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Lecturer(s)
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Sýkorová Olga, Doc. MUDr. Ph.D.
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Horpeniak Radek, Doc. MUDr. Ph.D., MBA
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Course content
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Lectures 1. General indications and contraindications of therapeutic rehabilitation in internal medicine. 2. Arguments for the rational choice of a rehabilitation strategy in internal medicine in connection with taking a movement history. 3. Overview of the biological effect of regular physical activity. 4. Pathophysiology of physical stress - selected manifestations of adaptation of individual systems to regular exercise or different types of training; some systemic manifestations of insufficient physical activity. 5. Pathophysiology of physical exertion - functional changes associated with maladaptation during forced interruption of exercise or training. 6. ECG - examination principle, leads, recording conditions, ECG curve and its evaluation. 7. Spirometry - indication, spirogram, flow/volume curve, Tiffeneau index. 8. Spiroergometry - basic investigated values, principle of practical implementation. 9. Basic principles of prescribing a program of physical activity or sports training. 10. Long-term adherence to the physical activity program. 11. Physical activity and sport as means of prevention and therapy. Exercises 1. Examination of the cardiovascular system - medical history. Circulatory and functional examination of the patient by a physiotherapist. 2. Examination of the cardiovascular system - physical examination - aspect, palpation; auscultation, blood pressure examination (principle). 3. Functional tests of the cardiovascular system, differential diagnosis. 4. Ergometry: principle, examination methods, indications, basic examined values. 5. Examination of the KV system - simple stress tests. 6. Spirometry - measurement conditions, basic parameters, practical implementation. 7. Spiroergometry - test VO2 max, VO2 max/kg, VO2 max/TF, MET (metabolic equivalent) - interpretation of results. 8. Prescription of the physical activity program - determination of heart rate and load intensity. 9. - 10. The most common cyclic endurance physical activities and their use. 11. Credit test
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Learning activities and teaching methods
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- Contact hours
- 44 hours per semester
- Preparation for comprehensive test (10-40)
- 20 hours per semester
- Preparation for an examination (30-60)
- 40 hours per semester
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| prerequisite |
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| Knowledge |
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| define lung volumes and capacities |
| explain the function and principle of management of individual organ systems |
| Skills |
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| take a movement history |
| performs a physical examination |
| Competences |
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| N/A |
| learning outcomes |
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| Knowledge |
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| will explain how regular physical activity affects different biological systems of the body |
| characterizes adaptation to regular exercise |
| lists the negative consequences of insufficient physical activity |
| describes functional changes when regular exercise is interrupted |
| describes the procedure of the ECG examination |
| defines the indications for spirometric examination and describes the procedure of this examination |
| lists the basic values investigated by spiroergometry |
| Skills |
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| identifies the appropriateness of including medical rehabilitation or its omission due to possible risks or contraindications |
| correctly selects a rehabilitation strategy based on a detailed movement history of the patient |
| interprets the results of ECG, spirometric and spiroergometric examination |
| suggests a physical activity program based on the patient's individual needs and abilities |
| motivates patients to long-term adherence to a physical activity program |
| performs a physical examination |
| Competences |
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| N/A |
| teaching methods |
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| Knowledge |
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| Lecture |
| Multimedia supported teaching |
| Skills |
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| Practicum |
| Skills demonstration |
| Competences |
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| Lecture |
| Practicum |
| Skills demonstration |
| assessment methods |
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| Knowledge |
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| Oral exam |
| Test |
| Skills |
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| Oral exam |
| Test |
| Competences |
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| Oral exam |
| Test |
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Recommended literature
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DYLEVSKÝ, I. a kol. Pohybový systém a zátěž.. Praha: Grada, 1997. ISBN 80-7169-258-1.
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HELLER, J., VODIČKA, P. Praktická cvičení z fyziologie tělesné zátěže. Praha: Karolinum, 2018. ISBN 978-80-246-3861-4.
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Máček, Miloš; Radvanský, Jiří. Fyziologie a klinické aspekty pohybové aktivity. Praha : Galén, 2011. ISBN 978-80-7262-695-3.
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PASTUCHA, D. a kol. Tělovýchovné lékařství: vybrané kapitoly.. Praha: Grada, 2014. ISBN 9788024748375.
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Várnay, František; Homolka, Pavel,; Mífková, Leona,; Dobšák, Petr. Spiroergometrie v kardiologii a sportovní medicíně. 1. vydání. 2020. ISBN 978-80-271-2552-4.
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