\/h4>\n<\/div>\n
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Tlakov\u00fd senzor byl um\u00edst\u011bn do oblasti, kde se o\u010dek\u00e1val kontakt dist\u00e1ln\u00ed kostn\u00ed prominence se st\u011bnou protetick\u00e9ho l\u016f\u017eka. Pacient n\u00e1sledn\u011b absolvoval testy ch\u016fze za b\u011b\u017en\u00fdch podm\u00ednek, p\u0159i\u010dem\u017e pro ka\u017ed\u00fd testovan\u00fd liner bylo zaznamen\u00e1no p\u0159ibli\u017en\u011b 20 sekund dat.<\/p>\n

Byly hodnoceny t\u0159i technologie liner\u016f: komer\u010dn\u011b dostupn\u00fd silikonov\u00fd liner, EasyGel a OptiGel<\/a>.<\/strong> Tlakov\u00e1 data byla zaznamen\u00e1v\u00e1na v pr\u016fb\u011bhu cel\u00e9ho cyklu ch\u016fze s c\u00edlem kvantifikovat zat\u00ed\u017een\u00ed bolestiv\u00e9 dist\u00e1ln\u00ed oblasti a zjistit, zda lze pacientem vn\u00edman\u00e9 zlep\u0161en\u00ed zaznamenat tak\u00e9 pomoc\u00ed instrument\u00e1ln\u00edho m\u011b\u0159en\u00ed.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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V\u00ddSLEDKY: OPTIGEL VYK\u00c1ZAL NEJNI\u017d\u0160\u00cd NAM\u011a\u0158EN\u00c9 HODNOTY<\/h4>\n<\/div>\n<\/div>\n<\/div>\n
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M\u011b\u0159en\u00ed potvrdila klinickou zku\u0161enost pacienta. Komer\u010dn\u011b dostupn\u00fd silikonov\u00fd liner vykazoval ze v\u0161ech t\u0159\u00ed testovan\u00fdch liner\u016f nejvy\u0161\u0161\u00ed nam\u011b\u0159en\u00e9 hodnoty. EasyGel sni\u017eoval p\u016fsob\u00edc\u00ed s\u00edlu ve srovn\u00e1n\u00ed se silikonov\u00fdm linerem, zat\u00edmco OptiGel<\/a> vykazoval za hodnocen\u00fdch podm\u00ednek b\u011bhem ch\u016fze nejni\u017e\u0161\u00ed nam\u011b\u0159en\u00e9 hodnoty.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

\"\"\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <\/strong><\/p>\n

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Porovn\u00e1n\u00ed nam\u011b\u0159en\u00fdch hodnot s\u00edly u komer\u010dn\u011b dostupn\u00e9ho silikonov\u00e9ho lineru, EasyGelu a OptiGelu. Ka\u017ed\u00fd bod p\u0159edstavuje jedno m\u011b\u0159en\u00ed; koso\u010dtverec ozna\u010duje pr\u016fm\u011brnou hodnotu.<\/strong><\/p>\n

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Instrument\u00e1ln\u00ed n\u00e1lezy byly v souladu s klinickou zku\u0161enost\u00ed pacienta: ni\u017e\u0161\u00ed zat\u00ed\u017een\u00ed bolestiv\u00e9 dist\u00e1ln\u00ed oblasti souviselo se zv\u00fd\u0161en\u00fdm komfortem a zm\u00edrn\u011bn\u00edm bolesti p\u0159i ch\u016fzi. D\u016fle\u017eit\u00e9 je, \u017ee tohoto zlep\u0161en\u00ed bylo dosa\u017eeno bez \u00fapravy protetick\u00e9ho l\u016f\u017eka a bez p\u0159id\u00e1n\u00ed dal\u0161\u00ed v\u00fdstelky.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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CO HODNOCEN\u00cd ODHALILO O \u201ePOCITU\u201c Z LINERU<\/strong><\/h4>\n
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Jedn\u00edm z nejzaj\u00edmav\u011bj\u0161\u00edch zji\u0161t\u011bn\u00ed hodnocen\u00ed byl vztah mezi t\u00edm, jak\u00fd m\u00e1 liner pocit p\u0159i manipulaci, a t\u00edm, jak se dynamicky chov\u00e1 b\u011bhem ch\u016fze. OptiGel<\/a> si zachov\u00e1v\u00e1 relativn\u011b pevn\u00fd a stabiln\u00ed pocit, podobn\u00fd tomu, kter\u00fd je \u010dasto spojov\u00e1n se silikonov\u00fdmi linery. EasyGel naproti tomu m\u016f\u017ee p\u0159i posouzen\u00ed rukou p\u016fsobit poddajn\u011bji.<\/p>\n

B\u011bhem ch\u016fze v\u0161ak OptiGel prok\u00e1zal lep\u0161\u00ed schopnost rozkl\u00e1dat tlak a vykazoval ni\u017e\u0161\u00ed nam\u011b\u0159en\u00e9 hodnoty ne\u017e EasyGel i komer\u010dn\u011b dostupn\u00fd silikonov\u00fd liner.<\/p>\n

KLINICK\u00dd Z\u00c1V\u011aR: Samotn\u00e9 vn\u00edm\u00e1n\u00ed vlastnost\u00ed lineru na dotek nemus\u00ed nutn\u011b znamenat lep\u0161\u00ed \u0159\u00edzen\u00ed dynamick\u00e9ho rozlo\u017een\u00ed tlaku.<\/strong><\/div>\n<\/div>\n
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Instrument\u00e1ln\u00ed n\u00e1lezy byly v souladu s klinickou zku\u0161enost\u00ed pacienta: ni\u017e\u0161\u00ed zat\u00ed\u017een\u00ed bolestiv\u00e9 dist\u00e1ln\u00ed oblasti souviselo se zv\u00fd\u0161en\u00fdm komfortem a zm\u00edrn\u011bn\u00edm bolesti p\u0159i ch\u016fzi. D\u016fle\u017eit\u00e9 je, \u017ee tohoto zlep\u0161en\u00ed bylo dosa\u017eeno bez \u00fapravy protetick\u00e9ho l\u016f\u017eka a bez p\u0159id\u00e1n\u00ed dal\u0161\u00ed v\u00fdstelky.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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VYV\u00c1\u017dEN\u00cd STABILITY A ROZLO\u017dEN\u00cd TLAKU<\/strong><\/h4>\n
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Volba protetick\u00e9ho lineru m\u016f\u017ee b\u00fdt n\u011bkdy vn\u00edm\u00e1na jako hled\u00e1n\u00ed kompromisu mezi stabilitou a kontrolou na jedn\u00e9 stran\u011b a tlumen\u00edm n\u00e1raz\u016f a rozlo\u017een\u00edm tlaku na stran\u011b druh\u00e9. V r\u00e1mci tohoto hodnocen\u00ed OptiGel<\/a> sni\u017eoval lokalizovan\u00e9 zat\u00ed\u017een\u00ed a z\u00e1rove\u0148 zachov\u00e1val bezpe\u010dn\u00fd a stabiln\u00ed pocit, kter\u00fd se od protetick\u00e9ho lineru o\u010dek\u00e1v\u00e1 \u2013 podporoval tak stabilitu a kontrolu, rozlo\u017een\u00ed tlaku, komfort pacienta i funk\u010dnost p\u0159i ch\u016fzi.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

KLINICK\u00dd Z\u00c1V\u011aR:
\nTento p\u0159\u00edpad za\u010dal zd\u00e1nliv\u011b jednoduch\u00fdm, av\u0161ak v\u00fdznamn\u00fdm klinick\u00fdm probl\u00e9mem: pacient s velmi kr\u00e1tk\u00fdm transfemor\u00e1ln\u00edm pah\u00fdlem poci\u0165oval p\u0159i ka\u017ed\u00e9m kroku bolest zp\u016fsobenou opakovan\u00fdm kontaktem dist\u00e1ln\u00ed kostn\u00ed prominence s protetick\u00fdm l\u016f\u017ekem.
\nPo\u010d\u00e1te\u010dn\u00ed zlep\u0161en\u00ed p\u0159i pou\u017e\u00edv\u00e1n\u00ed gelov\u00fdch liner\u016f ALPS bylo dosa\u017eeno bez \u00fapravy protetick\u00e9ho l\u016f\u017eka a bez p\u0159id\u00e1n\u00ed dal\u0161\u00ed v\u00fdstelky. N\u00e1sledn\u00e9 instrument\u00e1ln\u00ed hodnocen\u00ed ch\u016fze potvrdilo m\u011b\u0159iteln\u00e9 rozd\u00edly mezi jednotliv\u00fdmi materi\u00e1ly liner\u016f, p\u0159i\u010dem\u017e OptiGel vykazoval za hodnocen\u00fdch podm\u00ednek b\u011bhem ch\u016fze nejni\u017e\u0161\u00ed nam\u011b\u0159en\u00e9 hodnoty.
\nSnad nejd\u016fle\u017eit\u011bj\u0161\u00edm zji\u0161t\u011bn\u00edm tohoto p\u0159\u00edpadu je, \u017ee stabilita a rozlo\u017een\u00ed tlaku nemus\u00ed nutn\u011b p\u0159edstavovat kompromis. OptiGel si zachoval pevn\u00fd a stabiln\u00ed pocit a z\u00e1rove\u0148 prok\u00e1zal \u00fa\u010dinn\u00e9 dynamick\u00e9 rozlo\u017een\u00ed tlaku \u2013 kombinaci vlastnost\u00ed, kter\u00e1 m\u016f\u017ee b\u00fdt obzvl\u00e1\u0161t\u011b v\u00fdznamn\u00e1 p\u0159i \u0159e\u0161en\u00ed citliv\u00fdch oblast\u00ed, kostn\u00edch prominenc\u00ed nebo jin\u00fdch probl\u00e9m\u016f souvisej\u00edc\u00edch s regulac\u00ed tlaku.<\/strong><\/div>\n
Pozn\u00e1mka k hodnocen\u00ed p\u0159\u00edpadu:<\/strong> Tento \u010dl\u00e1nek prezentuje v\u00fdsledky individu\u00e1ln\u00edho klinick\u00e9ho hodnocen\u00ed p\u0159\u00edpadu pacienta s transfemor\u00e1ln\u00ed amputac\u00ed a odr\u00e1\u017e\u00ed v\u00fdsledky pozorovan\u00e9 za v\u00fd\u0161e popsan\u00fdch podm\u00ednek. Individu\u00e1ln\u00ed v\u00fdsledky se mohou li\u0161it.<\/h6>\n

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Jak volba lineru ovlivnila rozlo\u017een\u00ed tlaku, bolest a komfort p\u0159i ch\u016fzi u pacienta s transfemor\u00e1ln\u00ed amputac\u00ed KLINICK\u00c9 HODNOCEN\u00cd P\u0158\u00cdPADU P\u0158\u00cdPADOV\u00c1 […]<\/p>\n","protected":false},"author":15,"featured_media":5623,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[34],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/posts\/3116"}],"collection":[{"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/comments?post=3116"}],"version-history":[{"count":12,"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/posts\/3116\/revisions"}],"predecessor-version":[{"id":3129,"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/posts\/3116\/revisions\/3129"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/easyliner.eu\/cs\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/media?parent=3116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/categories?post=3116"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/easyliner.eu\/cs\/wp-json\/wp\/v2\/tags?post=3116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}